BACKGROUND Respiratory secretions impact negatively on palliative patients. Unfortunately, a gold standard therapy is not yet available. The purpose of this study was to identify which interventions are in use to control respiratory secretions in patients with chronic disease with a poor prognosis and verify their effects on outcomes relevant for palliative care patients. METHODS A systematic...

BACKGROUND Water-aided methods for colonoscopy are distinguished by the timing of removal of infused water, predominantly during withdrawal (water immersion) or during insertion (water exchange). OBJECTIVE To discuss the impact of these approaches on colonoscopy pain and adenoma detection rate (ADR). DESIGN Systematic review. SETTING Randomized, controlled trial (RCT) that compared water-...

The numerous attempts made in the last twenty-five years to reproduce lobar pneumonia in animals practically failed in all instances. By intrabronchial insufflation of pure cultures of pneumococcus in dogs, we produced experimental pneumonia successively in forty-two cases, with a mortality of at least 16 per cent. The fatal cases resembled closely lobar pneumonia in man. In the non-fatal cases...

We herein report two patients with endometriosis in the cecum. Both presented a protruding, subepithelial tumor on colonoscopy and were diagnosed cecal after surgical resection. It is notable that lesions not initially identified computed tomography (CT), while CT colonography air/carbon dioxide insufflation resulted detection of tumor. These cases highlight possibility false-negative results c...

The damage caused by the introduction of acid into the pulmonary parenchyma is repaired rapidly. The depth of the necrosis determines which elements will participate in the repair. If epithelium alone is injured, epithelium alone takes part in the repair. When the damage involves the deeper tissue, organization by granulation competes with and impedes the development of the epithelium. An overp...

PURPOSE To determine whether using different intraperitoneal insufflation pressures for transperitoneal laparoscopic urologic surgeries decreases postoperative pain. MATERIALS AND METHODS 76 patients who underwent transperitoneal laparoscopic upper urinary tract surgery at different insufflation pressures were allocated into the following groups: 10mmHg (group I, n=24), 12mmHg (group II, n=25...

BACKGROUND Application of laparoscopy to the resection of malignancy has been followed by a literature describing cases of metastatic involvement at laparoscopic port sites. These include patients who underwent surgery for early stage carcinoma and instances following laparoscopic procedures during which tumours were not dissected. METHODS Recently published clinical and experimental studies,...

OBJECTIVE To assess the diagnostic value of a novel device, the endoilluminator, in patients who can or cannot attain effective speech after application of voice prosthesis. STUDY DESIGN Prospective clinical study. METHODS Thirty-four patients who underwent total laryngectomy and whose insufflation test was positive were included. As a result of efforts to develop an insufflation test that ...

OBJECTIVE To develop a laparoscopic mouse model to evaluate the hypothesis that mesothelial hypoxia during pneumoperitoneum is a cofactor in adhesion formation. DESIGN Prospective randomized trials. SETTING Academic research center. ANIMAL(S) One hundred thirty female Naval Medical Research Institute (NMRI) mice. INTERVENTION(S) Adhesions were induced by opposing monopolar lesions in ut...

BACKGROUND Pneumoperitoneum is usually seen after bowel perforations and surgical procedures. An increasing number of cases of non-surgical pneumoperitoneum related to sexual activity has been reported worldwide over the last years. CASE EXAMPLE: A typically young, otherwise healthy woman comes into the emergency department of Stanford University, California, complaining of recurrent chest pain...