Evacuation Of Secretions Research Articles

Artificial Airway Suctioning: A Systematic Review.

Airway suctioning is routinely performed in the majority of care circumstances, including acute care, subacute care, home-based settings, and long-term care. Using an artificial airway to suction the patient allows for the mobilization and evacuation of secretions. When a patient can't independently remove all of the secretions from their respiratory tract, suction is used. This can occur when the body produces excessive secretion or it is not eliminated quickly enough, causing the respiratory system's upper and lower respiratory secretions to accumulate. Airway blockage and inadequate breathing may result from this. Ultimately, this leads to a shortage of oxygen and carbon dioxide from the air, both of which are necessary for ideal cellular activity. Artificial airway suctioning is one of the most crucial components of airway care and a core competency for medical professionals trying to ensure airway patency. Artificial airway suctioning is a standard treatment carried out every day globally and is frequently done in both outpatient and inpatient patients. Therefore, specialists must know the safest and most efficient ways to perform surgery and any potential side effects. In ventilated infants and children, the removal of obstructive secretions by endotracheal suctioning is frequently done. It is unknown how suctioning affects the mechanics of breathing. This study used a prospective observational clinical design to examine the immediate impact of airway resistance in endotracheal suctioning, tidal volume, and dynamic lung regulation in mechanically ventilated adult patients and mechanically ventilated pediatric patients. The preparation, process, and indications for intraoperative fusion treatment in various circumstances are covered in this systematic review.

Clinical implantation of 92 VACStents in the upper gastrointestinal tract of 50 patients-applicability and safety analysis of an innovative endoscopic concept.

Endoscopic vacuum therapy (EVT) has emerged as a promising treatment option for upper gastrointestinal wall defects, offering benefits such as evacuation of secretions and removal of wound debris by suction, and reduction and healing of wound cavities to improve clinical outcomes. In contrast, covered stents have a high rate of migration and lack functional drainage, while endoluminal EVT devices obstruct the GI tract. The VACStent is a novel device that combines the benefits of EVT and stent placement. Its design features a fully covered Nitinol-stent within a polyurethane sponge cylinder, enabling EVT while maintaining stent patency. This study analyzes the pooled data from three different prospective study cohorts to assess the safe practicality of VACStent placement, complete leak coverage, and effective suction-treatment of esophageal leaks. By pooling the data, the study aims to provide a broader base for analysis. In total, trans-nasal derivation of the catheter, suction and drainage of secretion via vacuum pump were performed without any adversity. In the pooled study cohort of 92 VACStent applications, the mean stent indwelling time was 5.2 days (range 2-8 days) without any dislocation of the device. Removal of the VACStent was done without complication, in one case the sponge was lost but subsequently fully preserved. Minor local erosions and bleeding and one subsequent hemostasis were recorded unfrequently during withdrawal of the device (5.4%, 5/92) but no perforation or pressure ulcer. Despite a high heterogeneity regarding primary disease and pretreatments a cure rate of 76% (38/50 patients) could be achieved. In summary, insertion and release procedure was regarded as easy and simple with a low potential of dislocation. The VACStent was well tolerated by the patient while keeping the drainage function of the sponge achieving directly a wound closure by continuous suction and improving the healing process. The implantation of the VACStent provides a promising new procedure for improved clinical treatment in various indications of the upper gastrointestinal wall, which should be validated in larger clinical studies.Clinical Trial Registration: Identifier [DRKS00016048 and NCT04884334].

Physiotherapeutic management of a patient after craniocerebral trauma in the intensive care unit - case study.

Introduction Craniocerebral injuries are one of the most common causes of mortality and disability in Poland. The treatment of patients who are in an intensive care unit is based primarily on stabilizing the patient’s general condition as well as basic duties according to the patient’s functioning. Aim The aim of this study is to demonstrate the importance of early rehabilitation and the role of physiotherapy in recovery after craniocerebral trauma. Case study The subject was an 18-year-old patient who suffered craniocerebral trauma as a result of a road accident. After losing consciousness, he was in the intensive care unit, where he was placed on a medical ventilator. A properly selected physiotherapeutic procedure was performed. Passive exercises, contracture correction and appropriate positioning were used. To prevent pressure sores, anti-bedsore prophylaxis was implemented. Respiratory therapy played a key role. The goal of respiratory physiotherapy was to improve respiratory function by maintaining proper lung ventilation, increasing chest and diaphragm mobility along with maintaining the efficiency of respiratory muscles, as well as stimulating effective coughing and evacuation of secretions. The NDT-Bobath concept was used as therapy for spastic tension. The goal of the therapy was to get rid of pathological movement patterns and replace them with physiological patterns. The PNF method, classical and lymphatic massage, polysensory stimulation and music therapy were also used. Conclusions Early and comprehensive rehabilitation in a patient after craniocerebral trauma is extremely important and determines therapeutic effectiveness. Comprehensive therapy and care are able to prevent a number of complications that threaten the patient as a result of immobilization.

