Long-term ventilatory support to stabilize a flail chest in a patient with multiple myeloma

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Use of bilevel positive airway pressure ventilatory support for pathological flail chest complicating multiple myeloma.

Multiple myeloma is a common disease that universally involves the skeletal system. Although rib involvement may occur, the development of pathological flail chest is rare. We describe the treatment and course of this condition in an elderly female, and the use of the bilevel positive airway pressure (BiPAP) ventilatory system in providing pneumatic stabilization, while definitive chemotherapy ...

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Spontaneous flail chest in multiple myeloma.

1. Weiner, M. & Epstein, F.H. Signs and symptoms ofelectrolyte disorders. Yale J Biol Med 1970, 43: 76-109. 2. Kelsey, S.M., Williams, A.C. & Corbin, D. Hyponatraemia as a cause of reversible ataxia. Br Med J 1986, 293: 1346. 3. Ashton, M.G., Ball, S.G., Thomas, T.H. et al. Water intoxication associated with carbamazepine treatment. Br MedJ 1977, 1: 1134-1135. 4. Lipshutz, D.E. & Reiter, J.M. A...

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Multiple myeloma in a patient with suspected hyperparathyroidism

Multiple myeloma (MM) is a clonal B-lymphocyte neoplasm of terminally differentiated plasma cells. Imaging modalities which allow the recognition of the effects of myeloma cells on the skeletal system have been utilized for a long time. Herein, we represent a patient with generalized osteoporosis and hypercalcemia, who was referred for parathyroid scan, in whom the widespread bone marrow techne...

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Long-Term Ventilatory Support by Diaphragm

Thirty-seven quadriplegic patients with respiratory paralysis were treated by electrical stimulation of the phrenic nerves to pace the diaphragm. Full-time ventilatory support by diaphragm pacing was accomplished in 13 patients. At least half-time support was achieved in 10 others. There were two deaths unrelated to pacing in these two groups. Fourteen patients could not be paced satisfactorily...

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a patient with multiple myeloma and renal cell carcinoma

the coexistence of two malignancies is rarely seen. a little association between hematologic malignancies especially multiple myeloma and renal cell carcinoma has been reported in the recent past. several case series revealed a bidirectional association between these two malignancies which may be due to the common risk factors, similar cytokine growth requirements and clinical presentation. her...

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ژورنال

عنوان ژورنال: Journal of the Japanese Society of Intensive Care Medicine

سال: 2012

ISSN: 1340-7988,1882-966X

DOI: 10.3918/jsicm.19.207