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PubMed1990

Treatment of enterocutaneous fistulas by high-pressure suction with a normal diet.

The treatment of enterocutaneous fistulas has dramatically changed in recent years with the advent of total parenteral nutrition, which continues to be the most utilized and efficient means of cure. However, the cost of the treatment and long-term hospitalization represent real problems. We were able to obtain clinical cure in some patients with an inexpensive and simple high-pressure suction method, so we examined an experimental model in an attempt to define the usefulness and feasibility of this technique.

Animals↗
PubMed1997

Experimental off-pump grafting of a circumflex branch via sternotomy using a suction device.

BACKGROUND: We have shown previously in the pig that coronary artery bypass grafting on the beating heart may be facilitated by local cardiac wall immobilization by a suction device ("Octopus") applied to the anterolateral side of the heart. The purpose of this study was to investigate the feasibility of the method on the posterolateral side. METHODS: In a consecutive series of 8 pigs, after median sternotomy, the posterior wall was taken hold of by the Octopus and subsequently brought up anteriorly and immobilized while hemodynamics were monitored. A posterolateral branch of the circumflex artery was grafted with the left internal mammary artery. After the coronary artery was ligated proximally, the heart was repositioned. At 6 weeks, bypass graft angiography and functional testing (postocclusion hyperemia testing) were performed. After sacrifice, histologic examination of the anastomosis was performed. RESULTS: Dislocation of the heart to expose the distal anastomosis site caused a minor drop in mean arterial blood pressure from 71 +/- 14 (baseline) to 63 +/- 6 mm Hg (dislocated) (not significant) and recovery to 70 +/- 12 mm Hg, 15 minutes after repositioning. Cardiac output decreased from 4.0 +/- 1.0 to 3.2 +/- 0.7 L/min (p = 0.02) and recovered to 4.3 +/- 0.3 L/min. No inotropic drugs were necessary. Anastomosing required 21.5 +/- 6.5 minutes. Baseline graft flow was 8 +/- 3 mL/min and increased threefold to 24 +/- 10 mL/min (p < 0.05) at postocclusive hyperemia testing. At sacrifice after 6 weeks (n = 8), graft flow increased fourfold from 5 +/- 2 to 20 +/- 8 mL/min (p = 0.002) (n = 7). At histologic examination all eight anastomoses were patent without stenosis or mural thrombus. CONCLUSIONS: Off-pump coronary artery bypass grafting of the posterolateral circumflex branches using the Octopus method on the beating pig heart is feasible, with full patency maintained for at least 6 weeks.

Anastomosis, Surgical↗
PubMed2003

A venturi based suction drainage system used in facelifts.

A method of drainage using the Venturi suction system has been used in 3124 facelifts over an 18 year period. It has proven to be effective and safe and has reduced the degree of postoperative bruising and swelling in these patients. There have been no complications relating to the technique.

Drainage↗
PubMed2003

A study of co-treatment of nonsteroidal anti-inflammatory drugs (NSAIDs) with misoprostol for cervical priming before suction termination of first trimester pregnancy.

This double-blind randomized control study was conducted to evaluate whether a nonsteroidal anti-inflammatory drug (NSAID) could act as an effective pain control method during first trimester suction abortion, and whether co-treatment of NSAID with misoprostol will decrease the efficacy of the cervical ripening effect of misoprostol. Subjects were randomized to receive misoprostol alone or misoprostol together with diclofenac sodium. Both groups of subjects suffered from similar incidence of preoperative side effects. Co-treatment of NSAID with misoprostol did not attenuate the cervical ripening efficacy of misoprostol. There was no significant pain reduction in the group treated with NSAID, except that a marginal benefit was found in the subgroup of multiparous women. About two thirds of the subjects in both treatment groups found that this was a satisfactory pain relief method during the procedure.

Abortifacient Agents, Nonsteroidal↗
PubMed1980

Use of an external suction-irrigation device in endoscopy.