Intraneural ganglion of the peroneal nerve: a report of 3 cases and literature review

The objective is to report 3 cases of intraneural cyst (ganglion) of the peroneal nerve and compare our own findings with the data from scientific literature.Case reports. Three patients with intraneural ganglions of the common peroneal nerve were treated in the Department of Neurosurgery, A.Ya. Kozhevnikov Clinic of Nervous Diseases, I.M. Sechenov First Moscow State Medical University between 2013 and 2019. All patients underwent extensive dissection of the cyst wall, evacuation of secretion; 2 of them had ligation of the articular nerve branch, while in one patient, the articular branch was not revealed. Complete nerve recovery was registered in all cases.Conclusion. We believe that ganglion dissection using microsurgical techniques with surgical microscope is a safe and noncomplex procedure; therefore, the avoidance of this manipulation seems unjustified.Conflict of interest. The authors declare no conflict of interest.Informed consent. All patients gave written informed consent to the publication of their data.

Reduction of ventilator-associated pneumonia using the AnapnoGuard system

Ventilator-associated pneumonia (VAP) is a common complication in mechanically ventilated patients. Frequently the pathogens responsible derive from aspirated secretions of the upper respiratory tract or the stomach. In order to prevent aspiration, two missions should be attained: a good tracheal cuff seal with a well-tolerated pressure, together with continuous evacuation of secretions from the subglottic space. These two goals can be achieved using the AnapnoGuard system and its related endotracheal tube (ETT).

Study of inhaling salbutamol to improve pulmonary function of infants with acute episode of asthma

Objective It is to observe the change of the pulmonary function before and after inhaling the salbutamol by iofants with acute episode of asthma in order to objectively estimate the medicine influence on the air way resistance of the young children.Methods Forty-nine infants with light and rnidrange acute episode of asthma were divided into two groups according to age,32 infants were 1～3 years old and 17 ones were younger than one.0.25 ml atomizing 0.5% salbutamol sulfate was inhaled each time. The ptdmonary function was checked respectively in 30 minutes before and after inhaling. Examine the change of tidal breathing flow volume (TBFV loop), ratio of tidal volume to peak tidal expiratory flow (%V-PF), terminal flows per peak expiratory flow (25/PF),and rate of mid-expiratory to mid-inspiratory (ME/MI) to expose the condition of the air way resistance. Results In the group of young children with one to three years old, the indexes of the pulmonary function were improved after inhaling the medicine, and aresigniticantly compared with which before inhaling (P 0.05) after treating. Conclusion Inhaling the atomizing 0.5 % salbutamol sulfate can effectively improve the pulmonary function of the young children with acute episode of asthma and reduce air way resistance,therefore, the key to cure this disease is evacuation of secretion in airway and anti-inflammation for the infants. Key words: Asthma; Salbutamol; Pulmonary

Cytology of the Glands Associated with the Alimentary Tract of Domestic Fowl (Gallus Domesticus)

Salivary glands The onset of secretion is marked by hypertrophy of the Golgi material. During the secretory phase the mitochondria lie parallel to the long axis of the cell. Secretory granules are first visible in close association with the Golgi material. Feeding brings about the evacuation of the secretion. Evacuation of secretion is total; regeneration of the cell precedes the next secretory phase. Pancreas The Golgi material enlarges during the onset of secretion. Few changes were observed in the morphology of the mitochondria. Secretory granules are first visible in close association with the Golgi material. Later they move towards the acinar lumen. Feeding brings about evacuation of the secretion granules, but total evacuation does not take place. Liver The morphology of the Golgi material changes considerably during the production of the secretory granules. Granular mitochondria predominate after a 24-hours' fast. Rods and filaments are prevalent after feeding. During the secretory phase the mitochondria lie parallel to the long axis of the cell. The secretory granules are first visible in association with the Golgi material. Free secretory granules are not visible until 6 hours after feeding.