Journal articles: 'Medical suction'

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&NA;. "Suction lipoplasty." Plastic Surgical Nursing 9, no. 3 (1989): 138. http://dx.doi.org/10.1097/00006527-198900930-00017.

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Ramadhan Putra, Wahyu, Sumber Sumber, and Lamidi Lamidi. "Suction Pump Thoracic." Indonesian Journal of electronics, electromedical engineering, and medical informatics 2, no. 1 (February 12, 2020): 42–46. http://dx.doi.org/10.35882/ijeeemi.v2i1.8.

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Thoracic Suction Pump is a medical device used in the medical world to carry out the action of sucking fluid in the thorax cavity, then the liquid that has been sucked will be accommodated in a vacuum tube. Thoracic Suction Pump this model uses a DC voltage motor that is controlled by a motor driver by giving Pulse width modulation that comes from a minimum system circuit. In the use of this tool, the compiler uses 4 pressure selection modes, namely -5, -10, -15, and -20 kPa which is done by pressing the Push button Up and Down for selection of pressure. After the pressure is selected, the pressure value will appear on the 2 x 16 LCD display. This study used a pre-experimental type with One group post test design research design. After measurements and calculations are obtained the results of the pressure values are read by the MPXV4115V sensor which is obtained the biggest error at maximum pressure with the setting of -10 obtained an average value of 2.78% error, in the -5 setting obtained an error value of 2.70%, in the settings -20 obtained an error value of 1.59%, and the smallest error in the setting of -15 obtained an error value of 1.09%.For the minimum pressure error the biggest error value with the setting of -10 is 0.33% error, the setting of -15 is 0.20%, the error-setting is 0.19%, and the smallest error is set - 20 obtained an error value of 0.18%.

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Henderson, Virginia A. "SUCTION LIPECTOMY DRESSINGS." Plastic Surgical Nursing 8, no. 3 (1988): 109. http://dx.doi.org/10.1097/00006527-198808030-00008.

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Peri, Saketh R., Forhad Akhter, Robert A. De Lorenzo, and R. Lyle Hood. "Portable Medical Suction and Aspirator Devices: Are the Design and Performance Standards Relevant?" Sensors 22, no. 7 (March 25, 2022): 2515. http://dx.doi.org/10.3390/s22072515.

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Airway clearance refers to the clearing of any airway blockage caused due to foreign objects such as mud, gravel, and biomaterials such as blood, vomit, or teeth fragments using the technology of choice, portable suction devices. Currently available devices are either too heavy and bulky to be carried, or insufficiently powered to be useful despite being in accordance with the ISO 10079-1 standards. When applied to portable suction, the design and testing standards lack clinical relevancy, which is evidenced by how available portable suction devices are sparingly used in pre-hospital situations. Lack of clinical relevancy despite being in accordance with design/manufacturing standards arise due to little if any collaboration between those developing clinical standards and the bodies that maintain design and manufacturing standards. An updated set of standards is required that accurately reflects evidence-based requirements and specifications, which should promote valid, rational, and relevant engineering designs and manufacturing standards in consideration of the unique scenarios facing prehospital casualty care. This paper aims to critically review the existing standards for portable suction devices and propose modifications based on the evidence and requirements, especially for civilian prehospital and combat casualty care situations.

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Bhakti, Sri Sadhana, and Samser Nababan. "ANALISA DAYA HISAP SUCTION PUMP MERK CHEIRON TYPE VICTORIA." JURNAL MUTIARA ELEKTROMEDIK 4, no. 1 (June 26, 2020): 48–54. http://dx.doi.org/10.51544/elektromedik.v4i1.3244.

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A Suction Pump Is A Tool That Has A Function To Suck Unneeded Liquids In The Human Body. So, Analyze The Suction Power Of The Cheiron Type Victoria Suction Pump On Parameters -20 Kpa, -40 Kpa, -60 Kpa, And -75 Kpa In Time 5 Second As A Result Of Research In The Workshop Installation Of The Hospital Dr. Pringadi Medan City.This study uses a quantitative experimental research type. By Carrying Out Measurements, Testing And Taking Data Directly On The Cheiron Type Victoria Suction Pump, Based On The Effect Of Suction Power -20 Kpa, -40 Kpa, -60 Kpa, And -75 Kpa. The purpose of this research is to determine the speed of suction power (vacuum) of the Chairon type Victoria suction pump in water and to determine and analyze the effect of suction on the time that has been determined. To Get Suction Results In Accordance With The Needs And Also The Accuracy Of A Medical Device, It Is Needed To Test The Accuracy Of The Output (Output) Of Suction Power,So that the Output (Output) From The Suction Power To The Patient With An Accurate And Safe Condition. After Research And Analysis Is Conducted, It Is Known That There Are Output Deviation (Output) Suction Power That Is Still Within The Specified Tolerance Limit <- 10.

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Choi, Moon Kee, Ok Kyu Park, Changsoon Choi, Shutao Qiao, Roozbeh Ghaffari, Jaemin Kim, Dong Jun Lee, et al. "Cephalopod-Inspired Miniaturized Suction Cups for Smart Medical Skin." Advanced Healthcare Materials 5, no. 1 (May 20, 2015): 80–87. http://dx.doi.org/10.1002/adhm.201500285.

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Yorioka, Katsuhiro, Shigeharu Oie, and Akira Kamiya. "Microbial Contamination of Suction Tubes Attached to Suction Instruments and Preventive Methods." Japanese Journal of Infectious Diseases 63, no. 2 (March 31, 2010): 124–27. http://dx.doi.org/10.7883/yoken.63.124.

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Cui, Jian, Cheryl Blaha, Michael D. Herr, and Lawrence I. Sinoway. "Lower-limb venous distension reflex and orthostatic tolerance in young healthy humans." American Journal of Physiology-Regulatory, Integrative and Comparative Physiology 319, no. 2 (August 1, 2020): R142—R147. http://dx.doi.org/10.1152/ajpregu.00269.2019.

