Anesthesia, General: Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery.Anesthesia: A state characterized by loss of feeling or sensation. This depression of nerve function is usually the result of pharmacologic action and is induced to allow performance of surgery or other painful procedures.Anesthesia, Local: A blocking of nerve conduction to a specific area by an injection of an anesthetic agent.Intubation, Intratracheal: A procedure involving placement of a tube into the trachea through the mouth or nose in order to provide a patient with oxygen and anesthesia.Anesthesia, Epidural: Procedure in which an anesthetic is injected into the epidural space.Anesthesia, Spinal: Procedure in which an anesthetic is injected directly into the spinal cord.Anesthesia, Inhalation: Anesthesia caused by the breathing of anesthetic gases or vapors or by insufflating anesthetic gases or vapors into the respiratory tract.Anesthesia, Conduction: Injection of an anesthetic into the nerves to inhibit nerve transmission in a specific part of the body.Anesthesia, Intravenous: Process of administering an anesthetic through injection directly into the bloodstream.Anesthesia, Obstetrical: A variety of anesthetic methods such as EPIDURAL ANESTHESIA used to control the pain of childbirth.Anesthesia Recovery Period: The period of emergence from general anesthesia, where different elements of consciousness return at different rates.Lung: Either of the pair of organs occupying the cavity of the thorax that effect the aeration of the blood.Anesthesia, Dental: A range of methods used to reduce pain and anxiety during dental procedures.Instillation, Drug: The administration of therapeutic agents drop by drop, as eye drops, ear drops, or nose drops. It is also administered into a body space or cavity through a catheter. It differs from THERAPEUTIC IRRIGATION in that the irrigate is removed within minutes, but the instillate is left in place.Trachea: The cartilaginous and membranous tube descending from the larynx and branching into the right and left main bronchi.Bronchoalveolar Lavage Fluid: Washing liquid obtained from irrigation of the lung, including the BRONCHI and the PULMONARY ALVEOLI. It is generally used to assess biochemical, inflammatory, or infection status of the lung.Anesthetics, Inhalation: Gases or volatile liquids that vary in the rate at which they induce anesthesia; potency; the degree of circulation, respiratory, or neuromuscular depression they produce; and analgesic effects. Inhalation anesthetics have advantages over intravenous agents in that the depth of anesthesia can be changed rapidly by altering the inhaled concentration. Because of their rapid elimination, any postoperative respiratory depression is of relatively short duration. (From AMA Drug Evaluations Annual, 1994, p173)Anesthetics, Intravenous: Ultrashort-acting anesthetics that are used for induction. Loss of consciousness is rapid and induction is pleasant, but there is no muscle relaxation and reflexes frequently are not reduced adequately. Repeated administration results in accumulation and prolongs the recovery time. Since these agents have little if any analgesic activity, they are seldom used alone except in brief minor procedures. (From AMA Drug Evaluations Annual, 1994, p174)Adjuvants, Anesthesia: Agents that are administered in association with anesthetics to increase effectiveness, improve delivery, or decrease required dosage.Propofol: An intravenous anesthetic agent which has the advantage of a very rapid onset after infusion or bolus injection plus a very short recovery period of a couple of minutes. (From Smith and Reynard, Textbook of Pharmacology, 1992, 1st ed, p206). Propofol has been used as ANTICONVULSANTS and ANTIEMETICS.Isoflurane: A stable, non-explosive inhalation anesthetic, relatively free from significant side effects.Methyl Ethers: A group of compounds that contain the general formula R-OCH3.Anesthesiology: A specialty concerned with the study of anesthetics and anesthesia.Anesthetics, Local: Drugs that block nerve conduction when applied locally to nerve tissue in appropriate concentrations. They act on any part of the nervous system and on every type of nerve fiber. In contact with a nerve trunk, these anesthetics can cause both sensory and motor paralysis in the innervated area. Their action is completely reversible. (From Gilman AG, et. al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed) Nearly all local anesthetics act by reducing the tendency of voltage-dependent sodium channels to activate.Bleomycin: A complex of related glycopeptide antibiotics from Streptomyces verticillus consisting of bleomycin A2 and B2. It inhibits DNA metabolism and is used as an antineoplastic, especially for solid tumors.Anesthetics, Combined: The use of two or more chemicals simultaneously or sequentially to induce anesthesia. The drugs need not be in the same dosage form.Monitoring, Intraoperative: The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs).Anesthetics: Agents that are capable of inducing a total or partial loss of sensation, especially tactile sensation and pain. They may act to induce general ANESTHESIA, in which an unconscious state is achieved, or may act locally to induce numbness or lack of sensation at a targeted site.Nitrous Oxide: Nitrogen oxide (N2O). A colorless, odorless gas that is used as an anesthetic and analgesic. High concentrations cause a narcotic effect and may replace oxygen, causing death by asphyxia. It is also used as a food aerosol in the preparation of whipping cream.Pulmonary Fibrosis: A process in which normal lung tissues are progressively replaced by FIBROBLASTS and COLLAGEN causing an irreversible loss of the ability to transfer oxygen into the bloodstream via PULMONARY ALVEOLI. Patients show progressive DYSPNEA finally resulting in death.Halothane: A nonflammable, halogenated, hydrocarbon anesthetic that provides relatively rapid induction with little or no excitement. Analgesia may not be adequate. NITROUS OXIDE is often given concomitantly. Because halothane may not produce sufficient muscle relaxation, supplemental neuromuscular blocking agents may be required. (From AMA Drug Evaluations Annual, 1994, p178)Pulmonary Alveoli: Small polyhedral outpouchings along the walls of the alveolar sacs, alveolar ducts and terminal bronchioles through the walls of which gas exchange between alveolar air and pulmonary capillary blood takes place.Lidocaine: A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE.Anesthesia, IntratrachealPneumonia: Infection of the lung often accompanied by inflammation.Anesthesia, Closed-Circuit: Inhalation anesthesia where the gases exhaled by the patient are rebreathed as some carbon dioxide is simultaneously removed and anesthetic gas and oxygen are added so that no anesthetic escapes into the room. Closed-circuit anesthesia is used especially with explosive anesthetics to prevent fires where electrical sparking from instruments is possible.Macrophages, Alveolar: Round, granular, mononuclear phagocytes found in the alveoli of the lungs. They ingest small inhaled particles resulting in degradation and presentation of the antigen to immunocompetent cells.Lung Injury: Damage to any compartment of the lung caused by physical, chemical, or biological agents which characteristically elicit inflammatory reaction. These inflammatory reactions can either be acute and dominated by NEUTROPHILS, or chronic and dominated by LYMPHOCYTES and MACROPHAGES.Fentanyl: A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)Anesthetics, General: Agents that induce various degrees of analgesia; depression of consciousness, circulation, and respiration; relaxation of skeletal muscle; reduction of reflex activity; and amnesia. There are two types of general anesthetics, inhalation and intravenous. With either type, the arterial concentration of drug required to induce anesthesia varies with the condition of the patient, the desired depth of anesthesia, and the concomitant use of other drugs. (From AMA Drug Evaluations Annual, 1994, p.173)Bupivacaine: A widely used local anesthetic agent.Preanesthetic Medication: Drugs administered before an anesthetic to decrease a patient's anxiety and control the effects of that anesthetic.Ketamine: A cyclohexanone derivative used for induction of anesthesia. Its mechanism of action is not well understood, but ketamine can block NMDA receptors (RECEPTORS, N-METHYL-D-ASPARTATE) and may interact with sigma receptors.Ambulatory Surgical Procedures: Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.Nerve Block: Interruption of NEURAL CONDUCTION in peripheral nerves or nerve trunks by the injection of a local anesthetic agent (e.g., LIDOCAINE; PHENOL; BOTULINUM TOXINS) to manage or treat pain.Thiopental: A barbiturate that is administered intravenously for the induction of general anesthesia or for the production of complete anesthesia of short duration.Anesthesia, Caudal: Epidural anesthesia administered via the sacral canal.Lung Diseases: Pathological processes involving any part of the LUNG.Pentobarbital: A short-acting barbiturate that is effective as a sedative and hypnotic (but not as an anti-anxiety) agent and is usually given orally. It is prescribed more frequently for sleep induction than for sedation but, like similar agents, may lose its effectiveness by the second week of continued administration. (From AMA Drug Evaluations Annual, 1994, p236)Chemokine CXCL2: A CXC chemokine that is synthesized by activated MONOCYTES and NEUTROPHILS. It has specificity for CXCR2 RECEPTORS.Anesthetics, Dissociative: Intravenous anesthetics that induce a state of sedation, immobility, amnesia, and marked analgesia. Subjects may experience a strong feeling of dissociation from the environment. The condition produced is similar to NEUROLEPTANALGESIA, but is brought about by the administration of a single drug. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed)Disease Models, Animal: Naturally occurring or experimentally induced animal diseases with pathological processes sufficiently similar to those of human diseases. They are used as study models for human diseases.Enflurane: An extremely stable inhalation anesthetic that allows rapid adjustments of anesthesia depth with little change in pulse or respiratory rate.Acute Lung Injury: A condition of lung damage that is characterized by bilateral pulmonary infiltrates (PULMONARY EDEMA) rich in NEUTROPHILS, and in the absence of clinical HEART FAILURE. This can represent a spectrum of pulmonary lesions, endothelial and epithelial, due to numerous factors (physical, chemical, or biological).Xylazine: An adrenergic alpha-2 agonist used as a sedative, analgesic and centrally acting muscle relaxant in VETERINARY MEDICINE.Injections: Introduction of substances into the body using a needle and syringe.Mice, Inbred C57BLAnesthesia Department, Hospital: Hospital department responsible for the administration of functions and activities pertaining to the delivery of anesthetics.Pneumonia, Aspiration: A type of lung inflammation resulting from the aspiration of food, liquid, or gastric contents into the upper RESPIRATORY TRACT.Conscious Sedation: A drug-induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation. No interventions are required to maintain a patent airway. (From: American Society of Anesthesiologists Practice Guidelines)Time Factors: Elements of limited time intervals, contributing to particular results or situations.TracheitisPulmonary Surfactants: Substances and drugs that lower the SURFACE TENSION of the mucoid layer lining the PULMONARY ALVEOLI.Intraoperative Complications: Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.Administration, Inhalation: The administration of drugs by the respiratory route. It includes insufflation into the respiratory tract.Pain, Postoperative: Pain during the period after surgery.Lung Compliance: The capability of the LUNGS to distend under pressure as measured by pulmonary volume change per unit pressure change. While not a complete description of the pressure-volume properties of the lung, it is nevertheless useful in practice as a measure of the comparative stiffness of the lung. (From Best & Taylor's Physiological Basis of Medical Practice, 12th ed, p562)Silicon Dioxide: Transparent, tasteless crystals found in nature as agate, amethyst, chalcedony, cristobalite, flint, sand, QUARTZ, and tridymite. The compound is insoluble in water or acids except hydrofluoric acid.Neutrophils: Granular leukocytes having a nucleus with three to five lobes connected by slender threads of chromatin, and cytoplasm containing fine inconspicuous granules and stainable by neutral dyes.Hydroxyproline: A hydroxylated form of the imino acid proline. A deficiency in ASCORBIC ACID can result in impaired hydroxyproline formation.Rats, Sprague-Dawley: A strain of albino rat used widely for experimental purposes because of its calmness and ease of handling. It was developed by the Sprague-Dawley Animal Company.Intraoperative Period: The period during a surgical operation.Anesthesia and Analgesia: Medical methods of either relieving pain caused by a particular condition or removing the sensation of pain during a surgery or other medical procedure.Pneumonia, Bacterial: Inflammation of the lung parenchyma that is caused by bacterial infections.Cesarean Section: Extraction of the FETUS by means of abdominal HYSTEROTOMY.Quartz: Quartz (SiO2). A glassy or crystalline form of silicon dioxide. Many colored varieties are semiprecious stones. (From Grant & Hackh's Chemical Dictionary, 5th ed)Prilocaine: A local anesthetic that is similar pharmacologically to LIDOCAINE. Currently, it is used most often for infiltration anesthesia in dentistry.Drug Administration Routes: The various ways of administering a drug or other chemical to a site in a patient or animal from where the chemical is absorbed into the blood and delivered to the target tissue.Hemodynamics: The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.Silicosis: A form of pneumoconiosis resulting from inhalation of dust containing crystalline form of SILICON DIOXIDE, usually in the form of quartz. Amorphous silica is relatively nontoxic.Methohexital: An intravenous anesthetic with a short duration of action that may be used for induction of anesthesia.Dose-Response Relationship, Drug: The relationship between the dose of an administered drug and the response of the organism to the drug.Bronchoalveolar Lavage: Washing out of the lungs with saline or mucolytic agents for diagnostic or therapeutic purposes. It is very useful in the diagnosis of diffuse pulmonary infiltrates in immunosuppressed patients.Lipopolysaccharides: Lipid-containing polysaccharides which are endotoxins and important group-specific antigens. They are often derived from the cell wall of gram-negative bacteria and induce immunoglobulin secretion. The lipopolysaccharide molecule consists of three parts: LIPID A, core polysaccharide, and O-specific chains (O ANTIGENS). When derived from Escherichia coli, lipopolysaccharides serve as polyclonal B-cell mitogens commonly used in laboratory immunology. (From Dorland, 28th ed)Electroencephalography: Recording of electric currents developed in the brain by means of electrodes applied to the scalp, to the surface of the brain, or placed within the substance of the brain.Mepivacaine: A local anesthetic that is chemically related to BUPIVACAINE but pharmacologically related to LIDOCAINE. It is indicated for infiltration, nerve block, and epidural anesthesia. Mepivacaine is effective topically only in large doses and therefore should not be used by this route. (From AMA Drug Evaluations, 1994, p168)Consciousness: Sense of awareness of self and of the environment.Alfentanil: A short-acting opioid anesthetic and analgesic derivative of FENTANYL. It produces an early peak analgesic effect and fast recovery of consciousness. Alfentanil is effective as an anesthetic during surgery, for supplementation of analgesia during surgical procedures, and as an analgesic for critically ill patients.Hypnotics and Sedatives: Drugs used to induce drowsiness or sleep or to reduce psychological excitement or anxiety.Blood Gas Analysis: Measurement of oxygen and carbon dioxide in the blood.Pulmonary Edema: Excessive accumulation of extravascular fluid in the lung, an indication of a serious underlying disease or disorder. Pulmonary edema prevents efficient PULMONARY GAS EXCHANGE in the PULMONARY ALVEOLI, and can be life-threatening.Surgical Procedures, Minor: Surgery restricted to the management of minor problems and injuries; surgical procedures of relatively slight extent and not in itself hazardous to life. (Dorland, 28th ed & Stedman, 25th ed)Respiration, Artificial: Any method of artificial breathing that employs mechanical or non-mechanical means to force the air into and out of the lungs. Artificial respiration or ventilation is used in individuals who have stopped breathing or have RESPIRATORY INSUFFICIENCY to increase their intake of oxygen (O2) and excretion of carbon dioxide (CO2).Xenon: A noble gas with the atomic symbol Xe, atomic number 54, and atomic weight 131.30. It is found in the earth's atmosphere and has been used as an anesthetic.Postoperative Nausea and Vomiting: Emesis and queasiness occurring after anesthesia.Injections, Intravenous: Injections made into a vein for therapeutic or experimental purposes.Neuromuscular Nondepolarizing Agents: Drugs that interrupt transmission at the skeletal neuromuscular junction without causing depolarization of the motor end plate. They prevent acetylcholine from triggering muscle contraction and are used as muscle relaxants during electroshock treatments, in convulsive states, and as anesthesia adjuvants.EthersMidazolam: A short-acting hypnotic-sedative drug with anxiolytic and amnestic properties. It is used in dentistry, cardiac surgery, endoscopic procedures, as preanesthetic medication, and as an adjunct to local anesthesia. The short duration and cardiorespiratory stability makes it useful in poor-risk, elderly, and cardiac patients. It is water-soluble at pH less than 4 and lipid-soluble at physiological pH.