after gastric bypass surgery because of melena hypotension and tachycardia no source of bleeding in emergency gastroscopy and coloscopy angio ct reveals a possible hemorrhage from the duodenum
... fibrin from fibrinogen Recombinant activated factor VII and prophylaxis of bleeding While the registered indications are rather rare in abdominal and vascular surgeryandin urology (hereinafter ... and interpretation ofthe data, and drafting ofthe article SJ and CS contributed to the conception and design ofthe work, sampling of data, interpretation ofthe data, and revision ofthe article ... costs of rFVIIa are an important factor in treat- The use of rFVIIa in serious bleeding during or after operations inthe field of abdominal surgery has been described as effective and safe in various...
... CABG Authors’ contributions GS carried out the acquisition ofthe data and drafted the manuscript TS participated inthe statistical analysis and interpretation ofthe data TK participated in ... survival, hemodialysis for survival, cardiac death, and cardiac event, LVEF for survival and cardiac death, number of PCI for cardiac death, and number of arterial grafts for cardiac events (Table ... from cardiac death group Aand B Cardiac event free rate (Figure 3) was significantly lower in group C than that in group A Multivariate analysis revealed that age was an independent risk factor...
... patients after sufentanil and fentanyl based analgesia while almost always necessary in case of remifentanil based analgesia The necessity of anticipation of postoperative pain in case of remifentanil ... postoperative pain with a combination of paracetamol and nefopam could adequately prevent postoperative pain and yield acceptable pain scores in all groups However this was not the case as pain scores ... postoperative pain scores of 30 mm anda standard deviation of 15, with a power of 0.8, a P value of 0.05 was considered to be significant Data were analyzed using Jandel Sigmastat statistical software...
... visual functioning after cataract surgeryThe main factor of "visual functioning and patient satisfaction" resulting fromthe Principal Component Analysis separates baseline, 1st and 2nd eye surgery ... Visual functioning and satisfaction after the 2nd eye surgery Visual functioning and satisfaction after the 2nd eye surgery Percentages of patients (x axis) who have factorial coordinates at or above ... Deterioration Factor 1: Visual functioning and patient satisfaction (55%) Figure Location of patients scores inthe factorial plan composed by factors and Location of patients scores inthe factorial...
... changing to or adding a long acting local anaesthetic to the locally applied block Already in 1985 Porter and Davis showed that injecting a long acting local anaes- Pain Ratings % of Pat 100% 90% ... the intensity as painful Five patients made a rating of severe pain on occasion and patient on occasions, afternoon and evening day ofsurgeryNo difference in pain ratings was seen between the ... for any pain medication; paracetamol and dextropropoxyphene, as well as pain ratings at a verbal pain scale; no pain, little pain, pain, severe pain [5] Statistics Patients' demographics are...
... subsequent analysis and interpretation of data, in addition to drafting the manuscript AT was involved inthe design ofthe study, interpretation of findings, as well as commenting on the drafts ofthe ... the paper and commenting on the drafts ofthe manuscript MP participated inthe interpretation of data, writing the paper and commenting on the drafts ofthe manuscript All authors approved the ... that after a mean period of 2.5 years, patients had poor memory concerning their pain and function, and moderate recall of their walking ability [14] In contrast, ina study conducted in Spain,...
... as preoperative imaging in gastric cancer [10,11] Moreover, studies validating the use of PET /CT in gastric carcinoma are lacking thus far, and most physicians cannot confirm whether adding CT ... resectability and survival in gastric carcinoma Ann Surg 1978, 188:711-715 24 Saka M, Mudan SS, Katai H, Sano T, Sasako M, Maruyama K: Pancreaticoduodenectomy for advanced gastric cancer Gastric Cancer ... Yoshioka T, Yamaguchi K, Kubota K, Saginoya T, Yamazaki T, Ido T, Yamaura G, Takahashi H, Fukuda H, Kanamaru R: Evaluation of 18F-FDG PET in patients with advanced, metastatic, or recurrent gastric...
... differentiated adenocarcinoma An abdominal computed tomography (CT) scan revealed thickening ofthe gastric wall, adjacent fat infiltration, anda large amount of food inthe stomach, suggesting passage disturbance ... chemotherapy (A) ACT scan showed thickening ofthe gastric wall, adjacent fat infiltration, anda large amount of food inthe stomach, suggesting a passage disturbance Lymph nodes along the common ... cisplatin was introduced as a standard treatment in Japan based on the randomized controlled trial [9] Oxaliplatin has powerful anti-neoplasm activity, an intriguing alternative to cisplatin with at...
... posterior bypass time Esmolol treatment did not increase the need for temporary cardiac pacemaker in order to maintain the target heart rate after bypassBecause it is a very short acting beta blocker, ... Naraghi M: Effect of esmolol given during cardiopulmonary bypass on fractional area of contraction from transesophageal echocardiography Anesth Analg 1995, 81:219-224 Sum CY, Yacobi A, Kartzinel ... cardiac surgery patients, which indicated beta blocker was another alternate to benefit the heart rhythm in CPB patents Although there are some studies and meta-analysis about esmolol in cardiac surgery...
