INTRODUCTION In the postoperative management of cardiac surgery patients, pulmonary capillary wedge pressure (PCWP) and central venous pressure (CVP) are the most commonly used parameters of preload. However, these pressure parameters are easily affected by ventricular compliance, positive end-expiratory pressure and other factors. The aim of this study was to evaluate whether right ventricular...

After the failure of a composite graft in patient with complete auricle amputation, we successfully reconstructed severely gashed using two-stage cartilage preservation surgery. We removed skin amputee and buried under postauricular scalp. The end right ear was sutured to A separation surgery performed on 14th day after burying removing suture, along scalp carefully separated from donor site lo...

Conventional endoscopic surgery has some drawbacks that can be addressed by using robots. The robotic systems used for surgery are still in their infancy. A major deficiency is the lack of haptic feedback to the surgeon. In this paper, the benefits of haptic feedback in robot-assisted surgery are discussed. A novel robotic end-effector is then described that meets the requirements of endoscopic...

provided the original work is properly cited. CC Positive-pressure ventilation during general anesthesia is a prerequisite for numerous surgical conditions. Mechanical ventilation is non-physiological and can induce lung injury, although ventilator-induced lung injury may be of minor clinical importance during anesthesia for most patients with healthy lungs. However, growing evidence suggests t...

The number of patients requiring hemodialysis is continuously increasing around the world. Hemodialysis affects patient quality of life and it is also associated with a higher risk for cardiovascular events. In addition to traditional risk factors for cardiovascular events such as hypertension, hyperlipidemia, and diabetes, hemodialysis is associated with hyperphosphatemia, chronic inflammation...

In this paper the duties of an anesthesiologist and his right of i=;electing patient is discussed. La,ter, we di:=:cuss the <::mergencies cf heart surgery, pre up visit and alsc few dcails of pre up medication cf thei,e pati<mts. We also touch on the stages of anesthPsia and point to our preference for the use cf artery and vein for arterial and venous cannulation. In this paper we discuss in b...

To the Editor: I recently learned that the Accreditation Council for Graduate Medical Education (ACGME) has issued new ACGME Program Requirements for Graduate Medical Education that will go into effect July 1, 2016. The changes pertinent to or-thopedic surgery residencies and fellowships were recently shared and discussed with the corresponding program directors in preparation for their impleme...

Injury to the recurrent laryngeal nerve (RLN) is a potentially debilitating complication of anterior cervical discectomy and fusion (ACDF) surgery, which can lead dysphonia, dysphagia, aspiration. Intraoperative adductor reflex (LAR) monitoring newly developed technique assess monitor RLN integrity. However, role LAR in ACDF surgery poorly studied. Here, we describe case intraoperative was succ...

A novel controlled passive device is described which allows its end effector to be pushed only along a speGified but arbitrary path. The force to move the end effector must be provided by an external source such as a human, gravity, or fluid flow. Possible applications include computer assisted surgery, haptic displays, exercise machines, and teleoperator masters. Advantages of the passive appr...