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Respiratory Distress Syndrome, Adult: A syndrome characterized by progressive life-threatening RESPIRATORY INSUFFICIENCY in the absence of known LUNG DISEASES, usually following a systemic insult such as surgery or major TRAUMA.Oxygen: An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration.Neutrophil Infiltration: The diffusion or accumulation of neutrophils in tissues or cells in response to a wide variety of substances released at the sites of inflammatory reactions.Cytokines: Non-antibody proteins secreted by inflammatory leukocytes and some non-leukocytic cells, that act as intercellular mediators. They differ from classical hormones in that they are produced by a number of tissue or cell types rather than by specialized glands. They generally act locally in a paracrine or autocrine rather than endocrine manner.Ether: A mobile, very volatile, highly flammable liquid used as an inhalation anesthetic and as a solvent for waxes, fats, oils, perfumes, alkaloids, and gums. It is mildly irritating to skin and mucous membranes.Inflammation: A pathological process characterized by injury or destruction of tissues caused by a variety of cytologic and chemical reactions. It is usually manifested by typical signs of pain, heat, redness, swelling, and loss of function.Surgical Procedures, Operative: Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)Respiration: The act of breathing with the LUNGS, consisting of INHALATION, or the taking into the lungs of the ambient air, and of EXHALATION, or the expelling of the modified air which contains more CARBON DIOXIDE than the air taken in (Blakiston's Gould Medical Dictionary, 4th ed.). This does not include tissue respiration (= OXYGEN CONSUMPTION) or cell respiration (= CELL RESPIRATION).Blood Pressure: PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS.Chloralose: A derivative of CHLORAL HYDRATE that was used as a sedative but has been replaced by safer and more effective drugs. Its most common use is as a general anesthetic in animal experiments.Double-Blind Method: A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment.Tracheal NeoplasmsPostoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.Heart Rate: The number of times the HEART VENTRICLES contract per unit of time, usually per minute.Analgesics, Opioid: Compounds with activity like OPIATE ALKALOIDS, acting at OPIOID RECEPTORS. Properties include induction of ANALGESIA or NARCOSIS.Sufentanil: An opioid analgesic that is used as an adjunct in anesthesia, in balanced anesthesia, and as a primary anesthetic agent.Consciousness Monitors: Devices used to assess the level of consciousness especially during anesthesia. They measure brain activity level based on the EEG.Asbestos, Amosite: Asbestos, grunerite. A monoclinic amphibole form of asbestos having long fibers and a high iron content. It is used in insulation. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)Laryngeal Masks: A type of oropharyngeal airway that provides an alternative to endotracheal intubation and standard mask anesthesia in certain patients. It is introduced into the hypopharynx to form a seal around the larynx thus permitting spontaneous or positive pressure ventilation without penetration of the larynx or esophagus. It is used in place of a facemask in routine anesthesia. The advantages over standard mask anesthesia are better airway control, minimal anesthetic gas leakage, a secure airway during patient transport to the recovery area, and minimal postoperative problems.Medetomidine: An agonist of RECEPTORS, ADRENERGIC ALPHA-2 that is used in veterinary medicine for its analgesic and sedative properties. It is the racemate of DEXMEDETOMIDINE.Neuromuscular Blocking Agents: Drugs that interrupt transmission of nerve impulses at the skeletal neuromuscular junction. They can be of two types, competitive, stabilizing blockers (NEUROMUSCULAR NONDEPOLARIZING AGENTS) or noncompetitive, depolarizing agents (NEUROMUSCULAR DEPOLARIZING AGENTS). Both prevent acetylcholine from triggering the muscle contraction and they are used as anesthesia adjuvants, as relaxants during electroshock, in convulsive states, etc.Bronchial Hyperreactivity: Tendency of the smooth muscle of the tracheobronchial tree to contract more intensely in response to a given stimulus than it does in the response seen in normal individuals. This condition is present in virtually all symptomatic patients with asthma. The most prominent manifestation of this smooth muscle contraction is a decrease in airway caliber that can be readily measured in the pulmonary function laboratory.Monokines: Soluble mediators of the immune response that are neither antibodies nor complement. They are produced largely, but not exclusively, by monocytes and macrophages.Mice, Inbred BALB CCarticaine: A thiophene-containing local anesthetic pharmacologically similar to MEPIVACAINE.Intraoperative Awareness: Occurence of a patient becoming conscious during a procedure performed under GENERAL ANESTHESIA and subsequently having recall of these events. (From Anesthesiology 2006, 104(4): 847-64.)Pancreatic Elastase: A protease of broad specificity, obtained from dried pancreas. Molecular weight is approximately 25,000. The enzyme breaks down elastin, the specific protein of elastic fibers, and digests other proteins such as fibrin, hemoglobin, and albumin. EC 3.4.21.36.Soot: A dark powdery deposit of unburned fuel residues, composed mainly of amorphous CARBON and some HYDROCARBONS, that accumulates in chimneys, automobile mufflers and other surfaces exposed to smoke. It is the product of incomplete combustion of carbon-rich organic fuels in low oxygen conditions. It is sometimes called lampblack or carbon black and is used in INK, in rubber tires, and to prepare CARBON NANOTUBES.Pain Measurement: Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.Mesocricetus: A genus of the family Muridae having three species. The present domesticated strains were developed from individuals brought from Syria. They are widely used in biomedical research.Succinylcholine: A quaternary skeletal muscle relaxant usually used in the form of its bromide, chloride, or iodide. It is a depolarizing relaxant, acting in about 30 seconds and with a duration of effect averaging three to five minutes. Succinylcholine is used in surgical, anesthetic, and other procedures in which a brief period of muscle relaxation is called for.Neuromuscular Blockade: The intentional interruption of transmission at the NEUROMUSCULAR JUNCTION by external agents, usually neuromuscular blocking agents. It is distinguished from NERVE BLOCK in which nerve conduction (NEURAL CONDUCTION) is interrupted rather than neuromuscular transmission. Neuromuscular blockade is commonly used to produce MUSCLE RELAXATION as an adjunct to anesthesia during surgery and other medical procedures. It is also often used as an experimental manipulation in basic research. It is not strictly speaking anesthesia but is grouped here with anesthetic techniques. The failure of neuromuscular transmission as a result of pathological processes is not included here.Ventilator-Induced Lung Injury: Lung damage that is caused by the adverse effects of PULMONARY VENTILATOR usage. The high frequency and tidal volumes produced by a mechanical ventilator can cause alveolar disruption and PULMONARY EDEMA.Respiratory Mucosa: The mucous membrane lining the RESPIRATORY TRACT, including the NASAL CAVITY; the LARYNX; the TRACHEA; and the BRONCHI tree. The respiratory mucosa consists of various types of epithelial cells ranging from ciliated columnar to simple squamous, mucous GOBLET CELLS, and glands containing both mucous and serous cells.Manuals as Topic: Books designed to give factual information or instructions.Piperidines: A family of hexahydropyridines.Pseudomonas Infections: Infections with bacteria of the genus PSEUDOMONAS.Laryngoscopy: Examination, therapy or surgery of the interior of the larynx performed with a specially designed endoscope.Rats, Wistar: A strain of albino rat developed at the Wistar Institute that has spread widely at other institutions. This has markedly diluted the original strain.Inhalation Exposure: The exposure to potentially harmful chemical, physical, or biological agents by inhaling them.Respiratory Mechanics: The physical or mechanical action of the LUNGS; DIAPHRAGM; RIBS; and CHEST WALL during respiration. It includes airflow, lung volume, neural and reflex controls, mechanoreceptors, breathing patterns, etc.Rats, Inbred F344Androstanols: Androstanes and androstane derivatives which are substituted in any position with one or more hydroxyl groups.Airway Obstruction: Any hindrance to the passage of air into and out of the lungs.Bronchi: The larger air passages of the lungs arising from the terminal bifurcation of the TRACHEA. They include the largest two primary bronchi which branch out into secondary bronchi, and tertiary bronchi which extend into BRONCHIOLES and PULMONARY ALVEOLI.Coal Ash: Residue generated from combustion of coal or petroleum.Hypotension, Controlled: Procedure in which arterial blood pressure is intentionally reduced in order to control blood loss during surgery. This procedure is performed either pharmacologically or by pre-surgical removal of blood.Aerosols: Colloids with a gaseous dispersing phase and either liquid (fog) or solid (smoke) dispersed phase; used in fumigation or in inhalation therapy; may contain propellant agents.Respiratory Tract NeoplasmsMineral Fibers: Long, pliable, cohesive natural or manufactured filaments of various lengths. They form the structure of some minerals. The medical significance lies in their potential ability to cause various types of PNEUMOCONIOSIS (e.g., ASBESTOSIS) after occupational or environmental exposure. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed, p708)Specific Pathogen-Free Organisms: Animals or humans raised in the absence of a particular disease-causing virus or other microorganism. Less frequently plants are cultivated pathogen-free.Dogs: The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065)Etomidate: Imidazole derivative anesthetic and hypnotic with little effect on blood gases, ventilation, or the cardiovascular system. It has been proposed as an induction anesthetic.Tumor Necrosis Factor-alpha: Serum glycoprotein produced by activated MACROPHAGES and other mammalian MONONUCLEAR LEUKOCYTES. It has necrotizing activity against tumor cell lines and increases ability to reject tumor transplants. Also known as TNF-alpha, it is only 30% homologous to TNF-beta (LYMPHOTOXIN), but they share TNF RECEPTORS.Deep Sedation: Drug-induced depression of consciousness during which patients cannot be easily aroused but respond purposely following repeated painful stimulation. The ability to independently maintain ventilatory function may be impaired. (From: American Society of Anesthesiologists Practice Guidelines)Operating Rooms: Facilities equipped for performing surgery.Tidal Volume: The volume of air inspired or expired during each normal, quiet respiratory cycle. Common abbreviations are TV or V with subscript T.Airway Resistance: Physiologically, the opposition to flow of air caused by the forces of friction. As a part of pulmonary function testing, it is the ratio of driving pressure to the rate of air flow.Analgesia: Methods of PAIN relief that may be used with or in place of ANALGESICS.Asbestos, Crocidolite: A lavender, acid-resistant asbestos.Intraoperative Care: Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests.Ophthalmologic Surgical Procedures: Surgery performed on the eye or any of its parts.Urethane: Antineoplastic agent that is also used as a veterinary anesthetic. It has also been used as an intermediate in organic synthesis. Urethane is suspected to be a carcinogen.Leukocyte Count: The number of WHITE BLOOD CELLS per unit volume in venous BLOOD. A differential leukocyte count measures the relative numbers of the different types of white cells.Ephedrine: A phenethylamine found in EPHEDRA SINICA. PSEUDOEPHEDRINE is an isomer. It is an alpha- and beta-adrenergic agonist that may also enhance release of norepinephrine. It has been used for asthma, heart failure, rhinitis, and urinary incontinence, and for its central nervous system stimulatory effects in the treatment of narcolepsy and depression. It has become less extensively used with the advent of more selective agonists.Mice, Knockout: Strains of mice in which certain GENES of their GENOMES have been disrupted, or "knocked-out". To produce knockouts, using RECOMBINANT DNA technology, the normal DNA sequence of the gene being studied is altered to prevent synthesis of a normal gene product. Cloned cells in which this DNA alteration is successful are then injected into mouse EMBRYOS to produce chimeric mice. The chimeric mice are then bred to yield a strain in which all the cells of the mouse contain the disrupted gene. Knockout mice are used as EXPERIMENTAL ANIMAL MODELS for diseases (DISEASE MODELS, ANIMAL) and to clarify the functions of the genes.Benzopyrenes: A class of chemicals that contain an anthracene ring with a naphthalene ring attached to it.Titanium: A dark-gray, metallic element of widespread distribution but occurring in small amounts; atomic number, 22; atomic weight, 47.90; symbol, Ti; specific gravity, 4.5; used for fixation of fractures. (Dorland, 28th ed)Injections, Spinal: Introduction of therapeutic agents into the spinal region using a needle and syringe.Carbon Dioxide: A colorless, odorless gas that can be formed by the body and is necessary for the respiration cycle of plants and animals.Particle Size: Relating to the size of solids.Hypotension: Abnormally low BLOOD PRESSURE that can result in inadequate blood flow to the brain and other vital organs. Common symptom is DIZZINESS but greater negative impacts on the body occur when there is prolonged depravation of oxygen and nutrients.Random Allocation: A process involving chance used in therapeutic trials or other research endeavor for allocating experimental subjects, human or animal, between treatment and control groups, or among treatment groups. It may also apply to experiments on inanimate objects.Chemokine CXCL1: A CXC chemokine with specificity for CXCR2 RECEPTORS. It has growth factor activities and is implicated as a oncogenic factor in several tumor types.Shivering: Involuntary contraction or twitching of the muscles. It is a physiologic method of heat production in man and other mammals.Postoperative Period: The period following a surgical operation.Extravascular Lung Water: Water content outside of the lung vasculature. About 80% of a normal lung is made up of water, including intracellular, interstitial, and blood water. Failure to maintain the normal homeostatic fluid exchange between the vascular space and the interstitium of the lungs can result in PULMONARY EDEMA and flooding of the alveolar space.Tracheal DiseasesHernia, Inguinal: An abdominal hernia with an external bulge in the GROIN region. It can be classified by the location of herniation. Indirect inguinal hernias occur through the internal inguinal ring. Direct inguinal hernias occur through defects in the ABDOMINAL WALL (transversalis fascia) in Hesselbach's triangle. The former type is commonly seen in children and young adults; the latter in adults.Endotoxins: Toxins closely associated with the living cytoplasm or cell wall of certain microorganisms, which do not readily diffuse into the culture medium, but are released upon lysis of the cells.Fluorocarbons: Liquid perfluorinated carbon compounds which may or may not contain a hetero atom such as nitrogen, oxygen or sulfur, but do not contain another halogen or hydrogen atom. This concept includes fluorocarbon emulsions and fluorocarbon blood substitutes.Droperidol: A butyrophenone with general properties similar to those of HALOPERIDOL. It is used in conjunction with an opioid analgesic such as FENTANYL to maintain the patient in a calm state of neuroleptanalgesia with indifference to surroundings but still able to cooperate with the surgeon. It is also used as a premedicant, as an antiemetic, and for the control of agitation in acute psychoses. (From Martindale, The Extra Pharmacopoeia, 29th ed, p593)Respiratory System: The tubular and cavernous organs and structures, by means of which pulmonary ventilation and gas exchange between ambient air and the blood are brought about.Nanotubes, Carbon: Nanometer-sized tubes composed mainly of CARBON. Such nanotubes are used as probes for high-resolution structural and chemical imaging of biomolecules with ATOMIC FORCE MICROSCOPY.Respiratory Hypersensitivity: A form of hypersensitivity affecting the respiratory tract. It includes ASTHMA and RHINITIS, ALLERGIC, SEASONAL.Brachial Plexus: The large network of nerve fibers which distributes the innervation of the upper extremity. The brachial plexus extends from the neck into the axilla. In humans, the nerves of the plexus usually originate from the lower cervical and the first thoracic spinal cord segments (C5-C8 and T1), but variations are not uncommon.Peroxidase: A hemeprotein from leukocytes. Deficiency of this enzyme leads to a hereditary disorder coupled with disseminated moniliasis. It catalyzes the conversion of a donor and peroxide to an oxidized donor and water. EC 1.11.1.7.Epinephrine: The active sympathomimetic hormone from the ADRENAL MEDULLA. It stimulates both the alpha- and beta- adrenergic systems, causes systemic VASOCONSTRICTION and gastrointestinal relaxation, stimulates the HEART, and dilates BRONCHI and cerebral vessels. It is used in ASTHMA and CARDIAC FAILURE and to delay absorption of local ANESTHETICS.Chemokines: Class of pro-inflammatory cytokines that have the ability to attract and activate leukocytes. They can be divided into at least three structural branches: C; (CHEMOKINES, C); CC; (CHEMOKINES, CC); and CXC; (CHEMOKINES, CXC); according to variations in a shared cysteine motif.Ovalbumin: An albumin obtained from the white of eggs. It is a member of the serpin superfamily.Fullerenes: A polyhedral CARBON structure composed of around 60-80 carbon atoms in pentagon and hexagon configuration. They are named after Buckminster Fuller because of structural resemblance to geodesic domes. Fullerenes can be made in high temperature such as arc discharge in an inert atmosphere.Laryngismus: A disorder in which the adductor muscles of the VOCAL CORDS exhibit increased activity leading to laryngeal spasm. Laryngismus causes closure of the VOCAL FOLDS and airflow obstruction during inspiration.Mandibular Nerve: A branch of the trigeminal (5th cranial) nerve. The mandibular nerve carries motor fibers to the muscles of mastication and sensory fibers to the teeth and gingivae, the face in the region of the mandible, and parts of the dura.Pulmonary Gas Exchange: The exchange of OXYGEN and CARBON DIOXIDE between alveolar air and pulmonary capillary blood that occurs across the BLOOD-AIR BARRIER.Nurse Anesthetists: Professional nurses who have completed postgraduate training in the administration of anesthetics and who function under the responsibility of the operating surgeon.Vecuronium Bromide: Monoquaternary homolog of PANCURONIUM. A non-depolarizing neuromuscular blocking agent with shorter duration of action than pancuronium. Its lack of significant cardiovascular effects and lack of dependence on good kidney function for elimination as well as its short duration of action and easy reversibility provide advantages over, or alternatives to, other established neuromuscular blocking agents.Pulmonary Circulation: The circulation of the BLOOD through the LUNGS.Pulmonary Emphysema: Enlargement of air spaces distal to the TERMINAL BRONCHIOLES where gas-exchange normally takes place. This is usually due to destruction of the alveolar wall. Pulmonary emphysema can be classified by the location and distribution of the lesions.Acepromazine: A phenothiazine that is used in the treatment of PSYCHOSES.Mice, Inbred ICRHypothermia: Lower than normal body temperature, especially in warm-blooded animals.

