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This study evaluates mandatory minute volume (MMV) weaning in patients with pulmonary pathology. When weaning criteria were fulfilled, 22 patients were randomised to MMV and 18 to a control intermittent mandatory ventilation (IMV) group. With IMV weaning the ventilator rate was decreased by two breaths per minute at 3-4 hourly intervals during daylight(More)
OBJECTIVE To determine the impact of catheter management on the acute and long-term outcome of catheter-related coagulase-negative staphylococcal bacteremia. DESIGN Retrospective surveillance of catheter-related sepsis using quantitative blood and catheter cultures. SETTING University-affiliated tertiary cancer center. PATIENTS AND METHODS Seventy(More)
BACKGROUND Tunneled central venous catheters (CVCs) and infusion ports have often been considered as the only safe alternative for long-term venous access. The objective of this study was to assess the durability, cost, and infection rate of nontunneled, noncuffed Silastic CVCs. METHODS We studied a representative cohort of 340 consecutive cancer patients(More)
Grommet insertion is one of the commonest surgical procedures performed in the UK. We have come across three cases in which grommets have displaced medially in the middle ear after establishing a satisfactory post-insertion position. We suggest that an abnormally long myringotomy incision and improper placement of the grommet are responsible for this(More)
BACKGROUND The authors' objective was to assess the extent to which sevoflurane and desflurane anesthesia alter the magnitude of hypoxic pulmonary vasoconstriction compared with the response measured in the same animal in the conscious state. METHODS Left pulmonary vascular pressure-flow plots were generated in seven chronically instrumented dogs by(More)
Pigmented villo-nodular synovitis may occur in either diffuse or nodular form. In the latter the fingers are the commonest site to be involved. The disease is rare, and in only 15% is there bone involvement. Two cases showing bone involvement of the fingers are presented. One of the cases (Case 2) adds radiological support to the theory of Scott (1968),(More)
STUDY OBJECTIVE To evaluate a new method of closed-loop mechanical ventilation using an adaptive lung ventilation (ALV) controller in patients with different pathologic causes of respiratory failure at a time when they first met standard weaning criteria. STUDY DESIGN Prospective, open, selected case study. SETTING The 10-bed, multidisciplinary(More)
OBJECTIVE To determine whether the combination of botulinum toxin A (BTX-A) treatment for the upper limb and a 4-wk course of exercise therapy could improve motor function sufficiently to allow those with poststroke hemiparesis and spasticity to achieve the minimal motor criteria (MMC) to be enrolled in constraint-induced movement therapy (CIMT), and to(More)
The radiographs of 100 patients with acute pancreatitis were reviewed and compared with 100 controls by two radiologists and a surgeon. Our aim was to assess the frequency and usefulness of the signs described in the literature. Calcification of the pancreas was seen in one case only. Abnormalities of the biliary tree (visible gallbaldder, biliary gas and(More)
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