OBJECTIVE To investigate the compressive force applied to the head during mask ventilation and determine whether this force increases in response to an attempt to correct the mask leak. METHODS The authors asked 24 participants (consultants, fellows and nurses) to administer positive pressure ventilation to a modified leak-free, term newborn manikin using a self-inflating bag (SIB) and a Neop...

Objective: To evaluate the efficacy of a simple method to minimize gastric inflation in unprotected airways during resuscitation procedures. Methods: Ventilation of an airway simulator by use of a hose extended mask with leak and without leak and with or without additional oxygen (15 litres per minute). Experimental settings with artificial lung at a compliance = 300ml/ kPa and resistance = 0,5...

Ventilator autocycling can occur with any ventilator if the sensitivity is improperly set or if a gas leak exists in the respiratory system which creates a negative change in proximal airway pressure. We report a case of ventilator autocycling in a paralyzed patient secondary to an endotracheal cuff leak which was misconstrued as assisted ventilation. We believe this is the first report of auto...

Synpathetic overactivit)t has been considered to be one of the underlying causes of h5'pertension; however, the uanagenrent of hypertension u,ilh anti-q,upathetic drugs is often unsatisfactoôt. B! using autononùc reflex testing, i.e., isontetic exercise, cold pressor test, at'td Volsalva ,,nneu.ver, we invesligated the aufononic reJlet( patlerns before and afier lreatnent itl 8 (mean age 48, SE...

PURPOSE We examined the effect of the Monarc suburethral sling on urethral mobility. MATERIALS AND METHODS We retrospectively studied the records of 54 consecutive women who received a Monarc suburethral sling between July 2005 and November 2008. All patients were examined by volume ultrasound preoperatively and at followup (average 0.7 years). Volume data sets were analyzed using post-proces...

OBJECTIVES Sinuses of Valsalva are important in assuring the physiological function of the aortic valve. This study evaluates short-term clinical results of the reimplantation technique for aortic valve-sparing root replacement using a new prosthesis with three separate sinuses of Valsalva (sinus prosthesis). METHODS Between February 2009 and February 2011, a total of 23 patients (20 m/3 f; m...

The objective of this study was to investigate cardiovascular autonomic function in patients with parkin disease. Ten patients with a genetically confirmed diagnosis were compared to 11 healthy controls. Symptoms related to autonomic dysfunction were collected by structured interviews. Cardiovascular autonomic reflex function was evaluated using a standard battery of eight tests. Autonomic test...

OBJECTIVE To evaluate the presence and extent of autonomic dysfunction in HIV infected individuals of one ethnic group. DESIGN Prospective, age-sex matched study. METHODS 25 patients (seven asymptomatic (HIV), eight AIDS related complex (ARC), 10 AIDS) and 25 controls were recruited from patients and staff at the Aga Khan Hospital, Nairobi. Autonomic function was assessed by measurement of ...

1. The relationship between blood pressure and heart rate responses to coughing was investigated in 10 healthy subjects in three body positions and compared with the circulatory responses to commonly used autonomic function tests: forced breathing, standing up and the Valsalva manoeuvre. 2. We observed a concomitant intra-cough increase in supine heart rate and blood pressure and a sustained po...

BACKGROUND Recently, endoscopic interventions (eg, esophageal stenting) have been successfully used for the management of intrathoracic leak. The purpose of this systematic review was to assess the safety and efficacy of techniques used in the management of intrathoracic anastomotic leak. DATA SOURCES We performed a systematic review of MEDLINE, EMBASE, and PubMed to identify eligible studies...