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At least 757 records · Page 42Linked to original sources
PubMedDate not supplied

The sequential external counter pulsator: a circulatory assist device.

THE THREE GOALS OF CARDIAC ASSISTANCE ARE: (1) To maintain systemic blood flow; (2) To reduce cardiac work and tension development; and (3) To increase oxygen availability to the heart. Toward these ends, various devices and techniques have been developed, including several different types of vascular shunts in combination with or without extracorporeal oxygenation of blood, implantable auxiliary ventricle and augmentation of diastolic pressure by direct counter pulsation of blood through femoral cannulae or intra-aortic balloon.The sequenced counter pulsator is an external cardiac assist device being developed for the therapy of low output syndromes. Investigation in the laboratory has shown that it is capable of increasing cardiac output and diastolic systemic pressure with concomitant reduction in left ventricular end-diastolic pressure. Therefore, it appears to be clinically useful in patients with low cardiac output syndromes.

Assisted Circulation↗
PubMed1988

Relationship between postsurgical fibrinolytic parameters and deep vein thrombosis in surgical patients treated with compression devices.

This study consisted of 52 patients admitted for orthopedic surgery and 28 patients admitted for general surgery, who were treated with Sequential Compression Devices (SCD) and Thromboembolic Deterrent Stockings (TEDS) and monitored for the development of deep vein thrombosis (DVT). Coagulation and fibrinolytic profiles were carried out on these patients preoperatively, and on days one, three, and six postoperatively. All patients were followed by I-125-Fibrinogen scanning, Venous Doppler, and Impedance Plethysmography studies for clot detection. In the orthopedic surgery group, six (11.5%) developed DVT, and in the general surgery group, one (3.6%) developed DVT. No patients developed pulmonary embolism. The combined incidence of DVT was 8.8 per cent. A variety of parameters was measured in order to determine whether compression devices prevent a fibrinolytic shut-down commonly seen in the postsurgical patient. A combination of three assays was found to be significant in demonstrating a fibrinolytic response. These parameters were a post-surgical decrease in the plasminogen level, an increase in the level of free protease activity postoperatively, and an increase in the level of tissue plasminogen activator after surgery. 56.3 per cent of all patients treated with SCD and TEDS showed a fibrinolytic response on postoperative day one by a combination of all three of these parameters. In the group of patients that developed DVT none showed an increase in free protease activity, and five of seven showed no significant decrease in plasminogen and no increase in tissue plasminogen activator. Patients who developed thrombosis had measurable differences in their fibrinolytic system compared to those without postoperative thrombosis.(ABSTRACT TRUNCATED AT 250 WORDS)

Clothing↗
PubMed1986

Abdominal binding and counterpulsation in cardiopulmonary resuscitation.

During the past 15 years, many different studies have documented improved blood pressure and blood flow above the diaphragm when some type of abdominal compression was added to conventional CPR, either in animals or in humans. Rhythmically interposed abdominal compressions seem to provide even greater hemodynamic benefit than continuous abdominal binding. Both total flow and the distribution of flow to vital organs above the diaphragm are improved, while the chances of liver entrapment and damage during chest compression are reduced. The technique of interposed abdominal compression can be performed with the bare hands of a second or third rescuer. It requires no special equipment, and could be easily incorporated into existing training programs for basic rescuers. In this sense the technique may constitute a logical evolution in basic life support, if subsequent clinical research confirms that it improves outcome.

Abdomen↗
PubMed1988

Treatment of adult lower extremity lymphedema with the Wright linear pump: statistical analysis of a clinical trial.

Seventy-three adult lymphedema patients with 78 affected lower extremities were treated with the Wright Linear Pump. All patients were admitted for a 48-hour clinical trial. Comparison of circumferential limb measurements before and after a 48-hour treatment period using a repeated measures analysis of variance showed statistically significant improvement (p less than 0.00005). Although the improvement appeared to be somewhat more pronounced for men than for women, both sexes experienced an important reduction in leg circumference after therapy. Other factors such as age, etiology, previous use of the Jobst pump, or duration of lymphedema did not appear to influence the extent of improvement. These data clearly indicate that the Wright Linear Pump is an effective treatment for lower extremity lymphedema in adults.

Adolescent↗
PubMed1988

Elevated levels of 6-keto-prostaglandin-F1a from a lower extremity during external pneumatic compression.