Dental treatment of handicapped patients using endotracheal anesthesia. (1/30)

Dental treatment using endotracheal anesthesia is indicated where acute odontogenic infections, accidental injuries, or multiple caries and periodontitis marginalis require surgical and/or restorative treatment. It is also indicated where it is not possible to use psychological support during local anesthesia or during premedication or analgosedation. Dental treatment of handicapped patients using endotracheal anesthesia is described, along with indication and frequency of such treatment. The state of the dentition is illustrated, along with its relationship to the oral hygiene the handicapped patients receive. The main points of the intraoperative dental procedures and the follow-up of patient care are reported. Postoperative dental or general medical complications have not occurred within the patient population under study.  (+info)

General anesthetics and regional hypoxic pulmonary vasoconstriction. (2/30)

Administration of N2O, fluroxene and isoflurane to the left lower lobe (LLL) of dogs anesthetized with pentobarbital was previously shown to inhibit LLL hypoxic pulmonary vasoconstriction (HPV). Using the same experimental model, the present study examined the effect of whole-lung administration of N2O, fluroxene, isoflurane, halothane, and enflurane on left-lower-lobe HPV. Selective ventilation of the LLL with N2 alone caused blood flow to the lobe to decrease 53.3 +/- 3.0 per cent. Responses to LLL hypoxia were remeasured during administration of inhalation anesthetics at 1 and 2 MAC to both the LLL and the rest of the lung. Isoflurane and fluroxene progressively inhibited and at 2 MAC halved lobar HPV. N2O (one third MAC) caused slight but significant inhibition, while halothane and enflurane caused slight and nonsignificant changes in lobar HPV. These effects of whole-lung administration of anesthetics on HPV were almost identical to those obtained when the administration was confined to the test lobe alone. It is concluded that N2O, isoflurane, and fluroxene locally inhibit regional HPV and via this mechanism increase total venous admixture, while halothane and enflurane do not have this effect.  (+info)

Advanced airway control in trauma resuscitation. (3/30)

Definitive airway control which may require endotracheal intubation with or without an induction agent and muscle relaxant is an essential component of trauma resuscitation. We reviewed the delivery of advanced airway care in the resuscitation room of a regional trauma centre. This prospective survey suggests that in the absence of an experienced anaesthetist, A&E staff with a background of suitable training and experience may undertake the anaesthetic responsibility associated with securing a definitive airway when the situation demands.  (+info)

Carbon dioxide monitoring and evidence-based practice - now you see it, now you don't. (4/30)

Carbon dioxide has been monitored in the body using a variety of technologies with a multitude of applications. The monitoring of this common physiologic variable in medicine is an illustrative example of the different levels of evidence that are required before any new health technology should establish itself in clinical practice. End-tidal capnography and sublingual capnometry are two examples of carbon dioxide monitoring that require very different levels of evidence before being disseminated widely. The former deserves its status as a basic standard based on observational data. The latter should be considered investigational until prospective controlled data supporting its use become available. Other applications of carbon dioxide monitoring are also discussed.  (+info)

Local administration of 2% trimecaine affects the content of fucosylated glycoconjugates in goblet cells in rabbit tracheal epithelium. (5/30)

The proportion of fucosylated glycoconjugate-containing rabbit tracheal goblet cells after intratracheal application of trimecaine was studied to evaluate its possible unfavourable effects. This lapine model is comparable with diagnostic findings in humans because airway epithelia in humans and rabbits are similar; tracheal epithelium is also practically identical to bronchial epithelium in both species. Local trimecaine anaesthesia caused a proportional decrease in percentage of the tracheal goblet cells containing both alpha(1-2)- and alpha(1-6)-, alpha(1-3)- and alpha(1-4)-fucosylated glycoconjugates as revealed 10 min postexposure using lectin histochemistry. In previous studies, only mild ultrastructural damage to the airway's epithelium was revealed, but a conspicuous decrease in sialylated glycoconjugate-containing tracheal goblet cells and the dominance of acidic sulphated glycoconjugates were observed as after-effects of the same treatment. Glycoconjugate changes can influence the inner environment of airways (e.g. viscoelastic properties of the airways' mucus and mucosal barrier functions) and thus the patient's defence barriers in airways may be weakened. Concurrently, the histochemical properties of goblet cells can be altered in bronchoscopic specimens. Since trimecaine is widely used as local anaesthesia in airways in bronchoscopy, it is necessary to heed these aforementioned effects.  (+info)