A simple and inexpensive external suction-irrigation device, which attaches to the biopsy port of endoscopes, is used to rapidly infuse and aspirate large volumes of fluid. By bypassing the umbilical cord, this system avoids blockage of the instrument while permitting intermittent injections of water and aspirations of luminal contents. It may be operated with one hand. Use of the device as described saves considerable time during many examinations and avoids postponement of other examinations.

Colonic Diseases↗
PubMed1998

Selective tracheal suctioning to prevent meconium aspiration syndrome.

OBJECTIVE: To analyze the incidence and outcome of meconium aspiration syndrome (MAS) at Al-Yamamah Hospital, Riyadh, Saudi Arabia, where meconium-stained babies have intrapartum obstetrical cleansing of the upper airways, following which depressed/asphyxiated babies are intubated and vigorous babies are observed for 24 h. METHOD: The total live births, records of meconium-stained neonates who had intubations and of those observed, during a 6-year period were reviewed. RESULTS: During this period, there were 85562 live births. One in 325 births (0.27%) was complicated by MAS and the mortality rate was 7%. These figures concur with the reported incidence and mortality of MAS following routine combined obstetric-pediatric suction of airways at birth. Of the 265 cases of MAS that occurred during this period, 237 were in the intubated group and 28 in the observed group. The babies of the former group had severe disease compared with that of the latter. All mortality was from the intubated group. CONCLUSION: Adequate obstetrical cleansing of the upper airway in vigorous babies may obviate the need for endotracheal intubation; intubation of depressed babies following this treatment may be useful.

Asphyxia Neonatorum↗
PubMed2003

The effects of the shallow and the deep endotracheal suctioning on oxygen saturation and heart rate in high-risk infants.

An experimental study involving repeated-measures within subjects was conducted to examine the effects of shallow and deep endotracheal suctioning (ETS) on the SpO(2) and HR in 27 ventilated high-risks infants. The order in which subjects received the ETS protocol was randomly assigned. The results showed no significant changes in both the SpO(2) and HR responses before, during and after ETS between the two ETS protocols. It is concluded that when there is no beneficial effect of performing deep ETS, it should not be carried out due to the potential hazard of direct irritation with more negative pressure on the airways in high-risk infants.

Female↗
PubMed1978

A complication of continuous upper pouch suction in esophageal atresia.

The use of a plastic sump catheter for continuous suction of the blind upper pouch in esophageal atresia has been widely accepted since the method was first described. The following case illustrates a complication which resulted from the use of such a catheter, namely, perforation of the upper pouch.

Catheterization↗
PubMed1983

Rectosigmoid perforation and intestinal evisceration from transanal suction.

Transanal suction injuries were sustained in 1981 by five children when they sat upon uncovered swimming area drain sites. Tears of the rectosigmoid areas occurred in each with associated evisceration and loss of substantial amounts of small intestine because of mesenteric separation. These cases are reviewed.

Child, Preschool↗
PubMed1997

Oronasopharyngeal suction at birth: effects on arterial oxygen saturation.

The effect of oronasopharyngeal suction (ONPS) on arterial oxygen saturation (SaO2) is described in a controlled study of 30 normal term newborn infants. In 15 of them, ONPS was performed immediately after birth. The SaO2 value was recorded through a pulse oximeter. The ONPS group had a significantly lower SaO2 between the first and the sixth minutes of life and took longer to reach 86% and 92% saturation. According to this study, ONPS should not be performed as a routine procedure in normal, term, vaginally born infants.

Delivery, Obstetric↗
PubMed1998

Endoscopic suction decompression of idiopathic epidural lipomatosis.

