Objective: We designed a novel technique of suctioning flexible ureteroscopy with automatic control of renal pelvic pressure (RPP) by a patented system including a pressure-measuring ureteral access sheath (UAS) and an irrigation and suctioning platform. We sought to compare RPP values measured by the patented system and a nephrostomy catheter at different phases of flexible ureteroscopy. Mater...

OBJECTIVE Mechanical ventilation is associated with retained airway secretions. Manually assisted cough contributes to the displacement of bronchial mucus, whereas positive end-expiratory pressure increases collateral ventilation and maintains airway patency. This study aimed to assess the effects of manually assisted cough, either alone or added to increased positive end-expiratory pressure an...

BACKGROUND In this study, we investigated the causes of high respiratory resistance that is observed after general anesthesia. We focused on respiratory resistance at 5 Hz (R5), which were measured preoperatively and postoperatively. METHODS Our prospective observational study enrolled 68 patients who underwent transurethral resection of bladder tumors from April to October 2015. Respiratory ...

PURPOSE To compare real-time intraocular pressure (IOP) during laser in situ keratomileusis (LASIK) in porcine eyes using two types of microkeratomes. METHODS An interventional, prospective study of two microkeratomes: a Moria 2 (Moria group) and an IntraLase femtosecond laser (IntraLase Corp., Irvine, CA; IntraLase group). These devices were used to create lamellar corneal flaps in freshly e...

aims: endotracheal suctioning is a vital process to keep the airways open. the method of performing endotracheal suctioning has a great effect on its complications and effectiveness. this study was carried out with the aim of assessing gap between the knowledge and performance of nurses' working in intensive care units (icu) in tracheal suctioning.   methods: in this cross sectional study,...

The endotracheal tube (eTT) is the most common artificial airway used in NICUs. Suctioning of the eTT is imperative to maintain patency and prevent complications. An extensive review of the literature revealed a lack of standardized criteria or guidelines for suctioning the eTT of neonates and infants in the NICU. The purpose of this article is to report the implementation of an evidencebased g...

Objective: to develop an intrapartum intervention scoring toolwhich could be used to def|nematernity units as either ‘lower intrapartum intervention’or ‘higher intrapartum intervention’ units.This scoring toolwas designed to formthe basis of a comparison of the perceptionofriskbymidwivesworkingin either ‘lowerintrapartumintervention’or ‘higher intrapartum intervention’ units. Design: three aspe...

INTRODUCTION Postoperative sore throat is listed from the top as patients' most undesirable outcome in the postoperative period. It is believed to originate from mucosal dehydration or edema, tracheal ischemia secondary to the pressure of endotracheal tube cuffs, aggressive oropharyngeal suctioning, and mucosal erosion from friction between delicate tissues and the endotracheal tube. Even if th...

To read this article and take the CE test online, visit www.ajcconline.org and click “CE Articles in This Issue.” No CE test fee for AACN members. Background Self-report is the best indicator of pain; however, pain is more difficult to assess in noncommunicative patients who may be receiving mechanical ventilation or sedated and unable to report pain. Objectives To evaluate the validity and sen...