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Earlier reports suggest that limb venous distension evokes reflex increases in muscle sympathetic nerve activity (MSNA) and blood pressure (BP) (i.e., venous distension reflex). Our recent report also shows that suction of arterially occluded limb evokes venous distension reflex. We postulate that the venous distension reflex contributes to autonomic responses to orthostatic stress. In this study, we hypothesized that orthostatic tolerance would be linked to the MSNA response seen with lower limb suction. Fifteen healthy subjects were tested in the supine position. Negative pressure (−100 mmHg) was applied on an arterially occluded lower limb for 2 min. MSNA from the peroneal nerve in the limb not exposed to suction, ECG, and BP (Finometer) was recorded throughout the study. Limb occlusion without suction was used as a control trial. In a separate visit, the individual’s orthostatic tolerance was assessed using a graded lower body negative pressure (LBNP) tolerance test. Mean arterial BP and MSNA (18.6 ± 1.9 to 23.6 ± 2.0 bursts/min) significantly (both P < 0.05) increased during limb suction. Orthostatic tolerance index positively correlated ( R = 0.636, P = 0.011) with the MSNA response seen with suction during occlusion. Since the venous distension reflex strength correlates with the level of orthostatic tolerance, we speculate that lower-limb venous distension reflex engagement increases the sympathetic responses during orthostatic challenge and serves to maintain BP with postural stress.

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Lott, Mary E. J., Cynthia Hogeman, Michael Herr, Monica Bhagat, Allen Kunselman, and Lawrence I. Sinoway. "Vasoconstrictor responses in the upper and lower limbs to increases in transmural pressure." Journal of Applied Physiology 106, no. 1 (January 2009): 302–10. http://dx.doi.org/10.1152/japplphysiol.90449.2008.

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The purpose of this study was to examine upper and lower limb vasoconstrictor responses to changes in transmural pressure in humans. Brachial and femoral blood mean blood velocity (MBV) and vessel diameter (Doppler ultrasound) were measured in 20 supine healthy subjects (10 men and 10 women; 27 ± 1 yr; mean ± SE) during four levels of limb suction at −25, −50, −75, and −100 mmHg, respectively. Limb suction led to an initial rise in MBV followed by a rapid fall in flow velocity to a level below MBV baseline, indicating a vasoconstriction effect. Femoral compared with brachial vessels exhibited a greater fall in flow velocity at all levels of suction (−89 ± 17 vs. −10 ± 2, −142 ± 11 vs. −14 ± 2, −156 ± 22 vs. −13 ± 2, and −162 ± 29 vs. −12 ± 2 ml/min for −25, −50, −75, and −100 mmHg, respectively; interaction effect, P < 0.05). Even at low tank suction levels (i.e., −10 and −20 mmHg), significant brachial flow velocity vasoconstriction from baseline values was demonstrated, reflecting downstream resistance vessel changes ( n = 14). Brachial and femoral diameters did not change during changes in negative tank pressure. During suction, changes in limb volumes were significantly greater in the forearm (1.4 ± 0.5%, 2.4 ± 0.8%, 3.5 ± 1.0%, and 4.3 ± 1.1%) compared with the calf (0.9 ± 0.5%, 1.4 ± 0.7%, 2.0 ± 0.8%, and 2.8 ± 1.1%) at all levels of negative tank pressures (−25, −50, −75, and −100 mmHg, respectively). Simultaneous measurements of both upper limbs and both lower limbs suggested that the majority of the reduction in flow was due to myogenic influences except when −100 mmHg of suction was applied to the lower limb. The greater vasoconstriction responses in the leg compared with the arm with suction appear to be influenced by both myogenic and sympathetic mechanisms.

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Kupchik, B. M., and I. D. Shlafer. "Modernized suction ECG electrodes." Biomedical Engineering 21, no. 6 (November 1987): 220–22. http://dx.doi.org/10.1007/bf00557650.

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Thach, B. T., G. L. Schefft, D. L. Pickens, and A. P. Menon. "Influence of upper airway negative pressure reflex on response to airway occlusion in sleeping infants." Journal of Applied Physiology 67, no. 2 (August 1, 1989): 749–55. http://dx.doi.org/10.1152/jappl.1989.67.2.749.

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Artificially produced upper airway suction inhibits the diaphragm in animals and infants; however, the effects of spontaneously generated suction in humans are unknown. We studied nine tracheostomized infants because separation of the upper from the lower airway allowed us to channel suction created by an occluded inspiratory effort to both upper and lower airways (upper + lower airway occlusions) or to the lower airway only (lower airway occlusion). The tracheostomy airway was briefly occluded at end expiration during quiet sleep. In upper + lower airway occlusions, peak airway pressure of the first occluded breath was less negative and rate of pressure decrease slower than that of lower airway occlusions, indicating that upper airway suction inhibits thoracic inspiratory muscles. The threshold for this response was less than or equal to 4 cmH2O suction pressure. The effect on inspiratory time was variable. A decrease in slope of the inspiratory pressure waveform occurring at approximately 0.12 s after inspiration onset was more marked in upper + lower airway occlusions. We conclude that infants have an upper airway reflex response to inspiratory pressure that alters not only the peak and slope but also the shape of the inspiratory pressure waveform.

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Suga, H., Y. Goto, Y. Igarashi, O. Yamada, T. Nozawa, and Y. Yasumura. "Ventricular suction under zero source pressure for filling." American Journal of Physiology-Heart and Circulatory Physiology 251, no. 1 (July 1, 1986): H47—H55. http://dx.doi.org/10.1152/ajpheart.1986.251.1.h47.

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We quantified ventricular suction flow, volume, and pressure under hydrostatically zero source pressure for filling. A large-bore electromagnetic flow probe was placed in the valve-free mitral annulus of the dog heart that had been excised and was cross circulated with the left atrium widely opened. With the heart immersed in a blood pool, ventricular suction flow and transmural pressure were measured. After a rapid ejection flow [peak: 110 +/- 47 (SD) ml . s-1 . 100 g left ventricle-1] during systole, a slow suction flow (peak: 26 +/- 20 ml . s-1 . 100 g-1) occurred during diastole despite the zero source pressure for filling. Peak transmural pressure during ejection was 6 +/- 3 mmHg, and peak negative transmural pressure during suction was 2 +/- 1 mmHg. Suction volume, which was equal to ejection volume in steady state, was 8 +/- 3 ml/100 g left ventricle. Increases in paced heart rate markedly decreased suction volume by curtailing diastolic filling time. Epinephrine, propranolol, calcium, and verapamil variably changed suction volume, and these effects were primarily accounted for by the accompanied heart rate changes.

