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Register a new userIndications of Re-Intubation in Post-Craniotomy for Brain Tumors Resection
استطبابات إعادة التنبيب الرغامي بعد استئصال أورام الدماغ
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Damascus University ورقة بحثية
Publication date
2011
fields
Medicine
and research's language is
العربية
Authors
علي أسعد( باحث )
Created by
Shamra Editor
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احتاج عدد من المرضى في العناية المركزة – بعد الإفاقة من عمليات استئصال أورام دماغ – إلى إعادة التنبيب و تطبيق التهوية الآلية بشكل إسعافي. و لاشك أن هذه الإعادة التي تجرى بشكل إسعافي و بظروف حرجة قد تترافق بمضاعفات خطرة تزيد الإنذار سوءاً، منها ارتفاع الضغط داخل القحف و عواقبه، و رضوض الطريق الهوائي، و الاستنشاق الرئوي , فضلا عن أن إعادة التنبيب تشكل أيضاً إرباكاً و عبئاً إضافياً للأطر الطبية في العناية المركزة و تكلفة اقتصادية مضاعفة. لذلك لابد من البحث في كيفية تجنب هذه المضاعفات.
A number of patients who had undergone to craniotomies for tumor resection, re- intubated in ICU as urgent procedure. This may result in poor prognosis, overloading the staff, and high cost. The goal is looking for clinical, surgical, and laboratory risk factors helping in early detection of cases which require keep ETT in place and maintaining of ventilation.
References used
American Society of Anesthesiologists. Refresher Courses in Anesthesiology.1999. Vol.27- Chapter 15. Clinical Risk in Neuroanesthesia
Ronald D. Miller. Anesthesia-related risk. Safety of Anesthesia. Churchill Livingstone. Miller´s Anesthesia 2005; Vol.1; 893-920
Basali A, Schubert A, Kalfas I: Perioperative hypertension and post-craniotomy intracranial hemorrhage. Anesthesiology 1994; 81 :A2003
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The Brain Computer Interface (BCI) is considered the latest development of the Human Computer Interface (HCI). Unlike traditional input devices (keyboard, mouse, etc.) BCI reads brain signals from different areas of the human head and translates thes
e signals into commands that can control the computer.
The importance of BCI comes from its many applications such as medical applications, especially to assist people with disabilities to help them deal with computers, and help people with Locked-In Syndrome to communicate with the outside world. and advertising applications to see how much the customer appreciates the product, Security applications, or finding a new way to play games using your brain.
The aim of this research is to demonstrate the most recent solutions to the problems faced by computer-brain interfaces and the algorithms used to classify brain signals. The difficulty of this research is the in extracting and processing the signal.
Recent evidence supports a role for coreference processing in guiding human expectations about upcoming words during reading, based on covariation between reading times and word surprisal estimated by a coreference-aware semantic processing model (Ja
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There is a group of tumors share the same nuclear size <3 red blood cells
and can be differentiated only by immunostaining.
All thoracic small cells tumors diagnosed between 1998-2001 during 4 years,
at AL ASSAD UNIVERSITY HOSPITAL – DAMASCUS UNIV
ERSITY.
There were 103 cases (66 cases of small cell carcinoma, 30 malignant
lymphoma, and 7 cases of PNET ).
We performed the immunostaining in 31 cases of small cell carcinoma ,all
of them were malignant lymphomas and the 7 cases of PNET*.
PNET cannot be diagnosed without immunostaining.
We must demand the immunostaining if there is a doubt ( clinical or
pathological) about the real nature of a small cell tumor.
Primary cardiac tumors are considered rarely common tumors. They are
classified into two kinds of tumors: (1) Benign cardiac tumors frequently located
in the left cardiac chambers, mostly common is the Myxoma , which is treated
by complete good ex
cising surgery including excision of the tumor base. (2)
Malignant primary tumors, which prefer the right cardiac chambers, mostly
common are Angiosarcoma and Mesothelioma, whose primary treatment is
nearly complete excision surgery with the help of artificial heart and lung,
followed by chemotherapy and radiotherapy, which seldom prolong the life of
the patient for about three years.
Endo-tracheal tube –associated pneumonia (ETTP) or ventilator associated
pneumonia is the most dangerous complication in the intensive care units especially the surgical one (1).
The objective of this study is to evaluate the incidence of (ETTP) in
the emergent surgical intensive care
and its relationship to the duration of mechanical ventilation and try to define if is it linear or not .
It is important to begin our special studies in surgical intensive care units because we expect different
incidence and mortality compared with international rates.
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