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Cough fracture

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41. Ropivacaine via trans-cricothyroid membrane injection inhibits the extubation response in patients undergoing surgery for maxillary and mandibular fractures. (Full text)

, who required general anesthesia with nasotracheal intubation for maxillary and mandibular fracture surgery; patients were divided into the ropivacaine (20 mg) and dicaine (20 mg) groups. Both groups were injected via the trans-cricothyroid membrane. Mean arterial pressure (MAP), heart rate (HR), and incidence and severity of cough were recorded during intubation and extubation. During intubation, there was no significant intergroup difference in MAP or HR and no occurrence of coughing (P > 0.05 (...) Ropivacaine via trans-cricothyroid membrane injection inhibits the extubation response in patients undergoing surgery for maxillary and mandibular fractures. Extubation response can lead to cardiovascular and respiratory complications. Here, we aimed to evaluate the effect of ropivacaine injected via the trans-cricothyroid membrane on the extubation response. This prospective, double-blind, randomized study included 70 patients classified as American Society of Anesthesiologists status I-II

2014 Genetics and molecular research : GMR Controlled trial quality: uncertain PubMed abstract

42. Fractured and migrated tracheostomy tube in the tracheobronchial tree. (Abstract)

Fractured and migrated tracheostomy tube in the tracheobronchial tree. To study the clinical presentation and management of fractured tracheostomy tube (FTT) presenting as tracheobronchial foreign body (FB) in children.A retrospective chart review of children with a diagnosis of FTT, FB in tracheobronchial tree was carried out. Data regarding the patients' demographic details, diagnosis, clinical presentation and management were noted and analyzed.Total 8 cases (males 3 and females 5, average (...) age 8.8 years, range 1-15 years) wearing tracheostomy tube for an average period of 2 years (range 3 months-4 years) were found. Indications for tracheostomy were bilateral abductor palsy, subglottic stenosis and congenital subglottic hemangioma in 4 (50%), 3 (37.5%) and 1 (12.5%) cases, respectively. Classical triad of FB aspiration (coughing/choking, wheezing and reduced breath sounds) was present in 6 (75%) patients. Aspirated FTTs were Jackson's metallic inner tube, Romson's polyvinyl chloride

2014 International Journal of Pediatric Otorhinolaryngology

43. Nonoperative Treatment of Osteoporotic Compression Fractures (Diagnosis)

with a painful vertebral compression fracture typically describes an abrupt onset of pain during an atraumatic, low-exertion activity, such as coughing or sneezing. Therefore, patients should be given the pneumococcal vaccine and undergo yearly influenza vaccinations to reduce their risk of severe coughing (which can result in a vertebral compression fracture). Patients should be instructed in proper weight-bearing exercises and extension exercises. For patient education information, see eMedicineHealth's (...) Nonoperative Treatment of Osteoporotic Compression Fractures (Diagnosis) Nonoperative Treatment of Osteoporotic Compression Fractures: Overview, Treatment Assessment, Nonoperative Therapies Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine.com

44. Nonoperative Treatment of Osteoporotic Compression Fractures (Overview)

with a painful vertebral compression fracture typically describes an abrupt onset of pain during an atraumatic, low-exertion activity, such as coughing or sneezing. Therefore, patients should be given the pneumococcal vaccine and undergo yearly influenza vaccinations to reduce their risk of severe coughing (which can result in a vertebral compression fracture). Patients should be instructed in proper weight-bearing exercises and extension exercises. For patient education information, see eMedicineHealth's (...) Nonoperative Treatment of Osteoporotic Compression Fractures (Overview) Nonoperative Treatment of Osteoporotic Compression Fractures: Overview, Treatment Assessment, Nonoperative Therapies Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine.com

45. Nonoperative Treatment of Osteoporotic Compression Fractures (Treatment)

with a painful vertebral compression fracture typically describes an abrupt onset of pain during an atraumatic, low-exertion activity, such as coughing or sneezing. Therefore, patients should be given the pneumococcal vaccine and undergo yearly influenza vaccinations to reduce their risk of severe coughing (which can result in a vertebral compression fracture). Patients should be instructed in proper weight-bearing exercises and extension exercises. For patient education information, see eMedicineHealth's (...) Nonoperative Treatment of Osteoporotic Compression Fractures (Treatment) Nonoperative Treatment of Osteoporotic Compression Fractures: Overview, Treatment Assessment, Nonoperative Therapies Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine.com