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Friedrich, M. G., T. Tirilomis, J. M. Kollmeier, Y. Wang, and G. G. Hanekop. "Modifications of Surgical Suction Tip Geometry for Flow Optimisation: Influence on Suction-Induced Noise Pollution." Surgery Research and Practice 2018 (November 21, 2018): 1–8. http://dx.doi.org/10.1155/2018/3074819.

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Introduction. Suction devices for clearing the surgical field are among the most commonly used tools of every surgeon because a better view of the surgical field is essential. Forced suction may produce disturbingly loud noise, which acts as a nonnegligible stressor. Especially, in emergency situations with heavy bleeding, this loud noise has been described as an impeding factor in the medical decision-making process. In addition, there are reports of inner ear damage in patients due to suction noises during operations in the head area. These problems have not been solved yet. The purpose of this study was to analyse flow-dependent suction noise effects of different surgical suction tips. Furthermore, we developed design improvements to these devices.Methods. We compared five different geometries of suction tips using an in vitro standardised setup. Two commercially available standard suction tips were compared to three adapted new devices regarding their flow-dependent (10–2000 mL/min) noise emission (dB, weighting filter (A), distance 10 cm) and acoustic quality of resulting noises (Hamilton fast Fourier analysis) during active suction at the liquid-air boundary. Noise maps at different flow rates were created for all five suction devices, and the proportion of extracted air was measured. The geometries of the three custom-made suction tips (new models 1, 2, and 3) were designed considering the insights after determining the key characteristics of the two standard suction models.Results. The geometry of a suction device tip has significant impact on its noise emission. For the standard models, the frequency spectrum at higher flow rates significantly changes to high-frequency noise patterns (>3 kHz). A number of small side holes designed to prevent tissue adhesion lead to increased levels of high-frequency noise. Due to modifications of the tip geometry in our new models, we are able to achieve a highly significant reduction of noise level at low flow rates (new model 2 vs. standard modelsp<0.001) and also the acoustic quality improved. Additionally, we attain a highly significant reduction of secondary air intake (new model 2 vs. the other modelsp<0.001).Conclusion. Improving flow-relevant features of the geometry of suction heads is a suitable way to reduce noise emissions. Optimized suction tips are significantly quieter. This may help us to reduce noise-induced hearing damage in patients as well as stress of medical staff during surgery and should lead to quieter operation theatres overall. Furthermore, the turbulence reduction and reduced secondary air intake during the suction process are expected to result in protective effects on the collected blood and thus could improve the quality of autologous blood retransfusions. We are on the way to evaluate potential benefits.

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Kozak, Richard, and Walter Bean. "64. Difficulties with Advanced Airway Procedures Due to Portable Suction Equipment: Survey of Paramedics." Prehospital and Disaster Medicine 11, S2 (September 1996): S46. http://dx.doi.org/10.1017/s1049023x00045970.

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Objective: The objective of this study is to identify potential problems associated with prehospital advanced airways by assessing the utilization, complications, and education associated with the use of portable suction equipment.Methods: Fifty-one paramedics serving a university medical center were anonymously surveyed. The survey consisted of questions regarding: utilization, difficulties, bad outcomes, and training associated with portable suction equipment.Results: Six of the paramedics set up and check suction equip ment for every airway procedure. The rest perform daily checks or rarely test equipment. Twenty-three medics reported equipment malfunctions: dead battery (12), improper set-up (5), clogged tubing (6). Twenty-six of the paramedics reported having at least one bad outcome due to malfunction of suction equipment. These were cases of failed intubation following at least one attempt. Seven bad outcomes were attributed to lack of suction equipment at scene. Paramedics carry suction equipment to the scene for less than twenty-five percent of calls. Three suction units were in use: S-SCORT (32), S-SCORT Jr. (11), and Impact (8). There was no difference in utilization or bad outcomes by unit type. Ninety-eight percent of the paramedics reported some type of formal training on use of suction equipment during airway procedures.

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Alshahrani, Shadia Hamoud, Absar Ahmed Qureshi, Premalatha Paulsamy, Krishnaraju Venkatesan, and Pranave Sethuraj. "The impact of open vs closed suction on cardio- respiratory parameters in mechanically ventilated patients." International Journal of Current Research in Chemistry and Pharmaceutical sciences 8, no. 7 (July 30, 2021): 33–38. http://dx.doi.org/10.22192/ijcrcps.2021.08.07.004.

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Suctioning of the endotracheal tube in ventilated patients is one of the ways to maintain the airway open. There arevarious risks associated with this procedure. Suctioning methods that are appropriate for the situation can help to avoid acute problems. The purpose of this study was to compare the effects of open vs closed suction on cardiorespiratory parameters in patients on mechanical ventilations. Patients hospitalized to Neuro-ICU and Medical ICU with ventilator support was studied in a non-randomized clinical trial with a time series study design. Sixty samples were chosen using a convenient sampling procedure, including 30 for open suction and 30 for closed suction. Before and during suction, data such as demographic factors and cardio-respiratory parameters such as respiratory rate, heart rate, mean arterial pressure, and SpO2 were measured. In this study, statistically significant changes (p=0.001) in Mean Arterial Pressure (MAP) and SpO2 were identified when open and closed suction systems were compared. According to the findings, closed suction has a significant favourable impact on cardiopulmonary parameters. Keywords: Cardio Respiratory parameters, mechanical ventilation, SpO2, Mean Arterial Pressure (MAP), opensuction, closed suction

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Singh, Desh Pal, Saurabh Goel, and Surendra Kumar. "A comparative study of negative suction drainage in inguinal hernia operations at Saraswathi Institute of Medical Sciences, Pilkhua, Hapur Uttar Pradesh." International Surgery Journal 9, no. 1 (December 28, 2021): 169. http://dx.doi.org/10.18203/2349-2902.isj20215151.

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Background: The inguinal area is the weakest region of the abdominal wall. So, this is the most common site for the development of hernias. Inguinal hernias are the commonest amongst all the hernias and hernia repair is the most frequently done operation worldwide. There is no agreement among surgeons regarding the need for drains. Some use sparingly and some use it routinely. This study aims to evaluate the use of negative suction drain in inguinal hernia surgery.Methods: We studied sixty patients of inguinal hernias both direct and indirect for one year and followed up for next 1-2 years. This prospective study aimed to see the effect of negative suction drainage in hernia surgery.Results: Both the groups did well postoperatively. It was beneficial to put a negative suction drain in those patients who had a bigger hernia, fatty patients with the thick fatty lower abdominal wall and older patients.Conclusion: It is advisable to put a negative suction drain in inguinal hernia surgery and strongly advocated if the dissection had been difficult, old patients and fatty lower abdominal wall

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Jeter, Katherine. "Closed Suction Wound Drainage System." Journal of Wound, Ostomy and Continence Nursing 31, no. 2 (March 2004): 51. http://dx.doi.org/10.1097/00152192-200403000-00001.

