PubMed · 4761350
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A K Bagchi. 1973-08-01. Editorial: Dadheechi's legatee.. https://pubmed.ncbi.nlm.nih.gov/4761350/
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The denervated heart requires significant changes in planning and implementing care. The loss of direct neural compensation in response to the body's demands is replaced by the denervated heart's reliance on preload augmentation to maintain cardiac output, stimulation of cardiac adrenergic receptor sites to promote inotropic and chronotropic responses, and the nurse's knowledge of transplant physiology to choose and administer directacting cardiovascular pharmacologic agents to treat common posttransplant complications and to safely and effectively manage the patient's care.
The parameters characterizing Listing's plane have been determined in a group of normal subjects, and in patients who have had unilateral vestibular deafferentation on the right or left side. All patients were well compensated. There was no statistically significant difference in the orientation of Listing's plane between either of these groups: Listing's plane was approximately perpendicular to the horizontal stereotaxic plane and showed a systematic temporal tilt, i.e., it tilted right for the right eye, and left for the left eye. We also found a considerable intersubject variability in the orientation of Listing's plane. The effect of this variability on the interpretation of three-dimensional eye position and velocity data is discussed.
The technique of bilateral total splanchnicectomy performed through a posterior thoracoscopic approach is described. The advantages of this route include excellent visual exposure of the neural anatomy of the sympathetic and avoidance of single lung anaesthesia. The procedure was performed for the relief of intractable pain in patients with advanced pancreatic cancer (n = 3) and patients suffering from chronic pancreatitis (n = 5). Persistent relief of pain until death was obtained in the patients with pancreatic cancer (2, 4, 6 months). In patients with chronic pancreatitis, the benefit to date has varied with the severity of the disease. In two patients with severe advanced disease and previous percutaneous blocks, the relief of pain lasted only 3 and 5 weeks and both patients required resection for renewed intractable pain. In three patients with minimal change disease, relief of pain has been good in the short term (maximum follow-up of 8 months). Bilateral thoracoscopic total splanchnicectomy merits further evaluation in patients with pancreatic pain. No complications including hypotension have been encountered.