Comparative Study Between Tramadol And Combination Of Acetamlnopheffl-Famoticlniiie In Laparoscopic Cholecystectomy Magdy El Babiy; Atef Zarzour; Ashraf El Zeftawy & Hesham El Sheikh Department of Anesthesiology, Faculty of Medicine -Tanta University ABSTRACT Background: This study evaluates the antacid and analgesic effects of single i.m dose of tramadol given 1hour before induction of general anesthesia for laparoscopic cholecystectomy. Intramuscular tramado lincreases gastric pH and reduces gastric content volume during surgery as effective as famotidine. Methods : Forty patients ASA class I and II scheduled for laparoscopic cholecystectomy were included in the study. Patients were randomly allocated to receive i.m tramadol 100 mg (Group
"Traumatic neuroma of bilateral mental nerve: a case report with literature review." Taiwan J Oral Maxillofac Surg 21 (2010): 252-60. ER, G. CARL HUB, and Dean Lewis. "Amputation neuromas: Their development and prevention." Archives of Surgery 1.1 (1920): 85-113.
Firstly, what is hemodialysis? It is a treatment that gets rid of wastes and extra fluid from the blood. During hemodialysis, the blood is pumped into extremely soft and thin tubes through a dialysis machine where it goes to a filter called a dialyzer ( it also named as artificial kidney). After the blood is completely filtered and pure, it is returned to the bloodstream in the body. If the patient undergoes hemodialysis, the hospital needs to have a permanent access or entrance to the patient's bloodstream.
In early 1990, At the University of Pittsburgh researchers found out a novel formula for myocardial protection. The team, led by Dr. Pedro J del Nido, Hung Cao-Danh, K. Eric Sommers, and Akihiko Ohkado, subsequently patented this solution, which is currently called Del Nido cardioplegia. CP for infants and pediatric were similar to those used in adults except for adjustment in volume, flow and pressure A (Allen, 2004). Various cardioplegia techniques and methods have been evolved since the inception of electively and safely arresting the heart during cardiac surgery using
The U.S. Food and Drug Administration (FDA) Replacement Heart Valve Guidance (Version 4.1, 1994) requires that while biological heart valve prostheses (BHV) must be tested at least 200 million cycles (equivalent to 5 years in vivo) in pulsatile flow simulators (Po-Chien Lu et al, 2003), (K. Mouneimné et al, 2010). The heart valve was examined weekly for damages or degradation (Jay M. Reimera et al, 2015). In Vivo Testing Jersey calves were chosen for animal testing as they are extreme calcification model and an extreme hemodynamic workload for the valves (Deon Bezuidenhout et al,
• Follow-up of main bronchial stenosis at the site of anastomosis, post-lung transplantation, and balloon dilatation, the stenosis can be studied sequentially using virtual bronchoscopy instead of with a real bronchoscopic evaluation. • Can give information about the relationship of any bronchial abnormality to surrounding structures, for instance the manubrium sternum in a high tracheal stenosis. • Preplanning and calculation of bronchial stent or balloon size, length and diameter before the procedure is performed. • The advanced uses of virtual bronchoscopy include, assisting a bronchoscopist in localizing and targeting a mediastinal or peripheral lung lesion for needle biopsy, and in the management of pulmonary emphysema with endobronchial valve-type procedures for targeting of the peripheral lung (Ferguson & McLennan, 2005, McAdams, 1998). 8.4 CT PERFUSION CT perfusion is a technology that allows functional assessment of tissue vascularity and is particularly helpful in acute settings for stroke evaluation as CT is accessible readily and allows better image acquisition (Miles,
Ductile shape allows it to conform to uterine anatomy and shape. Added to that, it allows for hemostatic cushion application and limits clot adhesion. The large diameter lumen in the shaft and multipored, nonabrasive tip allows for constant drainage. Because of this feature an ongoing uterine hemorrhage does not go undetected post-application (3, 4, 9). Once deflated, the Bakri Balloon is removed with ease transvaginally without the need for an additional surgical procedure unlike older style uterine packing operations.
J Pak Med Assoc 2004;54:233-7. [10] Chatterjee P, Cucchiara BL, Lazarciuc N, Shofer FS, Pines JM. Emergency department crowding and time to care in patients with acute stroke. Stroke 2011;42:1074-80. [11] Kulstad EB, Kelley KM.
Special attention was given to the supra- and subhepatic regions, the left subdiaphragmatic space. After lavage, all the fluid was aspirated and a tube drain was kept in the subhepatic space. In case of generalized peritonitis, a second drain was placed in the pelvis. Posoperatively, proton pump inhibitor, intravenous fluids, and broad- spectrum antibiotics were administered. During surgery, biopsy was taken from the edge of the ulcer to test for the presence of helicobacter pylori.
Each bronchus leads to a lung and branches into ever smaller bronchioles. The bronchioles terminate in clusters of alveoli, which are surrounded by pulmonary capillaries and is the site of gaseous exchange where oxygen and CO2 are exchanged. The function of the respiratory system then is to exchange gases between the air and the blood stream, oxygen in and waste product carbon dioxide out. The gas pressure in the lungs is controlled by the contraction of the diaphragm. When inhaling the diaphragm moves down the ribs move up and out so creating a space and allowing air to fill the space.