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Damor, Priyanka, Sunita Maheshwari, and Shalini Singh. "Role of SR vacuum cannula as novel technique for atonic PPH management study at Pannadhay Rajkiya Mahila Chikitsalaya and RNT Medical College, Udaipur." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 11 (October 27, 2021): 4150. http://dx.doi.org/10.18203/2320-1770.ijrcog20214324.

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Background: Postpartum hemorrhage is a major obstetrical emergency and one of the important but preventable causes of maternal morbidity and mortality. It is often sudden, frequently unpredictable and catastrophic. In this study SR vacuum cannula will be applied to create negative pressure inside the uterine cavity with a specially designed uterine cannula, which is a simple, safe and cost-effective technique. The aim and objective of the study was to analyse the incidence, effectiveness of suction cannula in management of atonic PPH after failure of medical management over tamponade and the maternal outcome after suction technique.Methods: This observational study was conducted in Department of Obstetrics and Gynecology, RNT Medical College and Panna Dhay Rajkiya Mahila Chikitsalaya, Udaipur, Rajasthan. Patients requiring PPH management admitted to the obstetrics ward between August 2019 – December 2020. The Uterine Vacuum Retraction System consists of SR Suction cannula to control PPH after vaginal delivery. SR suction cannula for atonic PPH at caesarean delivery and High vacuum suction machine was used.Results: In majority of the patients bleeding was stopped within three minutes. 60 women (50%) bleeding was stopped within 3 minutes, in 38 women (31.7%) bleeding was stopped between 3-4 minutes and in 22 women (18.3%) bleeding was stopped >4 minutes. In 75 (62.5%) women negative pressure was applied only once, in 20 (16.7%) was applied two times and 25 women (20.8%) negative pressure was applied three times to stop bleeding. Blood collected in bottle after SR Cannula Application ranged from 100-150 ml.Conclusions: Vacuum suction cannulas should be made part and parcel of normal delivery tray to facilitate quick application. This simple and cost-effective technique takes very little time to organize and can stop bleeding within 3 minutes in atonic PPH as shown in this study.

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Barbosa, Thales C., Lauro C. Vianna, Takeshi Hashimoto, Lonnie G. Petersen, Niels D. Olesen, Hayato Tsukamoto, Henrik Sørensen, Shigehiko Ogoh, Antonio C. L. Nóbrega, and Niels H. Secher. "Carotid baroreflex function at the onset of cycling in men." American Journal of Physiology-Regulatory, Integrative and Comparative Physiology 311, no. 5 (November 1, 2016): R870—R878. http://dx.doi.org/10.1152/ajpregu.00173.2016.

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Arterial baroreflex function is important for blood pressure control during exercise, but its contribution to cardiovascular adjustments at the onset of cycling exercise remains unclear. Fifteen healthy male subjects (24 ± 1 yr) performed 45-s trials of low- and moderate-intensity cycling, with carotid baroreceptor stimulation by neck suction at −60 Torr applied 0–5, 10–15, and 30–35 s after the onset of exercise. Cardiovascular responses to neck suction during cycling were compared with those obtained at rest. An attenuated reflex decrease in heart rate following neck suction was detected during moderate-intensity exercise, compared with the response at rest ( P < 0.05). Furthermore, compared with the reflex decrease in blood pressure elicited at rest, neck suction elicited an augmented decrease in blood pressure at 0–5 and 10–15 s during low-intensity exercise and in all periods during moderate-intensity exercise ( P < 0.05). The reflex depressor response at the onset of cycling was primarily mediated by an increase in the total vascular conductance. These findings evidence altered carotid baroreflex function during the first 35 s of cycling compared with rest, with attenuated bradycardic response, and augmented depressor response to carotid baroreceptor stimulation.

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Pettis, Daryl K., and Peter A. Vogt. "Complications of Suction-Assisted Lipoplasty." Plastic Surgical Nursing 12, no. 4 (1992): 148–51. http://dx.doi.org/10.1097/00006527-199201240-00004.

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Bartley, J., and C. Barber. "Treatment of chronic nasopharyngitis with monopolar suction diathermy." Journal of Laryngology & Otology 124, no. 4 (October 14, 2009): 426–27. http://dx.doi.org/10.1017/s0022215109991460.

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AbstractIntroduction:Chronic nasopharyngeal infection is rare. To our knowledge, no effective treatment for this condition has previously been described. This report documents our experience of using suction ablation diathermy in this clinical setting.Method:We performed a prospective review of four patients aged 23–65 years (two men and two women) who presented with chronic nasopharyngitis. Initial medical management consisted of regular saline irrigation plus a 14-day course of doxycycline 100 mg daily, combined with rifampicin 200 mg twice daily. When this proved unsuccessful, patients subsequently received a four-week course of omeprazole 40 mg daily, also unsuccessfully. Given these treatments' lack of success, surgery was undertaken.Results:Following suction diathermy ablation, nasopharyngeal crusting took four to six weeks to settle. After this, all patients ceased to cough up crusts or infected mucus.Conclusions:Chronic nasopharyngitis is uncommon. If medical management fails, suction ablation diathermy is a useful surgical treatment option.

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Miller, Jordan D. "Evidence of venous suction, but from where?" Journal of Applied Physiology 99, no. 2 (August 2005): 776. http://dx.doi.org/10.1152/japplphysiol.00593.2005.

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Brown, S. Lori, Janos T. Bacsanyi, and Sherry L. Purvis-Wynn. "Fatal and serious complications associated with cosmetic suction lipectomy." Canadian Journal of Plastic Surgery 10, no. 2 (April 2002): 69–74. http://dx.doi.org/10.1177/229255030201000204.

