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Biomedical subjects

B E Brenner

Publications and source records attributed to B E Brenner.

25 records · Page 2Linked to original sources

Emergency cricothyroidotomy in the patient with massive neck swelling. Part 2: Clinical aspects.

A technique has been described for emergency tracheotomy in a patient with massive neck swelling which utilizes the hyoid bone to permit localization of the midline of the neck and manual surgical traction of the larynx. The method for localizing the hyoid bone in a patient with massive neck swelling requires only one measurement to be taken: from the angle of the mandible to the mental protuberance. From this measurement, one can locate the hyoid bone with ease. This procedure has been performed in 5 cadavers and 7 patients with excellent results, providing rapid access to the airway within less than 2 min. The authors believe that the procedure permits rapid access to the airway in patients with massive neck swelling in whom emergency tracheotomy or cricothyroidotomy is difficult and time consuming.

Adult↗

Management of salicylate intoxication.

Salicylate intoxication is common. It results in impaired generation of adenosine triphosphate and produces a primary respiratory alkalosis. In adults the clinical manifestations may closely simulate a cerebrovascular event or alcoholic ketoacidosis. Central nervous system dysfunction, fever, glycosuria, ketonuria, respiratory alkalosis with an elevated anion gap, tinnitus, dehydration, hypokalaemia and haemostatic defects are common. The diagnosis may be made rapidly by the ferric chloride test or Phenistix test. Standard therapy includes gastric emptying, activated charcoal and alkalinisation of the urine. Osmotic diuresis is a controversial measure. Haemodialysis is indicated for patients with serum salicylate levels more than 100 mg/100ml, severe acid-base disturbance, or deterioration despite optimum therapy.

Acid-Base Equilibrium↗

An association between chronic eosinophilic pneumonia and histiocytic lymphoma.

An association between chronic eosinophilic pneumonia and non-Hodgkin's lymphoma previously has not been reported in adults. We describe a woman with chronic eosinophilic pneumonia documented by chest roentgenogram, elevated total eosinophil count, and transbronchial biopsy demonstrating eosinophilic pneumonitis. The illness was controlled with corticosteroids for ten months after which time lymphadenopathy appeared and diffuse, histiocytic lymphoma was diagnosed.

Chronic Disease↗