During the passage of a tube from nostril to trachea certain difficulties may be encountered. The anterior nasal opening may be unusually narrow, there may be a septal deflection or spur, or an inferior turbinate;; may be tiresomely over-sized. On such occasions, of course, the effect of rotation of the tube is tested, the other nostril is tried, or a narrower^ tube used. However, a little beyo...

This study determined the disposition of irinotecan hydrochloride trihydrate (CPT-11) after i.v. infusion of 125 mg/m(2) (100 microCi) [(14)C]CPT-11 in eight patients with solid tumors. Mean +/- S.D. recovery of radioactivity in urine and feces was 95.8 +/- 2.7% (range 92.2-100.3%, n = 7) of dose. Radioactivity in blood, plasma, urine, and feces was determined for at least 168 h after dosing. F...

Intubation of the trachea with a cuffed tube can be performed by the translaryngeal route (endotracheal tube) or through a tracheal stoma (tracheostomy tube). Tracheal intubation by one of these routes is the only way to simultaneously provide a secure airway, ventilatory support, and convenient access to the trachea. Unfortunately, the presence of an artificial airway bypasses many of the pati...

OBJECTIVE To evaluate the effect of 4 weeks of pulmonary rehabilitation (PR) versus chest physical therapy (CPT) on the preoperative functional capacity and postoperative respiratory morbidity of patients undergoing lung cancer resection. DESIGN Randomized single-blinded study. SETTING A teaching hospital. PARTICIPANTS Patients undergoing lung cancer resection (N=24). INTERVENTIONS Pati...

Introduction: This randomized comparative study was planned to compare intracuff alkalinized lignocaine versus dexamethasone in preventing postoperative laryngotracheal morbidity. During general anesthesia patients were intubated with cuffed endotracheal tubes provide effective positive pressure ventilation as well prevent risk of aspiration. The cuffs inflated air. air these can cause signific...

To the Editor: We read, with interest, the recent case report written by Drs. Uria et al.1, and we agree with their assessment that it is important to perform a preliminary laryngoscopy prior to inserting a nasal tube. However, their recommendation to insert a bougie through the RAE® nasal tube, with its distal acute curve, can result in inappropriate bending of the distal portion which is unfa...

Myringotomy and tympanostomy are related terms that are sometimes used interchangeably to describe an opening in the tympanic membrane. In this policy, the term myringotomy will be used to describe a temporary opening in the tympanic membrane without insertion of a pressure-equalizing tube (PET), while tympanostomy will be used to describe an opening in the tympanic membrane in conjunction with...

Both primary and secondary (tongue) bars of the pharyngeal gill basket are covered by epithelial cells that are continuous with the cells that line the atrium. Anterior and posterior faces of the gill bars are covered with lateral ciliated cells, which possess a single cilium, ringed by microvilli, and an elaborate basal mitochondria-rootlet apparatus. Pharyngeal faces of the gill bars are cove...