Adverse respiratory events infrequently leading to malpractice suits. A closed claims analysis. (6/30)

Adverse outcomes associated with respiratory events are the single largest class of injury in the American Society of Anesthesiologists Closed Claims Project (762 of the 2,046 cases, 37%). Inadequate ventilation, esophageal intubation, and difficult tracheal intubation are the most common mechanisms of respiratory-related adverse outcomes. An analysis of closed claims data regarding these mechanisms has been reported previously. This report is concerned with 300 claims for five other less common but important categories of respiratory-related adverse outcomes in which recurrent themes of management error or patterns of injury could be identified: airway trauma, pneumothorax, airway obstruction, aspiration, and bronchospasm. Airway trauma (97 claims, 5% of the database) was associated with difficult intubation in 41 (42%) of the cases and the most frequent sites of injury were the larynx, pharynx, and esophagus. Pneumothorax (67 cases, 3% of the database) was usually either needle-related (block or central vascular catheter placement) or airway management-related (instrumentation or barotrauma). Airway obstruction (56 claims, 3% of the database) occurred in the upper airway in 39 (70%) of the cases. Aspiration (56 claims, 3% of the database) usually occurred during general anesthesia, either during induction prior to tracheal intubation or during maintenance of anesthesia delivered via mask. Bronchospasm (40 claims, 2% of the database) tended to occur during induction of general anesthesia in patients with a history of asthma or chronic obstructive pulmonary disease and/or smoking. The incidence of severe injury (brain damage and death) among these cases in the five categories was 47% overall, ranging from 12% in airway trauma claims to nearly 90% in claims for airway obstruction and bronchospasm.(ABSTRACT TRUNCATED AT 250 WORDS)  (+info)

Management of the difficult adult airway. With special emphasis on awake tracheal intubation. (7/30)

Difficulty in managing the airway is the single most important cause of major anesthesia-related morbidity and mortality. Successful management of a difficult airway begins with recognizing the potential problem. All patients should be examined for their ability to open their mouth widely and for the structures visible upon mouth opening, the size of the mandibular space, and ability to assume the sniff position. If there is a good possibility that intubation and/or ventilation by mask will be difficult, then the airway should be secured while the patient is still awake. In order for an awake intubation to be successful, it is absolutely essential that the patient be properly prepared; otherwise, the anesthesiologist will simply fulfill a self-defeating prophecy. Once the patient is properly prepared, it is likely that any one of a number of intubation techniques will be successful. If the patient is already anesthetized and/or paralyzed and intubation is found to be difficult, many repeated attempts at intubation should be avoided because progressive development of laryngeal edema and hemorrhage will develop and the ability to ventilate the lungs via mask consequently may be lost. After several attempts at intubation, it may be best to awaken the patient, do a semielective tracheostomy, or proceed with the case using mask ventilation. In the event that the ability to ventilate via mask is lost and the patient's lungs still cannot be ventilated, TTJV should be instituted immediately. Tracheal extubation of a patient with a difficult airway over a jet stylet permits a controlled, gradual, and reversible (in that ventilation and reintubation is possible at any time) withdrawal from the airway. Significant advances in the management of the difficult airway have occurred in recent years. Eighty percent of the 127 references in this article were published after 1985. However, there is much more to learn with regard to recognition of the difficult airway, preparation of the patient for an awake intubation, new techniques of endotracheal intubation, and establishment of gas exchange in patients who cannot be intubated or ventilated by mask. As the anesthesiologist's ability to manage the difficult airway significantly improves, respiratory-related morbidity and mortality will decrease.  (+info)

Effects of pharmacologic alterations of adrenergic mechanisms by cocaine, tropolone, aminophylline, and ketamine on epinephrine-induced arrhythmias during halothane-nitrous oxide anesthesia. (8/30)

The purpose of this study was to examine the effects of pharmacologic alterations of adrenergic terminating mechanisms by cocaine, tropolone, aminophylline, and ketamine on the ability of epinephrine to induce arrhythmias during halothane-nitrous oxide anesthesia in dogs. Because the first three drugs inhibit intraneuronal uptake of catecholamines, extraneuronal catechol-O-methyl transferase (COMT), and phosphodiesterase, respectively, they might be expected to potentiate epinephrine-induced arrhythmias. To evaluate this possibility, the authors devised a technique for determining the minimal arrhythmic dosage of epinephrine that permitted graded assessment of changes in the sensitivity of the heart to epinephrine-induced arrhythmias. When the first three drugs were administered to the same dog in the order listed at intervals of 60 minutes, they sequentially increased the ability of epinephrine to induce arrhythmias. Ketamine, according to several investigators, also appears to block reuptake of catecholamines, and when studied was also found to enhance the arrhythmogenicity of epinephrine. The extent of enhancement was comparable to that seen with cocaine. These results indicate that drugs like cocaine and ketamine that interfere with intraneuronal uptake can facilitate the development of epinephrine-induced arrhythmias and that the successive pharmacologic interference of intraneuron uptake, COMT, and phosphodiesterase leads to a stepwise increase in the arrhythmogenicity of epinephrine.  (+info)

*History of tracheal intubation

After World War I, further advances were made in the field of intratracheal anesthesia. Among these were those made by Sir Ivan ... Janeway, Henry H. (1913). "INTRA-TRACHEAL ANESTHESIA FROM THE STANDPOINT OF THE NOSE, THROAT AND ORAL SURGEON WITH A ... Wawersik, Juergen (1991). "History of Anesthesia in Germany". Journal of Clinical Anesthesia. 3 (3): 235-44. doi:10.1016/0952- ... rectal anesthesia, or intravenous anesthesia. While otherwise effective, these techniques did not protect the airway from ...

*Tracheal intubation

It can however be performed in the awake patient with local or topical anesthesia or in an emergency without any anesthesia at ... Intratracheal instillation Benumof (2007), Ezri T and Warters RD, Chapter 15: Indications for tracheal intubation, pp. 371-8 ... The tube is then secured to the face or neck and connected to a T-piece, anesthesia breathing circuit, bag valve mask device, ... General anesthesia is often administered without tracheal intubation in selected cases where the procedure is brief in duration ...

*History of general anesthesia

After World War I, further advances were made in the field of intratracheal anesthesia. Among these were those made by Sir Ivan ... Janeway, HH (November 1913). "Intra-tracheal anesthesia from the standpoint of the nose, throat and oral surgeon with a ... Wawersik, J (May-June 1991). "History of anesthesia in Germany". Journal of Clinical Anesthesia. 3 (3): 235-244. doi:10.1016/ ... Corssen, G; Domino, EF; Sweet, RB (November-December 1964). "Neuroleptanalgesia and Anesthesia". Anesthesia & Analgesia. 43 (6 ...

*Laryngoscopy

Janeway, Henry H. (1913). "Intra-Tracheal Anesthesia from the Standpoint of the Nose, Throat and Oral Surgeon with a ... Jackson, Chevalier (1996). "The technique of insertion of intratracheal insufflation tubes". Pediatric Anesthesia. 6 (3): 230. ... Davis L, Cook-Sather SD, Schreiner MS (2000). "Lighted stylet tracheal intubation: a review". Anesthesia & Analgesia. 90 (3): ... An American anesthesiologist practicing at Bellevue Hospital in New York City, Janeway believed that direct intratracheal ...

*Henry Harrington Janeway

An Apparatus for Intratracheal Insufflation. Annals of surgery, 56(2), 328. Janeway, H. H. (1913). Intra‐tracheal anesthesia ... The Laryngoscope, 23(11), 1082-1090 Janeway, H. H. (1913). Intratracheal Anaesthesia: A. By Nitrous Oxide and Oxygen. B. By ... Simple and Complete Forms of Apparatus for Intratracheal Anæsthesia. Annals of surgery, 59(4), 628. Janeway, H. H. (1914). ...

*Intratracheal instillation

... the confounding effects of the delivery vehicle and anesthesia, and the fact that it bypasses the upper respiratory tract. ... Intratracheal instillation is the introduction of a substance directly into the trachea. It is widely used to test the ... Intratracheal instillation was reported as early as 1923 in studies of the carcinogenicity of coal tar. Modern methodology was ... Intratracheal instillation is often performed with mice, rats, or hamsters, with hamsters often preferred because their mouth ...

*Laryngology

17: 507-9. Abstract reprinted in Pediatric Anesthesia 6(3):230 Jackson, C (1922). "I: Instrumentarium". A manual of peroral ... Jackson, C (1913). "The technique of insertion of intratracheal insufflation tubes". Surgery, gynecology & obstetrics. ...

*List of MeSH codes (E03)

... anesthesia, closed-circuit MeSH E03.155.197.364 --- anesthesia, rectal MeSH E03.155.253 --- anesthesia, intratracheal MeSH ... anesthesia, epidural MeSH E03.155.086.131.100 --- anesthesia, caudal MeSH E03.155.086.231 --- anesthesia, local MeSH E03.155. ... anesthesia, dental MeSH E03.155.141.481 --- hypnosis, dental MeSH E03.155.197 --- anesthesia, general MeSH E03.155.197.197 --- ... E03.155.308 --- anesthesia, intravenous MeSH E03.155.364 --- anesthesia, obstetrical MeSH E03.155.441 --- cryoanesthesia MeSH ...

*Plastic bronchitis

Evaluation by means of bronchoscopy can be difficult and time consuming and is best performed under general anesthesia. Casts ... Houin, PR; Veress, LA; Rancourt, RC; Hendry-Hofer, TB; Loader, JE; Rioux, JS; Garlick, RB; White, CW (2015). "Intratracheal ... Therapeutic interventions with medium-chain triglyceride-enriched low-fat diets, intratracheal heparin, inhaled tissue ...

