video assisted thoracic surgery in penetrating chest trauma

... duct in the chest wall which drained chyle was injured in the VATS port placement Injury to this abnormal duct might have resulted in retrograde drainage of chyle due to an obstruction in the thoracic ... Journal of Cardiothoracic Surgery 2010, 5:83 http://www.cardiothoracicsurgery.org/content/5/1/83 Page of Figure Chyle leakage in port incision in the left chest wall and its lymphoscintigraphy A: ... evident in the left chest wall corresponding to the major incision (red arrow) No tracer accumulation was found in the pleural cavity was continued for another days, after which oral intake was...

Ngày tải lên: 10/08/2014, 09:22

... động (dyskinesia), giảm vận động (hypokinesia), tràn dịch màng tim 27/ CÁC CHỈ ĐỊNH CỦA MỞ NGỰC PHÒNG CẤP CỨU TRONG TRƯỜNG HỢP CHẤN THƯƠNG XUYÊN NGỰC ? Bất bệnh nhân với dấu hiệu sinh tồn trước ... trị không phẫu thuật với dẫn lưu ống ngực chế độ ăn uống mỡ hay dinh dưỡng hoàn toàn đường ruột luôn mang lại thành công Somatostatin làm tăng nhanh biến rò nhũ trấp (chyle leak) 42/ NHỮNG CHỈ ĐỊNH ... - Mất máu ban đầu ống dẫn lưu ngực vượt 1000 đến 1500 mL Tốc độ máu ống dẫn lưu luôn dẫn đáng tin cậy mức độ nghiêm trọng thương tổn tim mạch Chèn ép tim, tràn máu màng phổi đông (clotted hemothorax),...

Ngày tải lên: 13/07/2014, 15:20

... ngăn ngừa kiệt máu (exsanguination) - Những thương tổn liên kết Sự diện thương tổn liên kết, đặc biệt cấu trúc mạch máu, làm cho tiên lượng xấu - Kinh nghiệm trauma center trauma team 19/ NHỮNG TRIỆU ... limited thoracotomy) 18/ NHỮNG YẾU TỐ NÀO QUYẾT ĐỊNH TIÊN LƯỢNG TRONG THƯƠNG TỔN XUYÊN TIM (PENETRATING CARDIAC INJURIES) - Thời gian từ chấn thương đến mổ : Mỗi phút quan trọng ! Scoop and run đến ... Thương tổn súng bắn (gunshot injuries) lần gây chết người thương tổn dao đăm (stab wounds) - Nơi thương tổn tim Thương tổn động mạch chủ màng tim (intrapericardial aortic injuries) có tiên lượng...

Ngày tải lên: 13/07/2014, 15:20

... following cardiothoracic surgery in the intensive care unit Journal of Cardiothoracic Surgery 2011 6:79 Competing interests The authors declare that they have no competing interests Received: 22 ... rise in cardiac output and less norepinephrine and fluid requirements in the first 24 hours after ten Tusscher et al Journal of Cardiothoracic Surgery 2011, 6:79 http://www.cardiothoracicsurgery.org/content/6/1/79 ... improvement in patients with severe haemodynamic compromise after primary cardio -thoracic surgery Indeed, reduction of norepinephrine requirements in the group without decrease a in CV SOFA may...

Ngày tải lên: 10/08/2014, 09:21

... invaluable part of trauma care in any trauma organisation The retroperitoneal packing training sessions have aided in developing professional multidisciplinary teamwork in real trauma situations Emphasis ... non-randomized studies and clinical guidelines support damage control surgery Retroperitoneal packing is being increasingly recommended as a lifesaving procedure to be used in the hyper acute phase ... was not needed, as no living humans were involved in the study Apart from packing swabs in the abdomen and removing them again, the procedure did not differ from an ordinary autopsy http://www.sjtrem.com/content/16/1/4...

Ngày tải lên: 13/08/2014, 23:20

... major role in mediating immunity and inflammation [5] They have local effects of mediating and maintaining the inflammatory response to tissue injury and after major surgery the main cytochines released ... activating factor, bradykinin, nitric oxide, neuropeptides and cytokines The cytochines are a group of low molecular-weight proteins released in inflammatory and immune reactions which include interleukins, ... successful to date in influencing outcome [7] The outcome of the inflammatory response may be altered in several conditions; in particular following major thoracic surgery preexisting diseases (such...