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Liposuction is the most commonly performed cosmetic surgery procedure in the United States. The medical devices and drugs used in the performance of liposuction are regulated by the Food and Drug Administration. Serious liposuction-related complications, including death, are reported in the literature. A review of reported complications and causes of deaths related to liposuction is presented. Prospective studies examining potential risk factors for complications, such as amount of fatty tissue removed and extent of body surface area affected, concomitant surgeries, method of anesthesia, impact of physician training and site of surgery, are needed to clarify the risks involved in liposuction. Studies are required to establish the risk-benefit profile of this procedure to allow patients and physicians to be adequately informed. Adverse events have been under-reported to the Food and Drug Administration despite numerous reports in the medical literature of serious complications associated with the use of medical devices in the performance of liposuction.

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Niël-Weise, B. S., R. L. M. M. Snoeren, and P. J. van den Broek. "Policies for Endotracheal Suctioning of Patients Receiving Mechanical Ventilation: A Systematic Review of Randomized Controlled Trials." Infection Control & Hospital Epidemiology 28, no. 05 (May 2007): 531–36. http://dx.doi.org/10.1086/513726.

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Objective.The Dutch Working Party on Infection Prevention (Werkgroep Infectiepreventie [WIP]) aimed to determine whether certain policies on endotracheal suctioning are better than others in terms of prevention of ventilator-associated pneumonia (VAP) in patients receiving mechanical ventilation in the intensive care unit.Methods.Publications were retrieved by a systematic search of Medline and the Cochrane Library for literature published before February 2006. Additionally, the reference lists of all identified trials were examined. All randomized trials, quasi-randomized trials, and systematic reviews or meta-analyses of randomized or quasi-randomized trials that compared different policies on endotracheal suctioning for patients receiving mechanical ventilation in the intensive care unit were selected. Two reviewers independently assessed trial quality and extracted data. Disagreements were resolved by discussion with a third reviewer. Data from the original publications were used to calculate the relative risk of VAP. Data for VAP were combined in the analysis where appropriate, by use of a random-effects model.Results.Ten trials were included in the review. The quality of the trials and the way they were reported were generally unsatisfactory. Eight low-quality trials indicate that use of closed instead of open suction systems has no effect on the incidence of VAP. Two moderate-quality trials indicate that changing in-line suction catheters less frequently than every 24 hours does not increase the incidence of VAP.Conclusion.The WIP recommends that there be no preferential use of either open or closed endotracheal suction systems to reduce the rate of VAP, but it elucidates that the quality of the evidence is low. Considerations other than prevention of VAP should determine the choice of the suction system. When closed systems are used, the WIP recommends changing the in-line suction catheters every 48 hours. In case of mechanical failure or soiling of the suction system, they may be changed more frequently.

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Kaye, Keith S., Dror Marchaim, Chester Smialowicz, and Lauren Bentley. "Suction Regulators: A Potential Vector for Hospital-Acquired Pathogens." Infection Control & Hospital Epidemiology 31, no. 7 (July 2010): 772–74. http://dx.doi.org/10.1086/653820.

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The role of suction regulators in nosocomial infections has, to our knowledge, not been studied. A sampling of devices used in hospitals was conducted. Many regulators (173 [37%] of 470) were found to be colonized. A suction circuit model revealed that pathogens can disseminate throughout the circuit (retrograde and antegrade), colonizing an experimental patient stomach.

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Cheng, George, Adnan Majid, Jose Cardenas-Garcia, Christopher Manley, and Erik Folch. "Use of Laparoscopic Suction Irrigator With Rigid Pleuroscope in Medical Thoracoscopy." Chest 150, no. 4 (October 2016): 981A. http://dx.doi.org/10.1016/j.chest.2016.08.1087.

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Torre, D., C. Sampietro, and F. Maggiolo. "Blood and Tissue Fluid Levels of a New Non-Steroidal Anti-Inflammatory Preparation of Nabumetone." Journal of International Medical Research 15, no. 6 (November 1987): 368–73. http://dx.doi.org/10.1177/030006058701500606.

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The pharmacokinetic properties of a new non-steroidal anti-inflammatory preparation of nabumetone have been studied in both plasma and extravascular fluids. The skin suction blister technique was used on six healthy volunteers on two separate occasions and gave good, reproducible results. A single oral dose of 1 g nabumetone achieved significant blood and skin suction blister fluid concentrations. The partition index (area under the concentration curve for the skin suction blister/area under the concentration curve for blood) showed that the orally administered drug was well diffused within the body.

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Eckberg, D. L., and B. G. Wallin. "Isometric exercise modifies autonomic baroreflex responses in humans." Journal of Applied Physiology 63, no. 6 (December 1, 1987): 2325–30. http://dx.doi.org/10.1152/jappl.1987.63.6.2325.

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The influence of brief, moderate isometric exercise on the earliest vagal and sympathetic responses to changes of afferent carotid baroreceptor activity was studied in 10 healthy young men and women. Vagal-cardiac nerve activity was estimated from changes of electrocardiographic R-R intervals, and postganglionic peroneal nerve muscle sympathetic activity was measured directly from microneurographic recordings. Carotid baroreceptor activity was altered with 5-s periods of 30 Torr pressure or suction applied to a neck chamber during held expiration. Brief handgrip (30% of maximum) significantly reduced base-line R-R intervals, did not modify reductions of R-R intervals during neck pressure, and significantly reduced increases of R-R intervals during neck suction. Handgrip did not significantly increase base-line sympathetic activity from resting levels, but it significantly diminished increases of sympathetic activity during neck pressure and augmented reductions of sympathetic activity during neck suction. Our results suggest that exercise modifies, in small but significant ways, early sympathetic and vagal responses to abrupt changes of arterial baroreceptor input in humans.

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Grossman, John A. "Body Contouring: Suction-Assisted Lipolysis and Ft Transplantation Techniques." AORN Journal 48, no. 4 (October 1988): 713–25. http://dx.doi.org/10.1016/s0001-2092(07)69126-1.

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Barney, J. A., T. J. Ebert, L. Groban, P. A. Farrell, C. V. Hughes, and J. J. Smith. "Carotid baroreflex responsiveness in high-fit and sedentary young men." Journal of Applied Physiology 65, no. 5 (November 1, 1988): 2190–94. http://dx.doi.org/10.1152/jappl.1988.65.5.2190.

