Subject(s)
Graft Rejection/diagnosis , Graft vs Host Disease/diagnosis , Intestine, Small/transplantation , Liver Transplantation/immunology , Lymphocytes/immunology , Transplantation, Homologous/immunology , Animals , Female , Graft Rejection/blood , Graft Rejection/immunology , Graft vs Host Disease/blood , Graft vs Host Disease/immunology , Liver Transplantation/methods , Lymph Nodes/immunology , Lymphocyte Activation , Monitoring, Immunologic/methods , Swine , Time Factors , Transplantation, Homologous/methodsSubject(s)
Amanita , Heart Transplantation/physiology , Hepatic Encephalopathy/etiology , Kidney Transplantation/physiology , Mushroom Poisoning , Tissue Donors , Adolescent , Brain Death , Child , Corneal Transplantation , Fatal Outcome , Humans , Kidney Function Tests , Liver Function Tests , Male , Survival RateSubject(s)
Immunosuppressive Agents/therapeutic use , Intestine, Small/transplantation , Liver Transplantation/immunology , Transplantation, Homologous/immunology , Animals , Azathioprine/therapeutic use , Cyclosporine/therapeutic use , Drug Therapy, Combination , Female , Intestine, Small/physiology , Liver Transplantation/methods , Liver Transplantation/physiology , Postoperative Complications , Steroids/therapeutic use , Swine , Tacrolimus/therapeutic use , Transplantation, Homologous/methods , Transplantation, Homologous/physiologySubject(s)
Esophageal and Gastric Varices/drug therapy , Hemorrhage/prevention & control , Liver Transplantation , Nadolol/therapeutic use , Propranolol/therapeutic use , Adult , Cardiac Output , Esophageal and Gastric Varices/physiopathology , Female , Heart Rate , Humans , Liver Cirrhosis/surgery , Liver Cirrhosis, Alcoholic/surgery , Male , Middle Aged , Monitoring, Intraoperative , Oxygen/blood , Risk FactorsABSTRACT
Authors report a case of renal cell carcinoma in a patient suffering from cavitary tuberculosis. Nephrectomy was carried out in epidural anaesthesia together with Propofol continuous infusion and maintaining the patient in spontaneous breathing. The epidural anaesthesia avoided the possible pulmonary complications due to Nitrous Oxide and artificial ventilation. The combination of epidural anaesthesia with Propofol infusion gave both a better operability and a higher therapeutic compliance. The indications to this anaesthesiological method are analysed and discussed herein.
Subject(s)
Anesthesia, Epidural , Carcinoma, Renal Cell/surgery , Kidney Neoplasms/surgery , Nephrectomy , Propofol , Tuberculosis, Pulmonary/complications , Bupivacaine , Carcinoma, Renal Cell/complications , Humans , Infusions, Intravenous , Kidney Neoplasms/complications , Male , Middle AgedSubject(s)
Anesthesia, General/methods , Emergencies , Propofol/administration & dosage , Adult , Aged , Humans , Infusions, Intravenous , Middle Aged , RespirationABSTRACT
The equilibrium kinetic of two different amino acid solutions was investigated in ten catabolic patients (Parentamin, Pierrel; HBC, Baxter). Plasma amino acid pattern was determined on arterial samples before TPN and several times over 48 hours of TPN. Nitrogen balance was measured from 24 hours urine collection. Three different cinetic trends were found: a fast modification (diminution or increase), a slow adaptation, or no modification of plasmatic levels, however each amino acid reached a steady state plateau. The adequacy of the infusion of each amino acid was evaluated comparing its steady-state plasma level to the after lunch level in healthy man. This made possible to approximate metabolic needs of each of the infused amino acids and to identify the inadequacy of some metabolic pathways to synthetized non essential amino acids lacking in solutions. This made possible to identify amino acids infused in excess or in defect, and those infused in dose adapt to the metabolic needs of such patients.
Subject(s)
Amino Acids/pharmacokinetics , Adolescent , Adult , Amino Acids/administration & dosage , Female , Humans , Infusions, Intravenous , Male , Middle Aged , SolutionsABSTRACT
Nitrogen metabolism was studied in ten injured/septic patients by means of a two compartment model, differentiating muscle from non muscle (central) tissue. During fasting muscle tissue loses a consistent amount of aminoacids which is retained in part by central tissue, giving rise to a positive nitrogen balance, whilst three methyl histidine and body nitrogen output are elevated. Total parenteral nutrition (glucose 15 kcal kg-1 day-1, nitrogen 0.30 g kg-1 die-1) improved body nitrogen balance and three methyl histidine excretion, but did not affect significantly either muscle or central nitrogen balance. Increasing caloric support to 30 kcal kg-1 day-1 did not showed any further effect on body nitrogen balance and three methyl histidine, while it improved significantly vs basal muscle nitrogen balance, but did not affect central nitrogen balance.