Ngày tải lên: 14/03/2014, 20:20

... major role in mediating immunity and inflammation [5] They have local effects of mediating and maintaining the inflammatory response to tissue injury and after major surgery the main cytochines released ... activating factor, bradykinin, nitric oxide, neuropeptides and cytokines The cytochines are a group of low molecular-weight proteins released in inflammatory and immune reactions which include interleukins, ... successful to date in influencing outcome [7] The outcome of the inflammatory response may be altered in several conditions; in particular following major thoracic surgery preexisting diseases (such...

Ngày tải lên: 30/03/2014, 18:20

... biomedical examinations, including our gastrointestinal motility monitoring application [1, 12] As a result, lowlight cameras, night vision, and infrared devices are engaged in most cases, worsening the ... tμ ;IN , tμ;OUT / ∩ tλ ;IN , tλ;OUT = Ø, tIN mE = tV ;IN vE , tS ;IN sE , tB ;IN bE tOUT mE = max tV ;OUT vE , tS;OUT sE , tB;OUT bE , (21) where tIN /tOUT is the time-equivalent starting/ending ... tested on video- assisted bioacoustic monitoring applications, aiming to provide new potentials in noninvasive diagnosis of gastrointestinal motility dysfunctions [1, 12–14] The recordings took...

Ngày tải lên: 22/06/2014, 19:20

... oxygenation in general thoracic surgery: a new single veno-venous cannulation Journal of Cardiothoracic Surgery 2011 6:52 • Immediate publication on acceptance • Inclusion in PubMed, CAS, Scopus ... management option in patients with a significant lung function insufficiency who require pulmonary resection Furthermore, the use of ECMO support even in thoracic surgery should be limited to institutions ... multi-disciplinary Figure Avallon cannula description Figure Right internal Jugular cannulation description Souilamas et al Journal of Cardiothoracic Surgery 2011, 6:52 http://www.cardiothoracicsurgery.org/content/6/1/52...

Ngày tải lên: 10/08/2014, 09:21

... bubbling noise and the compactness over conventional drains and suction Discussion Chest drains are an integral part of thoracic surgery with patients having at least one drain after most thoracic ... for Cardiothoracic Surgery in Great Britain and Ireland in Liverpool, UK in March 2010 and 18th European conference on General Thoracic Surgery in Valladolid, Spain in June 2010 Figures and are ... the drains later [9] There are various devises which measure digital air leak this has reduced inter-observer error in decision making in drain management in patients with air-leak [10] In an...

Ngày tải lên: 10/08/2014, 09:21

... Diabetes, insulin, and development of ARDS Crit Care Med 2009, 37:2455-2464 doi:10.1186/1749-8090-5-62 Cite this article as: Şen et al.: Postresectional lung injury in thoracic surgery pre and intraoperative ... tomography (PET) or brain imaging were performed to evaluate or extent of disease when appropriate Preoperative antimicrobial prophylaxis with cefazolin was administered routinely After induction of anesthesia, ... anesthesia induction and maintenance regimens, as well as intraoperative fluid restriction, were also used for all patients in our study We ascribe our lower mortality rate in our study, in part,...

Ngày tải lên: 10/08/2014, 09:22

... Human fibrinogen, human thrombin, bovine aprotinin, CaCl Human fibrinogen, human thrombin, bovine aprotinin, CaCl Bovine serum albumin, glutaraldehyde Bovine thrombin, collagen-gelatin matrix ... with local fibrin sealant containing bovine thrombin and aprotinin.25–28 The fibrin sealants currently available for hemostasis use bovine aprotinin, not human thrombin and fibrinogen Although ... effects by binding to specific opioid receptors in the substantia gelatinosa of the dorsal horn of the spinal cord gray mater , This region contains interneurons involved in the ascending pain pathways...

Ngày tải lên: 11/08/2014, 01:22

... postoperative cisplatin-based chemotherapy for or cycles versus no postoperative chemotherapy In addition to cisplatin, patients received either etoposide, vindesine, vinblastine or vinorelbine In this trial, ... Soc Clin Oncol 2001;20:311a CHAPTER ANATOMIC PULMONARY RESECTIONS BY VIDEOASSISTED THORACIC SURGERY ROBERT J MCKENNA JR, MD Video- assisted thoracic surgery (VATS) has developed to the point at ... found in surviving animals and patients The injuries were detected clinically by patient complaints of pleuritic pain, diagnostic images showing acute and 82 / Advanced Therapy in Thoracic Surgery...

