Spontaneous Rupture of Subserous Uterine Vein in Late Pregnancy

Objective: Premature uterine contraction caused by spontaneous rupture of subserous uterine vein resulting intrauterine asphyxia.Method & Results: A primigravida with uneventful pregnancy having regular antenatal care attended a private clinic at her 38 week of pregnancy with slight pain in whole abdomen and hardening of uterus. After giving rest in left lateral position & oxygen inhalation, hardening of uterus persisted. By that time she developed fetal tachycardia and had to undergo caesarean section, there was hemoperitonum and an asphyxiated male baby was delivered. On exploration a subserous uterine vein was detected on the posterior wall of the uterus. Complete hemostasis was achieved with interrupted sutures and electrocauterization of the bleeding points. Post-operative period was uneventful for the mother but the baby was managed in neonatal care unit. Both of them were well during discharge.Conclusion: Monitoring of pregnant women at last trimester is very important. Any deviation from normal like hardening of uterus should be carefully taken care of for good maternal and fetal outcome.Bangladesh J Obstet Gynaecol, 2012; Vol. 27(2) : 87-89

Download Full-text

Relationship between Abnormal Cardiotocography and Fetal Outcome

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v10i2.14334 ◽

2016 ◽

Vol 10 (2) ◽

pp. 36-39

Author(s):

S Banu

Keyword(s):

Apgar Score ◽

Mode Of Delivery ◽

Neonatal Resuscitation ◽

Lateral Position ◽

Fetal Outcome ◽

Cross Sectional Study ◽

P Value ◽

Cross Sectional ◽

Left Lateral Position ◽

Oxygen Inhalation

Aims: This study aimed to determine the frequency of abnormal cardiotocography during labour and to evaluate the significance of these patterns in determining fetal well-being.Methods: This was cross-sectional study undertaken at sir Ganga Ram Hospital, Lahore from September 2009-September 2010. Hundred admitted pregnant women were enrolled for the study. Admission cardiotocography was done for 30 minutes in left lateral position and labeled as normal, suspicious or pathological. Suspicious pattern cardiotocography was repeated after hydration with 1000ml intavenous fluid and oxygen inhalation, if remained suspicious then action for delivery was taken. Mode of delivery was dependent on stage of labour.Results: Twenty three women had suspicious CTG traces and 77 had pathological.It was noticed that the percentage of various mode of dellivery were not much different among suspicious and pathological CTG groups with p value 0.668.The Apgar score observed as per mode delivery reveal that there was no significant association between Apgar score at 1 min and mode of delivery with pvalue 0.889. The association of poor Apgar in pathological CTG group was significant with p value 0.006. Fifteen (15.6%) neonates needed resuscitation and 81 (84.4%)did not require resuscitation.Conclusions: Abnormal CTG influence the fetal outcome, ie poor Apgar score at 1 min and 5 minutes, increased rate of caesarean section and neonatal resuscitation.

Download Full-text

Effect of dynamic position changes on adenoma detection rate during colonoscope withdrawal: systematic review and meta-analysis

Endoscopy International Open ◽

10.1055/a-1265-6634 ◽

2020 ◽

Vol 08 (12) ◽

pp. E1842-E1849

Author(s):

Venkat Nutalapati ◽

Madhav Desai ◽

Vivek Sandeep Thoguluva-Chandrasekar ◽

Mojtaba Olyaee ◽

Amit Rastogi

Keyword(s):

Systematic Review ◽

Detection Rate ◽

Meta Analysis ◽

Lateral Position ◽

Adenoma Detection Rate ◽

Position Change ◽

Withdrawal Time ◽

Left Lateral Position ◽

Adenoma Detection ◽

Withdrawal Phase

Abstract Background and study aims The adenoma detection rate (ADR) is an important quality metric of colonoscopy. Higher ADR correlates with lower incidence of interval colorectal cancer. ADR is variable between endoscopists and depends upon the withdrawal technique amongst other factors. Dynamic position change (lateral rotation of patients with a view to keep the portion of the colon being inspected at a higher level) helps with luminal distension during the withdrawal phase. However, impact of this on ADR is not known in a pooled sample. We performed a systematic review and meta-analysis to study the impact of dynamic position changes during withdrawal phase of colonoscopy on ADR Methods A comprehensive search of MEDLINE, EMBASE, Google Scholar, and the Cochrane Database was conducted from each database’s inception to search for studies comparing dynamic position changes during colonoscope withdrawal with static left lateral position (control). The primary outcome of interest was ADR. Other studied outcomes were polyp detection rate (PDR) and withdrawal time. Outcomes were reported as pooled odds ratio (OR) with 95 % confidence intervals (CI) with statistical significance (P < 0.05). RevMan 5.3 software was used for statistical analysis. Results Six studies were included in our analysis with 2860 patients. Of these, dynamic position change was implemented in 1177 patients while 1183 patients served as the controls. ADR was significantly higher in the dynamic position change group with pooled OR 1.36 (95 % CI, 1.15–1.61; P < 0.01). There was low heterogeneity in inclusion studies (I2 = 0 %). PDR was numerically higher in position change group (53.4 % vs 49.6 %) but not statistically significant (P = 0.16). Mean withdrawal time did not significantly change with dynamic position change (12.43 min vs 11.46 min, P = 0.27). Conclusion Position change during the withdrawal phase of colonoscopy can increase the ADR compared to static left lateral position. This is an easy and practical technique that can be implemented to improve ADR.

