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991.
Paulo Sérgio da Silva Márcio Portugal Trindade Cartacho Casimiro Cardoso de Castro Marcello Fonseca Salgado Filho Ant?nio Carlos Aguiar Brand?o 《Brazilian Journal Of Cardiovascular Surgery》2015,30(4):449-458
Objective
To evaluate the influence of pulmonary hypertension in the ultra-fast-track anesthesia technique in adult cardiac surgery.Methods
A retrospective study. They were included 40 patients divided into two groups: GI (without pulmonary hypertension) and GII (with pulmonary hypertension). Based on data obtained by transthoracic echocardiography. We considered as the absence of pulmonary hypertension: a pulmonary artery systolic pressure (sPAP) <36 mmHg, with tricuspid regurgitation velocity <2.8 m/s and no additional echocardiographic signs of PH, and PH as presence: a sPAP >40 mmHg associated with additional echocardiographic signs of PH. It was established as influence of pulmonary hypertension: the impossibility of extubation in the operating room, the increase in the time interval for extubation and reintubation the first 24 hours postoperatively. Univariate and multivariate analyzes were performed when necessary. Considered significant a P value <0.05.Results
The GI was composed of 21 patients and GII for 19. All patients (100%) were extubated in the operating room in a medium time interval of 17.58±8.06 min with a median of 18 min in GII and 17 min in GI. PH did not increase the time interval for extubation (P=0.397). It required reintubation of 2 patients in GII (5% of the total), without statistically significant as compared to GI (P=0.488).Conclusion
In this study, pulmonary hypertension did not influence on ultra-fast-track anesthesia in adult cardiac surgery. 相似文献992.
Andréia Cristina Passaroni Marcos Augusto de Moraes Silva Winston Bonetti Yoshida 《Brazilian Journal Of Cardiovascular Surgery》2015,30(2):235-245
Objective
To provide a brief review of the development of cardiopulmonary bypass.Methods
A review of the literature on the development of extracorporeal circulation techniques, their essential role in cardiovascular surgery, and the complications associated with their use, including hemolysis and inflammation.Results
The advancement of extracorporeal circulation techniques has played an essential role in minimizing the complications of cardiopulmonary bypass, which can range from various degrees of tissue injury to multiple organ dysfunction syndrome. Investigators have long researched the ways in which cardiopulmonary bypass may insult the human body. Potential solutions arose and laid the groundwork for development of safer postoperative care strategies.Conclusion
Steady progress has been made in cardiopulmonary bypass in the decades since it was first conceived of by Gibbon. Despite the constant evolution of cardiopulmonary bypass techniques and attempts to minimize their complications, it is still essential that clinicians respect the particularities of each patient''s physiological function. 相似文献993.
Vanessa dos Santos Grandinétti Eduardo Foschini Miranda Douglas Scott Johnson Paulo Roberto Vicente de Paiva Shaiane Silva Tomazoni Adriane Aver Vanin Gianna Móes Albuquerque-Pontes Lucio Frigo Rodrigo Labat Marcos Paulo de Tarso Camillo de Carvalho Ernesto Cesar Pinto Leal-Junior 《Lasers in medical science》2015,30(5):1575-1581
994.
Cláudia Patrícia Cardoso Martins Siqueira Solange de Paula Ramos Cynthia A. A. Gobbi Leonardo Shigaki Roberto K. Kashimoto Emerson José Venâncio Dari de Oliveira Toginho Filho André G. Castaldin Alan S. Felinto Francisco Pereira Silva Ricardo B. Silva Ivan Frederico Lupiano Dias 《Lasers in medical science》2015,30(1):367-373
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Intercostal nerve transfer to the biceps motor branch in complete traumatic brachial plexus injuries
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Alvaro Baik Cho M.D. Ph.D. Raquel Bernardelli Iamaguchi M.D. Gustavo Bersani Silva M.D. Renata Gregorio Paulos M.D. Leandro Yoshinobu Kiyohara M.D. Luiz Sorrenti M.D. Marcelo Rosa de Rezende M.D. Ph.D. Teng Hsiang Wei M.D. Ph.D. Rames Mattar M.D. Ph.D. Júnior 《Microsurgery》2015,35(6):428-431
The purpose of this report is to critically evaluate our results of two intercostal nerve transfers directly to the biceps motor branch in complete traumatic brachial plexus injuries. From January 2007 to November 2012, 19 patients were submitted to this type of surgery, but only 15 of them had a follow‐up for ≥2 years and were included in this report. The mean interval from trauma to surgery was 6.88 months (ranging from 3 to 9 months). Two intercostals nerves were dissected and transferred directly to the biceps motor branch. The mean follow‐up was 38.06 months (ranging from 24 to 62 months). Ten patients (66.6%) recovered an elbow flexion strength ≥M3. Four of them (26.66%) recovered a stronger elbow flexion ≥M4. One patient (6.25%) recovered an M2 elbow flexion and four patients (26.66%) did not regain any movement. We concluded that two intercostal nerve transfers to the biceps motor branch is a procedure with moderate results regarding elbow flexion recovery, but it is still one of the few options available in complete brachial plexus injuries, especially in five roots avulsion scenario. © 2015 Wiley Periodicals, Inc. Microsurgery 35:428–431, 2015. 相似文献
998.
Establishing Biomechanical Mechanisms in Mouse Models: Practical Guidelines for Systematically Evaluating Phenotypic Changes in the Diaphyses of Long Bones
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![点击此处可从《Journal of bone and mineral research》网站下载免费的PDF全文](/ch/ext_images/free.gif)
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