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At least 739 records · Page 41Linked to original sources
PubMed2003

Cardiac risk and perioperative management.

Cardiovascular complications are the major cause of perioperative and late morbidity and mortality in patients undergoing major vascular surgery. This is related to the frequent presence of underlying coronary artery disease (CAD). CAD may be asymptomatic because of reduced exercise capacity due to pre-existing non-cardiac conditions like stroke or claudication. Careful preoperative evaluation of CAD and perioperative management with beta-blockers and statins may offer the physician a unique opportunity to improve patients' perioperative and long-term outcome.

Adrenergic beta-Antagonists↗
PubMed1989

Old and new in chest physiotherapy.

Some "old" chest physiotherapy techniques, such as postural drainage of bronchial secretions, breathing control, relaxation, pre- and post-surgical treatments and exercise training have survived until today because of their unquestionable and persistent validity. This does not mean that in this field of rehabilitation medicine nothing new exists. Chest physiotherapy has now completely overcome the empirical phase that characterized every branch of medicine during its early development. We now employ mainly respiratory pathophysiology techniques for objective evaluation of physiotherapy efficacy. For example we use transcutaneous monitoring of blood gas variations during therapy. Among new chest physiotherapy techniques, biofeedback training may lead to better relaxation in a shorter time, and it is now widely used in breathing control. Jet-ventilation and percussion-ventilation seem likely to mark a further improvement in bronchial secretion drainage. Concerning the future of chest physiotherapy, the recent advances in the physiology and pathophysiology of respiratory muscles are disclosing important practical implications, e.g. in defining criteria for respiratory muscle training and rest in chronic respiratory failure.

Breathing Exercises↗
PubMed1980

[The treatment of Dupuytren's contracture from the medical gymnastic standpoint].

A special treatment program has been developed for each individual patient. Each day the patient receives three different treatment modalities--active exercises, passive exercises and electrical stimulation. On days when X-ray therapy is administered, the patient performs only active exercises and receives no electrical stimulation. The patient is also directed to perform certain exercises at home. Patients are advised strongly against the use of hot baths. Dynamic splints are adjusted regularly. In winter and during cold weather, patients are instructed to wear gloves. This therapy, combined with meticulous surgical technique, permits the rehabilitation of most hands affected by Dupuytren's contracture. The goal of rehabilitation is tailored to the needs of the patient and should include a sufficiently strong grasp, chuck pinch and possibly a good pulp pinch. When necessary, the therapy should be continued for long periods of time because a small gain in mobility may represent a significant improvement in overall function of the hand.

Dupuytren Contracture↗
PubMedDate not supplied

[Pulmonary function in adolescents with idiopathic thoracic scoliosis before and after surgical correction].

The purpose of this study has been to establish pulmonary function improvement achievable by surgical correction of the scoliotic curve as compared with the achieved curve correction. The study comprised two distinct groups of patients with an average age of 15 years with idiopathic thoracic scoliosis. The first group of 33 patients were treated surgically: an average Cobb angle of 72 degrees was postoperatively reduced to 32.6 degrees. The second group of 30 patients of the same age with an average Cobb angle of 33 degrees who were not treated surgically. Cardiorespiratory function parameters were tested--preoperatively and 24 months after surgery--by spirometry and plethysmography, arterial blood gas analysis, and the exercise tolerance test. The results of the tests have demonstrated that correction of the scoliotic curve improves pulmonary function: however, the improvement does not match the degree of achieved scoliotic curve correction. Statistical analysis surgically and nonsurgically treated patients with the same degree of spinal curvature disclosed a difference in cardiopulmonary function--specifically, ther VC and PaO2 variables--to the advantage of nonsurgically treated patients. This observation suggests partial irreversibility of ventilation and perfusion in surgically treated patients.

Adolescent↗
PubMed1997

Prevention and treatment of lymphedema after breast cancer.

Through personal experience, these two health care professionals discovered that the threat of lymphedema and its risk factors is often underestimated by clinicians. What they learned may help you provide better care for your patients with breast cancer.

Breast Neoplasms↗