Search Results

You are looking at 1 - 10 of 1,764 items for :

  • "intensive care unit" x
Clear All
Restricted access

Ayub K. Ommaya and Maitland Baldwin

. However, hemostasis is made easier because the slightest bleeding shows as a red streak moving through a crystal-clear pool of fluid. By following this path the bleeding vessel is uncovered easily and clipped and/or coagulated. An important advantage of this method over current ones of local intravascular perfusion is that postoperative hypothermia is possible. This may be done at the patient's bedside, in an intensive-care unit, or as a dressing-room procedure by connecting to the hypothermia unit catheters and tubes left in position at the time of operation. The

Restricted access

Lester A. Mount

the ship is composed of talented, highly motivated, cooperative and friendly people who are devoted to the Project. The facilities for neursurgery in the operating room at the moment are minimal. However, I was able to do such things as a craniotomy and a partial cervical hemilaminectomy with removal of disc and spur. I have ordered about $1000 worth of supplies consisting of instruments and a head holder so that they soon will be adequate. There is an intensive care unit where patients are taken after operation and where they remain as long as necessary before

Restricted access

Psychogenic Diabetes Insipidus

A Case Report with Description of Certain Differential Diagnostic Procedures

Leonard Reaves III,, Joseph Cauthen and Francisco Garcia-Bengochea

plant. Subsequent electric-shock therapy improved his mood, but the marked degree of polydipsia and polyuria continued. There was no history of headache, seizures, visual disturbances, motor or sensory deficit, diabetes mellitus, renal disease, anorexia, or loss of weight. He was referred to the University Hospital with a tentative diagnosis of true diabetes insipidus secondary to a suspected brain tumor. Examination. No focal neurological deficit could be demonstrated. The patient was oriented, intelligent, and very anxious. He was placed in the intensive care

Restricted access

Intracranial Aneurysm in Late Pregnancy

Report of a Successful Operation Utilizing Hypothermia

Lycurgus M. Davey, Joseph A. Fiorito and Frederick W. Hehre

.5°F. it was recorded as 118–122 beats per minute, when the patient was transferred to the Intensive Care Unit. (See chart). There was moderate fetal activity. No abnormal uterine tone had been observed. Total urinary output was 700 cc. Arterial blood samples during the procedure showed: pH Total CO 2 mMols./L PO 2 O 2 Sat. per cent Early 7.315 43 117 97.8 Late 7.34 35.5 195 99.2 Operation. The skull was entered through a right frontal osteoplastic craniotomy. The brain became slacker when

Restricted access

Thomas W. Langfitt and Neal F. Kassell

swelling under these circumstances was due to acute cerebrovascular dilatation. On the basis of this and similar clinical observations, a technique was developed for continuous measurement of intracranial pressure following craniotomy. At the end of the operation a No. 10 French catheter was inserted into the subdural space, beneath intact bone, or into a lateral ventricle if hydrocephalus was present. It was brought out through a stab wound adjacent to the incision and tightly sutured to the scalp. When the patient had been returned to the intensive care unit, the

Restricted access

Alfred J. Luessenhop, William A. Shevlin, A. A. Ferrero, David C. McCullough and Bartolo M. Barone

intramuscular Apresoline (hydralazine hydrochloride, Ciba) or Serpasil (reserpine, Ciba) or, in a few cases, an intravenous drip or Arfonad (trimethaphan camsylate, Roche). Tracheotomy or insertion of a cuffed intratracheal tube was performed when there was respiratory distress, aspiration pneumonitis, or certainty of prolonged coma. Early initiation of gastric tube feeding was used in preference to prolonged intravenous maintenance. Many of the patients were in an intensive care unit fully equipped with electronic monitoring and experienced nursing personnel; all patients

Restricted access

Edward Zapanta and Frederick W. Pitts

epinephrine and sodium bicarbonate were given via peripheral angiocatheter but there was no response. Transthoracic intracardiac epinephrine was then given with restoration of EKG, blood pressure, and peripheral pulse within a few minutes. The patient's pupils were now noted to be bilaterally fixed and dilated. A neosynephrine intravenous drip was instituted, and the patient returned to the neurosurgical intensive care unit. His temperature at this time had reached 98°F; the blood pressure was 120/80, pulse rate 110, and his breathing was spontaneous and regular. The

Restricted access

Hubert L. Rosomoff, Abbott J. Krieger and Abraham S. Kuperman

maximum parenchymal destruction, including structures concerned with respiratory control. Moreover, it seemed likely that if disruption was sufficient to eliminate the challenge of CO 2 stimulation, the patient might be expected to develop sleep-induced apnea. Since apnea following percutaneous cordotomy was usually a delayed phenomenon, early detection of this change following bilateral cordotomy might serve as a warning of the impending event. Close observation of the patient could then be maintained in an intensive care unit, and immediate steps could be instituted

Restricted access

George B. Jacobs and Roger A. Berg

in the emergency receiving area, consisting mostly of high doses of aqueous penicillin and intramuscular streptomycin. Anti-convulsants, usually Dilantin, were also started immediately either intravenously or intramuscularly. X-ray films of the skull were then taken, and the patients were brought to the operating room or intensive care unit. At operation, a thorough debridement of the scalp and brain wound was performed. As much scalp as possible was saved for closure. The majority of the cases were handled through craniectomies. Osteoplastic flaps were elevated

Restricted access

Gary E. Kaufmann and Kemp Clark

continuous monitoring of the pressures. We therefore undertook a clinical trial of continuous simultaneous monitoring of these pressures above and below the tentorium. The safety of continuous intraventricular pressure monitoring in man had been established by Lundberg. 4 Therefore, a modification of his technique was used in this study. Method A consecutive series of deeply comatose or decerebrate patients was admitted to an intensive care unit under continuous nursing care. Each patient was placed in a standard hospital bed in the flat supine position with the