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The influence of fitness on cardiac vagal activity and baroreflex-mediated control of heart rate has not been clearly established in humans. Therefore, we studied resting cardiac vagal activity by evaluating respiratory sinus arrhythmia (RSA) and examined carotid-cardiac baroreflex responsiveness with a neck collar in 11 high-fit and 9 sedentary [based on maximal O2 consumption (VO2max) and history of physical activity] healthy young men (19-31 yr of age). Resting cardiac vagal activity was determined from the standard deviation of 100 consecutive resting R-R intervals. Baroreflex responsiveness was determined from the R-R interval responses to neck suction and pressure (repeated trials of 5-s stimuli of -20, -40, and 35 mmHg). Both RSA and the bradycardic (R-R interval) responses to neck suction of -40 mmHg were significantly greater (P less than 0.05) in the high-fit individuals (RSA, 116.5 +/- 11.5 ms; neck-suction response, 145.3 +/- 17.0 ms; mean +/- SE) compared with sedentary subjects (RSA, 65.2 +/- 6.6 ms; neck-suction response, 86.9 +/- 12.5 ms). Responses of the high-fit volunteers to the other intensities of neck stimuli (-20 and 35 mmHg) showed a similar trend but were not significantly different from those of the sedentary volunteers. The baroreflex slope derived from these data was significantly greater in the high-fit subjects (4.00 +/- 0.39 ms/mmHg) compared with the sedentary controls (2.53 +/- 0.28 ms/mmHg). These data suggest that resting cardiac vagal activity is greater, carotid-to-cardiac activity is well maintained, and baroreflex sensitivity, i.e., slope, is augmented in high-fit subjects.

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Horie, Toshiaki, and Satoshi Konishi. "Stepwise Locomotion on a Deformable Surface Using Shear Displacement Produced by a Pneumatic Suction Device." Journal of Robotics and Mechatronics 21, no. 1 (February 20, 2009): 74–80. http://dx.doi.org/10.20965/jrm.2009.p0074.

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The present paper introduces a stepwise locomotion of a micro robot using the shear displacement of a deformable object by a pneumatic suction device. We consider a locomotion function of a micro robot for medical application. A medical micro robot introduced into the abdominal cavity has been investigated as an extension of endoscopic technology. A micro robot with a locomotion function can be made to move within the body when performing medical examinations or surgery. The proposed locomotion mechanism employs suction devices in order to provide a shear displacement as well as stable contact with the object. The proposed stepwise locomotion mechanism does not require an additional stretching actuator for inchworm motion. The present paper describes the design, implementation, characterization, and demonstration of a micro robot based on the proposed locomotion principle. The micro robot will successfully demonstrate one-dimensional, two-dimensional, and diagonal movements, and an in vitro experiment will be conducted as a representative medical application.

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Athar, Mohammad, Sanjay Kala, Abhineet Gupta, and Ashish Varshney. "Comparison of post-operative complications in modified radical mastectomy patients with full suction and compression bandage versus half suction and non-compression bandage." International Surgery Journal 7, no. 5 (April 23, 2020): 1541. http://dx.doi.org/10.18203/2349-2902.isj20201866.

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Background: Modified radical mastectomy still remains the most common surgical procedure employed in definitive management of breast cancer. Post mastectomy problems include skin flap necrosis, prolonged axillary drainage, seroma formation, wound gaping etc., among all seroma is commonest. Drainage usage and dressing applied after this procedure is debatable due to varying recommendations.Methods: A prospective randomized control trial was conducted on 84 FNAC/TRUECUT biopsy proven cases of early and locally advanced breast cancer patients admitted in surgery department, GSVM Medical College, Kanpur over a period of two years. Aiming to compare full suction drainage and compression dressing (n=42) (group 1) with half suction drainage and non-compression dressing (n=34) (group 2), in terms of post-operative morbidities like skin flap necrosis, prolonged axillary drainage, seroma formation, wound gaping and length of hospital stay. Romsons 16 number Romovac drains were used for suction and 2 elastic 6” crape bandage were used for compression.Results: During follow-up there was significant lower incidence of seroma formation in group 1 patients compared to group 2 patients (p<0.0019). Full compression dressing patients have increased incidence of superficial skin necrosis compared to non-compression dressing patients (p<0.022). Patients with half suction drainage and non-compression dressing has early drain removal than patients with full suction drainage and compression dressing (p<0.05), the length of hospital stay was less in group 2 compared to group 1.Conclusions: There is markedly lesser incidence of post-operative seroma formation along with reduced morbidity in the form of patients discomfort and flap necrosis in post MRM patients with full suction drainage and compression dressing, but it requires a greater hospital stay and has slightly higher risk of superficial skin necrosis which can be easily managed with topical ointments, compared to patients with half suction drainage and non-compression dressing.

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IWASAKI, Haruna, Shuhei MITASHITA, and Eiji IWASE. "Evaluation of adhesion using elastomeric suction cups for in-vivo medical treatments." Proceedings of Conference of Kanto Branch 2020 (March 13, 2020): 17I10. http://dx.doi.org/10.1299/jsmekanto.2020.17i10.

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Hawkins, Seth C., and R. Bryan Simon. "Ten Myths about Medical Emergencies and Medical Kits." Advances in Archaeological Practice 9, no. 1 (February 2021): 23–33. http://dx.doi.org/10.1017/aap.2020.47.

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ABSTRACTWilderness medicine is plagued by myths and dogmatic teachings not supported by evidence. This article focuses particularly on those teachings and tools that would be most likely used in archaeological fieldwork. It lays out 10 of the most common and concerning myths taught in wilderness medicine and wilderness emergency medical services, both in terms of first aid and preparation of medical kits. The myths described are provide a structure for the main purpose of the article: to explain interventions and medical kit contents that are more evidence based and supported by modern understandings of wilderness medicine and fieldwork risk management. The list of top 10 myths includes (1) the use of medications other than epinephrine for anaphylaxis and (2) the availability and proper use of epinephrine auto-injectors, (3) the use of suction devices and tourniquets for snakebites, (4) the use of spinal immobilization for neck injuries, (5) the identification and treatment of heat illnesses, (6) the use of CPR in remote areas, (7) the appropriateness of dislocation reduction in remote areas, (8) the use and choice of tourniquets for arterial bleeding, (9) the initial definition and management of drowning patients, and (10) wound management myths.