Ngày tải lên: 11/08/2014, 01:22

... Continued challenges include measuring other outcomes and extending these databases to other areas in cardiothoracic surgery including congenital heart surgery and general thoracic surgery These models ... the preclinical studies has been followed by an initial phase I clinical study in which wild-type TP53 carried within an adenoviral vector was administered via intratumoral injection into inoperable ... performed in a manner that will allow for definitive resection 134 / Advanced Therapy in Thoracic Surgery Askin’s tumors occur mainly in children and young adults; they frequently present in the...

Ngày tải lên: 11/08/2014, 01:22

... component in both pseudoangina and angina pectoris Due to somatic pain being more common than visceral pain, the brain interprets activity arriving in a given pathway as a pain stimulus in a particular ... abnormal Increased vascular markings or an interstitial infiltrate are characteristic but nonspecific findings on plain chest film A CT scan revealing a confluence of vessels and high attenuation in ... be made clinically (Table 15-3) In patients with atypical presentations, such as chest pain, a high index of suspicion of thoracic outlet in addition to angina pectoris must be maintained Therapy...

Ngày tải lên: 11/08/2014, 01:22

... successful cases involve a combination of surgery and antifungal chemotherapy.37 Chest Wall Invasion or Infection Chest wall infection may occur with actinomyces and sporotrichosis in non–immune-compromised ... proglottid, contains the eggs, varying in number from 400 to 800 Average lifetime of the mature parasite in the dog’s intestines is months During this time period, after being eliminated with the ... occur In addition to the possible physical findings of cutaneous telangiectasia, cyanosis, and clubbing, a pulmonary bruit is present in 34% of patients.7 The characteristic finding on a plain chest...

Ngày tải lên: 11/08/2014, 01:22

... maintained in the range of 18 to 25 during profound hypothermia Phenytoin is administered intravenously during cooling at 15 mg/kg, to a maximum dose of g During the cooling period some preliminary ... aggressive approach that included invasive monitoring, a bolus of steroids (methylprednisolone 15 mg/kg) and a continuous infusion of insulin, vasopressin, and triiodothyronine In lung transplantation, ... hemoglobin is not yet completely proven and remains controversial Many workers in the field believe that NO binding does account for hemoglobin-induced vasoconstriction Recombinant hemoglobins with...

Ngày tải lên: 11/08/2014, 01:22

... Cytokines Potentially Involved in Ischemia-Reperfusion Injury Cytokine Main Cell Source Function Tumor necrosis factor-␣ Interferon-␥ Macrophage chemoattractant protein-1 Interleukin-1␤ Interleukin-2 ... CsA then binds to cyclophilin, a 17 kD immunophilin with isomerase activity important for intracellular protein folding The cyclosporine–cyclophilin complex engages and inhibits calcineurin, a calcium-dependent ... Macrophage chemoattractant protein-1 Interleukin-1␤ Interleukin-2 Interleukin-6 Interleukin-8 Interleukin-10 Interleukin-12 Interleukin-18 Macrophages, lymphocytes Lymphocytes Immune cells, lung...

Ngày tải lên: 11/08/2014, 01:22

... poor-prognosis nonseminomatous GCT, called BOP/CISCA/POMB/ACE (bleomyein, vincristine, and cisplatin; cisplatin cyclophosphamide, and doxorubicin; cisplatin, vincristine, methotrexate, and bleomycin; etoposide, ... protein C reduces the ischemia/reperfusion-induced spinal cord injury in rats by inhibiting neutrophil activation Ann Surg 2000;232:272–80 73 Grinnell BW, Hermann RB, Yan SB Human protein C inhibits ... impedance Determining input impedance involves mathematically reducing the instantaneous pressure and flow waveforms in the aortic or PA into a mean term and a series of sine waves using Fourier...

Ngày tải lên: 11/08/2014, 01:22

... Y, et al Innominate artery rupture after transcervical draining for descending necrotizing mediastinitis Ann Thorac Surg 2001;71:1028–30 21 Rubin MM, Cozzi GM Fatal necrotizing mediastinitis as ... have chest pain rather than dysphagia as a predominant symptom Chest pain is variable in frequency, intensity, and location and commonly has a pattern indistinguishable from that of cardiac angina, ... eosin staining of tissue sections Alcian blue staining may be used to complement the histologic diagnosis, as goblet cells contain acidic mucin, resulting in an intense blue color when stained with...

Ngày tải lên: 11/08/2014, 01:22