ABSTRACT
Laparoscopic procedures have previously been shown to interfere little with respiratory homeostasis. This study was designed to determine whether respiratory homeostasis, as well as temperature, is maintained with longer laparoscopic procedures and cold carbon dioxide insufflation. This study examined 21 American Society of Anesthesiologists status I and II patients undergoing laparoscopic cholecystectomy. A constant minute ventilation (80 mL/kg per min) was instituted prior to peritoneal insufflation and end-tidal carbon dioxide measurements were followed throughout the procedure. Although they showed a small statistically significant increase (32.3 +/- 3.8 to 38.9 +/- 6.0 mmHg, P = 0.0001) they were not of clinical significance. Similarly, rectal temperature measurements showed a statistically, but not clinically, significant fall in temperature over the course of the procedures (36.4 +/- 0.46 to 36.2 +/- 0.35 degrees C, P = 0.0001). The changes in end-tidal carbon dioxide and temperature showed no correlation with the volume or carbon dioxide used. The above findings will, however, require further investigation in both longer procedures and patients with more significant disease.
Subject(s)
Body Temperature , Carbon Dioxide/analysis , Cholecystectomy, Laparoscopic , Humans , Insufflation , Tidal VolumeABSTRACT
A cross-sectional analytical survey was carried out to determine the extent and associations of compliance with consultants' recommendations for developmentally handicapped children to parents and front-line community professionals. Non-compliance was found to be a substantial problem. Several significant associations were found between clients' attitudes and beliefs about the recommendations and their compliance with them. These findings may prove useful in identifying clients at risk for non-compliance, and in developing strategies to enhance compliance among clients of developmental disability consultation services.
Subject(s)
Community Mental Health Services , Developmental Disabilities/rehabilitation , Patient Compliance , Referral and Consultation , Adolescent , Cerebral Palsy/rehabilitation , Child , Child, Preschool , Consumer Behavior , Education, Special , Epilepsy/rehabilitation , Female , Humans , Infant , Intellectual Disability/rehabilitation , Male , Nervous System Diseases/rehabilitation , Patient Care Team , Professional-Family Relations , SensationABSTRACT
Substantial data collected from large numbers of accessions, the need for comprehensive reporting of negative as well as positive laboratory findings, and the necessity for obtaining rapid diagnostic correlations prompted the development of a computer based system of accession data management for collection, storage, rapid retrieval, reporting, concording, and administrative compiling in a state-university Veterinary Medical Diagnostic Laboratory.