*Henry Edmund Gaskin Boyle

Boyle promoted intratracheal insufflation techniques using nitrous oxide, oxygen and ether, replacing open-drop anaesthesia. ... Wilkinson, David J. (2002). "Henry Edmund Gaskin Boyle (1875 - 1941)". History of Anesthesia by José Carlos Diz, Avelino Franco ...
Disclosed is a transtracheal ventilation device including at least one base plate with an opening and comprising a tubular connecting part with a channel and a central axis. The base plate and the connecting part are connected to each other such that a lumen, when inserted into the device, extends into the channel through the opening along the central axis to a fixing element (a fastening). The fixing element can be pivoted relative to the central axis. The fixing element is arranged at a distance of at least 5 millimeters along the central axis from a base plate face which faces away from the fixing element, and the opening has an inner diameter which is at least 20% larger than an outer diameter of the lumen at least on a first plane perpendicular to the central axis.
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Living independently at home, she falls and sustains a hip fracture. Medical history reveals only hypertension, for which she takes hydrochlorothiazide. Cleared for surgery, she undergoes a three-hour hip arthroplasty under general endotracheal anesthesia with isoflurane with no complications. She has postoperative delirium for 24-36 hours, and is discharged to a rehabilitation facility on postoperative day 5. Rehab is complicated by depression, forgetfulness and inattention. Her family notes she is "very different" than before her fall, although in retrospect, they admit she had been getting a "little forgetful". Discharged to home, it soon becomes apparent that she cannot perform the activities of daily living, and she is transferred to an assisted care facility. After six months, with no improvement, and a formal evaluation by a geriatric neurologist, including a lumbar puncture for cerebrospinal fluid (CSF) biomarkers, she is diagnosed with Alzheimers dementia. Comment ...
What happens to the rats interaction forces with the robot across the three conditions? In particular, is a rat able to adapt to the BMI used to offset load? To test this, we examined and compared both real and virtual interaction forces and neural driven forces among the three conditions. Virtual neural forces and virtual interaction forces represent the immediate forces that would result if the BMI were engaged instantaneously, in the baseline and simple elastic load conditions (in which no actual BMI effect was truly present in the observed experiment and data). Figure 2A-C show the patterns of robot positions, interaction forces, and neural driven forces across the step cycle in an example session in a single rat. The patterns are averages in the second half of each trial, after any faster adaptation was completed. These differed during the different conditions. The rat pelvic height (Fig. 2A) was depressed in the simple elastic load condition (E) (green) compared with baseline (BL) (blue). ...
Enfield, CT (PRWEB) July 8, 2010 -- Oxford Performance Materials (OPM) is very pleased to announce that the firms OXPEKK-IG long-term implantable polymer has
Trimecaine (systematic name (2,4,6-trimethylphenylcarbamoylmethyl)diethylammonium chloride, chemical formula C15H25ClN2O) is an organic compound used as a local anesthetic and cardial antiarrhythmic. It is white crystalline powder readily soluble in water and ethanol. It is an active ingredient in products available under trademarks Mesdicain, Mesocain, Mesokain and others. Trimecaine is probably a Czech discovery (in light of complex pharmacological and clinical evaluation and practical deployment) although its preparation was published by Löfgren in 1946. Like other local anesthetics belonging in the amide group trimecaine decreases the cell membrane permeability, causes depolarization and shortens the action potential. Anesthetic effect starts in 15 minutes and remains 60-90 minutes. Its biological half-life is ca. 90 minutes. 10% of trimecaine is excreted unchanged (90% as its metabolites). It passes through the hematoencephalic and placental barriers. Trimecaine has two main application ...
TY - JOUR. T1 - Bridge experience with long-term implantable left ventricular assist devices. T2 - Are they an alternative to transplantation?. AU - Oz, Mehmet C.. AU - Argenziano, Michael. AU - Catanese, Katharine A.. AU - Gardocki, Michael T.. AU - Goldstein, Daniel J.. AU - Ashton, Robert C.. AU - Gelijns, Annetine C.. AU - Rose, Eric A.. AU - Levin, Howard R.. PY - 1997/4/1. Y1 - 1997/4/1. N2 - Background: If long term use of left ventricular assist devices (LVADs) as bridges to transplantation is successful, the issue of permanent device implantation in lieu of transplantation could be addressed through the creation of appropriately designed trials. Our medium-term experience with both pneumatically and electrically powered ThermoCardiosystems LVADs is presented to outline the benefits and limitations of device support in lieu of transplantation. Methods and Results: Detailed records were kept prospectively for all patients undergoing LVAD insertion. Fifty-eight LVADs were inserted over 5 ...
TY - GEN. T1 - Optimal multimodal virtual bronchoscopy for convex-probe endobronchial ultrasound. AU - Higgins, William Evan. AU - Zang, Xiaonan. AU - Cheirsilp, Ronnarit. AU - Byrnes, Patrick D.. AU - Kuhlengel, Trevor K.. AU - Toth, Jennifer. AU - Bascom, Rebecca. PY - 2018/1/1. Y1 - 2018/1/1. N2 - Accurate staging of the central-chest lymph nodes is a major step in the management of lung-cancer patients. For this purpose, the physician uses videobronchoscopy to navigate through the airways and convex-probe endobronchial ultrasound (CP-EBUS) to localize extraluminal lymph nodes. Unfortunately, CP-EBUS proves to be difficult for many physicians. In this paper, we present a complete optimal multimodal planning and guidance system for image-guided CP-EBUS bronchoscopy. The system accepts a patients 3D chest CT scan and an optional whole-body PET/CT study as inputs. System work flow proceeds in two stages: 1) optimal procedure planning and 2) multimodal image-guided bronchoscopy. Optimal ...
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies. ...
An association between cardiac arrhythmias and ethanol use has been observed for some time. The sympathetic nervous system presumably plays an important role in the manifestation of cardiovascular...
Fentanyl (mean dose 109 micrograms X kg-1) and oxygen were given to ten patients having coronary vein grafts. Serial studies were done before, during and after operation, of central and mean arterial pressures (MAP), cardiac index (CI) and coronary s
Auto Scaling enables you to follow the demand curve for your applications closely, reducing the need to manually provision Amazon EC2 capacity in advance. For example, you can use Target Tracking scaling policies to select a load metric for your application, such as CPU utilization. Or, you could set a target value using the new "Request Count Per Target" metric from Application Load Balancer, a load balancing option for the Elastic Load Balancing service. Auto Scaling will then automatically adjust the number of EC2 instances as needed to maintain your target. You can also use simple scaling policies to set a condition to add new Amazon EC2 instances in increments when the average utilization of your Amazon EC2 fleet is high, and similarly, you can set a condition to remove instances in the same increments when CPU utilization is low. If you have predictable load changes, you can also set a schedule through Auto Scaling to plan your scaling activities. Auto Scaling can also be used with Amazon ...
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BACKGROUND: Resuscitation guidelines caution against extreme extension or flexion of an infants head because tracheal obstruction may occur. No data support this recommendation. The authors therefore examined the dimensions of the tracheal lumen in neutral, extended, and flexed head positions in infants undergoing general endotracheal anesthesia for elective surgery. METHODS: Eighteen healthy full-term infants were studied. A flexible fiberoptic bronchoscope was passed through a previously inserted endotracheal tube and positioned above the cricoid cartilage. Video recordings were taken in each of three head positions. Recordings were analyzed by an investigator blinded to head position. A computer-digitized technique was used to measure anterior-posterior and lateral dimensions and cross-sectional area. Data were analyzed using paired t tests and sign tests. RESULTS: No significant differences in mean tracheal dimensions with changes in head position were found. No infant had complete tracheal ...
Sir Ivan Whiteside Magill (23 July 1888 - 25 November 1986) was an Irish born anaesthetist who is famous for his involvement in much of the innovation and development in modern anaesthesia. He helped to establish the Association of Anaesthetists of Great Britain and Ireland. Several medical devices are named after him. Originally a general practitioner, he accepted a post at the Queens Hospital, Sidcup, in 1919 as an anaesthetist. The hospital had been established for the treatment of facial injuries sustained in World War I. Working with plastic surgeon Harold Gillies, he was responsible for the development of numerous items of anaesthetic equipment but most particularly the single-tube technique of endotracheal anaesthesia. This was driven by the immense difficulties of administering "standard" anaesthetics such as chloroform and ether to men with severe facial injury using masks; they would cover the operative field. Following the closure of the hospital, and the diminishing numbers of ...
3. INSERTION OF SUPRAPUBIC CATHETER.. ANESTHESIA: GENERAL ENDOTRACHEAL ANESTHESIA. ESTIMATED BLOOD LOSS: 500 CC. FLUID REPLACEMENT: 3400 CC CRYSTALLOID. CONDITION: STABLE. URINE OUTPUT: 150 CC. COMPLICATIONS: NONE. FINDINGS: The patient is a 44-year-old white female with urodynamically documented intrinsic sphincter deficiency. Preoperatively she was advised about the surgical and nonsurgical treatment alternatives as well as the surgical alternatives of urethropexy or sling. She desires a sling as a surgical approach, and this is not unreasonable secondary to her age and activity level, and the severity of her incontinence. She was informed preoperatively of the surgical failure in the 10-20% range in the long-term. She was also informed of the possibility of voiding dysfunction postoperatively, and the remote possibility of long-term intermittent self-catheterization in order to assure adequate bladder emptying. The possibility of urge incontinence was also discussed. Other risks of the ...
download trauma resuscitation perioperative; and Art can simply gain been positive if we satirize compatible of it as addition while already it is like Nature. recruitment would just prescribe by mathematicians of candidates. download trauma resuscitation perioperative management is the thing( or Stendhal independence) which says the money to Art.
Dopamine (DA) acts on two receptor subtypes, DA1 and DA2. The purpose of this study was to determine which subtype is involved in the increments in renal blood flow (RBF) and electrolyte excretion produced by DA. Mongrel dogs were anesthetized with pentobarbital sodium. Phenoxybenzamine (10 mg X kg-1 ia) and propranolol (5 mg X kg-1 iv) were administered to exclude effects mediated by alpha- and beta-adrenoceptors. DA was infused into the renal artery before and after administration of either the selective DA1 antagonist SCH 23390 or the selective DA2 antagonist domperidone. With DA alone, RBF increased by 52 +/- 7%, Na+ excretion increased by 35 +/- 8%, and K+ excretion increased by 35 +/- 5%. Infusion of SCH 23390 (0.5 micrograms X kg-1 X min-1) completely blocked DA-induced increase in RBF and electrolyte excretion. Intravenous infusion of domperidone (1 microgram X kg-1 X min-1) did not attenuate the responses to DA. Neither SCH 23390 nor domperidone affected base-line RBF or electrolyte ...
Transfuse enough, but no more. The goal is a well-perfused patient. Perfusion can be followed in various ways, including serum lactate and ScvO2, urine output, mental status, skin findings, etc. Practically speaking, however, blood pressure is usually the most practical endpoint, and an arterial line is highly recommended to help follow it. Your goal is to transfuse until the blood pressure is barely normal, but no higher. Higher pressures serve no benefit except to accelerate bleeding; the lower the pressure, the more likely bleeding will stop, but while some would advocate more "aggressive" hypotension, it is not well-proven. Therefore, the familiar MAP goal of 65 is probably reasonable. When the MAP dips, give balanced blood; when you reach 65, stop. If the patient seems hypoperfused but you cannot seem to give more volume without overly elevating the pressure, first ensure that no pressors are running, and then begin gentle analgosedation (e.g. small boluses of fentanyl). While no sedation ...
Do not hyperventilate! If advanced airway is not established, provide ventilations on the upstroke of the compression of every 10th compression. Once advanced airway is in place, ventilate at a rate of 8-10 breaths per minute ...
Our hypothesis is that patients with intrathecal delivery systems for chronic non-cancer pain will report no improvement treatment efficacy when compared to patients with chronic pain managed with oral or systemic opioid therapies. Our secondary hypothesis is that patients with intrathecal delivery systems for chronic non-cancer pain will report no improvement in treatment efficacy when compared to patients with chronic pain who are managed with non-opioid therapies ...
Myths and fears about addiction often prevent the use of opioids in treatment of chronic non-cancer pain. This article presents guidelines for safe and appropriate prescribing of opioids, monitoring of patients, and avoiding legal problems.
However, several years ago, the clinical practice guidelines for individuals with high tetraplegic SCIs were revised. It is no longer recommended to instill saline into an advanced airway because people with tetraplegia have little or no diaphragm innervation and, therefore, are unable to produce a cough reflex. This practice has been compared to "drowning" patients in their own secretions. After further review of the literature, we found saline instillation is not recommended for any adult patient who is mechanically ventilated. In fact, the 2004 American Association for Respiratory Care Clinical Practice Guidelines no longer recommend the instillation of saline into an advanced airway. (3) ...
Advanced Airway Larry Trainer Head-Life/form Advanced Airway Larry Airway Management Trainer offers tongue swelling and laryngospasm in addition to all the features on the standard models. Your students can now be presented with the additional challe
We found a point prevalence of people with ictal asystole of 0.32%. In contrast, two small prospective studies (both n=19) with long-term implantable heart rhythm monitors up to 2 years reported a much higher prevalence of 5% and 21%.14 ,15 These contrasting figures suggest that ictal asystole does not occur during every seizure and may go unnoticed during short-term monitoring.. Ictal asystole, ictal bradycardia and ictal AV block coincided with a focal dyscognitive seizure and were predominantly seen in temporal lobe epilepsy. These three arrhythmias not only shared a similar clinical profile, but could also overlap. Both ictal bradycardia and ictal AV block may evolve into asystole.. It has been suggested that a seizure onset in the left hemisphere results in bradycardia and that a right-sided onset results in tachycardia.2 We did not, however, find a consistent lateralisation in the large group of ictal asystole and ictal bradycardia cases. In the small group of ictal AV block cases, there ...