Download Full-text

Alveolar liquid pressure measured in the intact rabbit chest by micropuncture

Journal of Applied Physiology ◽

10.1152/jappl.1993.75.4.1525 ◽

1993 ◽

Vol 75 (4) ◽

pp. 1525-1528 ◽

Cited By ~ 3

Author(s):

S. Ganesan ◽

S. J. Lai-Fook

Keyword(s):

Ambient Pressure ◽

Lateral Position ◽

Measuring System ◽

Parietal Pleura ◽

Liquid Pressure ◽

Left Lateral Position ◽

Isolated Lung ◽

Residual Capacity ◽

Alveolar Liquid

Previous measurements in isolated lung showed that alveolar liquid pressure was near the pleural pressure at a lung volume near functional residual capacity (FRC). In this study we verified that alveolar liquid pressure in vivo was similar to that of the isolated lung. In anesthetized paralyzed rabbits (3#x2013;4 kg, n = 9) ventilated with 100% O2 in the left lateral position, we made a pleural window between the fifth and sixth ribs near midchest by removing tissue down to the parietal pleura. Window height was 6 cm above the base of the lung. During apnea, alveolar liquid and pleural pressures were measured by puncturing through the pleural window with micropipettes connected to a servo-nulling pressure-measuring system. Pressures were measured at airway pressures of 0 (FRC) and 10 cmH2O both in vivo and postmortem. In vivo, alveolar liquid and pleural pressures relative to ambient pressure averaged -2.3 +/- 1.4 (SD) and -1.8 +/- 0.9 cmH2O at FRC and increased to 3.3 +/- 1.8 and 1.8 +/- 1.6 cmH2O after inflation to an airway pressure of 10 cmH2O, respectively. Similar values were obtained postmortem. These results were similar to previous measurements in the isolated lung.

Download Full-text

Laparoscopic liver resection or Radiofrequency ablation using the left-lateral position in Segment 7

HPB ◽

10.1016/j.hpb.2019.10.2048 ◽

2019 ◽

Vol 21 ◽

pp. S385-S386

Author(s):

Zhang Li ◽

Xiu Dianrong ◽

Jiang Bin ◽

Yuan Chunhui ◽

Ma Chaolai ◽

...

Keyword(s):

Radiofrequency Ablation ◽

Liver Resection ◽

Laparoscopic Liver Resection ◽

Lateral Position ◽

Left Lateral Position

Download Full-text

Spontaneous Rupture of Uterine Vein During Late Pregnancy

Acta Obstetricia Et Gynecologica Scandinavica ◽

10.3109/00016348809004266 ◽

1988 ◽

Vol 67 (5) ◽

pp. 477-478 ◽

Cited By ~ 4

Author(s):

Jörgen Sigurd ◽

Ingemar Joelsson

Keyword(s):

Spontaneous Rupture ◽

Late Pregnancy

Download Full-text

The Skin-to-epidural distance of parturients by ultrasonography: sitting position versus left lateral position

Anesthesia and Pain Medicine ◽

10.17085/apm.2017.12.2.132 ◽

2017 ◽

Vol 12 (2) ◽

pp. 132-136

Author(s):

Eun Hee Chun ◽

Rack Kyung Chung ◽

Youn Jin Kim ◽

So Hee Jin

Keyword(s):

Lateral Position ◽

Sitting Position ◽

Left Lateral Position

Download Full-text

MOBILISASI PROGRESIF TERHADAP PERUBAHAN TEKANAN DARAH PASIEN DI INTENSIVE CARE UNIT (ICU)

Jurnal Ilmiah Kesehatan Keperawatan ◽

10.26753/jikk.v12i1.136 ◽

2016 ◽

Vol 12 (1) ◽

Author(s):

Ainnur Rahmanti ◽

Dyah Kartika Putri

Keyword(s):

