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1.
We report a case of vasoactive-agent-induced priapism successfully treated in the emergency department with 10 mg of metaraminol injected into the corpora cavernosa. 相似文献
2.
B D Beitman I M Basha L H Trombka M A Jayaratna B D Russell S K Tarr 《Journal of clinical psychopharmacology》1988,8(2):127-130
Ten cardiology chest pain patients without clinical evidence of coronary artery disease and with panic disorder were enrolled in an open label trial of alprazolam. Two dropped out at week 3 because of excessive side effects. The eight study completers showed significant decreases in both Hamilton Anxiety and Hamilton Depression scales by week 2 that remained significant by week 8. On the physician's global impression of change since baseline, all completers were rated at least "much improved." Seven experienced a 50% or greater reduction in panic frequency at week 8 compared to baseline. These results suggest that alprazolam is likely to be of benefit to this patient population. 相似文献
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Percutaneous endoscopic gastrostomy in burn patients 总被引:2,自引:0,他引:2
Background: Prolonged enteral feedings are required occasionally in seriously burned individuals. We have employed percutaneous endoscopic
gastrostomy (PEG) in selected patients who require particularly prolonged access, thus prompting this review.
Methods: The PEG procedure was performed under general anesthesia in combination with another surgical procedure using a variety of
commercially available needle and guidewire kits in 14 patients.
Results: These 14 patients had an average age of 55.2 ± 6.6 years and a burn involving 38 ± 8% of the body surface. Eleven of these
patients had suffered an inhalation injury. The tubes were placed an average of 57 ± 10.5 days after injury through unburned
and unharvested skin in four patients (28%), healed donor sites in five patients (35%), healed burn in one patient (1%), and
grafted burn in four patients (28%). One patient, whose catheter was placed through a grafted fascial excision, developed
moderate local wound erosion. Tubes were known to have been left in place as long as 155 days. However, most were removed
in rehabilitation hospitals, and we were unable to determine how long most were left in place. We are unaware of any problems
with the tubes occurring after discharge from the acute care setting.
Conclusions: In selected patients, PEG can provide more comfortable access for prolonged enteral feedings than nasogastric tubes and can
be placed with minimal morbidity.
Received: 29 March 1998/Accepted: 1 August 1998 相似文献
6.
Free‐breathing combined three‐dimensional phase sensitive late gadolinium enhancement and T1 mapping for myocardial tissue characterization 下载免费PDF全文
7.
Lukas Havla MS Tamer Basha PhD Hussein Rayatzadeh MD Jaime L. Shaw BS Warren J. Manning MD Scott B. Reeder MD PhD Sebastian Kozerke PhD Reza Nezafat PhD 《Journal of magnetic resonance imaging : JMRI》2013,37(2):484-490
Purpose:
To develop an improved chemical shift‐based water‐fat separation sequence using a water‐selective inversion pulse for inversion recovery 3D contrast‐enhanced cardiac magnetic resonance imaging (MRI).Materials and Methods:
In inversion recovery sequences the fat signal is substantially reduced due to the application of a nonselective inversion pulse. Therefore, for simultaneous visualization of water, fat, and myocardial enhancement in inversion recovery‐based sequences such as late gadolinium enhancement imaging, two separate scans are used. To overcome this, the nonselective inversion pulse is replaced with a water‐selective inversion pulse. Imaging was performed in phantoms, nine healthy subjects, and nine patients with suspected arrhythmogenic right ventricular cardiomyopathy plus one patient for tumor/mass imaging. In patients, images with conventional turbo‐spin echo (TSE) with and without fat saturation were acquired prior to contrast injection for fat assessment. Subjective image scores (1 = poor, 4 = excellent) were used for image assessment.Results:
Phantom experiments showed a fat signal‐to‐noise ratio (SNR) increase between 1.7 to 5.9 times for inversion times of 150 and 300 msec, respectively. The water‐selective inversion pulse retains the fat signal in contrast‐enhanced cardiac MR, allowing improved visualization of fat in the water‐fat separated images of healthy subjects with a score of 3.7 ± 0.6. Patient images acquired with the proposed sequence were scored higher when compared with a TSE sequence (3.5 ± 0.7 vs. 2.2 ± 0.5, P < 0.05).Conclusion:
The water‐selective inversion pulse retains the fat signal in inversion recovery‐based contrast‐enhanced cardiac MR, allowing simultaneous visualization of water and fat. J. Magn. Reson. Imaging 2013;37:484–490. © 2012 Wiley Periodicals, Inc. 相似文献8.
9.
Bone marrow harvest (BMH) has historically been performed on an inpatient basis with a minimum of overnight inpatient stays. We commenced a program of outpatient (day case) BMH in 1999, performing 54 day case BMHs over a 3-year period. Of the total of 54 cases, 51 were known patients with hematological malignancies and 3 were healthy normal donors. Seven were excluded from day case BMH. Five (10.6%) of 47 patients/donors who were accepted for day case BMH required overnight admission. Two developed hypotension requiring intravenous fluid resuscitation. Two had excessive vomiting and 1 a difficult and prolonged harvest and was admitted at the request of the anesthetist. None of the patients admitted required more than overnight admission and 42 (89.4%) were discharged the same evening. In conclusion, day case BMH is safe, cost-effective, and reduces the pressure on inpatient beds. 相似文献
10.
Mohammad Abd Alkhalik Basha Hossam M. Abdelrahman Maha Ibrahime Metwally Nader Ali Alayouty Nesreen Mohey Mohamed M.A. Zaitoun Hosam Nabil Almassry Hala Y. Yousef Ahmed A. El Sammak Sameh Abdelaziz Aly Hesham Youssef Algazzar Mohamed Abd El‐Aziz Mohamed Farag Walid Mosallam Waleed S. Abo Shanab Safaa A. Ibrahim Ekramy A. Mohamed Abd El Motaleb Mohamed Amira Hamed Mohamed Afifi Ola A. Harb Taghreed M. Azmy 《Journal of magnetic resonance imaging : JMRI》2021,53(1):292-304