The value of an index for "weaning" from mechanical ventilation is its ability to predict respiratory endurance (1). Endurance reflects the ability of the respiratory capacity to meet the respiratory demands of resistive load from airways or endotracheal tube resistance, and elastic load from conditions that decrease compliance (e.g., fibrosis). Of the new indices that the authors present, the average VT and the ratio of respiratory frequency to tidal volume (f/VT) determined during a 1-minute bedside trial of spontaneous ventilation, are simple and warrant widespread consideration. 24 hours is a reasonable period of time to define successful liberation from mechanical ventilation but failures that occur shortly thereafter, often in less closely monitored environments, can have serious consequences. The f/VT index was the best predictor of successful weaning in this study. The usefulness of f/VT, however, should not eliminate careful systematic attention to other measurements that correlate ...
The precise role of CD26/DPP4 in tumor biology is unclear at this time. Preclinical studies have shown conflicting data with differential CD26/DPP4 expression and activity depending on the type of cancer. These studies suggest that it has a role as either a tumor suppressor or tumor activator depending on the tumor microenvironment and molecules with which CD26/DPP4 associates (1,3). However, since most of these studies involved in vitro assays, further investigations with in vivo experiments are needed to definitively establish the role of CD26/DPP4 in each cancer type.. Published studies have demonstrated that CD26/DPP4 plays a major role in the invasion and metastasis of selected cancers, and may be a novel therapeutic target (1,2,5,6). There are several suggested mechanisms for cancer metastasis involving the intrinsic peptidase activity of CD26/DPP4 and its subsequent chemokine regulation, as well as its ability to bind key molecules. For example, CD26/DPP4 can upregulate the expression of ...
... ,Nasal soft cuffed endotracheal tubes designed and constructed especially for long-term nasal intubations.,medicine,medical supply,medical supplies,medical product
Background: Advanced airway management is a critical intervention that can harm the patient if performed poorly. The available literature on this subject is rich, but it is difficult to interpret due to a huge variability ...
BACKGROUND: Patients with chronic non-cancer pain who are prescribed and are taking opioids can have a history of long term high dose opioid use without effective pain relief. In those without good pain relief, reduction of prescribed opioid dose may be the desired and shared goal of both patient and clinician. Simple unsupervised reduction of opioid use is clinically challenging, and very difficult to achieve and maintain. OBJECTIVES: To investigate the effectiveness of different methods designed to achieve reduction or cessation of prescribed opioid use for the management of chronic non-cancer pain. SEARCH METHODS: We searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, and EMBASE from inception to 8th April 2013, as well as bibliographies. SELECTION CRITERIA: Included studies had to be randomised controlled trials comparing opioid users receiving an intervention with a control group receiving treatment as usual, active control, or placebo. The aim of the study had to
METHODS: Forty American Society of Anesthesiologists II patients with body mass index ≥30 kg/m(2) undergoing various elective surgeries under general endotracheal anesthesia were enrolled. Ultrasound images of the right IJV were obtained in a transverse orientation at the cricoid level. We measured the CSA of the right IJV two different conditions in a sealed envelope were applied in random order: State 0, table flat (no tilt), with the patients in the supine position, and State T, in which the operating table was tilted 20° to the Trendelenburg position.. RESULTS: The change in the CSA of the IJV from the supine to the Trendelenburg position (1.80 cm(2) vs 2.08cm(2)) was not significantly different. The CSA was paradoxically decreased in 10 of 36 patients when the position changed from State 0 to State T.. CONCLUSIONS: Trendelenburg positioning does not significantly increase the mean CSA of the right IJV in obese patients. In fact, in some patients, this position decreases the CSA. The use ...
OPINION FROM THE UROLOGY DEPARTMENT OF NOVOSIBIRSK STATE MEDICAL UNIVERSITYin relation to performance of the Urolit nanopulse lithotripterNovosibirsk In October, 2010 - February, 2011 the Urology Department of Novosibirsk State Medical University (NSMU) performed contact lithotripsy procedures using the Urolit nanopulse lithotripter, manufactured by MedLine, Ltd. (Tomsk), at the Federal State Institution, Siberian District Medical Center of the Federal Medical-Biological Agency.In total, 15 lithotripsy procedures were performed in an operating room under endotracheal anaesthesia. In the course of these surgical procedures, the doctors of the Urology Department noted several advantages of this unit as compared with other lithotripters, including:- effective destruction of stones different in hardness and size; time of destruction for most of the stones did not exceed a few minutes;- fine adjustment of the energy transferred by the probe to a stone. Since maximum energy in a pulse does not exceed 0.8 J,
We investigated the effects of the angiotensin-converting enzyme inhibitor captopril on neurologic outcome in a rat model of incomplete cerebral ischemia. Twenty male Sprague-Dawley rats were anesthetized with 70% nitrous oxide in oxygen and fentanyl (10 micrograms x kg-1 i.v. bolus, 25 micrograms x kg-1 x hr-1 i.v. continuous infusion). Animals in group 1 (n = 10) received no angiotensin-converting enzyme inhibitor while animals in group 2 (n = 10) were given 10 mg x kg-1 i.v. captopril 30 minutes prior to the ischemic period. Ischemia was produced by unilateral carotid artery ligation and hemorrhagic hypotension to 35 mm Hg for 30 minutes. Body temperature, arterial blood gases, and arterial pH were maintained constant. Neurologic outcome was evaluated every 24 hours for 3 days using a graded deficit score (0, normal; 18, stroke-related death). On the third day after ischemia, captopril significantly improved neurologic outcome (median deficit score = 4) compared with controls (median deficit ...
Ambu Intubation Trainer - The Ambu Intubation Trainer is for teaching intubation techniques with laryngoscopes, airways, endotracheal tubes, LMAs, Combitube and other.
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At this second stage, we performed lesion aspiration plus incisional re-biopsy (20x20x6) and installed a tube for decompression which allowed the removal of a small cortical bone from the anterior face of the ramus. The re-biopsy histological analysis (June 2012) reconfirmed the diagnosis of OKC (Fig. 6). The irrigation with saline solution was kept for 5 more months, until December 2012, when there were no longer signs of secretion from inside the lesion. In October 2012, a radiographic image suggested that bone neoformation had occurred. On February 2013, under nasotracheal intubation, we performed the third intervention, a full enucleation of the lesion plus peripheral bone osteotomy ...
Trauma is a leading cause of pediatric morbidity and mortality. The primary aims of trauma resuscitation are to restore intravascular volume and to optimize both organ perfusion and tissue oxygen...
Adverse outcomes associated with respiratory events continue to constitute the single largest class of injury in Closed Claims Study... read more.
Airway management is one of the most important skills for an emergency department practitioner to master because failure to secure an adequate airway can quickly lead to death or disability. Endotracheal intubation using rapid sequence intubation (RSI) is the cornerstone of emergency airway management.
AED Cabinets and Storage - AEDCabinets.co.uk Airway Larry, Advanced Airway Management Trainer, with Stand - Airway Larry simulates a nonanesthetised patient for practicing intubation, ventilation, suction, and CPR techniques. Features anatomy and landmarks including teeth, tongue, oral and nasal pharynx, larynx, epiglottis, arytenoids, false cords, true vocal cords, trachea, lungs, esophagus, cricoid cartilage, and stomach. The trainer allows you to practice oral, digital, and nasal intubation, as
In reply:. We appreciate the response to our manuscript "Alternatives to Rapid Sequence Intubation: Contemporary Airway Management with Ketamine" and value the authors perspectives, both competing and complementary.. We agree that flexible endoscopy is a powerful, safety-preserving airway management modality that should be a foundational component of the emergency physicians arsenal and that, ideally, all emergency physicians would be competent in this skill and use it regularly for fully awake intubation technique, facilitated by "meticulous topical anesthesia," as well as dissociated ketamine-only breathing intubation (KOBI). At the moment, however, the majority of practicing emergency physicians are not able to efficiently apply topical anesthesia dense enough to facilitate a fully awake technique in most patients, and are not able to able to efficiently intubate using a flexible endoscope, either because they lack the equipment or the skill set, or both.. Furthermore, even providers ...
A team of 19 members met to brainstorm essential concepts we believe every young doctor should know. We decided to follow the story of a fictional patient, taking a look at his journey from the moment of his car crash until his release from the hospital. The workshop gave participants and instructors an opportunity to visualise the entire concept of patient care and how all areas of treatment overlap.. We started out with a reminder of basic life support and participants got the opportunity to practice their chest compressions and rescue breaths on mannequins.. We then reviewed the Glasgow comma scale and how important it is no only to doctors but to all healthcare professionals. Participants were told about the Glasgow comma scale- pupil score (GCS-P) and the Glasgow comma scale pupil age prognostic charts (GCS-PS), two new additions released in April 2018.. We then continued the story to when our patient arrives at the emergency room and is met by the resuscitation team who provide advanced ...
Patients with degenerative neurological disorders are among the most handicapped patients in medicine. Many of these diseases are incurable. Expert palliative care is the duty of every neurologist: however, to date, this has not been a standard feature of neurological practice or training. This book helps define a new field, namely palliative care in neurology. It brings together all necessary information for neurologists caring for a patient with advance disease.
The objective of this study is to evaluate the feasibility of dexmedetomidine infusion for oral cancer patients undergoing awake fiberoptic nasal intub
We aggregate book reviews by critics to help you discover the best new books. We are like Rottentomatoes or Metacritic for books. We also do book giveaways.
There are important risks associated with opioids. The guideline aspires to promote evidence-based prescribing of opioids for chronic non-cancer pain.
The Parker Flex-It directional stylet can be used for oral and nasal intubation without any pre-bending! Find the stylets that you need at Bell Medical today.
Airway Skills Trainers are designed to aid the teaching of basic and advanced Airway Management, including recognition and techniques for an Obstructed Airway, Adult and Pediatric Intubation, Cricothyrotomy as well as numerous additional skills.
Families come from around the world to Boston Childrens Hospital for our advanced airway treatments, expertise in pediatric anesthesia and world class ICU.
TY - THES. T1 - Advanced airway management training for paramedics: are we providing sufficient levels of clinical experience and knowledge?. AU - Wilson, Gary. PY - 2017. Y1 - 2017. N2 - This mixed-methods research examined whether the decline in available clinical practice placements has impacted on individual paramedic airway management competency. The study aimed to identify whether Western Australian paramedics were receiving sufficient theoretical, prac-tical and clinical straining. Findings from multiple sources revealed the infrequent utility of advanced airway management techniques and limited pedagogy has affected both confidence and success rates. Traditional education models do not appear to provide the required range of knowledge, understanding and performance opportunities required. A competency-based education programme has been developed from the research and should improve success races and competency.. AB - This mixed-methods research examined whether the decline in available ...
Conventionally, nasotracheal intubation has consisted of blind nasal passage and external manipulation of the tube through the glottis (conventional technique), a technique associated with a high incidence of nasal trauma. We evaluated a novel technique for routine asleep (i.e. post‐induction) nasotracheal intubation using a bougie (bougie technique), which uses a nasopharyngeal airway to guide a paediatric bougie nasotracheally for use as a Seldinger tracheal intubation guide. Two hundred and fifty‐seven older children (, 8 years) and adults were randomly assigned to videolaryngoscopy‐assisted nasotracheal intubation using either the conventional or the bougie technique. The hypothesis was that the bougie technique would result in less nasopharyngeal trauma. The bougie technique was associated with significantly less nasopharyngeal bleeding than the conventional technique at both 60-90 s (55% vs. 68%; p = 0.033) and 5 min (51% vs. 70%; p = 0.002). The severity of bleeding was also ...
Rodriquez D, Gomaa D, Blakeman T, Petroa M, Dorlac WC, Johannigman J, Branson R 12(2). 65 - 70 (Journal Article). Mechanical ventilation in an austere environment is difficult owing to logistics, training, and environmental conditions. We evaluated the ability of professional caregivers to provide ventilatory support to a simulated patient using the Simplified Automated Ventilator (SAVe) with a mask hand attended ventilation, mask with single strap unattended ventilation, and supraglottic airway (King LT) ventilation. All three methods were performed using a SAVe with a set tidal volume of 600ml and respiratory rate of 10 breaths per minute. The simulator consisted of a head and upper torso with anatomically correct upper airway structures, trachea, esophagus, and lung which, also measured the delivered tidal volume, respiratory rate, inspiratory flow, and airway pressures. Volunteers used each airway control method to provide ventilation for 10 minutes in random order. Success of each technique ...
Dental care of persons with disabilities and medical problems has always been a problem to tackle - for both the patients as well as their relatives. Many patients who belong to this category having severe dental problems have been suffering them in silence, out of difficulty to get dental treatment done in an outpatient setting.. We have started a novel scheme for oral health care for persons with disabilities as well as those patients with medical problems requiring hospitalization for dental treatment. We are equipped with all latest treatment facilities to perform all types of oral, dental & maxillofacial treatment procedures. This includes screening, detection and management of oral cancer patients, dental treatment of patients with uncontrolled diabetes and diseases of the various organ systems, dental management of mentally retarded patients and physically handicapped patients.. Under this scheme, we examine patients to assess the dental problems they have. We suggest treatment for these ...
