The initial treatment of primary spontaneous pneumothorax is not standardized throughout the world. Although aspiration is less painful and requires less hospitalization than chest tube drainage does, the latter is still frequently used as the initial treatment. After a recurrence or failure of aspiration, chest tube drainage, again, is often the procedure of choice although VATS or thoracoscop...

The initial treatment of primary spontaneous pneumothorax is not standardized throughout the world. Although aspiration is less painful and requires less hospitalization than chest tube drainage does, the latter is still frequently used as the initial treatment. After a recurrence or failure of aspiration, chest tube drainage, again, is often the procedure of choice although VATS or thoracoscop...

In our experience treating more than 100 cases of ischemic priapism, we noted that most with less than 24-hour duration responded well to aspiration/evacuation and injection of a diluted alpha-adrenergic agent (phenylephrine). In those of less than 48-hour duration, the majority could be reversed by a standard T-shunt with #10 blade. In those who failed T-shunt or had more than 48-hour duration...

Local anaesthesia is increasingly being used for nasal manipulation. Doubt remains over the discomfort associated with this procedure. We studied in a prospective manner, the acceptability and effectiveness of nasal manipulation with intravenous sedation and local anaesthesia, in a case series of thirty-five patients. Patients used linear analogue scales to assess outcome and pain associated wi...

BACKGROUND AND STUDY AIMS Anxiety before colonoscopy may have adverse consequences and increase requirements for sedation and analgesics. We aimed to examine the effects of adding an information video to our usual preprocedural information. PATIENTS AND METHODS 162 colonoscopy patients were randomly assigned to video (72) or no video (90) groups. Patients in the video group watched a video on...

The mental health protection of the population is an urgent direction public policy in field care, given increase prevalence disorders among population. Topical are issues increasing efficiency dispensary observation patients with illness light approval Procedure for a person suffering from chronic and protracted disorder severe persistent or often exacerbated painful manifestations, approved b...