Dynamic hyperinflation—the anaesthetist applying a tourniquet to the right heart " The leperous distilment; whose effect holds such an enmity with blood of man that, swift as quicksilver, it courses through the natural gates and alleys of the body,.... " Hamlet, Act 1 Scene 5 Even though the play antedates the publication of De Motu Cordis by nearly 30 years, the quotation was used as evidence ...

Background: Functional endoscopic sinus surgery is associated with a high rate of success for symptomatic improvement in patients. This operation can be done under general or local anesthesia. In this study we have tried to compare the efficacy of monitored anesthetic care with general anesthesia for Functional endoscopic sinus surgery. Methods: 20 patients each above the age of 18 years, were ...

The purpose of this work is to present 640 patient-years of experience using the intermittent abdominal pressure ventilator (IAPV) in a regimen of noninvasive ventilatory support for patients with paralytic/restrictive respiratory insufficiency. Fifty-two of the 54 patients who used the IAPV used 24-hour noninvasive ventilatory support. Thirty-eight of the 52 patients could tolerate less than 1...

Intermittent positive pressure mechanical ventilation (IPPV) can be applied invasively (through a tracheotomy or an endotracheal tube) or noninvasively, using nasal, oral or facial interfaces. Three different types of physician have been involved in treating patients with this kind of therapy: intensive care specialists, pneumologists (also called pulmonologists or respiratory physicians) and s...

A 64-year-old woman had suffered from recurrent depressive illnesses, although two attacks of manic behaviour had followed treatment for depression. She was first admitted to hospital in 1954 because of depression. Subsequently she had been admitted on fifteen occasions. As is common in the affective disorders, her attacks had become progressively more frequent and she had spent most of the pre...

Copyright © 2014, Kashan University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited. Traumatic chest injury is one t...

Extracorporeal membrane oxygenation (ECMO) has been used in the management of neonates with life-threatening cardiorespiratory diseases since 19821. Several studies have demonstrated that ECMO promotes normal survival in neonates with respiratory failure2-4. After decades of discussion, ECMO is now well accepted as a standard of treatment for neonatal respiratory failure refractory to conventio...

To test the hypothesis that pulmonary alterations are more important than hemodynamic changes in a2-agonist-induced hypoxemia in ruminants, the cardiopulmonary effects of incremental doses of (4-[1-(2,3-dimethylphenyl)ethyl]-1H-imadazole) hydrochloride (medetomidine; 0.5, 1.0, 2.0, and 4 mg/kg) and 2-(2,6-diethylphenylamino)-2-imidazol (ST-91; 1.5, 3.0, 6.0, and 12 mg/kg) were compared in five ...

___________ _ A 23-year old male was admitted at 1 ,093 days post cardiac transplantation in cardiac failure. Despite inotropic support and later intra-aortic balloon pumping there was a slow continued fall in cardiac output, renal function and a worsening metabolic state. The patient was then placed on extracorporeal membrane oxygenation (ECMO), consisting of a Bio-Medicus pump and Kolobow mem...