46. Nonoperative Treatment of Osteoporotic Compression Fractures (Follow-up)

with a painful vertebral compression fracture typically describes an abrupt onset of pain during an atraumatic, low-exertion activity, such as coughing or sneezing. Therefore, patients should be given the pneumococcal vaccine and undergo yearly influenza vaccinations to reduce their risk of severe coughing (which can result in a vertebral compression fracture). Patients should be instructed in proper weight-bearing exercises and extension exercises. For patient education information, see eMedicineHealth's (...) Nonoperative Treatment of Osteoporotic Compression Fractures (Follow-up) Nonoperative Treatment of Osteoporotic Compression Fractures: Overview, Treatment Assessment, Nonoperative Therapies Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine.com

47. Fracture, Rib (Treatment)

and its complications, is often important. Holding a pillow or similar soft brace against the fracture site reduces discomfort while using the spirometer or when coughing. Pain control is fundamental to the management of rib fractures to decrease chest wall splinting and alveolar collapse in order to clear pulmonary secretions. Isolated rib fractures, without associated injuries, may be managed on an outpatient basis with oral analgesics, starting with NSAIDs if not contraindicated and progressing (...) in scanning for significant related injury. Several researchers recommend hospital admission for any patient with 3 or more rib fractures, and ICU care for elderly patients with 6 or more rib fractures. They cite the significant correlation between these findings and serious internal injuries, such as pneumothorax and pulmonary contusion. [ ] Patients with minor rib injuries able to cough and clear secretions may be discharged with adequate analgesic medications. Adequate analgesics are critical

2014 eMedicine Emergency Medicine

48. Fracture, Rib (Diagnosis)

, especially if symptoms and signs of neurovascular compromise are present. [ ] Pain control is fundamental to the management of rib fractures to decrease chest wall splinting and alveolar collapse in order to clear pulmonary secretions. Patients with minor rib injuries able to cough and clear secretions may be discharged with adequate analgesic medications. Intercostal nerve blocks provide pain relief without affecting respiratory function, although risks of this procedure include intravascular injection (...) Fracture, Rib (Diagnosis) Rib Fracture: Practice Essentials, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODI1OTgxLW92ZXJ2aWV3 processing > Rib Fracture Updated: Jun 13, 2017 Author

2014 eMedicine Emergency Medicine

49. Fracture, Rib (Overview)

, especially if symptoms and signs of neurovascular compromise are present. [ ] Pain control is fundamental to the management of rib fractures to decrease chest wall splinting and alveolar collapse in order to clear pulmonary secretions. Patients with minor rib injuries able to cough and clear secretions may be discharged with adequate analgesic medications. Intercostal nerve blocks provide pain relief without affecting respiratory function, although risks of this procedure include intravascular injection (...) Fracture, Rib (Overview) Rib Fracture: Practice Essentials, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODI1OTgxLW92ZXJ2aWV3 processing > Rib Fracture Updated: Jun 13, 2017 Author

2014 eMedicine Emergency Medicine

50. Fracture, Rib (Follow-up)

and its complications, is often important. Holding a pillow or similar soft brace against the fracture site reduces discomfort while using the spirometer or when coughing. Pain control is fundamental to the management of rib fractures to decrease chest wall splinting and alveolar collapse in order to clear pulmonary secretions. Isolated rib fractures, without associated injuries, may be managed on an outpatient basis with oral analgesics, starting with NSAIDs if not contraindicated and progressing (...) in scanning for significant related injury. Several researchers recommend hospital admission for any patient with 3 or more rib fractures, and ICU care for elderly patients with 6 or more rib fractures. They cite the significant correlation between these findings and serious internal injuries, such as pneumothorax and pulmonary contusion. [ ] Patients with minor rib injuries able to cough and clear secretions may be discharged with adequate analgesic medications. Adequate analgesics are critical

2014 eMedicine Emergency Medicine

51. Coughing in Infratentorial Brain Lesion Patients

Coughing in Infratentorial Brain Lesion Patients Coughing in Infratentorial Brain Lesion Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Coughing in Infratentorial Brain Lesion Patients The safety (...) to Brief Summary: To record diaphragm excursion in infratentorial brain lesions patients with dysphagia during coughing and compare them to those with supratentorial brain lesion patients with dysphasia and those with no dysphagia at a university affiliated rehabilitation department. Condition or disease Intervention/treatment Stroke Other: Not applicable (observational study with no active intervention) Detailed Description: Our previous work has shown that stroke patients with dysphagia have impaired