The goal of this monograph is to provide essential information for the maintenance of a patent airway. Adult and infant respiratory anatomy is initially discussed with the aid of anatomical drawings. Reflex arcs mediated throughout the vagus nerve when the larynx is manipulated are briefly mentioned. The necessary equipment for oral and nasal intubation as well as tracheotomy is listed but little is said about the advantages of endotracheal tubes with low pressure cuffs. Drugs such as Anectine® and Pavulon®, which may be used with difficult intubations, are not discussed. Oral and nasal intubation are illustrated with photographs, xeroradiographs and ...
The treatment of pain cannot be fit into a one-size-fits-all approach," Madara said in his letter to FDA Commissioner Margaret Hamburg . "The AMA is especially concerned, therefore, about PROPs recommendation to limit the labeled indications for opioid analgesics to "severe" instead of "moderate-to-severe" non-cancer pain. Pain intensity assessments are entirely subjective and rely upon patients own reports. One persons "moderate" is another persons "severe.". Madara also objected to PROPs proposal to limit opioid prescriptions to 90 days, saying that "would effectively eliminate the use of opioids for chronic non-cancer pain.". PROPs founder, Dr. Andrew Kolodny, maintains that doctors would still be able to prescribe opioids "off-label" after 90 days, but critics say many physicians would be reluctant to do so - fearing legal or even criminal liability if a patient becomes addicted or overdoses.. "Such a labeling change clearly would affect patients seeking medically necessary pain relief ...
Author: EdMariano.com Personal protective equipment (PPE) for personnel involved in advanced airway management in cases of known positive or suspected COVID-19 should not replace recommendations by the Centers for Disease Control and Prevention (CDC). However, the additional risk of exposure to healthcare personnel involved in advanced airway management for a disease with airborne transmission must be taken into […]. ...
Chronic non-cancer pain can be managed effectively in most patients with dosages at or below 200 mg/day of morphine or equivalent (Grade A). Consideration of a higher dosage requires careful reassessment of the pain and of risk for misuse, and frequent monitoring with evidence of improved patient outcomes (Grade C ...
Opioids are most frequently prescribed for chronic non-cancer pain, primarily spinal pain. Prescribing a chemical does not adequately address that problem.
Murphy type high volume low pressure. Made of thermosensitive clear PVC that softens at body temperature. Radiopaque line to confirm correct tube placement by X-ray. The smooth tip helps to minimize trauma during intubation. Oral or nasal intubation. Magill Curve. Murphy Eye. Sterile. Single Use.
Webglue™ Surgical Adhesive contains purified n-butyl cyanoacrylate with D&C-certified blue dye that allows for differentiation between the product ...
Smart beta investing is rapidly becoming a popular alternative to both conventional passive management and traditional active management.
See an archive of all intelligencer/intel/computers stories published on the New York Media network, which includes NYMag, The Cut, Vulture, and Grub Street.
Fast and safe airway management in the field is critical but sometimes challenging due to patient and environmental factors. Airway management in entrapped patients or patients located in a confined space can be especially demanding. Inadequate lighting and impaired access to the patient add to the complexity to such situations and increase the risk of adverse events [1]. Attempts at endotracheal intubation (ETI) under suboptimal conditions should be avoided, and safer alternatives should be used whenever possible [2, 3]. Reports from use of supraglottic devices in simulated restricted access and in cases of resuscitation or unanticipated difficult airway are promising [4-6]. Some investigators, however, have reported the successful use of inverse intubation techniques in trauma patients. In a simulated scenario of inverse intubation during helicopter-flight similar time consumption in the interval of 21-24 seconds was reported for classical ETI and inverse technique [7].. Supraglottic devices ...
Fucosidosis is a rare lysosomal storage disorder caused by the inherited deficiency of the lysosomal hydrolase α-L-fucosidase, which leads to an impaired degradation of fucosylated glycoconjugates. Here we report the generation of a fucosidosis mouse model, in which the gene for lysosomal α-L-fucosidase (Fuca1) was disrupted by gene targeting. Homozygous knock-out mice completely lack α-L-fucosidase activity in all tested organs leading to highly elevated amounts of the core-fucosylated glycoasparagine Fuc(α1,6)-GlcNAc(β1-N)-Asn and, to a lesser extent, other fucosylated glycoasparagines, which all were also partially excreted with the urine. Lysosomal storage pathology was observed in many visceral organs like liver, kidney, spleen and bladder as well as in the CNS. On the cellular level storage was characterized by membrane-limited cytoplasmic vacuoles primarily containing water-soluble storage material. In the CNS cellular alterations included enlargement of the lysosomal compartment in ...
Background and purpose: Lidocaine is an intermediate acting local anesthetic agents used very much in epidural anesthesia and has less risk of cardiac or CNS problems compared with bupivacaine. This study evaluated the duration of motor and sensory block of epidural anesthesia with lidocaine alone, lidocoine plus epinephrine and lidocaine ...
Hasegawa K et al. Association of prehospital advanced airway management with neurologic outcome and survival in patients with out-of-hospital cardiac arrest. JAMA 2013 Jan 16; 309:257. ...
| Practical Hands on Experience Nasal Fibreoptic Intubation Oral Fibreoptic Intubation ORSIM Airway Simulator Supraglottic Airway Devices Rescue Intubation via LMA THRIVE Human Factors Simulation Videolaryngoscopy Ultrasound Guided Airway Front Of Neck Access NAP4 Hybrid Intubation Techniques Staged Extubation Transtracheal Jet Ventilation Paediatric Airway Course Director
Present your students with the challenges they may face in the real world. Advanced Child Airway Management Trainers offer tongue swelling and laryngospasm. This advanced airway management trainer is perfect for practicing skills on pediatric patients and represents the size of an 8-year-old patient. Practice intubation, ventilation, suction, and jaw thrust techniques. Realistic anatomy and landmarks include teeth, tongue, oral and nasal pharynx, larynx, epiglottis, arytenoids, false and true vocal cords, trachea, lungs, esophagus, and stomach. The trainer allows you to practice oral, digital, and nasal intubation, as well as E.T. (Endotracheal Tube), E.O.A. (Esophageal Obturator Airway), P.T.L. (Pharyngeal Tracheal Lumen), L.M.A. (Laryngeal
PAIN PILLS: CHRONIC PAIN is more than just a bummer. Its a life-altering nightmare that can leave you wondering if putting a gun in your mouth might be a better option. Although I have written about PAIN MEDS, addiction is so prevalent that statistics are outdated as soon as the next new study is published. The May issue of Pain Medicine said that, "There is increasing concern about the appropriateness of prescribing pharmaceutical opioids for chronic non-cancer pain (CNCP), given the risks of problematic use and dependence. In this population of people taking opioids for CNCP, consumption of higher doses was associated with increased risk of problematic behaviors, and was more likely among people with a complex profile of physical and mental health problems." Furthermore, the June issue of the Journal of Addictive Diseases revealed that, "The number of persons dependent on pain relievers..... is more than three times greater than the current capacity to deliver treatment." In 2017 we learned ...
An apparatus for infusing liquid medication such as insulin into a living body has a memory for storing a basic pattern and meal patterns which decide the medication infusion dose in accordance with time. The basic pattern is designated under ordinary conditions, with a meal pattern being designated for a predetermined period of time when desired. With the passage of the predetermined period, the basic pattern is restored, the address of the basic pattern being designated according to the actual time. When a pattern is selected, the one actually addressed and read out of the memory is that appropriate for the time of day. The pattern information read out of the memory is applied to means for infusing the liquid medication into the living body, the dose of the medication conforming to the specific pattern.
Correlation Between Segment Length and Spine Counts in Two Spider Species of Araneus Araneae: Araneidae. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.
We value Drs. Weinbergs and Baers careful review and feedback 1 on the 2017 Canadian Guideline for Opioids for Chronic Non-Cancer Pain2, and we would like to respond. The guideline has undergone external peer-review to evaluate the rigor that went into its development, as is the case with all research articles published in CMAJ. The current review was arranged to ensure that a financial conflict of interest declared by 1 of 15 voting panel members did not leave the guideline "tainted" by the influence of industry.3 In brief, the guidelines recommendations are to avoid opioids as first line therapy for chronic non-cancer pain, avoid prescribing opioids to individuals with past or present substance use disorder or other active psychiatric illness, to keep the daily dose of opioids below 90 mg (and ideally below 50 mg) morphine equivalent dose/day (MED/day) when opioids are prescribed, and to approach patients currently prescribed 90 mg MED/day or greater to very gradually reduce their opioid ...
Resuscitation of the critically ill trauma patient involves a myriad of high-stakes, time-sensitive management decisions. The landscape is shifting rapidly: new evidence on hemostatic resuscitation and component therapy in hemorrhagic shock, peri-arrest point-of-care ultrasound, novel approaches to resuscitative thoracotomy and trauma RSI have at once clarified and muddied the waters. In this rapid-fire, case-based session, Petro and Hicks will debate some of the recent and potentially practice changing literature to assist with key inflection points in the care of the sickest -- and sometimes deadest -- trauma patients, and engage in some trauma dogmalysis in the process.. ...
Paul Glare. Professor Paul Glare is the Chair of Pain Medicine in the Northern Clinical School of the University of Sydney and Director of the Pain Management Research Institute (PMRI). Prior to this appointment, Professor Glare was Chief of the Pain & Palliative Care Service, Memorial Sloan Kettering Cancer Center in New York with an affiliated appointment as Professor of Medicine at Weill Cornell Medical College.. Professor Glare is also Head of Discipline, Pain Medicine, in the Faculty of Medicine at the University of Sydney, and is on the Board of the Pain Management Research Institute (PMRI). Established in 1990, the PMRI is a joint initiative between the University of Sydney and Royal North Shore Hospital. It conducts basic and clinical research, operates an education program, and in collaboration with the Pain Management & Research Centre, treats patients with acute pain, cancer pain and chronic non-cancer pain.. After graduating from University of Sydney Medical School in 1981, Professor ...
Charleston, SC 29406 Dear Congressman Sanford, I am writing to inform you about an investigation conducted by the state DEA against Dr. ******, and the behavior and manner in which they conducted a search and seizure in his office on 6/13/2000. I was hired recently by his office to do pain management, which is part and parcel of my training as a Neurologist. I began work in his office approximately 3 weeks ago. Since my short tenure, I have seen Dr. ****** apply acceptable standards of practice according to the current understanding of the medical management of chronic pain. This includes the use of diagnostic evaluations such as imaging studies, nerve conduction and EMG evaluations as well as various techniques for pain control to include physical therapy, psychological counseling, antidepressants, anti-convulsants (for neuropathic pain), benzodiazipines for uncontrolled anxiety, and long acting opiates for chronic non-cancer pain. I have also seen many patients get back some semblance of a ...
PubMed Central Canada (PMC Canada) provides free access to a stable and permanent online digital archive of full-text, peer-reviewed health and life sciences research publications. It builds on PubMed Central (PMC), the U.S. National Institutes of Health (NIH) free digital archive of biomedical and life sciences journal literature and is a member of the broader PMC International (PMCI) network of e-repositories.
An apparatus for infusing liquid medication such as insulin into a living body has a memory for storing a basic pattern and meal patterns which decide the medication infusion dose in accordance with time. The basic pattern is designated under ordinary conditions, with a meal pattern being designated for a predetermined period of time when desired. With the passage of the predetermined period, the basic pattern is restored, the address of the basic pattern being designated according to the actual time. When a pattern is selected, the one actually addressed and read out of the memory is that appropriate for the time of day. The pattern information read out of the memory is applied to means for infusing the liquid medication into the living body, the dose of the medication conforming to the specific pattern.
When military surgeon Dustin Zierold arrived at the Kirkuk Air Base in Northern Iraq and got a look at the sick bay, he knew he had a challenge on his hands.. "The way they managed trauma was disorganized," recalls Zierold, an Air Force major who was stationed at Kirkuk for six months in 2005. "A lot of the technicians and nurses didnt have roles, and the doctors were doing everything.". Zierold knew a better way. A medical resident at the David Grant Medical Center at Californias Travis Air Force Base from 1997 to 2003, he had done his trauma training at UC Davis Medical Center in Sacramento. There, he had learned the importance of organization when faced with a patient who has stopped breathing or is in danger of bleeding to death.. "UC Davis is very good at organizing trauma resuscitation," says Zierold, referring to the process of getting a patient stabilized so that they survive long enough to be operated on. "Its a global team effort where everybody knows what theyre supposed to do and ...
A fiber-optic contact microsoldering device was demonstrated. It consists of a crystalline fiber with a tapered absorbing tip grown directly onto one end. A tapered tip with a 20-μm end enables the soldering of components with lead spacing as small as 50 μm.. © 1998 Optical Society of America. Full Article , PDF Article ...
Looking to get started with Intel® Active Management Technology (Intel® AMT)? This article provides an overview of the features, as well as information on minimum system requirements, configuration of an Intel AMT client, and the developer tools available to help create applications for Intel AMT. ...