Blood Pressure ◽

Intensive Care Unit ◽

Intensive Care ◽

Mortality Rate ◽

Respiratory Function ◽

Lateral Position ◽

High Morbidity ◽

Left Lateral Position ◽

Critical Patients

Patient with critical condition had high morbidity and mortality rate. This condition is worsened by long term immobilization. Instability vital sign made nurses stationed delayed mobilization activities in ICU. Progressive mobilization must be started for ICU patient to decrease respiratory function, level of awareness and cardiovascular function. The objective of this study was to identify progressive mobilization activities on blood pressure parameters among critical patients in ICU. The design of this study was quai experiment design. Thirty respondents were included to the study using concequtive sampling. Progressive mobilization was given with head of bed 300 (HOB 300), head of bed450 (HOB 450) with passive range of motion, continued with right and left lateral position. Anova repeated measurement was used to identify mean difference each of blood pressure. The result of this study show there is two moment sistolic change between HOB 300 to HOB 450 and HOB 450 to right lateral position (3,3%). There is nine moment diastolic change between HOB 450 to right lateral position (16,7%). Keywords: blood pressure, ICU, Progressive mobilization

Download Full-text

The impact of body position and exercise on the measurement of liver Young’s modulus by real-time shear wave elastography

Technology and Health Care ◽

10.3233/thc-213218 ◽

2021 ◽

pp. 1-10

Author(s):

Xia Jiang ◽

Li Li ◽

Hong-Yuan Xue

Keyword(s):

Healthy Volunteers ◽

Real Time ◽

Young’S Modulus ◽

Shear Wave ◽

Supine Position ◽

Young's Modulus ◽

Body Position ◽

Shear Wave Elastography ◽

Lateral Position ◽

Left Lateral Position

BACKGROUND: In the past ten years, liver biopsies have been used as a method to accurately diagnose the stage of fibrosis. OBJECTIVE: This study aimed to evaluate whether body position and exercise affect the measurement of liver Young’s modulus of healthy volunteers by real-time shear wave elastography (RT-SWE). Methods: RT-SWE was used to measure liver Young’s modulus in the supine and left lateral positions of 70 healthy volunteers at rest and measure the liver Young’s modulus in the lying position before exercise, and at zero, five, and ten minutes of rest after exercise. RESULTS: The liver Young’s modulus in the left lateral position was significantly higher than in the supine position (P< 0.05), and the measured value in the supine position was more stable than the left lateral position. The liver Young’s modulus measured at zero minutes after exercise was significantly higher than that measured before exercise (P< 0.05). The liver Young’s modulus measured at five minutes after exercise was significantly higher than that measured at zero minutes after exercise (P<0.05) and was not statistically different from the measured value before exercise (P> 0.05). The liver Young’s modulus measured at ten minutes after exercise was significantly higher from that measured at zero minutes after exercise (P< 0.05) and was not statistically different from the measured value at five minutes after exercise (P> 0.05). CONCLUSION: Body position and exercise have a significant impact on the measurement of liver Young’s modulus. It is recommended that the examinees take a supine position during the measurement, and measurement should be conducted at least ten minutes after exercise.

Download Full-text

Forces involved in lobar atelectasis in intact dogs

Journal of Applied Physiology ◽

10.1152/jappl.1980.48.1.29 ◽

1980 ◽

Vol 48 (1) ◽

pp. 29-33 ◽

Cited By ~ 10

Author(s):

G. T. Ford ◽

C. A. Bradley ◽

N. R. Anthonisen

Keyword(s):

Chest Wall ◽

Lower Lobe ◽

Transpulmonary Pressure ◽

Esophageal Pressure ◽

Lateral Position ◽

Relative Volume ◽

Left Lower Lobe ◽

Lung Lobe ◽

Left Lateral Position ◽

The Difference

When an excised lung lobe undergoes atelectasis, its shape differs from that observed when lobar atelectasis occurs in an intact animal: the chest wall deforms the collapsing lobe. In eight anesthetized dogs in the left lateral position we measured lung volume and transpulmonary pressure during the development of atelectasis. We then induced atelectasis of the left lower lobe with the rest of the lung maintained at FRC and measured lobar volume and "translobar" (lobar minus esophageal) pressure. Lung and lobar volumes were measured by prebreathing the animal with 88% O2-12% N2, occluding the airway and observing the increase in lung or lobar N2 concentration. When the left lower lobe alone collapsed, translobar pressures were more negative than transpulmonary pressure at the same relative volume when the whole lung collapsed. This pressure difference, which represents the deforming force applied to the lobe minus the pressure costs of deformation, averaged 3 cmH2O at 50% FRC. Infusion of 25 ml of normal saline into the pleural space sharply reduced the difference pulmonary pressure during lung collapse: this difference was abolished at 80% FRC and halved at 50% FRC. The large effect of the small volume of fluid suggested that deforming forces were largely generated in relatively local areas, such as regions of the chest wall with sharp angulation.

Download Full-text