hypercapnia/hemorrhage

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Diaphragm Training Ultrasound

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Perioperative Cerebrovascular Autoregulation Monitoring in Neurosurgical Patients

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Cerebral autoregulation (CA) is a mechanism that maintains cerebral flood flow (CBF) despite the fluctuations in the arterial blood pressure. This process protects the brain from ischemic or hemorrhagic insults during events of hypo- or hyperperfusion, respectively. Children under general anesthesia

Cerebrovascular Reactivity Assessed With fNIRS as a Biomarker of TCVI After Acute Traumatic Brain Injury in Military

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Background and significance: Currently, more that 5.3 million Americans (or 2% of the population) live with disabilities resulting from TBI. Among OEF/OIF Veterans, TBI incidence estimates as high as 23% have been reported, with mild TBI (mTBI) being the most common.1 This proposal addresses the

Effect of Sodium Nitroprusside on Cerebral Blood Flow

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Background Cerebral autoregulation is generally considered to maintain cerebral blood flow (CBF) if mean arterial pressure (MAP) is between 60 and 150 mmHg. Yet, it is controversial whether there is a plateau for CBF. Thus, blood velocity of the middle cerebral artery (MCA Vmean), as an index of

Early Caffeine in Preterm Neonates

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Caffeine is routinely administered to extremely preterm neonates as a respiratory stimulant to prevent or treat apnea of prematurity, or prolonged pauses in breathing in preterm babies. Caffeine, a methylxanthine, is an adenosine receptor antagonist that has the effects of relaxing smooth muscle in

Arterial Blood Gas Analysis in Laparoscopic Cholecystectomy

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Laparoscopic cholecystectomy procedure is the treatment of choice for cholelithiasis as it has several advantages like smaller and more cosmetic incision, reduced blood loss, less postoperative pain, reduced post-operative stay, low post-operative complications, and early mobilization. Although this

Boussignac Valve and Fibroptic Intubation in Morbidly Obese Patients, Can it be a Solution?

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All patients will be subjected to a thorough preoperative evaluation including clinical assessment, ECG, Echocardiography, pulmonary function tests and laboratory investigations (CBC, SGOT, SGPT, Albumin, Serum creatinine) and basal arterial blood gases. All patients will be pre-medicated with

Single Dose Tramadol Effect on Extubation Response and Quality of Emergence Post-supratentorial Intracranial Surgery

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Extubation after intracranial tumor surgery is desirable in order to make an early diagnosis of intracranial complications. Extubation however, may be associated with haemodynamic and metabolic changes e.g. agitation, increased oxygen consumption, catecholamine secretion, hypercapnia and systemic

The Effect of TEAS on the Quality of Early Recovery

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Patient population Sixty patients undergoing elective gynecological laparoscopic surgery at Guizhou province people's hospital with an ASA physical status of I-II were recruited between November 2013 and November 2014. Their ages ranged from 29-60 yr. Exclusion criteria were recent use of TEAS or

Myocardial Injury and Postoperative Complications

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Study design The MICOLON study is a prospective, single-centre, observational cohort study on the association between 5th generation high sensitive cardiac troponin T levels and non-cardiac outcome after major abdominal surgery in patients at risk for coronary artery disease. Patient

Screening of Postoperative Pulmonary Complications by Electrical Impedance Tomography

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- Study cycle: 1. Check of criteria of inclusion/exclusion 2. Informed consent 3. Recording preoperative data via paper case report form 4. Preoperative EIT measurement 5. Postoperative EIT measurement 6. Recording postoperative data via paper case report form Patients therapy and any diagnostic

E-23596 - Use of NCPAP Cycling to Wean Preterm Infants

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Randomized Controlled Trial to Study the Effect of Nasal Continuous Positive Airway Pressure (NCPAP) Cycling on Successful Weaning when Compared with Continuous Nasal Positive Airway Pressure (NCPAP) in Premature Infants of 25-28 weeks gestations Background: In Canada, preterm babies of < 28 weeks

Clinical and Biological Markers in Acute Respiratory Failure

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Rationale Survival from the Acute Respiratory Distress (ARDS) has been associated with clinical (e.g. age, sepsis, and organ failure) and biological factors. The latter include inflammatory mediators (e.g. cytokines), factors of activation/damage of the capillary endothelium (e.g. von Willebrand

Hypercapnia to Prevent Secondary Ischemia in SAH

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The course of aneurysmal subarachnoid hemorrhage (aSAH) is determined by the sequence of several ischemic episodes. Immediately after aSAH, an increase of ICP causes an increase of CBF. It is followed by an acute vasoconstriction over the next hours and days. Typically between day 4 and 10 after

High Frequency Oscillatory Ventilation for Acute Respiratory Distress Syndrome (ARDS)

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BACKGROUND AND RATIONALE Recent two-center results (1) support a beneficial effect of combined high-frequency oscillation (HFO), recruitment maneuvers (RMs) and tracheal gas insufflation (TGI) on the survival of patients with severe acute respiratory distress syndrome (ARDS). The addition of TGI to

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