• Title/Summary/Keyword: Cuff

Search Result 895, Processing Time 0.03 seconds

Management of the First-time Traumatic Anterior Shoulder Dislocation

  • Wang, Sung Il
    • Clinics in Shoulder and Elbow
    • /
    • v.21 no.3
    • /
    • pp.169-175
    • /
    • 2018
  • Traumatic anterior dislocation of the shoulder is one of the most common directions of instability following a traumatic event. Although the incidence of shoulder dislocation is similar between young and elderly patients, most studies have traditionally focused on young patients due to relatively high rates of recurrent dislocations in this population. However, shoulder dislocations in older patients also require careful evaluation and treatment selection because they can lead to persistent pain and disability due to rotator cuff tears and nerve injuries. This article provides an overview of the nature and pathology of acute primary anterior shoulder dislocation, widely accepted management modalities, and differences in treatment for young and elderly patients.

Surgical Repair of Tracheal Stenosis with Tracheoesophageal Fistula Induced by Prolonged Endotracheal Intubation - Report of A Case - (기관삽관에 의한 기관협착및 기관 식도루: 수술치험 1례)

  • 허강배
    • Journal of Chest Surgery
    • /
    • v.25 no.6
    • /
    • pp.581-587
    • /
    • 1992
  • Tracheoesophageal fistula[TEF] is a rare but life-threatening lesion that may occur from ventilation with a cuffed tube. It occurs most frequently when an inlying esophageal tube is also being used-usually for feeding purposes. The mechanism of injury appears to be pressure experted on the tracheal wall by the cuff, which then compresses the "party wall" of the trachea and esophagus against the foreign body that lies in the esophagus. The patient was 32 years old female who had been receiving a treatment of respiratory failure induced by postoperative sepsis with assist ventilator and nasogastric tubal feeding. Sudden attack of abdominal gas distention and massive drainage of gas through N-G tube were developed during assist ventilation in that patient, so we diagnosed as tracheal stenosis with a tracheoesophageal fistula induced by prolonged endotracheal intubation We performed tracheal reconstruction and primary closure of perforated esophagus after weaning ventilator. The postoperative course was uneventiful.eventiful.

  • PDF

Measuring Blood Pressure Using Oscillation Signal from an Automatic Sphygmomanometer (자동혈압계의 오실레이션 신호를 이용한 혈압 측정)

  • Kim, Dong-Jun;Kim, Young-Soo
    • The Transactions of The Korean Institute of Electrical Engineers
    • /
    • v.61 no.11
    • /
    • pp.1720-1724
    • /
    • 2012
  • This study describes an oscillometric-based blood pressure measuring algorithm by detecting turning points of oscillation signal from digitally filtered cuff signals of an automatic sphygmomanometer. The blood pressure measuring algorithm uses a characteristic ratios method from the turning points. The accurate values of the systolic/diastolic blood presures(SBP/DBP) are calculated using the peaks in the ranges of characteristic ratios. Performances of the proposed algorithm and four automatic sphygmomanometers are compared with the mercury manometer(manual type sphygmomanometer), regarding the SBP and DBP values of manual sphygmomanometer as the reference values. The performance test showed the proposed algorithm revealed the best results in errors and a statistical analysis. Therefore this algorithm can be usable in any automatic sphygmomanometers.ssure states. This may be compromising results for subject-independent sensibility evaluation using EEG signal.

Partial Thickness Rotator Cuff Tears (회전근 개 부분 파열)

  • Sin, Sang-Jin;Jang, Gi-Yeong
    • 대한관절경학회:학술대회논문집
    • /
    • 2009.10a
    • /
    • pp.14-22
    • /
    • 2009
  • 회전근 개 부분 파열은 노화의 과정 중 생기는 무증상의 병변 또는 견관절 기능 장애의 잠재적인 원인으로 생각되었다. 발병 원인은 해부학적인 원인에 의한 충돌 또는 반복적 미세 외상 등이 원인으로 이해되고 있으며 병리생태에 관한 이해가 깊어지고 진단 기구, 즉 초음파나 자기공명영상, 관절경 등의 발달로 발생률이 과거에 비해 증가하고 있다. 그러나 회전근 개부분 파열은 질환 자체보다 전층 파열로 진행하는 일종의 질환 스펙트럼(disease spectrum)의 개념으로 전층 파열에 비해 현재까지 발표된 연구 자료가 많지 않다. 즉 회전근 개 부종, 견봉과의 마찰로 생긴 염증성 건병증, 회전근 개 섬유화 및 부분 또는 전층 파열로 진행되는 회전근 개 병변의 스펙트럼의 일부로 간주되는 경우가 많다. 본 종설은 회전근 개 부분 파열의 진단, 파열 분류, 수술의 적응증 및 수술 방법과 그 결과에 대해 논하고자 한다.

  • PDF

Technique of ultrasonographic scanning of the shoulder joint (견관절의 초음파 검사 방법)

  • Jeon, Woong-Kyo
    • The Journal of Korean Orthopaedic Ultrasound Society
    • /
    • v.4 no.1
    • /
    • pp.42-49
    • /
    • 2011
  • Ultrasonography is a powerful and useful method for the examination of the various shoulder diseases. The use of high-resolution transducer and technical evolution allowed the improvement of the accuracy of detection of various shoulder pathology including the rotator cuff disease. However, its limitation is that there is marked disparity in the interpretation according to the operators' experience. This article describes the appropriate scan technique of ultrasonography around shoulder.

