Search PubMed⌕ Search

Biomedical subjects

S Macaluso

Publications and source records attributed to S Macaluso.

10 recordsLinked to original sources

Breaking the boundaries: collaborating to develop a model ventilator training program.

Changes in the health care system have created new opportunities for acute care nurses to establish collaborative relationships with their rehabilitation partners. When a rehabilitation facility decided to establish a ventilator weaning rehabilitation program, an acute care facility joined forces with the institution to develop an educational plan for the nursing staff. The development and implementation of the educational program as well as the collaborative relationship established between the two facilities are highlighted in this continuing education article.

Curriculum↗

Lung volume reduction surgery for emphysema.

This article summarizes the care of patients undergoing bilateral lung volume reduction surgery as a treatment for end-stage emphysema. Surgical removal of emphysematous tissue allows for a reconfiguration of the chest wall and diaphragm, improving pulmonary mechanics. This results in reduced air trapping and improved gas exchange. It is important for nurses caring for these patients to be knowledgeable in the postoperative care of thoracic surgical patients and to have an understanding of the pathophysiology of emphysema, the medical management, and, in particular, the relationship between dyspnea and anxiety. Strategies to assist with airway clearance, control pain, prevent and alleviate dyspnea, reduce and treat anxiety, and ensure nutrition need to be incorporated into the postoperative plan of nursing care.

Chest Tubes↗

Managing post-intubation injuries.

Many patients who experience a long, complicated illness require endotracheal intubation and tracheostomy. A few patients develop potentially life-threatening post-intubation injuries. In this overview, common post-intubation injuries, emergency and surgical treatment for these complications, and pre and postoperative nursing management of these patients are discussed.

Emergencies↗

Efficacy and compliance to prolonged Duovent treatment of bronchospasm. Comparison with salbutamol.

Duovent and salbutamol were compared in 15 patients with stabilized, but partially reversible chronic bronchospasm to verify the persistence of therapeutic effect, bronchodilator efficacy and patient compliance to prolonged treatment with these drugs. Results showed: Clinical efficacy; good protection from bronchospasm. Cough, day-time and nocturnal dyspnoea and the number of additional sprays required were better controlled with Duovent. Activity and bronchodilator efficacy: FVC and even more so FEV1 were sufficiently stable in baseline conditions with negligible variations at the various control times with both drugs, although Duovent was slightly more favourable. Bronchodilator efficacy was maintained more significantly with Duovent compared to salbutamol even after 5 h. Patient compliance: this was better with Duovent, both from the patient's personal opinion and because of the fewer number of daily administrations which the patient received (3 instead of 4).

Albuterol↗

Results of treatment with sodium sulbenicillin in thirty elderly patients with acute bronchopulmonary infection.

Thirty elderly patients with acute bronchopulmonary infections were treated with intravenous sodium sulbenicillin for up to 20 days at a dose of 4-6 g/day. Clinical results were excellent in 19 cases and good in 10 cases. In one case treatment had to be discontinued due to a dermal side-effect. It is concluded that sulbenicillin is a useful therapy for acute bronchopulmonary infections in the elderly.

Aged↗

[Remarks on the use of shortened procedures in evaluating EDTA-induced urinary lead excretion].

Urinary lead excretion following EDTA administration was studied in 47 both normal and lead intoxicated subjects, mainly monitoring the rate of excretion through sequential urine samples. Urinary lead excretion patterns proved to be quite different in the examined subjects: in particular, great differences were noted in the onset of lead excretion increase. The six-hr lead excretion resulted to be 60,7% of the total 24-hr excretion, with, however, a very wide range (42% to 83%). Urine flow didn't appear to influence the rhythm of urinary lead excretion. There is sufficient evidence to justify the conclusion that evaluation of EDTA-induced urinary lead excretion on the basis of the first-six-hr results cannot be assumed as a reliable procedure, unless it is used for rough diagnostic screening purposes.

Edetic Acid↗