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Carruthers, Katherine H., Bradley S. Eisemann, Susan Lamp, and Ergun Kocak. "Optimizing the Closed Suction Surgical Drainage System." Plastic Surgical Nursing 33, no. 1 (2013): 38–42. http://dx.doi.org/10.1097/psn.0b013e31828425db.

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&NA;. "Optimizing the Closed Suction Surgical Drainage System." Plastic Surgical Nursing 33, no. 1 (2013): 43–44. http://dx.doi.org/10.1097/psn.0b013e31828a090d.

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Abdallah, Hatem O., Melanie F. Weingart, Risa Fuller, David Pegues, Rebecca Fitzpatrick, and Brendan J. Kelly. "Subglottic suction frequency and adverse ventilator-associated events during critical illness." Infection Control & Hospital Epidemiology 42, no. 7 (January 11, 2021): 826–32. http://dx.doi.org/10.1017/ice.2020.1298.

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AbstractObjective:Tracheal intubation and mechanical ventilation provide essential support for patients with respiratory failure, but the course of mechanical ventilation may be complicated by adverse ventilator-associated events (VAEs), which may or may not be associated with infection. We sought to understand how the frequency of subglottic suction, an indicator of the quantity of sputum produced by ventilated patients, relates to the onset of all VAEs and infection-associated VAEs.Design:We performed a case-crossover study including 87 patients with VAEs, and we evaluated 848 days in the pre-VAE period at risk for a VAE.Setting and participants:Critically ill patients were recruited from the medical intensive care unit of an academic medical center.Methods:We used the number of as-needed subglottic suctioning events performed per calendar day to quantify sputum production, and we compared the immediate pre-VAE period to the preceding period. We used CDC surveillance definitions for VAE and to categorize whether events were infection associated or not.Results:Sputum quantity measured by subglottic suction frequency is greater in the period immediately prior to VAE than in the preceding period. However, it does not discriminate well between infection-associated VAEs and VAEs without associated infection.Conclusions:Subglottic suction frequency may serve as a valuable marker of sputum quantity, and it is associated with risk of a VAE. However, our results require validation in a broader population of mechanically ventilated patients and intensive care settings.

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Parkinson, Richard J., Bernard R. Bendok, Christopher C. Getch, Parham Yashar, Ali Shaibani, William Ankenbrandt, Issam A. Awad, and H. Hunt Batjer. "Retrograde suction decompression of giant paraclinoid aneurysms using a No. 7 French balloon–containing guide catheter." Journal of Neurosurgery 105, no. 3 (September 2006): 479–81. http://dx.doi.org/10.3171/jns.2006.105.3.479.

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✓ The treatment of large and giant paraclinoid carotid artery (CA) aneurysms often requires the use of suction decompression for safe and effective occlusion. Both open and endovascular suction decompression techniques have been described previously. In this article the authors describe a revised endovascular suction decompression technique that provides several advantages in the treatment of large and giant paraclinoid and CA aneurysms. A 51-year-old woman presented with a relatively brief history of progressive visual loss in the right eye, nonspecific headache, and an afferent pupillary defect. After angiography studies had been obtained, it was determined that she had a giant right paraclinoid internal CA aneurysm with a dome size of approximately 26 mm on the right and a neck diameter of 10 mm. A modified technique was performed in which suction decompression was used. With the aid of a No. 7 French Concentric balloon guide catheter (Concentric Medical, Inc., Mountain View, CA) and application of a temporary clip distal to the aneurysm, the aneurysm was trapped and decompressed using retrograde suction through the guide catheter when the balloon was inflated. After satisfactory placement of three permanent clips, an intraoperative angiogram obtained through the same guide catheter confirmed CA patency. The aneurysm was then punctured and aspirated, ensuring complete occlusion of the aneurysm sac and reconstruction of the parent vessel. The patient made an excellent recovery and did not suffer any complications. She did not experience worsening in her vision. This technical modification to endovascular suction decompression allows several potential advantages, including higher volume decompression and the ability to deliver endovascular devices to distal arterial locations.

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Khan, Mukhtar, Pooja Gadgotra, Vijay Gupta, and Arindam Gupta. "Leech infestation: Our experience at Government Medical College, Rajouri." National Journal of Physiology, Pharmacy and Pharmacology 12, no. 11 (2022): 1. http://dx.doi.org/10.5455/njppp.2022.12.104812022014102022.

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Leech invasion into a bodily cavity or orifice is known as hirudiniasis. This article’s objective is to explain an uncommon cause of epistaxis brought on by a leech infestation in the nasal cavity, nasopharynx, or oropharynx in the hilly Rajouri district of Jammu and Kashmir, as well as how to manage it. This retrospective case series consisted of seven cases. All the cases present with unilateral epistaxis. Anterior rhinoscopy with or without endoscope reveal smooth, grayish-black mobile leech inside nasal cavity, nasopharynx, or oropharynx which was removed by suction or forcep.

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Anjali Devi, S. P., and T. Elakkiya Priya. "Numerical Investigation of Slip Effects on Hydromagnetic Flow Due to a Rotating Porous Disk in a Nanofluid with Internal Heat Absorption." Journal of Mechanics 33, no. 3 (January 24, 2017): 375–86. http://dx.doi.org/10.1017/jmech.2017.2.

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AbstractIn recent days, nanofluids have derived the attention of researchers, scientists and engineers due to their abundant applications in Engineering and technology and specific applications such as Electronics cooling, vehicle cooling, medical applications including cancer therapy and so on. Motivated by these applications of nanofluids, this work is mainly concerned with the convective heat transfer of nanofluids. MHD slip flow of nanofluids with heat absorption over a rotating disk subjected to suction has been analyzed. Two types of nanofluids such as copper-water nanofluid and silver-water nanofluid are considered for the present study. The system of axisymmetric nonlinear partial differential equations governing the hydromagnetic steady flow and heat transfer are reduced to nonlinear ordinary differential equations by introducing suitable similarity transformations. The resulting non-linear ordinary differential equations are solved numerically by most efficient Nachtsheim-Swigert shooting iteration technique for satisfaction of asymptotic boundary conditions along with Runge – Kutta Fehlberg Method. The flow field is affected by the presence of physical parameters, such as magnetic interaction parameter, suction parameter, slip parameter and solid volume fraction, whereas the temperature field is addionally affected by magnetic interaction parameter, suction parameter, internal heat absorption parameter and solid volume fraction. With the amplifying effect in magnetic interaction parameter, suction parameter, slip parameter and solid volume fraction, the radial and tangential velocities decline. Axial velocity gets decelerated for increasing magnetic interaction parameter and slip parameter whereas it gets accelerated for growing effect of suction parameter and solid volume fraction. The temperature of the fluid within the boundary layer enhances with the increasing effect of magnetic interaction parameter and solid volume fraction while it reduces for increasing values of the suction parameter and internal heat absorption parameter. Also the values of radial and tangential skin friction coefficients and Nusselt number are obtained numerically and are tabulated.