  • PDF

Development of ECS-NIBP-$SpO_2$ Patient Monitoring System (ECG-NIBP-$SpO_2$ 환자감시장치 개발)

  • Kim, N.H.;Shin, W.H.;Lee, G.K.;Ra, S.W.;Kim, G.H.
    • Proceedings of the KOSOMBE Conference
    • /
    • v.1998 no.11
    • /
    • pp.129-130
    • /
    • 1998
  • In this paper, We designed the ECG-NIBP-$SpO_2$ patient monitor. This production can measure Electrocardiograph, Heart Rate, Noninvasive Blood Pressure, and Oxygen Saturation for Noninvasive Mehod and can display each information. These informations were implemented by the electrodes of ECG part, the cuff of NIBP module and the finger probe with light sensor of $SpO_2$ without injection of needle or catheter. In addition, We developed a new analysis algorithm and measurement technique for NIBP and $SpO_2$ to observe patient's conditions correctly.

  • PDF

Three Cases of Rare Anatomic Variations of the Long Head of Biceps Brachii

  • Kwak, Sang-Ho;Lee, Seung-Jun;Song, Byung Wook;Lee, Min-Soo;Suh, Kuen Tak
    • Clinics in Shoulder and Elbow
    • /
    • v.18 no.2
    • /
    • pp.96-101
    • /
    • 2015
  • In general, the long head of the biceps brachii originates from the superior glenoid labrum and the supraglenoid tubercle, crosses the rotator cuff interval, and extends into the bicipital groove. However, rare anatomic variations of the origins of the long head have been reported in the past. In this report, we review the clinical history, radiologic findings, and arthroscopic identifications of 3 anatomic variants of the biceps tendon long head. As the detection of long head of biceps tendon pathology during preoperative radiologic assessment can be difficult without prior knowledge, surgeons should be aware of such possible anatomic variations.

Tension Band Sutures Using a Washer for a Proximal Humerus Fracture

  • Kim, Kyung-Cheon;Rhee, Kwang-Jin;Shin, Hyun-Dae;Byun, Ki-Yong;Yang, Jae-Hoon;Kim, Dong-Kyu;Kim, Joung-Hun
    • The Academic Congress of Korean Shoulder and Elbow Society
    • /
    • 2009.03a
    • /
    • pp.161-161
    • /
    • 2009
  • To prevent distraction and varus deformity between the humeral head and shaft, tension band sutures placed between the head of the interlocking screw and the rotator cuff, and we recommend using nonabsorbable sutures. We describe our simple procedure to overcome these difficulties in tension band suturing after reducing a proximal humerus fracture to maintain the reduction.

  • PDF

Surgical Treatment of Tracheal Stenosis -Report of 3 Cases- (기관협착증 치험 3례)

  • Park, Cheol-Ho;U, Jong-Su;Jo, Gwang-Hyeon
    • Journal of Chest Surgery
    • /
    • v.21 no.2
    • /
    • pp.395-402
    • /
    • 1988
  • Increasing success in the management of patients with severe respiratory failure by mechanical respirators has produced iatrogenic tracheal stenosis. And the surgical management of these lesions have provided a major field for tracheal reconstructive surgery. Recently we have experienced three cases of postintubation tracheal stenosis between December, 1985 and October, 1987 and successfully performed circumferential resection and end to end anastomosis of the trachea. The lesion of the first case which was located in the subcricoid level was resected about 2cm length with cervical incision. And the lesion of the second case located at the cuff site was also resected about 2.5cm length with cervical and median sternotomy incision. Also the lesion of the third case located at the stoma site was resected about 1.8cm length with cervical incision. The postoperative courses were uneventful but there was extubation difficulty in the third case because of stupor mentality and problem of secretion excretion. So we have observed the postoperative course after T-tube insertion.

  • PDF

A Single Left Lung Transplantation in Dog -One Case Report- (황견에서 좌측 폐이식수술 -1례 보고-)

  • 이두연
    • Journal of Chest Surgery
    • /
    • v.27 no.3
    • /
    • pp.238-240
    • /
    • 1994
  • We performed post-operative hemodynamic evaluation and lung perfusion scan after left lung transplantation in dog. The heart & lungs were extracted from donor dog while the both lungs were flushed with 4oC Euro-Collin`s solution after heparinization & infusion of prostaglandin E1.In the recipient dog, anastomosis of the left atrial cuff was performed by continuous 4-0 Prolene everted suture, and bronchial anastomosis by telescope method with 4-0 Prolene continuous suture. The end-to-end anastomosis of left main pulmonary arteries was performed with continuous 6-0 Prolene suture. After closure of left thoracotomy incision, the lung perfusion scan was performed post operative 2 days for evaluation of the function of the transplanted lung which showed good perfusion. The dog was sacrificed in the post-operative 5 days for autopsy.

  • PDF