background applying an appropriate method of analgesia in labor without alteration in its progression is of high importance. previous literature did not provide much information about the effect of various kinds of anesthesia on the duration of active phase of labor. objectives to assess the effect of painless labor methods on the duration of active phase of labor. patients and methods 80 pregn...

our purpose was to determine the effect of epidural analgesia on nulliparous labor and delivery. nonnal term nulliparous women in spontaneous labor were divided into two groups in a quazi-experimental study, 100 in each group. the first group received epidural analgesia and the second had no analgesia at all. in the first group, an epidural catheter was placed in 3-4 cm cervical dilatation and ...

We describe the case of a patient with an empyema, how it forms and what the evidence behind the treatment options are with specific reference to intrapleural thrombolytic therapy.

Quinacrine was given by intrapleural instillation or intravenous infusion to 10 rabbits. The uptake of quinacrine from the pleural space was rapid and complete. The mean absorption half-life was approximately 7 min and the mean bioavailability was slightly in excess of 100%. Similar absorption characteristics generally applied in man, in a pilot study on four patients. In three of them, peak qu...

Although treatment with permanent pacemakers has been extensively described in adults, there is little information about it in infants. Conventional sites for pacemaker implantation are the abdominal wall, subpectoral muscle region, subdiaphragmatic area, and the pelvic cavity. If the infant has a thin chest and abdominal wall, implantation of the pacemaker there produces an unsightly bulge and...

We present a case of a gentleman in his 70s with extensive subcutaneous emphysema. Usually self-limiting, subcutaneous emphysema around the thoracic inlet can rarely lead to airway and cardiovascular compromise by compression of structures in the neck. This patient presented with a large pneumothorax on a background of chronic obstructive pulmonary disease (COPD). This was initially treated wit...

Intrapleural tissue plasminogen activator (tPA) and deoxyribonuclease (DNase) therapy has recently been shown to improve outcomes in pleural infection in a randomized trial. Published literature, to date, consists of only ∼50 patients who had received tPA/DNase. Safety data of this regimen remain limited. Pleural contents often track along chest drains, but the effect of tPA/DNase on subcutaneo...

A rare case of an Ascaris worm emerging through an intercostal chest tube is reported here because of its unusual presentation. A five-year-old male child had a liver abscess, which had ruptured into the right pleural cavity. An intercostal chest tube was inserted for right pleural effusion. On the 5th postoperative day, a 7 cm long worm was noticed emerging through the chest tube. Ascaris lumb...

Abstract Permanent pacemaker implantation in low birthweight (LBW) babies with congenital complete heart block is extremely challenging due to a paucity of appropriate pulse generator placement pocket sites. The development infection following an procedure can pose life-threatening risk the patients. With more patients younger group receiving these devices than ever before and rate increasing r...