Search results for "obstruction"

Could Chronic Idiopatic Intestinal Pseudo-Obstruction Be Related to Viral Infections?

2021

Chronic idiopathic intestinal pseudo-obstruction (CIIPO) is a disease characterized by symptoms and signs of small bowel obstruction in the absence of displayable mechanical obstruction. Due to the known neuropathic capacity of several viruses, and their localization in the intestine, it has been hypothesized that such viruses could be involved in the pathogenesis of CIIPO. The most frequently involved viruses are John Cunningham virus, Herpesviridae, Flaviviruses, Epstein–Barr virus and Citomegalovirus. Therefore, the present narrative review aims to sum up some new perspectives in the etiology and pathophysiology of CIIPO.

Pulmonary effects of expiratory-assisted small-lumen ventilation during upper airway obstruction in pigs

2015

Summary Novel devices for small-lumen ventilation may enable effective inspiration and expiratory ventilation assistance despite airway obstruction. In this study, we investigated a porcine model of complete upper airway obstruction. After ethical approval, we randomly assigned 13 anaesthetised pigs either to small-lumen ventilation following airway obstruction (n = 8) for 30 min, or to volume-controlled ventilation (sham setting, n = 5). Small-lumen ventilation enabled adequate gas exchange over 30 min. One animal died as a result of a tension pneumothorax in this setting. Redistribution of ventilation from dorsal to central compartments and significant impairment of the distribution of ve…

Airway distensibility by HRCT in asthmatics and COPD with comparable airway obstruction.

2013

Introduction: Decreased airway distensibility (AD) in response to deep inspirations, as assessed by HRCT, has been associated with the severity of asthma and COPD. Aims: The current study was designed to compare the magnitude of AD by HRCT in individuals with asthma and COPD with comparable degrees of bronchial obstruction, and to explore factors that may influence it. Results: We enrolled a total of 12 asthmatics (M/F:7/5) and 8 COPD (7/1) with comparable degree of bronchial obstruction (FEV1% predicted mean±SEM: 69.1 ± 5.2% and 61.2 ± 5.0%, respectively; p = 0.31). Each subject underwent chest HRCT at FRC and at TLC. A total of 701 airways (range 20 to 38 airway per subject; 2.0 to 23.1 m…

Early diagnosis of ureteropelvic junction obstruction in a solitary kidney: when to correctly perform pyeloplasty.

2009

Increased blood flow after catheterization and drainage in the chronically obstructed rabbit urinary bladder

2001

Abstract Objectives. To determine the effect of drainage on rabbit bladder blood flow after 4 weeks of partial outlet obstruction. Previous studies have shown that catheterization and drainage of the urinary bladder in control rabbits resulted in a significant nitric oxide-induced increase of blood flow to the bladder. It was also shown that 4 weeks’ partial outlet obstruction caused a significant decrease in blood flow to the bladder. Methods. Male New Zealand White rabbits underwent partial outlet obstruction by standard methods. After 4 weeks, the blood flow to the bladder muscle and mucosa was determined by a microsphere technique. Within 1 to 2 minutes after transurethral catheterizati…

Comparison of heparin to citrate as a catheter locking solution for non-tunneled central venous hemodialysis catheters in patients requiring renal re…

2014

Background The incidence of acute kidney injury (AKI) is estimated at 10 to 20% in patients admitted to intensive care units (ICU) and often requires renal replacement therapy (RRT). ICU mortality in AKI patients can exceed 50%. Venous catheters are the preferred vascular access method for AKI patients requiring RRT, but carry a risk of catheter thrombosis or infection. Catheter lock solutions are commonly used to prevent such complications. Heparin and citrate locks are both widely used for tunneled, long-term catheters, but few studies have compared citrate versus heparin for patients with short-term, non-tunneled catheters. We aim to compare citrate 4% catheter lock solution versus hepar…

Ileus Following Spontaneous Jejunum Intramural Hematoma: Case Report and Review of the Literature

2012

Anticoagulant therapy may cause the onset of a spontaneous intramural hematoma of the small bowel, in the jejunum, ileum or duodenum. A 53-year-old woman on therapy with heparin for previous pulmonary embolism was admitted for abdominal pain and vomit. Computed tomography scan visualized an intramural hematoma of the jejunum causing subtotal obstruction of the intestinal lumen. The patient underwent resection of a part of the jejunum, securing intestinal continuity by a mechanical side-to-side anastomosis. The postoperative course was regular, but the initial anticoagulant therapy was reduced to prevent recurrence. In conclusion, spontaneous hematoma of small bowel can occur as a complicati…

Deguna vārsta kustīguma kvantitatīvo noteikšanas metožu salīdzinoša analīze

2019

Ievads 4-fāžu rinomanometrija šobrīd ir vienīgā nazālo elpceļu funkcionalitātes mērīšanas metode, kura ņem vērā nazālo elpceļu elastīgās struktūras. Sekojot līdz jaunākajiem atklājumiem par to kā nazālās vārstules kustīgums iedarbojas jau agri elpošanas ciklā, fundamentāli ir izveidot ilgtspējīgu diagnostikas instrumentu, kas mēra nazālo elpceļu elastīgās struktūras, it īpaši deguna vārstules. Mērķis Šī pilotpētījuma mērķis ir virzīt uz priekšu zinātnisko pētniecību fizioloģiskas un patoloģiskas deguna gaisa plūsmas diagnostikā. Mērķis ir attīstīt provizoriskas mērīšanas tehnikas, kas veicinātu nazālās vārstules elastogrāfijas ierīces ieviešanu medicīnā. Materiāli un metodes Tika testēti da…

Preoperatīva vēdera dobuma datortomogrāfija kā instruments ārstēšanas taktikas izvēlei pacientiem ar tievo zarnu saaugumu ileusu

2018

Preoperatīva vēdera dobuma datortomogrāfija kā instruments ārstēšanas taktikas izvēlei pacientiem ar tievo zarnu saaugumu ileusu

Meta-analysis of the objective and subjective evaluation of nasal surgery

2021

Priekšvēsture: Nav vienota viedokļa par objektīvu un subjektīvu novērtēšanas metožu lietderību deguna elpceļu obstrukcijas novērtēšanā un ārstēšanas ietekmi uz dzīves kvalitāti, saistībā ar deguna operācijām. Mērķis: Metaanalīžu mērķis bija novērtēt korelāciju starp mūsdienīgu objektīvo mērījumu un subjektīvo deguna obstrukcijas sajūtu, kas ietekmē deguna elpceļus pēc deguna operācijas. Materiāli un metodes: Tika veikta sistemātiska literatūras analīze no zinātniskiem rakstiem angļu valodā, kuros tika apskatīta korelācija starp objektīviem mērījumiem un subjektīviem deguna elpceļu obstrukcijas simptomiem pēcoperatīvajā periodā. Pētījuma autore veica 23 zinātnisko rakstu analīzi. Pētījuma re…