Pleuroplastic Inlay with Autologous Blood Versus Gel-foam Slurry as Innovative Remedies for Trapped Lung
Ahmed Mohammed Abumossalam,
Asem Abdelhamid Hewidy
Issue:
Volume 6, Issue 2, March 2020
Pages:
17-22
Received:
6 April 2020
Accepted:
22 April 2020
Published:
9 June 2020
Abstract: Background: Residual pleural air following chronic empyema and intrapleural interventions implies a disgusting issue for restoration of pleural contour. Aim of work: This work was to assess the efficacy and safety of intrapleural instillation of patient autologous blood versus gel-foam slurry for obliteration and reduction of volume of residual pleural space following chronic empyema and pleural interventions as well as limitation of long term complications and as a substitute for surgical decortication. Patients and methods: This study was conducted on 28 patients with trapped lung due to chronic empyema after intercostal tube placement and were divided according to the instilled material into three groups: group A, included 9 patients who were instilled with autologous blood, group B; included 9 patients who were instilled with gel-foam slurry, group C, included 10 patients who were treated with oral Alphintern tablets three times daily for two month. Results: pulmonary functional evaluation showed that 50% reduction of total lung capacity (TLC) defect by > 75% in group A and > 65% in group B. Besides 50% reduction of computed chest tomography CT radiological volumetry was detected by > 65% in group A and by > 55% in group B while opacification of residual pleural space was found in more than 75% in group A and 85% of group B. Group C showed coalescence of pleural layers in 20% of cases. Conclusion: Intrapleural instillation of autologous blood and gel-foam slurry for obliteration of residual pleural space was associated with a reduction of (CT) chest volumetry and pulmonary function improvement.
Abstract: Background: Residual pleural air following chronic empyema and intrapleural interventions implies a disgusting issue for restoration of pleural contour. Aim of work: This work was to assess the efficacy and safety of intrapleural instillation of patient autologous blood versus gel-foam slurry for obliteration and reduction of volume of residual ple...
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Operative Steps for OS-ASD Closure for Beginners
Amitabh Satsangi,
Biswajit Singh,
Surabhi Puri
Issue:
Volume 6, Issue 2, March 2020
Pages:
23-27
Received:
27 May 2020
Accepted:
12 June 2020
Published:
29 June 2020
Abstract: In the current era of cardiothoracic surgery, a trainiee embarks on his operative journery with learing to operate upon a patient suffering from ostium secundum atrial septal defect. This procedure involves all the essential steps required in cardiac surgery procedures and one should master the steps of this operation to be able to perform and understand other cardiac operations. OS-ASD closure is one of the first open heart procedures performed by a trainee or resident. This article deals with detailed operative steps as to how to perform sternotomy, put a patient on cardiopulmonary bypass machine, perform atrial septum defect closure and get a patient off cardiopulmonary bypass. Procedural training in current practice is often unsystematic and unstructured, and validated teaching methods have not been well integrated into clinical education. Minutest details performed during the procedure are mentioned in this article aimed for residents in cardiovascular thoracic surgery. Though there are multiple texts available in literature as how to perform the above mentioned procedure, they lack in technical details and thus residents have difficulty while operating. I would like to delineate detailed steps for ostium secundum atrial septum closure for beginners. This is meant for revision preoperatively of all the step one has to perform while doing surgery.
Abstract: In the current era of cardiothoracic surgery, a trainiee embarks on his operative journery with learing to operate upon a patient suffering from ostium secundum atrial septal defect. This procedure involves all the essential steps required in cardiac surgery procedures and one should master the steps of this operation to be able to perform and unde...
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Assessment of Knowledge, Self-care Practice, and Associated Factors Among Hypertensive Patients the Public Hospital of Addis Ababa Ethiopia 2016 G.C.
Sindew Mahmud Ahmed,
Melaku Belaye Teferi
Issue:
Volume 6, Issue 2, March 2020
Pages:
28-37
Received:
18 February 2020
Accepted:
14 April 2020
Published:
29 June 2020
Abstract: Background: Patients with hypertension are a high risk of cardiovascular disease. An increase of 10 mmHg (more than normal) in diastolic blood pressure leads to a relatively increased risk of stroke and cardiovascular disease by 37%. Moreover, hypertension may impair vision. The symptoms range from blurred vision to blindness. A lack of knowledge about hypertension negatively influences patients’ awareness and behaviors and is a major obstacle in controlling hypertension. The general objective of the study was to assess the overall level of knowledge, self-care practices, and its associated factors among hypertensive patients in adult cardiac and renal referral clinics in public hospitals Addis Ababa city Administration Addis Ababa Ethiopia. Methods: An institutional-based cross-sectional study was conducted in public health hospitals. The final sample size was 384, which was proportionally allocated to each of the institutions and systematic random sampling was used to select study units that were part of the study. Results: The results of the study showed that (43.6%) of the study participants had good knowledge about hypertensive self-care. A strong association was observed between knowledge about hypertension and educational status, family history of hypertension, place of residence; and occupational status of the study participants. About (51.5%) of the study participants had good self-care practices towards hypertension. However, there was a significant association between self-care practices, place of residence and educational status of the study participants. Study participants who had secondary and above educational status had good self-care practice than participants had no formal education. Conclusion: Despite the important role of knowledge and self-care practices in the management of hypertension is recognized to be useful and effective in achieving hypertension control and preventing its complication. The findings of this study confirmes that self-care practices was accomplished as recommended by the majority of respondents, but knowledge was more problematic.
Abstract: Background: Patients with hypertension are a high risk of cardiovascular disease. An increase of 10 mmHg (more than normal) in diastolic blood pressure leads to a relatively increased risk of stroke and cardiovascular disease by 37%. Moreover, hypertension may impair vision. The symptoms range from blurred vision to blindness. A lack of knowledge a...
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