2014 Clinical Trials

52. Reflexive Coughing Force in Silent Aspirators

Reflexive Coughing Force in Silent Aspirators Reflexive Coughing Force in Severe Aspirators - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Reflexive Coughing Force in Severe Aspirators The safety (...) to Brief Summary: To assess coughing force during reflex coughing test in those with severe dysphagia and severe aspiration and compare them to than those with stroke patients with no signs of dysphagia/aspiration. Condition or disease Stroke Detailed Description: Severe aspiration with a compromised cough function can be a risk factor of aspiration pneumonia. Reflexive coughing can be tested by administration of citric acid via a nebulizer. The objective of this study is to measure the cough force

2014 Clinical Trials

53. Comparison thoracic epidural and intercostal block to improve ventilation parameters and reduce pain in patients with multiple rib fractures. (Full text)

for a severe chest wall injury is a continuous epidural infusion of local anesthetic. This provides complete analgesia allowing inspiration and coughing without of the risk of respiratory depression.sixty adult patients who with multiple rib fractures were enrolled in this study. They were divided into Group A or thoracic epidural with bupivacaine 0.125 % +1mg/5ml morphine and group B or intercostal block with 0.25% bupivacaine. The patients were assessed through ICU and hospital stay length, ventilation (...) Comparison thoracic epidural and intercostal block to improve ventilation parameters and reduce pain in patients with multiple rib fractures. Chest wall blunt trauma causes multiple rib fractures and will often be associated with significant pain and may compromise ventilator mechanics. Analgesia has great roll in rib fracture therapies, opioid are useful, but when used as sole agent may require such high dose that they produce respiratory depression, especially in elderly .the best analgesia

2013 Journal of cardiovascular and thoracic research Controlled trial quality: uncertain PubMed abstract

54. Suprascaular Neuropathy with Distal clavicle fracture

Suprascaular Neuropathy with Distal clavicle fracture Suprascaular Neuropathy with Distal clavicle fracture - Sumer's Radiology Blog Top Ad unit 728 × 90 Radiology News radiology Suprascaular Neuropathy with Distal clavicle fracture Suprascaular Neuropathy with Distal clavicle fracture Suprascaular Neuropathy with Distal clavicle fracture Reviewed by Sumer Sethi on Friday, August 19, 2016 Rating: 5 Tags : Sumer Sethi About Dr. Sumer Sethi Number of Entries : 35 Unique blend of academic (...) fracture of right side better ... We live in an era where a scientist has to think about being politically correct. Think about it. ----------------------------------- ... Radiology is an increasingly favored specialty for medical graduates. Here is my attempt to explain the charm of this branch. 6 year child shows T2/FLAIR white matter hyperintensity in the bilateral periventricular white matter along with paucity of white matter a... But test results provide little insight into how he died King Tut

2016 Sumer's Radiology Blog

55. Rib Fracture

without multiple or displaced Rib Fractures) Delayed occurs in 2-5% of cases occurs in up to 31% of elderly with Rib Fractures Non-union can occur Immediate re-evaluation Increasing pain Productive cough Not improving Follow-up in 48 to 72 hours Routine re-evaluation Follow-up in 1-2 weeks for pain management Expect 6 weeks for complete healing Hospitalization indications Older patients Especially consider admission if debilitated or serious comorbidity ( , CAD, liver or renal disease) Higher risk (...) Rib Fracture Rib Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Rib Fracture Rib Fracture Aka: Rib Fracture II

2015 FP Notebook

56. Percutaneous vertebroplasty for treatment of painful osteoporotic vertebral compression fractures: an evidence-based analysis. (Abstract)

Percutaneous vertebroplasty for treatment of painful osteoporotic vertebral compression fractures: an evidence-based analysis. OBJECTIVE OF ANALYSIS: The objective of this analysis is to examine the safety and effectiveness of percutaneous vertebroplasty for treatment of osteoporotic vertebral compression fractures (VCFs) compared with conservative treatment.Osteoporosis and associated fractures are important health issues in ageing populations. Vertebral compression fracture secondary (...) to osteoporosis is a cause of morbidity in older adults. VCFs can affect both genders, but are more common among elderly females and can occur as a result of a fall or a minor trauma. The fracture may occur spontaneously during a simple activity such as picking up an object or rising up from a chair. Pain originating from the fracture site frequently increases with weight bearing. It is most severe during the first few weeks and decreases with rest and inactivity. Traditional treatment of painful VCFs

