On-line monitoring of MVo2 sat. in vivo by means of fibreoptic reflectometry was studied in 19 patients as to its predictive value during the postoperative course after thoracotomy for periods up to 60 hours. In all but one of the 10 patients with MVo2 sat. less than 65% for at least one hour complications occurred. A fall of MVo2 sat. of more than 5% or a value below 60% predicted a period of ...

Post-catheterization pseudoaneurysm is most common vascular complications of cardiac and peripheral angiographic procedures. We report a 67-year-old female patient with giant (25 cmx25 cm) femoral artery pseudoaneurysm which gradually enlarged without rupture developed after catheterization in the periods of three years. She electively underwent to operation. Pseudoaneurysm pouch was evacuated ...

INTRODUCTION Dexmedetomidine (Dex) has sedative, analgesic, and anesthetic-sparing effects. This meta-analysis examines demonstrated intraoperative and postoperative effects of intraoperative Dex administration during pediatric surgery. METHODS A search for randomized placebo-controlled trials was conducted to identify clinical trials examining intraoperative Dex use in children, infants, and...

PURPOSE To evaluate the magnitude of refractive astigmatism after congenital cataract surgery and to define its correlation with patient age. METHODS The authors retrospectively reviewed the charts of all pediatric patients who underwent congenital cataract extraction with intraocular lens (IOL) implantation through a 3.0-mm clear corneal incision from 1998 to 2003, and had no suture removal ...

background: the role of premedication with acetaminophen on postoperative conditions in pediatric patients is not well known. we aimed to assess the effects of prophylactic oral versus rectal acetaminophen on postoperative conditions in pediatric adenotonsillectomy patients. methods: in a double-blinded randomized clinical trial, 127 children undergoing adenotonsillectomies were randomized to r...

OBJECTIVE To assess self-esteem and depression in patients submitted for orthognathic surgery. METHODS Assessment was realized on 29 patients, male and female, aged 17 to 46, presenting Angle Class III malocclusion and referred for surgical treatment, during the preoperative (orthodontic preparation) and postoperative (six-month postoperative) periods. Either maxillomandibular or isolated pro...

OBJECTIVE Simultaneous aortic arch repair and coronary artery bypass are associated with considerable morbidity and mortality. We retrospectively analyzed our experience with on- and off-pump coronary artery bypass (CAB) combined with aortic arch repair. METHODS Before aortic arch repair, distal coronary artery anastomosis was constructed on the arrested heart under CAB (ONCAB: n=14), or on t...

Friedreich's ataxia is an inherited neuromuscular disorder often associated with significant cardiac disease. We report a case of Friedreich's ataxia in a 13-year-old girl with ulcerative colitis and hypertrophic cardiomyopathy who was successfully managed for subtotal colectomy with general anaesthesia and epidural narcotic. Anaesthetic considerations included the maintenance of fluid volume a...

OBJECTIVES To observe the quality of life (QOL) in rectal cancer patients with permanent colostomy in different periods after operation. METHODS A 1-,3-,6-month prospective study of QOL in 51 rectal cancer patients with permanent colostomy and 50 without permanent colostomy was assessed using European Organization for Research and Treatment of Cancer (EORTC) QOL-30 and CR38 questionnaires. ...

OBJECTIVE To evaluate the clinical course of patients subjected to the osteotomy designed at the National Rehabilitation Institute (LP-INR) with a memory staple to treat the congenital quintus varus supraductus deformity, from December 2002 to August 2009. Moreover, to show that the LP-INR osteotomy decreases weight bearing under the 5th metatarsal head, descends the phalanx, spares the metatar...