BACKGROUND: Epidural lipomatosis can be idiopathic or associated with obesity and steroid excess. This disorder can be treated by weight control, reduction of steroid load, or operative decompression. We describe a non-obese patient with neurogenic claudication who had localized epidural fat from L4 to S1. Minimally invasive treatment consisted of a small laminotomy and endoscopically guided fat aspiration. METHODS: A small bilateral L5-S1 laminotomy was performed. Using a special malleable endoscopic aspirator, loose fat was removed both dorsal and ventral to the dural sac. RESULTS: At surgery, endoscopically guided suction aspiration was successful in removing the majority of the fat. Areas of fat that were vascularized and adherent to the dura required microsurgical dissection. Postoperatively, the patient has been asymptomatic. CONCLUSIONS: This minimally invasive technique was successful in treating epidural dual compression that had failed conservative measures. Further evaluation of this technology is warranted.

Adipose Tissue↗
PubMed1999

An outbreak of neonatal infection with Acinetobacter linked to contaminated suction catheters.

An outbreak of multi-drug resistant Acinetobacter spp. infection in the neonatal unit at King Edward VIII hospital in Durban, South Africa, is described. Nine out of a total of 218 neonates were infected during the study period. The outbreak was characterized by early onset infection [median postnatal age 3 days (range 1-23 days)] in pre-term babies [median gestational age 33 weeks (range 30-35 weeks)] with an attributable mortality of 22%. The source of the outbreak, determined by ribotyping, was presumed to be contaminated suction bottles and catheters in the neonatal admission room. Five neonates were successfully treated with ciprofloxacin and amikacin. Enforcement of strict infection control practices curtailed the outbreak.

Acinetobacter↗
PubMed1993

Suction drainage in the postsurgical treatment of jaw cysts.

Intraoral or extraoral closed suction drainage was used following the surgical enucleation of 42 jaw cysts. Primary healing was observed in 38 (90%) of the patients and complete osseous regeneration was achieved in 17 of 30 patients. In the remaining patients, a slight loss in width and height of the involved area occurred. No functional disturbances were caused by these bony reductions.

Adolescent↗
PubMed1998

Cervical pregnancy managed by suction evacuation and balloon tamponade.

A woman with a very poor obstetric history with a cervical pregnancy was managed without hysterectomy. Diagnosis was made by the transvaginal ultrasound. Haemorrhage was controlled by suction evacuation and balloon tamponade. Although cervical perforation occurred, the tamponade was able to control haemorrhage after repair of the perforation.

Adult↗
PubMed2002

The suction mechanism as a factor in intrathoracic oedema, connective tissue or pleural effusion.

In pathological conditions, the negative intrapleural pressures (Ppl) may increase unequally. At some sites they may remain increased. We maintain that at these sites the increased pressures may lead to the production of oedema in the adjacent pleural walls and in adjacent pre-existing connective tissue, which may remain as oedema or may become connective tissue. Occasionally the increased negative Ppl may contribute to the production of pleural effusion. We term all these processes the suction mechanism (SM). This mechanism affords an interpretation of a series of images observed in chest X-rays. According to this view, lung shrinkage, narrowing of the pulmonary vessels and impairment of the lung function are not caused by the diffuse pleural fibrosis, but result from damage to the lung parenchyma. We also interpret the apical cap, the blunting of the costophrenic sulci, the broadening of the mediastinum and the retrosternal stripe in terms of the SM.

Connective Tissue Diseases↗
PubMed1989

Bimodal capsular bag phacoemulsification: a serial cutting and suction ultrasonic nuclear dissection technique.

A technique for emulsifying the lens nucleus within the capsular bag is presented. The circular continuous tear anterior capsulotomy (capsulorhexis) and nucleus hydrodissection, which are components of the technique, are identified. The concept of isolated cutting and suction as independent actions of the 45-degree ultrasonic phaco-emulsification tip is discussed. The two actions are achieved by alternating the orientation and action of the 45-degree ultrasonic tip in a multiple rotation nuclear dissection technique. The nucleus is collapsed and drawn centrally without aspirating nuclear material while the tip's aperture is near the lens capsule. This technique prevents the ultrasonic tip aperture from bursting through the peripheral nuclear shell and thus reduces the risk of capsular aspiration and vitreous loss.

Cataract Extraction↗