Postoperative lordoscoliosis causing extrinsic compression of the right main stem bronchus and respiratory insufficiency. A case report.
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We describe the extraction of an impacted tooth from a bronchiole of a ventilated, critically ill patient. Following failed attempts using flexible and rigid bronchoscopy a radiological approach was explored. The successful method described below used guiding catheters, an extraction basket and an occlusion balloon, deployed under fluoroscopic guidance.
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Responses of human bronchial strip preparations to contractile and relaxant agonists were measured in preparations from non-diseased and from asthmatic lung obtained 3-15 h post-mortem. The potencies of carbachol and histamine were approximately two times less in asthmatic than in non-diseased bronchi. This was statistically significant for carbachol (P less than 0.05), but not for histamine (P greater than 0.05). These results clearly indicate that the bronchial hyperreactivity to airway spasmogens observed in asthma is exclusively an in vivo phenomenon not involving increasing sensitivity of bronchial smooth muscle. The potencies of the beta-adrenoceptor agonists isoprenaline, fenoterol and terbutaline were significantly reduced by 4-5 fold in asthmatic bronchi compared with non-diseased airways. In contrast, theophylline was equipotent in the two populations of airway preparations. Thus, it appears that severe asthma is associated with decreased bronchial smooth muscle beta 2-adrenoceptor function.
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A patient with bullous pemphigoid (BP), a figurate erythema resembling erythema gyratum repens and a bronchial carcinoma is reported. It is suggested that this is a genuine association and that when a figurate erythema occurs with BP, an underlying carcinoma should be excluded.
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