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J J QUINLAN

Publications and source records attributed to J J QUINLAN.

18 recordsLinked to original sources

HYTRAST: A NEW CONTRAST MEDIUM FOR BRONCHOGRAPHY.

In 1962 Hytrast, an aqueous suspension containing 50% w/v of combined iodine as a mixture of N-(2,3-dihydroxypropyl)-3,5-diiodopyridone-4 and 3,5-diiodopyridone-4, was introduced as a contrast medium for bronchography. Extensive clinical trials had suggested that this agent was superior to products usually employed for this purpose. At the Nova Scotia Sanatorium, Hytrast was used as a bronchographic contrast medium in 31 consecutive cases. For comparison purposes, the records of the first 50 patients in whom another contrast medium, Dionosil Oily, was used were reviewed. In all cases the contrast medium was introduced through a catheter passed into the bronchus with the aid of a laryngeal mirror, after local anesthesia was induced by pontocaine 2%. Experience in this limited number of cases was at variance with most published results. Hytrast was more irritating than Dionosil Oily, had a greater tendency to produce alveolarization, caused more frequent undesirable sequelae, and was retained in the lung for prolonged periods.

Adolescent↗

The ulcerating tuberculous hilar gland.

In primary infection tuberculosis, the infected hilar gland(s) may cause involvement of peripheral lung tissue not only by pressure but also by rupture and discharge of caseous material into a bronchus. Atelectasis or lung infection or both may result and bronchiectasis may ensue.Early bronchoscopy is required when this form of tuberculosis fails to subside promptly under treatment.Bronchography is indicated to detect residual bronchiectasis which should be removed surgically.Three of six proved cases of Group A tuberculous tracheobronchitis caused by an ulcerating hilar gland required pulmonary resection for removal of residual bronchiectasis; two of these were complicated by atelectasis. All six patients are alive and well.

Body Fluids↗

Lung resection for tuberculosis in children.

At the Nova Scotia Sanatorium from 1944 to 1959 lung resection for tuberculosis was carried out in 1257 instances. Of these, 44 operations were performed on 41 children from 5 to 15 years of age. Two patients had bilateral surgery, and in two others a second homolateral resection was necessary. Twenty-five per cent of the operations were done for the "middle lobe syndrome", the remainder for the reinfection type of tuberculosis. Two children died, one in the early postoperative period, of pulmonary edema, and the other six years after a second homolateral resection for progression of her tuberculous disease. Complications occurred in 20% of cases, of which 18% were early and reversible. Thirty-eight of the survivors have fully recovered and the other has improved.Pulmonary resection is required infrequently in children with tuberculosis. When it is indicated, the results are excellent. These young patients withstand major thoracic surgery extremely well.

Child↗