Severe rhinophyma treated with double wavelengths carbon dioxide‐GaAs laser: a case series

2020 ◽  
Vol 60 (1) ◽  
Author(s):  
Andrea Paradisi ◽  
Francesco Ricci ◽  
Paolo Sbano

2021 ◽  
Vol 9 (10) ◽  
pp. 232596712110354
Author(s):  
Judson L. Penton ◽  
Travis R. Flick ◽  
Felix H. Savoie ◽  
Wendell M. Heard ◽  
William F. Sherman

Background: When compared with fluid arthroscopy, carbon dioxide (CO2) insufflation offers an increased scope of view and a more natural-appearing joint cavity, and it eliminates floating debris that may obscure the surgeon’s view. Despite the advantages of CO2 insufflation during knee arthroscopy and no reported cases of air emboli, the technique is not widely used because of concerns of hematogenous gas leakage and a lack of case series demonstrating safety. Purpose/Hypothesis: To investigate the safety profile of CO2 insufflation during arthroscopic osteochondral allograft transplantation of the knee and report the midterm clinical outcomes using this technique. We hypothesized that patients undergoing CO2 insufflation of the knee joint would have minimal systemic complications, allowing arthroscopic cartilage work in a dry field. Study Design: Case series; level of evidence, 4. Methods: A retrospective chart review was performed of electronic medical records for patients who underwent arthroscopic osteochondral allograft transplantation of the knee with the use of CO2 insufflation. Included were patients aged 18 to 65 years who underwent knee arthroscopy with CO2 insufflation from January 1, 2015, to January 1, 2021, and who had a minimum follow-up of 24 months. All procedures were performed by a single, fellowship-trained and board-certified sports medicine surgeon. The patients’ electronic medical records were reviewed in their entirety for relevant demographic and clinical outcomes. Results: We evaluated 27 patients (14 women and 13 men) with a mean age of 38 and a mean follow-up of 39.2 months. CO2 insufflation was used in 100% of cases during the placement of the osteochondral allograft. None of the patients sustained any systemic complications, including signs or symptoms of gas embolism or persistent subcutaneous emphysema. Conclusion: The results of this case series suggest CO2 insufflation during knee arthroscopy can be performed safely with minimal systemic complications and provide an alternative environment for treating osteochondral defects requiring a dry field in the knee.



2009 ◽  
Vol 41 (8) ◽  
pp. 550-554 ◽  
Author(s):  
Sung Bin Cho ◽  
Jin Young Jung ◽  
Dong Jin Ryu ◽  
Sang Ju Lee ◽  
Ju Hee Lee


2006 ◽  
Vol 12 (2) ◽  
Author(s):  
Ali Asilian ◽  
Fariba Iraji ◽  
Hamid Reza Hedaiti ◽  
Amir Hossein Siadat ◽  
Shahla Enshaieh


2014 ◽  
Vol 4 (4) ◽  
pp. 209-215 ◽  
Author(s):  
Jeffrey D. Pope ◽  
Jeffrey A. Rossmann ◽  
David G. Kerns ◽  
M. Miles Beach ◽  
Daisha J. Cipher


2016 ◽  
Vol 18 (7) ◽  
pp. 372-375 ◽  
Author(s):  
Faisal R. Ali ◽  
Raj Mallipeddi ◽  
Emma E. Craythorne ◽  
Nisith Sheth ◽  
Firas Al-Niaimi


2008 ◽  
Vol 47 (170) ◽  
Author(s):  
Shivalal Cs Sharma ◽  
CS Saimbi ◽  
B Koirala

Lichen planus (LP), although a dermatosis, is more common in the oral mucous membrane thanin the skin. Lesions of oral LP are classically found on the buccal mucosa and gingiva. Among thevarious types, the reticularlesions are asymptomatic and require no treatment, but pain and severediscomfort accompany the erosive or ulcerative lesions. Malignant transformation to squamouscell carcinoma developing in areas of erosive oral LP (EOLP) being a possibility, it is important forclinicians to maintain a high index of suspicion for all intraoral lichenoid lesions. Therefore, periodicfollow-up of all patients with EOLP is recommended.In view ofthe above,this paper highlights themanagement of four cases of EOLP with topical corticosteroid and CO2laser surgery.Key words: carbon dioxide laser, corticosteroid, lichen planus



2018 ◽  
Vol 35 (7) ◽  
pp. 428-432
Author(s):  
Piritta Anniina Setälä ◽  
Ilkka Tapani Virkkunen ◽  
Antti Jaakko Kämäräinen ◽  
Heini Sisko Annamari Huhtala ◽  
Janne Severi Virta ◽  
...  

BackgroundActive compression–decompression (ACD) devices have enhanced end-tidal carbon dioxide (ETCO2) output in experimental cardiopulmonary resuscitation (CPR) studies. However, the results in out-of-hospital cardiac arrest (OHCA) patients have shown inconsistent outcomes, and earlier studies lacked quality control of CPR attempts. We compared manual CPR with ACD-CPR by measuring ETCO2 output using an audiovisual feedback defibrillator to ensure continuous high quality resuscitation attempts.Methods10 witnessed OHCAs were resuscitated, rotating a 2 min cycle with manual CPR and a 2 min cycle of ACD-CPR. Patients were intubated and the ventilation rate was held constant during CPR. CPR quality parameters and ETCO2 values were collected continuously with the defibrillator. Differences in ETCO2 output between manual CPR and ACD-CPR were analysed using a linear mixed model where ETCO2 output produced by a summary of the 2 min cycles was included as the dependent variable, the patient as a random factor and method as a fixed effect. These comparisons were made within each OHCA case to minimise confounding factors between the cases.ResultsMean length of the CPR episodes was 37 (SD 8) min. Mean compression depth was 76 (SD 1.3) mm versus 71 (SD1.0) mm, and mean compression rate was 100 per min (SD 6.7) versus 105 per min (SD 4.9) between ACD-CPR and manual CPR, respectively. For ETCO2 output, the interaction between the method and the patient was significant (P<0.001). ETCO2 output was higher with manual CPR in 6 of the 10 cases.ConclusionsThis study suggests that quality controlled ACD-CPR is not superior to quality controlled manual CPR when ETCO2 is used as a quantitative measure of CPR effectiveness.Trial registration numberNCT00951704; Results.





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