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Biomedical subjects

J J Benjamin

Publications and source records attributed to J J Benjamin.

8 recordsLinked to original sources

Left lower lobe atelectasis and consolidation following cardiac surgery: the effect of topical cooling on the phrenic nerve.

Retrospective and prospective analyses of chest radiographs of patients following coronary artery bypass surgery were undertaken. Left lower lobe pulmonary infiltrate and/or atelectasis developed in 13 of 40 (32.5%) patients who were operated upon without topical cooling of the heart with ice, and in 77 of 122 (63.1%) patients in one group and 34 of 40 (85.0%) patients in another group who were operated upon with topical cooling of the heart with ice. This difference was highly significant (p less than 0.001). Of the patients in one group in whom left lower lobe abnormality developed, 69.2% had paralysis or paresis of the left hemidiaphragm. It is evident that application of ice to the phrenic nerve can lead to temporary paralysis of the left of the diaphragm, with subsequent development of left lower lobe pulmonary infiltrate and/or atelectasis.

Coronary Artery Bypass↗

Measurement of regional lung function in the early detection of chronic obstructive pulmonary disease.

Radioisotopic regional lung function measurements using both 99mTc-labeled albumin microspheres and inhaled 133Xe were compared to measurements of total lung function in a population of 30 participants in an epidemiological study of the causative factors of obstructive pulmonary disease. Five of the 8 asymptomatic subjects who had no evidence of obstruction by the tests of total function had abnormal regional lung function measurements. The closing volume was abnormal in three of these five, suggesting the presence of small airways disease. Regional lung function was abnormal in all subjects who were symptomatic, who had a FEV1/FVC less than 75%, or who had an elevated closing volume or residual volume. The data indicate that the measurement of regional lung function may be a highly sensitive test for the early diagnosis of chronic obstructive pulmonary disease.

Adolescent↗

Chronic obstructive pulmonary disease and alpha-1-antitrypsin (Pi) variation: a family study.

A kindred of a white male proband with alpha1-antitrypsin deficiency, ZZ phenotype, and a severe obstructive ventilatory defect secondary to pulmonary emphysema was studied with regard to alpha1-antitrypsin phenotype, serum trypsin inhibitory capacity (T.I.C.), and pulmonary function. T.I.C.'s and alpha1-antitrypsin phenotypes were consistent with autosomal codominant inheritance. While MZ relatives as well as the proband had pulmonary function abnormalities, the pattern varied within the kindred and abnormalities were observed in some MM relatives also.

Adolescent↗