We have assessed the potential for myocardial ischaemia during laparoscopic cholecystectomy in 16 otherwise healthy patients. Continuous ambulatory ECG monitoring was commenced 12 h before operation and continued for 24 h after operation. The neuroendocrine stress response was assessed by measuring plasma concentrations of adrenaline and noradrenaline, human growth hormone, cortisol, renin and ...

OBJECTIVE To review the literature on use of the Trendelenburg position as a position for resuscitation of patients who are hypotensive. METHODS PubMed online, cited bibliographies, critical care textbooks, and Advanced Cardiac Life Support guidelines were searched for information on the position used for resuscitation. Because of the heterogeneity of the data, only pertinent articles and cha...

Chest optimization, an evidence-based p rotocolguided multimodal chest physio therapy con sisting of bo dy positioning, sputu m mobilization, bronchodilation, an d lu ng hyperinflation, may be ro utinely adm inistered to venti latordependent patients with low cervical spinal cord injury (CSCI) for i mproving p ulmonary fu nctional o utcomes that facilitate weaning from mechanical ventilation. W...