Anesthesia, Intratracheal - DrugBankAnesthesia, Intratracheal - DrugBank

This project is supported by the Canadian Institutes of Health Research (award #111062), Alberta Innovates - Health Solutions, and by The Metabolomics Innovation Centre (TMIC), a nationally-funded research and core facility that supports a wide range of cutting-edge metabolomic studies. TMIC is funded by Genome Alberta, Genome British Columbia, and Genome Canada, a not-for-profit organization that is leading Canadas national genomics strategy with funding from the federal government. Maintenance, support, and commercial licensing is provided by OMx Personal Health Analytics, Inc. Designed by Educe Design & Innovation Inc. ...
more infohttps://www.drugbank.ca/indications/DBCOND0079156

INTRATRACHEAL ANESTHESIA IN CHILDREN USING A NEW OPEN TO AND FRO SYSTEM | Anesthesiology | ASA PublicationsINTRATRACHEAL ANESTHESIA IN CHILDREN USING A NEW OPEN TO AND FRO SYSTEM | Anesthesiology | ASA Publications

Paul H. Lorhan; INTRATRACHEAL ANESTHESIA IN CHILDREN USING A NEW OPEN TO AND FRO SYSTEM. Anesthesiology 1945;6(5):535-536. doi ... INTRATRACHEAL ANESTHESIA IN CHILDREN USING A NEW OPEN TO AND FRO SYSTEM ... INTRATRACHEAL ANESTHESIA IN CHILDREN USING A NEW OPEN TO AND FRO SYSTEM ... INTRATRACHEAL ANESTHESIA IN CHILDREN USING A NEW OPEN TO AND FRO SYSTEM. Anesthesiology 9 1945, Vol.6, 535-536. doi:https://doi ...
more infohttps://anesthesiology.pubs.asahq.org/article.aspx?articleid=1972553

Anesthesia, Intratracheal | Profiles RNSAnesthesia, Intratracheal | Profiles RNS

Intratracheal" by people in this website by year, and whether "Anesthesia, Intratracheal" was a major or minor topic of these ... "Anesthesia, Intratracheal" is a descriptor in the National Library of Medicines controlled vocabulary thesaurus, MeSH (Medical ... Below are the most recent publications written about "Anesthesia, Intratracheal" by people in Profiles. ... Below are MeSH descriptors whose meaning is more general than "Anesthesia, Intratracheal". ...
more infohttps://profiles.rush.edu/display/25302

INTRATRACHEAL INHALATIO ANESTHESIA | JAMA Otolaryngology-Head & Neck Surgery | The JAMA NetworkINTRATRACHEAL INHALATIO ANESTHESIA | JAMA Otolaryngology-Head & Neck Surgery | The JAMA Network

INTRATRACHEAL INHALATIO ANESTHESIATHE METHOD OF ELECTION FOR OPERTIONS ON THE HEAD AND NECK. Arch Otolaryngol. 1928;7(2):156- ... INTRATRACHEAL INHALATIO ANESTHESIATHE METHOD OF ELECTION FOR OPERTIONS ON THE HEAD AND NECK. ...
more infohttps://jamanetwork.com/journals/jamaotolaryngology/article-abstract/542697?redirect=true

Autoregulation of renal blood flow during halothane anesthesia.Autoregulation of renal blood flow during halothane anesthesia.

Anesthesia, Intratracheal*. Animals. Blood Flow Velocity. Blood Pressure / drug effects. Dogs. Halothane / pharmacology*. ...
more infohttp://www.biomedsearch.com/nih/Autoregulation-renal-blood-flow-during/835847.html

Jaw Neoplasms
     Summary Report | CureHunterJaw Neoplasms Summary Report | CureHunter

Intratracheal Anesthesia 05/01/1969 - "[Intratracheal anesthesia in operations of jaw neoplasms].". ...
more infohttp://www.curehunter.com/public/keywordSummaryD007573-Jaw-Neoplasms.do

History of general anesthesia - WikipediaHistory of general anesthesia - Wikipedia

After World War I, further advances were made in the field of intratracheal anesthesia. Among these were those made by Sir Ivan ... Etymology of "anesthesia"[edit]. The word "anesthesia", coined by Oliver Wendell Holmes (1809-1894) in 1846 from the Greek ἀν- ... Jackson, Chevalier (May 1996). "The technique of insertion of intratracheal insufflation tubes". Pediatric Anesthesia. 6 (3): ... Janeway, HH (November 1913). "Intra-tracheal anesthesia from the standpoint of the nose, throat and oral surgeon with a ...
more infohttps://en.wikipedia.org/wiki/History_of_general_anesthesia

History of tracheal intubation - WikipediaHistory of tracheal intubation - Wikipedia

After World War I, further advances were made in the field of intratracheal anesthesia. Among these were those made by Sir Ivan ... Janeway, Henry H. (1913). "INTRA-TRACHEAL ANESTHESIA FROM THE STANDPOINT OF THE NOSE, THROAT AND ORAL SURGEON WITH A ... Wawersik, Juergen (1991). "History of Anesthesia in Germany". Journal of Clinical Anesthesia. 3 (3): 235-44. doi:10.1016/0952- ... rectal anesthesia, or intravenous anesthesia. While otherwise effective, these techniques did not protect the airway from ...
more infohttps://en.wikipedia.org/wiki/History_of_tracheal_intubation

Minimally Invasive Esophagectomy: Background, Indications, ContraindicationsMinimally Invasive Esophagectomy: Background, Indications, Contraindications

Torek was successful in part because of the recent developments in intratracheal anesthesia and asepsis. [4] Over the next ... as well as a longer duration of anesthesia. ...
more infohttps://emedicine.medscape.com/article/1965556-overview

Nasal Disease and Rhinoscopy; Fungal Disease/Neoplasia - WSAVA2005 - VINNasal Disease and Rhinoscopy; Fungal Disease/Neoplasia - WSAVA2005 - VIN

It requires anesthesia and intratracheal intubation, to prevent air circulation through the nasal cavities. We prefer to ... Diagnostic radiographs should be made under anesthesia. Tumor is suspected when increased density is found in one or both nasal ...
more infohttps://www.vin.com/apputil/content/defaultadv1.aspx?pId=11196&meta=Generic&catId=30755&id=3854228&ind=279&objTypeID=17

Office of Medical HistoryOffice of Medical History

d. The equipment of the surgical LSTs could be improved upon by the addition of portable anesthesia apparatus, intratracheal ... They have no anesthesia machines. This hospital needs at least one surgeon qualified as chief of service. The laboratory has ... These ships must be adequately equipped for major surgery, including anesthesia.. d. At least one of the surgical teams to be ... Certain equipment was lacking, such as anesthesia machines, water pitchers, and some means of keeping hot soup or coffee. They ...
more infohttp://history.amedd.army.mil/booksdocs/wwii/actvssurgconvol2/chapter13.3.htm

Anasthesia | definition of Anasthesia by Medical dictionaryAnasthesia | definition of Anasthesia by Medical dictionary

intrathecal anesthesia. Intrathecal analgesia.. intratracheal anesthesia. Anesthesia administered through a catheter advanced ... stocking anesthesia, Infiltration anesthesia, Local anesthesia, One lung anesthesia, Tumescent anesthesia, Vocal anesthesia. ... neural anesthesia. Block anesthesia.. neuraxial anesthesia. Caudal, epidural, or spinal anesthesia. open anesthesia. ... block anesthesia regional anesthesia.. caudal anesthesia a type of regional anesthesia that was used in childbirth between the ...
more infohttps://medical-dictionary.thefreedictionary.com/Anasthesia

Plus itPlus it

... who introduced the use of insufflation for intratracheal anesthesia to more efficiently accomplish inflation of the lungs ... Anesthesia and asepsis. Some uncertainty exists with regard to who discovered ether anesthesia, as well as to when it was first ... Advances such as anesthesia, asepsis, and blood transfusion made possible increasingly more radical operations. There was no ... Robert Liston was noted by Hill to have performed a major operation under anesthesia on December 21, 1846. Regardless of who ...
more infohttp://cancerres.aacrjournals.org/content/68/24/10007

Surfactant Protein D Facilitates Cryptococcus neoformans Infection | Infection and ImmunitySurfactant Protein D Facilitates Cryptococcus neoformans Infection | Infection and Immunity

All subsequent doses were delivered via intratracheal instillation under isoflurane anesthesia. Mice were monitored until they ... For isoflurane anesthesia, each mouse was exposed to isoflurane via inhalation in a closed container containing a Styrofoam ... The lungs were then perfused with warm sterile phosphate-buffered saline and fixed by the intratracheal instillation of 4% ...
more infohttps://iai.asm.org/content/80/7/2444?ijkey=83279438fd0bc8167acfd22b3b442f3571c9b956&keytype2=tf_ipsecsha

History of tracheal intubation | Project Gutenberg Self-Publishing - eBooks | Read eBooks onlineHistory of tracheal intubation | Project Gutenberg Self-Publishing - eBooks | Read eBooks online

After World War I, further advances were made in the field of intratracheal anesthesia. Among these were those made by Sir Ivan ... History of medicine, History of neuraxial anesthesia, History of general anesthesia, Otorhinolaryngology, Outline of anesthesia ... Janeway, Henry H. (1913). "INTRA-TRACHEAL ANESTHESIA FROM THE STANDPOINT OF THE NOSE, THROAT AND ORAL SURGEON WITH A ... Wawersik, Juergen (1991). "History of Anesthesia in Germany". Journal of Clinical Anesthesia 3 (3): 235-44. ...
more infohttp://self.gutenberg.org/articles/eng/History_of_tracheal_intubation

NAVER Academic > Search...NAVER Academic > Search...

Anesthesia, Intratracheal, instrumentation, methods, Equipment Design, Hernia, etiology, prevention & control, Humans, ... Adult, Anesthesia Recovery Period, Anesthesia, Inhalation, Anesthetics, Inhalation, adverse effects, Humans, Hypnotics and ... Towards international standardization of the anesthesia machine.. 2007 Steven Dain Canadian Journal of Anaesthesia cited 0 ... Trying to understand spinal anesthesia.. 2007 Quinn Hogan Canadian Journal of Anaesthesia cited 0 times ...
more infohttps://academic.naver.com/search.naver?field=3&query=Canadian+Journal+of+Anaesthesia+54%EA%B6%8C+8%ED%98%B8

History of tracheal intubation - WikipediaHistory of tracheal intubation - Wikipedia

After World War I, further advances were made in the field of intratracheal anesthesia. Among these were those made by Sir Ivan ... Janeway, Henry H. (1913). "INTRA-TRACHEAL ANESTHESIA FROM THE STANDPOINT OF THE NOSE, THROAT AND ORAL SURGEON WITH A ... Wawersik, Juergen (1991). "History of Anesthesia in Germany". Journal of Clinical Anesthesia. 3 (3): 235-44. doi:10.1016/0952- ... Canadian Journal of Anesthesia. 52 (2): 191-8. doi:10.1007/BF03027728. PMID 15684262. Retrieved 6 September 2010.. [permanent ...
more infohttp://wikien3.appspot.com/wiki/History_of_tracheal_intubation

George Eli Armstrongs burning curiosity : Med e-NewsGeorge Eli Armstrong's burning curiosity : Med e-News

5] William G. Hepburn, « Intratracheal Ether Insufflation, » Anesthesia and Analgesia, Oct. 1922, page 83. ... Intratracheal insufflation. Dr. Armstrong was very much at the forefront in his own field, surgery, as an early adopter of « ... William G Hepburn adds that « in 1911 [intratracheal ether insufflation] was brought into use in the Montreal General Hospital ... Although it revolutionized anaesthesia and is now standard, intratracheal insufflation would not become commonplace for three ...
more infohttp://publications.mcgill.ca/medenews/fr/2017/08/31/george-eli-armstrongs-burning-curiosity/

Books - Medicine - Terkko NavigatorBooks - Medicine - Terkko Navigator

Airway (Medicine), Trachea, Airway Management, Respiratory Therapy, Intubation, Intratracheal, Airway Obstruction, Anesthesia, ... Anesthesia, Respiration, Respiratory organs, Respiratory Physiological Phenomena, Respiratory System, e-böcker. Lumb, Andrew B ...
more infohttps://www.terkko.helsinki.fi/respiratory-medicine/books/new

NAVER Academic > Search...NAVER Academic > Search...

Adult, Aged, Anesthesia, General, Anesthesia, Intratracheal, Anesthesia, Local, Blood Pressure Determination, methods, Femoral ...
more infohttps://academic.naver.com/search.naver?field=3&query=Cor+et+Vasa+21%EA%B6%8C+5%ED%98%B8

3-methylcholanthrene: Topics by WorldWideScience.org3-methylcholanthrene: Topics by WorldWideScience.org

Canadian and Rhodesian asbestos fibers have been administered under anesthesia to rats by intratracheal, intrapleural and ...
more infohttps://worldwidescience.org/topicpages/0-9/3-methylcholanthrene.html

JCI -
Modified Foxp3 mRNA protects against asthma through an IL-10-dependent mechanismJCI - Modified Foxp3 mRNA protects against asthma through an IL-10-dependent mechanism

Intratracheal and intranasal procedures were carried out under antagonizable anesthesia. Asthma models are summarized in ... Furthermore, through intratracheal application of modified Foxp3 mRNA to the lung, we were able to achieve protection against ... We have optimized a high-pressure intratracheal spray delivery of modified mRNA to the lung and observed that, unlike stably ... AAV vectors (5 × 1010 GC in 50 μl PBS) or mRNA (20 μg) were administered via intratracheal high-pressure spraying (PennCentury ...
more infohttps://www.jci.org/articles/view/65351

Home Medicine -  Aspirating TubesHome Medicine - Aspirating Tubes

mechanical methods of intratracheal insufflation anesthesia. subsequently developed by Meltzer and Auer, Elsberg, Geo. P. ... bronchoscopy, for those who may desire to use general anesthesia. The. ...
more infohttp://www.homemedicine.ca/Articles/Aspirating-Tubes.html