The synthesis of either fibrinolytic serine proteases or platelet inhibitory ecosonoids by the intact endothelial cell may limit thrombus development. In a preliminary study from this laboratory, an elevation in the level of 6-Keto-prostaglandin-F1å, the stable metabolite of prostacyclin (PGI2) was demonstrated in femoral vein plasma obtained during surgical treatment from an extremity undergoing external pneumatic compression. Simultaneously, no elevations in thromboxane B2, the stable metabolite of thromboxane A2, were observed. The present study is an inclusive prospective series of 26 patients. A single pneumatic compression stocking was applied to the left limb in patients who underwent an operation under general anesthesia. Base line venous samples (3 milliliters) were obtained from the femoral vein on the experimental side and the control contralateral side, as well as from the upper limb. Additional samples were drawn at 30 and 60 minutes after the onset of compression. Nine samples per patient (234 total) were analyzed for 6-Keto-prostaglandin-F1å by competitive binding radioimmunoassay in duplicate in a single blind manner. Base line values for the upper limb, right leg and left leg were 0.08 + 0.01 nanogram per milliliter; 0.14 + 0.03 nanogram per milliliter, and 0.13 + 0.02 nanogram per milliliter, respectively (no statistical difference). By 60 minutes of compression, control samples increased to 0.40 + 0.07 nanogram per milliliter (right leg) and 0.42 + 0.08 nanogram per milliliter (upper limb) while the experimental leg increased to 0.71 + 0.13 nanogram per milliliter (p less than 0.05 versus right leg, p less than 0.005 versus upper limb). There was no statistical difference at 60 minutes between the men and women.

6-Ketoprostaglandin F1 alpha↗
PubMed1988

[Pneumatic compression of the arm in the treatment of postmastectomy edema].

The paper discusses the histories and results of examination of 200 cases of lymphedema of the upper extremity developing after radical surgery for breast cancer. Forty percent of patients had suffered erysipelas, its frequency being higher in a group of pronounced edema. The incidence of erysipelas dropped 5.7 times following application of pneumatic compression, suggesting the use of the procedure for erysipelas by stimulating lymph drainage.

Arm↗
PubMed1988

[Study on postoperative deep venous thrombosis with reference to prevention].

Preventive effect of intermittent sequential pneumatic compression of the legs (ISPC) on the postoperative deep venous thrombosis (DVT) was studied by 125I-fibrinogen uptake test in 64 surgical patients. Furthermore the mechanism of preventive effect by ISPC was analysed from the point of view of coagulation and fibrinolytic activity in 78 patients. Following results were obtained. 1) The incidence of DVT in control group was 18.0 percent, while it was 6.3 percent in ISPC group (p less than 0.01). 2) The euglobulin lysis time in ISPC group was significantly shorter than that of control group on the first postoperative day (p less than 0.01). 3) There were no definite changes in plasminogen and B beta 15-42 peptide between control group and ISPC group. 4) There were no complications in using of ISPC. This study demonstrates that ISPC has a dual action; (1) mechanical prevention of venous stasis and (2) fibrinolytic acceleration. ISPC are effective for prevention of postoperative DVT.

Female↗
PubMedDate not supplied

[Effectiveness of anti-G devices of the nonchamber type after head-down tilt hypokinesia lasting up to 7 days].

In three experimental series in which 34 male test subjects (aged 20 to 31 years) participated, acceleration tolerance (+Gz) was measured before and after exposure to 7-day head-down tilting. The measurement tests were performed using an antigravitational device in two modifications AGU-1 and AGU-2. After tilting, tolerance to sustained acceleration +Gz decreased significantly. The use of the device helped to increase acceleration tolerance, AGU-1 all the test subjects tolerated acceleration up to 4.0 G while in AGU-2 only up to 3.0 G. The use of the AGU device following exposure to antiorthostatic hypokinesia helped to maintain the high quality of operator's activities as compared to the controls.

Acceleration↗
PubMedDate not supplied

Anti-shock trousers.

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Gravity Suits↗
PubMedDate not supplied

[Effect of exogenous cardiosynchronized contrapulsation on human regional and central hemodynamics].

Variations in regional and central hemodynamics of man under the influence of exogenous contrapulsation (ECP) were examined rheographically. In recumbent subjects, ECP increased cerebral pulse blood filling, particularly of the vertebrobasilar system. It appears that the significant increase of the tone of arterioles and veins may be important when it becomes necessary to correct cerebral circulation in the situations that may lead to brain ischemia. It has been found that in the orthostatic tilt test ECP can be an effective tool for enhancing brain and lung blood supply and increasing stroke volume, cardiac output and blood pressure. This may help maintain homeostasis and improve orthostatic tolerance. The observation that ECP may facilitate blood supply of the vitally important organs, specifically brain, enables us to recommend this procedure to be used at an early stage of readaptation after simulation or real space flights.

Adaptation, Physiological↗