Background: one of the complications of rigid bronchoscope is the cardiovascular responses that may carry a dangerous drawback during and after the procedure. Prevention and control of these events will be crucial, especially for the old and cardiovascular debilitated patients.
Objective: The study aims to control and attenuate the unwanted hemodynamic responses to the rigid bronchoscpe using intravenous lidocaim and GTN.
Method: a study was performed on three groups of patients undergone a diagnostic procedure of bronchoscope. Each group consists of 20 patients at the same age and relatively similar pathology. The three groups (group one, two and three) received lidocaine, glyceryltrinitrate and no drug respectively. The changes in mean arterial pressure, heart rate and rhythm were taken and monitored. Several readings were taken through a five to ten minutes interval and at recovery. The doses are calculated equally for all patients.
Results: marked changes were noticed in mean arterial pressure which has been increased especially during the introduction of the instrument through the trachea. The same were happened for the heart rate, which increased tremendously at the same intervals. The same was applied for the rhythm. Lidocaine has attenuate the change in the rhythm, while the glyceryl trinitrate prevented the high elevation in mean arterial blood pressure more than the other drug did.
Conclusion: Hemodynamic responses to the rigid bronchoscope, can be attenuated and blunted by the usage of anti-arrhythmic drug (lidocaine) and the vasodilator glyceryl-trinitrate, intravenously and sublingual respectively. Lidocaine I.V given 3 – 5 minutes prior to the procedure will protect the heart from grand changes in its rhythm. And to a lesser extent control the high elevation in mean arterial pressure. Glyceryl-trinitrate (GTN). The two drugs successfully attenuate the hemodynamic responses to the tracheal instrumentation by the rigid bronchoscope.
Objectives: Serratia marcescens is a gram-negative pathogen of many species. The ability of S. marcescens to form biofilms and its potent innate resistance to antimicrobials and cleaning solutions are both essential for its pathogenicity and survival. The present study was conducted to investigate the effect of glyceryl trinitrate (GTN) on the biofilm of S. marcescens, as an alternative for antibiotic therapy. Methods: Different specimens, including ear swabs, burns, mid-stream urine, wound swabs, and sputum, were collected from patients who were brought to Al-Ramadi Hospital, Iraq. All samples were cultured, and the colonies that were obtained were detected using the VITEK® 2 compact. The ability of biofilms to develop was e
... Show MoreBackground: intravenous regional anaesthesia (IVRA) is an effective method of producing anaesthesia of the extremities. Disadvantages are the rapid loss of anaesthesia after the deflation of the tourniquet and the rapid development of postoperative pain. It is important to search for agents with longer durations of action, better nerve fibre selectivity, lesser degrees of motor blockade and lower incidences of systemic toxicity.Objectives: This study was designed to evaluate and compare the clinical effects of intravenous regional anaesthesia, with lidocaine alone, or in a combination with ketamine and atracurium for better analgesia, and to examine the possible clinical advantages of using muscle relaxants (i.e., atracurium) with intrav
... Show MoreIntroduction:Serratia marcescens is a gram-negative pathogen of many species. Its pathogenicity and survival are linked to its capacity to build biofilms as well as its strong inherent resistance to antimicrobials and cleaning agents. Objectives: To analyse the impact of glyceryl trinitrate (GTN) on the gene expression of QS-related genes (rssB, rsmA,and pigP) of S. marcescens. Methodology: The broth microdilution technique estimated the bactericidal effectiveness of glyceryl trinitrate. The presence of rssB, rsmA,and pigP in S. marcescens isolates was detected using PCR. qRT-PCR was used to assess the effect of GTN on rssB, rsmA,and pigPgene expression. Results: The results demonstrated that GTN has no effect on S. marcesce
... Show MoreThe purpose of this study was to evaluate the anesthetic effectiveness of a buccal infiltration technique combined with local massage (using 2% lidocaine) in the extraction of mandibular premolars to be utilized as an alternative to the conventional inferior alveolar nerve block.
Patients eligible included any subject with a clinical indication for tooth extraction of the mandibular 1st or 2nd premolars. All patients were anesthetized buccally by local infiltration technique followed by an external pressure applied for 1 min directly over the injection area. In each case, another local
Laryngoscopy and tracheal intubation are considered the most invasive stimuli in anesthesia. They provoked cardiovascular responses that include hypertension, tachycardia and dysrhythmias. Various pharmacological approaches have been used to blunt or attenuate such pressor responses. The present study was designed to evaluate the effect of medazolom, lignocaine and propranolol as a valuable adjuvant to fentanyl in attenuating hemodynamic responses to endotracheal intubation in normotensive patients. Thirty two patient with physical status I or II according to the score of American Society of Anesthesiologist (ASA), scheduled for elective surgery under standard general anesthesia, were randomly allocated into four groups (8 patients in ea
... Show MoreBackground: the integrity of cardiovascular reflexes & autonomic activities can be assessed by different tests and different techniques. However most of these studies carried out on male subject & usually on young group only .very little researches available concerning the differences in cardiovascular reflexes between male & female in different age group.
Aim of study: is to investigate the differences in cardiovascular reflexes in young , old male & female in response to go head up tilting using totally non- invasive system .
Sub. & Methods: this study was carried out in AL-Najaf teaching hospital on 85 normal sub. , 41 males c6 44 females they were divided into two age groups (20-40 years) & (41-60 years)
Multiphase flow is a very common phenomenon in oil wells. Several correlation models, either analytical or experimental, have been investigated by various studies to investigate this phenomenon. However, no single correlation model was found to produce good results in all flow conditions. 14 models available on the Prosper software were selected for the purpose of calculating the pressure gradient inside wells within a range of different flow conditions. The pressure gradient was calculated using Prosper software, then compared with the measured gradient based on the production log test (PLT) data. This study was conducted on 31 wells from five different oil fields (Kirkuk, Jambur, Bai-Hassan, Al-Ahdab, and Rumaila). It is worth noting t
... Show MoreBackground:
There are many circulatory changes that occur during exercise in order to supply the tremendous blood flow required by the muscles during the stimulatory effects on circulation
by the mass sympathetic discharge, the increased arterial pressure and cardiac output. The metabolic effects and the oxidative stress as a result of the work load on cardiac and skeletal
muscles could also show changes.
Objective:
This study was designed to investigate the effects of aging process on the vascular response during exercise and also in the oxidative stress according to age.
Subjects and Methods:
Eight healthy Iraqi subjects were enrolled in this study. Divided into three groups according to a
The experimental and numerical analysis was performed on pipes suffering large plastic deformation through expanding them using rigid conical shaped mandrels, with three different cone angles (15◦, 25◦, 35◦) and diameters (15, 17, 20) mm. The experimental test for the strain results investigated the expanded areas. A numerical solution of the pipes expansion process was also investigated using the commercial finite element software ANSYS. The strains were measured for each case experimentally by stamping the mesh on the pipe after expanding, then compared with Ansys results. No cracks were generated during the process with the selected angles. It can be concluded that the strain decreased with greater angles of con
... Show MoreGroupwise non-rigid image alignment is a difficult non-linear optimization problem involving many parameters and often large datasets. Previous methods have explored various metrics and optimization strategies. Good results have been previously achieved with simple metrics, requiring complex optimization, often with many unintuitive parameters that require careful tuning for each dataset. In this chapter, the problem is restructured to use a simpler, iterative optimization algorithm, with very few free parameters. The warps are refined using an iterative Levenberg-Marquardt minimization to the mean, based on updating the locations of a small number of points and incorporating a stiffness constraint. This optimization approach is eff
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