Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0032285 (pneumonia)
 54,520 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

1032 Interventions on geriatric patients beeing more than 70 years old between 1966 and 1975 demonstrate the significance of azotemia in the postoperativ stage of the disease appears as well as its dependence upon prehospital factors, type and localisation also on the extension and duration on the intervention in each single case. Since it is hardly possible to exert an influence on the preliminary stress due to the old age and on the dysfunction determined by involution of the parenchymatose organs important for the course of the postoperative stage, a particular emphasis should be laid upon the prophylactic aspekt to the purpose of an appropriate screening against vegetativ-visceral, renally effective shock reflexes (hepatorenal syndrome) and on the other, usually extra-renal factors (PH 203R, splanchnic block). Further possibilities: considerate elimination of pain and general anesthesia, purpuseful and quick operative technique, improvement of the apparatus and instruments, after-treatment specific for the given case so as one consisting of a prophylaxis against pneumonia through a rapid reactivation of the operated person. However, regardless to all the professional advance made in this field, the primary human approach to the aged patient and to his life expectancy should be made due allowance for.
 ...
PMID:[On postoperative azotemia in geriatric surgery: significance, risk groups, possibilities of prophylaxis (author's transl)]. 2 19

A case of acid aspiration pneumonitis which occurred in the puerperium is described. Gastric aspirate was collected in fifty patients undergoing postpartum sterilisation. Results of pH and volume suggest these patients should be regarded as potential candidates at risk of developing Mendelson's syndrome.
Anaesthesia 1979 Mar
PMID:Post-partum sterilisation--an anaesthetic hazard? 3 7

Interstitial pneumonitis in immunosuppressed patients demands prompt diagnosis and treatment. In an effort to achieve a simple yet highly accurate method of diagnosis, we have evaluated the usefulness of thoracoscopic examination. Twenty-seven procedures have been performed in 24 patients between the ages of 17 months and 18 years. All patients were immunosuppressed, most for treatment of malignant processes. All procedures have been performed under anesthesia with intravenously administered ketamine, without endotracheal intubation. A definitive diagnosis has been made in every case, with pneumonia due to Pneumocystis carinii being identified in 18 instances. Complications have been minimal and include four minor pneumothoraces, two instances of bleeding, and two instances of prolonged air leak. Mortality attributable to the procedure has been nil, although five patients have died due to their underlying diseases within 30 days of the thoracoscopic procedure. Thoracoscopy has proven to be a rapid and safe technique for providing accurate histologic and bacteriologic diagnoses in these critically ill children.
 ...
PMID:Thoracoscopy. Early diagnosis of interstitial pneumonitis in the immunologically suppressed child. 36 78

The last twenty-five years have provided a continuing success story in the achievement of satisfactory obstetric analgesia. Maternal mortality and morbidity from general anaesthesia has not decreased substantially. Mothers still run the same risk of inhalational pneumonitis and are even more likely to suffer the distressing experience of awareness. It must, however, be admitted that general anaesthesia for child-birth has brought increasing benefits to the new born during the last twenty-five years.
 ...
PMID:Changes in obstetric anaesthesia in the last twenty-five years. 37 57

The authors have generalized the experience of using continuous peridural anesthesia in 204 children of different ages after operations on thoraic and abdomenal organs in acute pneumonias and marked enteroparesis. The efficiency of this method (96,1%) is shown. The authors believe the continous peridural anesthesia to be the method of choice after injuring operations and in stable enteropareses caused by peritonitis, pneumonia.
 ...
PMID:[Continuous peridural anesthesia in thoraco-abdominal surgery in children]. 50 25

