Unexpected difficult intubation due to lingual tonsillar hyperplasia in a thoracotomy patient: intubation with the double-lumen tube using stylet and fiberoptic bronchoscopy
Journal of Clinical Anesthesia, 10/20/2009
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Orhan ME et al. – Lingual tonsillar hyperplasia is rare, and it may cause difficulty with tracheal intubation during induction of general anesthesia. A different orotracheal intubation technique was performed using a double&ndash ... lumen endotracheal tube, flexible fiberoptic bronchoscope, and a stylet, in an unexpected difficult endobronchial intubation case.
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Double Lumen Tube for Lung Isolation in a patient with Life Threatening Hemoptysis
Journal of Anaesthesiology Clinical Pharmacology, 10/19/2009
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Alex S et al. – There are numerous causes of massive hemoptysis including infections, neoplasms, cardiovascular disorders, and trauma. Hemoptysis that jeopardizes respiratory function should be treated as a ... lumen endotracheal tube is recommended until the bleeding is localised. Once airway and respiration is controlled, measures can be taken to identify the source of bleeding and prompt treatment options include surgery, endovascular stents, embolisation etc.
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A comparative clinical evaluation of arthroscopic single-row versus double-row supraspinatus tendon repair
Acta Orthopaedica Belgica, 11/06/2009
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Buess E et al. – The double–row repair patients had significantly more yes answers in the SST than the single–row group, and pain reduction was slightly better. No ... satisfaction was 100% for double–row and 97% for single–row repair. Single– and double–row repairs both achieved excellent clinical results. Evidence of superiority of double–row repair is still scarce and has to be balanced against the added complexity of the procedure
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Double Lacrimal Puncta: Clinical Presentation and Potential Mechanisms of Epiphora
Ophthalmology, 10/29/2009
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Satchi K et al. – Double lower lacrimal puncta may be associated with epiphora. In younger patients, tearing may be due to associated congenital anomalies of the nasolacrimal system. A proportion of patients ... with onset of tearing in adulthood have patent lacrimal systems and otherwise normal adnexal examination results, suggesting that the presence of double puncta may be associated with compromised canalicular function. Reflux of tears through the accessory canaliculus is a potential mechanism and
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Add-on salmeterol compared to double dose fluticasone in pediatric asthma: A double-blind, randomized trial (VIAPAED)
Pediatric Pulmonology, 10/14/2009
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Gappa M et al. – In children with persistent asthma inadequately controlled on low dose ICS alone, adding a long acting beta–2–agonist to ICS in a single inhaler ... doubling the ICS dose. These results support recommendations of adding LABA to low–dose ICS as the preferred controller option for children older than 4 years with symptomatic asthma.
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Double-Layered PTFE-Covered Nitinol Stents: Experience in 32 Patients with Malignant Esophageal Strictures
Cardiovascular and Interventional Radiology, 10/02/2009
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Park JG et al. – The median period of primary stent patency was 190 days. The double–layered PTFE–covered nitinol stent seems to be effective for the palliative treatment of ... malignant esophageal strictures. The authors believe that the double–layer configuration of this stent can contribute to decreasing the stent's migration rate.
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Growth Rate of Affected Aorta in Patients With Type B Partially Closed Aortic Dissection
Annals of Thoracic Surgery, 10/05/2009
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partially closed false lumens do not exhibit the highest GR. The status of a partially closed false lumen is not a significant risk factor for enlargement; however, careful follow–up study is needed whenever the sac formation type of partially closed false lumen is identified.
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A phase II, randomized, controlled, double-blinded trial of weekly elesclomol plus paclitaxel versus paclitaxel alone for stage IV metastatic melanoma
Journal of Clinical Oncology, 10/19/2009
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O'Day S et al. – E + P resulted in a statistically significant doubling of median PFS, with an acceptable toxicity profile and encouraging OS. A ... 53 patients randomly assigned to E + P, and 28 patients randomly assigned to paclitaxelAddition of elesclomol to paclitaxel yielded doubling of median PFS (112 v 56 days) and 41.7% risk reduction for disease progression/death Respective RRs for E + P and paclitaxel groups were 15
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Arthroscopic Double-Pulley Remplissage Technique for Engaging Hill-Sachs Lesions in Anterior Shoulder Instability Repairs
Arthroscopy, 11/12/2009
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Koo SS et al. – The arthroscopic procedure is performed with the patient in the lateral decubitus position, and the same portals used for anterior instability repair are ... sutures are tied in the subacromial space over the infraspinatus by use of the transtendon double–pulley technique. This technique uses the eyelets of the 2 suture anchors as pulleys and creates a double–mattress suture.
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Repetitive H-Wave(R) device stimulation and program induces significant increases in the range of motion of post operative rotator cuff reconstruction in a double-blinded randomized placebo controlled human study.
BMC Musculoskeletal Disorders, 10/30/2009
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Blum K et al. – HWDS compared to PLACEBO induces a significant increase in range of ... investigation while suggestive of significant increases in Range of Motion of Post –Operative Rotator Cuff Reconstruction, warrants further confirmation in a larger double–blinded sham controlled randomized study.
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