... Kalasithasa, Jonathan Page of Horvath and Kevin Kalarithasa; and Ricardo Crosby in extracting the data points fromthe Centricity DMS STS database Special thanks to Nancy Hogle, RN and Dr John P Nabagiez ... cardiothoracic surgery team, clinical staff and pharmacy team at Staten Island University Hospital and North Shore Long Island Jewish Health System for their help in obtaining HbA1c and clinical data; ... pre-diabetic and diabetic groups The proportion of patients with a history of myocardial infarction increased with increasing HbA1c (40.6% of those inthe normal category and 50.8% of those in the...
... neonates, aged 1-28 days, with a median age of days, and 398 infants and children between 29 days and 18 years of age, with a median age of 3.7 years Neonates were analyzed separately from infants ... eight and ten days postoperatively Anesthesia and Cardiopulmonary Bypass Postoperative care In all patients, conventional general anesthesia was performed A standardized bypass protocol, including ... of data, revision and final approval of manuscript All authors have read and approved the final manuscript 17 18 19 20 Competing interests The authors declare that they have no competing interests...
... All animals received human care in compliance with the “Principles of Laboratory Animal Care” formulated by the National Society for Medical Research andthe “Guide for the Care and Use of Laboratory ... ofthe application of inosine during reperfusion were assessed after cardiac arrest ina canine model of extracorporal circulation We have shown that inosine improves left ventricle and endothelial ... data, or analysis and interpretation of data; have been involved in drafting the manuscript or revisiting it critically for important intellectual content and have given final approval ofthe version...
... of Pharmacology and Therapeutics Facultad de Medicina Universidad de Valladolid Avenida Ramón y Cajal 47005 Valladolid Spain 4Department of Anaesthesiology and Reanimation Hospital Universitario ... contributions JB and ET had full access to all ofthe study data and takes responsibility for the integrity ofthe data andthe accuracy ofthe data analysis Both authors contributed equally to the study ... Universitario Rio Hortega Calle Dulzaina s/n 47012 Valladolid Spain 5Departament of Cardiac Surgery Hospital Clínico Universitario de Valladolid Avenida Ramón y Cajal 47005 Valladolid Spain Authors’ contributions...
... To maintain normothermia, a heated mattress was placed underneath the patient, and intravenous fluids were warmed Standardized anesthetic procedures include a low to intermediate dose of narcotics, ... narcotics, inhalation drugs, paralytics, and intraoperative hemodynamic monitoring A protocol to maintain normoglycemia was followed We used Heparine mg/kg to obtain an activated clotting time (ACT) of ... Positioning ofthe heart and stabilization ofthe target vessels was achieved with vacuum assistance (ACROBAT and XPOSE™, Maquet Cardiopulmonary AG, Hechingen, Germany) Exposing lateral and inferior...
... measurement of radioactivity JW, AM, and MS conceived ofthe study and were involved in drafting the manuscript All authors read and approved the final manuscript Acknowledgements We appreciate the excellent ... Germany) Neutrophil labeling and scintigraphy Radioactive labelling and scintigraphy was carried out inthe Department of Nuclear Medicine, Johann Wolfgang Goethe University Frankfurt after approval ... cell-bound radioactivity × 100/total activity used for labelling Labelled cells were re-transfused into the animal at onset of CPB After euthanizing and washing out the blood fromthe vasculature the...
... pattern analyzer CLASSIF1 [18] was used as an algorithmic data mining approach With CLASSIF1 no replacement of missing data values andno mathematical assumptions on parameter distributions are required ... formula (Table 4) Each required parameter value is multiplied with a local data correction factor The local data correction factor is obtained as a ratio between the parameter mean from non-POEE patients ... sL-selectin level as an important discriminant parameter CPB is associated with major qualitative and quantitative alterations of humoral pathways and changes in leukocyte subsets, generating a systemic...
... keeping the original time reference The following parameters of HRV inthe time domain were calculated: the standard deviation of all R–R intervals; the standard deviation ofthe averages ofthe ... cardiovascular Longitudinalcoronary artery bypass grafting surgery tests in patients undergoing coronary artery bypass grafting surgery Longitudinal autonomic cardiovascular evaluation (Valsalva maneuver ... should indicate sympathetic modulation, or the reciprocal relation of LF and HF components as a marker ofthe state ofthe sympathovagal balance [6] Inthe present study, RSA, Valsalva maneuver, and...
... Quantitative variables are expressed as mean ± standard deviation or as median and interquartile range inthe case control study and as mean and 95% CI inthe controlled study A P value of less than ... receptors, interleukin-6, and interpretation DH was responsible for the statistical analysis, data interpretation, and drafting the manuscript All authors read and approved the final manuscript 13 14 ... 18 Acknowledgements The authors thank the staff ofthe Intensive Medicine Unit and Hematology Department (Hospital Universitario de Canarias, La Laguna, Spain) for their invaluable collaboration...
... observed from relative changes in SVV and PPV Also, the change in GEDVI was predictive for an increase in SVI after fluid loading and sternotomy None ofthe absolute parameters after induction of anesthesia ... MTt ofthe indicator, the volume between the sites of injection and indicator detection can be calculated The intrathoracic thermal volume is based on the thermal indicator curve Multiplying the ... volume therapy [6-8] The aim of this study was to examine the suitability ofthe established parameters CVP and PCWP andthe newer parameters GEDVI, PPV, and SVV to predict changes in cardiac index...