2012 Ontario health technology assessment series Controlled trial quality: predicted high

57. A peculiar blow-out fracture of the inferior orbital wall complicated by extensive subcutaneous emphysema: A case report and review of the literature (Full text)

A peculiar blow-out fracture of the inferior orbital wall complicated by extensive subcutaneous emphysema: A case report and review of the literature Blow-out fracture of the orbit is a common injury. However, not many cases are associated with massive subcutaneous emphysema. Even fewer cases are caused by minor trauma or are associated with barotrauma to the orbit due to sneezing, coughing, or vomiting. The authors present a case of blow-out fracture complicated by extensive subcutaneous (...) of the orbit. In 50% of cases, they are complicated by orbital emphysema and in 4% of cases by herniation of orbital soft tissues into paranasal sinuses. The occurrence of orbital emphysema without trauma is unusual. In some cases it seems to be related to barotrauma due to a rapid increase in pressure in the upper airways during sneezing, coughing, or vomiting, which very rarely leads to orbital wall fracture. Computed tomography is the most accurate method in detecting and assessing the extent of orbital

2012 Polish Journal of Radiology PubMed abstract

58. Patients With Rib Fractures Do Not Develop Delayed Pneumonia: A Prospective, Multicenter Cohort Study of Minor Thoracic Injury. (Abstract)

rib fracture, 87 (8.2%) had asthma, and 36 (3.4%) had chronic obstructive pulmonary disease. Only 6 patients (0.6%; 95% confidence interval 0.24% to 1.17%) developed pneumonia during the follow-up period. The relative risk for patients with preexistent pulmonary disease and radiologically proven rib fractures was 8.6 (P=.045; 95% confidence interval 1.05 to 70.9). Sex, smoking habit, initial atelectasis, ability to cough, and alcohol intoxication were not significantly associated with delayed (...) Patients With Rib Fractures Do Not Develop Delayed Pneumonia: A Prospective, Multicenter Cohort Study of Minor Thoracic Injury. Patients admitted to emergency departments (EDs) for minor thoracic injuries are possibly at risk of delayed pneumonia. We aimed to evaluate the incidence of delayed pneumonia post-minor thoracic injury and the associated risk factors.A prospective, multicenter cohort study was conducted in 4 Canadian EDs, from November 2006 to November 2010. All consecutive patients

2012 Annals of Emergency Medicine

59. Stress fracture of femoral neck-MRI

Stress fracture of femoral neck-MRI Stress fracture of femoral neck-MRI - Sumer's Radiology Blog Top Ad unit 728 × 90 Radiology News radiology Stress fracture of femoral neck-MRI Stress fracture of femoral neck-MRI Teaching points by Dr MGK Murthy, MRI technologist: Mr Afroz Stress fractures of femoral neck are uncommon and usually unilateral and seen in military recruits and athletes with unusual physical activity demands. Women more often involved and in post menopausal women,osteoporosis may (...) play a role. Xray may not demonstrate. If symmetrical, bilateral incomplete fractures seen , osteomalacia is the first possibility Stress fractures are of two varieties (a) superior surface involvement called tension fractures can and do progress and displace (b) Inferior surface fracture called compression variety is stable and shows callus on all modalities usually MRI is good modality to show linear fracture line and marrow edema on either side . Bone scan is also diagnostic like other locations

2015 Sumer's Radiology Blog

60. Calcaneal Stress Fracture

Calcaneal Stress Fracture Calcaneal Stress Fracture - Sumer's Radiology Blog Top Ad unit 728 × 90 Radiology News radiology Calcaneal Stress Fracture Calcaneal Stress Fracture Calcaneal Stress Fracture Reviewed by Sumer Sethi on Tuesday, December 22, 2015 Rating: 5 Tags : Sumer Sethi About Dr. Sumer Sethi Number of Entries : 35 Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company providing teleradiology services (...) in multiple international journals. Musculoskeletal radiology No comments: Subscribe to: Search This Blog Labels Popular Posts Teaching points by Dr MGK Murthy Pedicloryl has now become omnipresent in all Radiology departments for sedating children. Chemic... Young adult presented with lateral force injury and right nasal bone tenderness pictures show possible high fracture of right side better ... We live in an era where a scientist has to think about being politically correct. Think about

2015 Sumer's Radiology Blog

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