Acute respiratory insufficiency or adult respiratory distress syndrome is a common medical emergency in intensive medicine complicated by high mortality. To study the acute respiratory insufficiency under standardized conditions an animal model in Lewe-mini-pigs has been developed. This model is based on aspiration pneumonitis produced by intrabrochial atomisation of 0.2 N hydrochloric acid. General anesthesia was performed by neuroleptanalgesia. In all animals the profound changes in gas exchange, pulmonary mechanics and hemodynamics as well as quasi-static volume-pressure relationships after hydrochloric acid aspiration were described. The results suggest that this model is suitable to outline the profound changes in pulmonary function in this type of acute respiratory insufficiency.
 ...
PMID:[Animal model of acute respiratory insufficiency by HCl aspiration in Lewe mini-pigs]. 54 65

Regurgitation and inhalation of acid gastric content, with resultant chemical pneumonitis, remains a common cause of death during anaesthesia. The effects of intravenous glycopyrrolate 0.3 mg on the lower oesophageal sphincter tone was studied in normal human subjects. Glycopyrrolate decreased lower oesophageal sphincter pressure by 0.88 kPa (p less than 0.005). This finding is of clinical importance in the pre-operative preparation of patients presenting for emergency surgery. A drug which decreases lower oesophageal sphincter tone would presumably increase the hazard of gastro-oesophageal reflux and pulmonary aspiration of acid gastric content.
 ...
PMID:The effect of glycopyrrolate (Robinul) on the lower oesophageal sphincter. 63 28

Eighty-four infants with esophageal atresia and/or tracheosophageal (TE) fistula were treated from 1972 to 1977. Twenty-eight percent were premature and 24% weighed less than 2.0 kg. Major symptoms included excess salivation (56 patients), respiratory distress (28 patients), cyanosis (26 patients), and choking (nine patients). Pneumonia and or atelectasis occurred in 58% and associated anomalies in 68%. Seventy-three of 84 patients (87%) had proximal esophageal atresia and distal TE fistula (type C defect). Operation was carried out in 79 patients. Gastrostomy was performed in 75 patients, often under local anesthesia with subsequent delayed extrapleural thoractomy (mean, 3.9 days), when the infant's pulmonary condition was improved. Primary anastomosis was performed in 55 patients, division TE fistula and esophagostomy in ten, staged anastomosis in seven, cervical esophagostomy alone in three, division H fistual in two, ligation TE fistula alone in one, and gastrostomy alone in one. Complications were frequent, including need for ventilator support in 28 patients, atelectasis in 28, pneumonia in 18, jaundice in 13, heart failure in 11, anastomotic leak in 10, and stricture in four. Operative mortality was 5% (four of 79). Two deaths followed immediate thoracotomy and two were premature with anomalies. There were eight late deaths 4 to 39 months after operation. Seven had multiple anomalies. The overall mortality was 15%. Management of high-risk cases by preliminary gastrostomy and delayed extrapleural thoracotomy is associated with improved survival (67 to 79) (85%). Neonatal intensive care, detection of associated anomalies, and long-term follow-up are essential factors in reducing mortality.
 ...
PMID:Esophageal atresia and tracheoesophageal fistula: Effect of delayed thoracotomy on survival. 68 29

A 7-month-old boy with postnatal jaundice was operated upon at the age of 3 months for hypertrophic pyloric stenosis associated with water and electrolyte metabolism disturbances. During induction of anaesthesia cardiorespiratory arrest occurred. The child was resuscitated successfully. After the operation bilateral pneumonia developed. After 3 months of relatively good health signs of increased intracranial pressure developed with high-grade papilloedema. Ventriculography with subdurography demonstrated presence of an extensive subdural hygroma about 2 cm thick. One year after treatment the condition of the child and his development are completely satisfactory.
 ...
PMID:[Case of subdural hygroma]. 71 32

A case of near drowning is described. Despite full consciousness on early admission, and apparently good immediate recovery following intensive therapy for delayed pulmonary effects, the patient died of overwhelming necrotising pneumonia on the tenth day after the accident.
Anaesthesia 1976 Jun
PMID:A case of drowning. 77 18


1 2 3 4 5 6 7 8 9 10 Next >>