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Biomedical subjects

R Tufano

Publications and source records attributed to R Tufano.

At least 73 records · Page 4Linked to original sources

Massive air embolism during cardiopulmonary bypass: successful treatment with immediate hypothermia and circulatory support.

Two patients experienced an episode of massive air embolism during extracorporeal circulation. Several emergency measures were taken. (1) The roller pump was reversed to take out air from the aorta. (2) The circuit was disconnected and recirculated to eliminate air bubbles. (3) Perfusion was restarted and the patient cooled to 24 degrees C for 40 minutes. (4) Pentothal (thiopental), steroids, and assisted ventilation were administered. The outcome was favorable in both patients, and there were no neurological sequelae. Immediate cooling and prolonged circulation seem to be a satisfactory approach to this problem.

Adult↗

[Use of potassium canrenoate in cardiosurgery].

The influence of canrenoate of potassium, a new injectable antialdosteronic, on serum, urinary and intraerythrocyte ionograms has been evaluated as part of a random controlled study on patients submitted to ECC heart surgery. The results show that the drug maintains correct ionic homoestasis and gradualises and potentiates diuresis, in association with furosemide. The possible clinical implications of these results are discussed.

Adult↗

Total body wash-out in patients with fulminant hepatitis.

Two patients with fulminant hepatic necrosis and in stage IV coma were treated with a rapid infusion of refrigerated buffered albumin electrolyte solution combined with simultaneous total body wash-out in order to remove the circulating neurotoxins and to provide additional time for liver regeneration. Both patients awoke from the coma following treatment. One patient recovered completely, the other died on the second day as a result of massive gastro-intestinal bleeding. The clinical value and the technical problems of the procedure are investigated.

Adult↗