ABSTRACT
Some of the challenges in intensive care, anesthesia, and emergency medicine would be airway management in an actively vomiting patient or a bloody airway. We experienced a patient with an excessively full stomach (at least 3 L) due to gastric outlet obstruction, although he was scheduled for elective surgery. Despite such circumstances, we successfully intubated him using the suctionassisted laryngoscopy assisted decontamination technique with the patient in a head-down tilt position during massive regurgitation while avoiding resultant pulmonary aspiration.
ABSTRACT
Some of the challenges in intensive care, anesthesia, and emergency medicine would be airway management in an actively vomiting patient or a bloody airway. We experienced a patient with an excessively full stomach (at least 3 L) due to gastric outlet obstruction, although he was scheduled for elective surgery. Despite such circumstances, we successfully intubated him using the suctionassisted laryngoscopy assisted decontamination technique with the patient in a head-down tilt position during massive regurgitation while avoiding resultant pulmonary aspiration.
ABSTRACT
Inorganic bovine bone mineral has been widely researched as bone substitution materials in orthopedic and oral and maxillofacial application. OCS-B(NIBEC, Korea) is newly-developed inorganic bovine bone mineral. The aim of this study is to evaluate the safety and efficacy of bovine bone-derived bone graft material(OCS-B). Micro-structure of newly-developed inorganic bovine bone mineral(OCS-B) was analyzed by scanning electron microscope(SEM). Round cranial defects with eight mm diameter were made and filled with OCS-B in rabbits. OCS-B was inserted into femoral quadrant muscle in mouse. In scanning electron microscope, OCS-B was equal to natural hydroxyapatite. Rabbits were sacrificed at 2 weeks and 4 weeks after surgery and mice were sacrificed at 1 week and 2 weeks after surgery. Decalcified specimens were prepared and observed by microscope. In calvarial defects, osteoid and new bone were formed in the neighborhood of OCS-B at 2 weeks after surgery. And at 4 weeks after surgery osteoid and new bone bridge formed flourishingly. No inflammatory cells were seen on the surface of OCS-B at 1 week and 2 weeks in mouse experimental group. It is concluded that newly-developed inorganic bovine bone mineral(OCS-B) is a flourishing bone-forming material and biocompatible material.
Subject(s)
Animals , Mice , Rabbits , Bone Regeneration , Durapatite , Orthopedics , Residence Characteristics , TransplantsABSTRACT
This is a case report of miliary tuberculosis in adult with normal simple chest X-ray finding in early state of FUO. Miliary tuberculosis is fatal, which have nonspecific presenting symptoms. Then, a high index of suspicion and diagnostic persistence, are required for early treatment and cure.