OBJECTIVE AND METHODS In a prospective, observer-blind study, 50 patients scheduled for posterolateral thoracotomy were investigated to compare the effects of intermittent intercostal extrapleural bupivacaine (n = 25) and intravenous pethidine (n = 25) on post-thoracotomy pain and pulmonary function. The severity of chest pain (objectified by the use 5-point scale of Prince Henry) and changes i...

De Troyer A. Impact of diaphragmatic contraction on the stiffness of the canine mediastinum. J Appl Physiol 105: 887–893, 2008. First published July 17, 2008; doi:10.1152/japplphysiol.00198.2008.—To assess the coupling between a particular hemidiaphragm and the individual lungs, the left and right phrenic nerves were separately stimulated in anesthetized dogs, and the mean changes in pleural pr...

Inadvertent insertion of the intercostal tube into abdomen is not rare. It can present by different ways. In the present case an Ascaris worm crept into the intercostal drainage bag to reveal the false passage of the tube.

purpose : ophthalmoplegia makes many physicians to refer the patients to neurologists and/or ophthalmologists for neuro-ophthalmic evaluation. ophthalmoplegia has different etiologies some of which may be very harmful and need urgent intervention. prevalence of the disease is not obvious. this study is designed to evaluate the various etiologies and their prevalence in this disorder. methods : ...

Building largely on the results of previous studies of motor control in respiration the role of proprioceptive control of respiratory movements is discussed with particular reference to the significance of the following points: (i) The co-activation of fusimotor and alpha motoneurons in load compensation and in the control of velocity and force of the respiratory movements. (ii) The convergence...

A 70-year-old male visited urgent care due to coughing for 1 month and left chest pain. He had no history of trauma. The initial chest computed tomography (CT) showed the 7th left intercostal lung herniation. A follow-up CT showed an intercostal lung herniation combined with a bowl herniation, which had developed due to a Morgagni's hernia. An emergency operation was performed due to the incarc...

four patients were studied for intercostals nerve blockade in cholecystectomy. all of the patients were poor risks (class 4) and received premedication before the procedure. intercostals nerve blockade (icnb) of the 7th and 10th thoracic nerves on the right side was performed with lidocaine 1% plus adrenaline 5 ml. at each segment, t7-t10 (a total dose of 20 ml). ventilation was controlled usin...

The accurate identification and preservation of critical intercostal arteries are important technical issues during thoracic endovascular aortic repair (TEVAR) to reduce the risk of postoperative paraparesis, especially in a setting of extensive thoracic aortic coverage and previous abdominal aortic surgery. The localization of intercostal arteries by digital subtraction angiography (DSA) befor...

Invasive fungal infections due to rare fungi are rising with the increase in number of immunocompromised patients. We report a case of post liver transplant wherein Verticillium was isolated from intercostal drainage fluid. The patient was a follow up case of cirrhosis with portal hypertension th and hepatic hydrothorax and was planned for liver transplant. Post transplant, the patient had feve...