scholarly journals Pulmonary function tests before and after laparoscopic cholecystectomy

Anaesthesia ◽  
2007 ◽  
Vol 49 (7) ◽  
pp. 579-582 ◽  
Author(s):  
J. A. FREEMAN ◽  
I. R. ARMSTRONG
2014 ◽  
Vol 40 (5) ◽  
pp. 528-534 ◽  
Author(s):  
Tanyse Bahia Carvalho Marques ◽  
Juliana de Carvalho Neves ◽  
Leslie Andrews Portes ◽  
João Marcos Salge ◽  
Edmar Zanoteli ◽  
...  

OBJECTIVE: Respiratory complications are the main causes of morbidity and mortality in patients with neuromuscular disease (NMD). The objectives of this study were to determine the effects that routine daily home air-stacking maneuvers have on pulmonary function in patients with spinal muscular atrophy (SMA) and in patients with congenital muscular dystrophy (CMD), as well as to identify associations between spinal deformities and the effects of the maneuvers. METHODS: Eighteen NMD patients (ten with CMD and eight with SMA) were submitted to routine daily air-stacking maneuvers at home with manual resuscitators for four to six months, undergoing pulmonary function tests before and after that period. The pulmonary function tests included measurements of FVC; PEF; maximum insufflation capacity (MIC); and assisted and unassisted peak cough flow (APCF and UPCF, respectively) with insufflations. RESULTS: After the use of home air-stacking maneuvers, there were improvements in the APCF and UPCF. In the patients without scoliosis, there was also a significant increase in FVC. When comparing patients with and without scoliosis, the increases in APCF and UPCF were more pronounced in those without scoliosis. CONCLUSIONS: Routine daily air-stacking maneuvers with a manual resuscitator appear to increase UPCF and APCF in patients with NMD, especially in those without scoliosis.


Author(s):  
M. Bucci ◽  
J.Y. Chang ◽  
M. McAleer ◽  
Z. Liao ◽  
T. Guerrero ◽  
...  

2021 ◽  
Vol 15 (12) ◽  
pp. 3337-3340
Author(s):  
Umer Sohail ◽  
Zahid Hussain Shah ◽  
Sohaib Haider Zaidi ◽  
Umair Ashfaq ◽  
Salman Kazmi

Aim: To compare Impairment of pulmonary function tests due to plain versus pegylated interferon therapy in the diagnosed cases of chronic Hepatitis C Methodology: In this comparative study, 71 patients fulfilling inclusion criteria were randomly included in each group. Study consisted; Group 1 (Control Group): Pulmonary Function Tests performed before and after the completion of 24 weeks of treatment with Plain/conventional Interferons and ribavirin. Group 2 (experimental Group): PFTs performed before and after the completion of 24 weeks treatment with Pegylated Interferon Therapy and ribavirin. Referred patients of both groups underwent spirometry (PFTs) at baseline and at the end of 6 months Results: Mean value observed for age was 49.86, for height 1.592 meters, for weight 62.6 kg and for BMI 24.9. Before and after therapy mean for FEV1 was 90.19 and 67.71 and it was 91.34 and 67.83 for FVC respectively. N=71 patients were enrolled in both groups. Male gender showed high prevalence 70%. Group-1 (46 vs 25) & group-2 (45 vs 26) male to female ratio seen. Adult age group hold bulk of disease (30 - 40 years of age). Patients preferred winter season for treatment (Sep to Nov). Low viral load and genotype 3a were common findings (82% and 35%). Constitutional symptoms improved after therapy (86 to 44%) as a whole. Individually, anorexia, body aches, lethargy and fever were like this (39 vs 19%, 66 vs 28%, 54 vs 30%, 19 vs 11%) pre and post therapy. Cough and dyspnea reported in 7% and 20% respectively. Conclusion: According to the present study, treatment with pegylated interferon and ribavirin is associated with impairment of pulmonary function tests similarly as treatment with plain interferon and ribavirin. Long Half-life of pegylated interferon cause more impairment in lung functions as indicated by limited available literature (Foster GR et al). Keywords: Chronic hepatitis C, Pulmonary function tests, plain/Conventional interferon therapy, Pegylated interferon therapy.


Author(s):  
Ozlem Elmas ◽  
Rabiye Uslu Erdemir ◽  
Bekir Hakan Bakkal

Abstract Objectives: To investigate the utility of quantitative lung perfusion scintigraphy and pulmonary function tests (PFTs) in the assessment of radiation-induced lung injury. Methods: Forty-three breast cancer patients underwent lung perfusion scintigraphy with Tc-99m macroaggregated albumin before and after radiotherapy (RT). Along with above mentioned tests pulmonary function tests and carbon monoxide diffusing capacity (DLCO) tests were carried out on all patients. The relationship between treatment related changes and its association with doses of RT were also analyzed. Results: DLCO values before RT showed a significant decrease at 6 and 12 months after RT (p=0.002 and p=0.004, respectively), while none of the parameters of the PFTs showed a significant difference before and after RT. Also, the median percentage of perfusion studies in the irradiated lung significantly decreased from 51.61% to 48.81% (p <0.001) at 12 months after treatment. There was significant reduction in perfusion studies of irradiated lungs with V20>20%. Conclusion: DLCO and Quantitative lung perfusion scintigraphy may be a useful tool for the early diagnosis and monitoring of radiation-induced lung injury. Continuous....


PEDIATRICS ◽  
1981 ◽  
Vol 67 (1) ◽  
pp. 6-12
Author(s):  
Michelle M. Cloutier ◽  
Gerald M. Loughlin ◽  
Stephen D. DeCubellis ◽  
Mark H. Crowder

Fifteen children who presented with chronic cough as an isolated manifestation of respiratory disease were evaluated for the presence of exercise-induced airway hyperreactivity. Pulmonary function tests using air and a helium/oxygen gas mixture were performed before exercise. Air curves alone were performed repeatedly after exercise. Eight subjects were also evaluated by spirometry and maximum expiratory flow volume curves before and after isoproterenol inhalation on a separate day. Ten subjects had normal pulmonary function tests at rest and five had isolated minor abnormalities. No significant changes in pulmonary function tests were recorded after inhalation of isoproterenol in the eight subjects studied. Following exercise, all 15 subjects demonstrated changes in pulmonary function tests which were similar to those seen in children with mild exercise-induced bronchospasm. After institution of theophylline, exercise-induced decreases in flow rates low in the vital capacity were blocked in all subjects; however, several subjects had persistent mild decreases in peak flow. Within six months of discontinuing the theophylline, cough recurred in 11 of the 15 subjects. Nine subjects were restudied after return of their cough. Exercise again resulted in decreased lung function. Reinstitution of theophylline eliminated the cough in these nine subjects. This study demonstrates that chronic cough in some children may be a manifestation of airway hyperreactivity. Both the cough and the reactivity can be blocked with theophylline.


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