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Suhartono, Suhartono, I. Made Agus Mahardiananta, Cokorda Istri Dharmayanti, Kadek Agus Riki Gunawan, and I. Putu Adi Surya Gunawan. "DEVELOPMENT OF HEALTH PERSONNEL IN MEDICAL EQUIPMENT MANAGEMENT IN PAYANGAN GENERAL HOSPITAL, GIANYAR, BALI." Jurnal Abdi Insani 9, no. 4 (December 27, 2022): 1424–33. http://dx.doi.org/10.29303/abdiinsani.v9i4.772.

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The quality of health services to the community must always be improved as a form of responsibility for health workers. One of the important things in improving the quality is maintaining the quality of medical equipment. Some things that must be considered in medical devices are the measuring value and safety of the device itself. Some of the tools that are often used in hospitals are Oxygen Concentrator, Nebulizer, SPO2, ECG, Defibrillator, Bedside Monitor, Ventilator, Infuse Pump, Syringe Pump, Baby Incubator, Phototherapy, Bubble CPAP, Doppler and Suction Pump. This community service activity is to assist the hospital in taking an inventory of the health equipment they have, making it easier to collect data on which equipment can still be used or must be repaired and conduct training for technicians and medical personnel. The method of activities carried out is observation, lectures, inventory and direct practice of function testing and repair of medical devices. This activity was attended by several technicians and medical personnel from Payangan General Hospital in the hope that all medical personnel will understand the medical equipment that is often used. The results of this activity were several equipment that needed repairs such as tools, ECG, Nebulizer, Baby Incubator, Oxygen Concentrator, Suction Pump, Phototherapy, Bubble CPAP and Doppler. This activity indirectly provides knowledge and experience to medical personnel, with the hope that the service life of all medical equipment will be longer.

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Daschner, F. "Closed disposable suction systems: need, waste or hazard." Journal of Hospital Infection 15, no. 4 (May 1990): 396–97. http://dx.doi.org/10.1016/0195-6701(90)90100-3.

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George, Sunit Ninan, Jinu Ibrahim Jamaludeen, and Abdul Latheef Abdul Muthalib. "A Comparative Study of Conventional Incision and Drainage with Minimally Invasive Drainage of Breast Abscess in Government Medical College, Alappuzha." Journal of Evidence Based Medicine and Healthcare 7, no. 45 (November 9, 2020): 2635–39. http://dx.doi.org/10.18410/jebmh/2020/543.

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BACKGROUND It has been recently reported that breast abscess can be managed more efficiently with USG guided aspiration as well as incision and closed suction drainage (minimally invasive drainage of breast abscess) with equivalent results when compared to the conventional I & D. we wanted to compare the conventional mode of incision & drainage of breast abscess with the minimally invasive drainage of breast abscess in terms of post op pain, duration of hospital stay, resolution time, cosmetic appearance. METHODS This is an observational study conducted among 50 breast abscess cases, in the age group of 18 – 40 years, admitted under General Surgery Department of Govt. Medical College, Alappuzha, between January 2017 - January 2018. 50 patients included in the study were divided into two groups - group A - conventional I & D of their breast abscess, and group B - getting minimally invasive drainage of their breast abscess. Analysis was done using the SPSS software. RESULTS In terms of post-op pain, duration of hospital stay, resolution time & cosmetic appearance the results were statistically significant and it was found that the minimally invasive breast abscess drainage was better than the conventional I & D. CONCLUSIONS Primary closure and placement of suction drain (minimally invasive drainage of breast abscess) is a better method of breast abscess drainage when compared with the Conventional I & D. KEYWORDS Incision & Drainage (I & D), Minimally Invasive Drainage of Breast Abscess, Visual Analogue Scale (VAS), Patient and Observer Scar Assessment Scale (POSAS), Primary Closure & Suction Drainage, Residual Abscess, Pus C & S

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Scheinberg, Morton A., Ricardo Diniz, and Jorge Diamant. "Improvement of juxtaarticular adiposis dolorosa by fat suction." Arthritis & Rheumatism 30, no. 12 (December 1987): 1436–37. http://dx.doi.org/10.1002/art.1780301220.

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Lønnee, Mads, Kenneth Geving Andersen, Søren Stagelund, Ole Christensen, and Kim Wildgaard. "Use of Medical Supplies at the Roskilde Festival 2016: A Prospective Observational Study." Prehospital and Disaster Medicine 36, no. 3 (March 19, 2021): 306–12. http://dx.doi.org/10.1017/s1049023x21000212.

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AbstractIntroduction:Music festivals are popular events often including camping at the festival site. A mix of music, alcohol, drugs, and limited hygiene increases health risks. This study aimed to assess the use of medical supplies at a major music festival, thereby aiding planning at similar events in the future.Method:The Medical Health Care Organization (MHCO) at Roskilde Festival 2016 (Denmark) collected prospective data on disposable medical supply use and injuries and illnesses presenting to the MHCO.Results:A total of 12,830 patient presentations were registered by the MHCO and a total of 104 different types of disposable medical supplies were used by the MHCO from June 25, 2016 through July 3, 2016. Out of 12,830 cases, 594 individuals (4.6%) had a potential or manifest medical emergency, 6,670 (52.0%) presented with minor injuries, and 5,566 (43.4%) presented with minor illnesses. The overall patient presentation rate (PPR) was 99.0/1,000 attendees and the transport-to-hospital rate (TTHR) was 2.1/1,000 attendees. For medical emergencies, the most frequently used supplies were aluminum rescue blankets (n = 627), non-rebreather masks (n = 121), and suction catheters for an automatic suction unit (ASU) for airway management (n = 83). Most used diagnostic equipment were blood glucose test strips (n = 1,155), electrocardiogram electrodes (n = 960), and urinary test strips (n = 400). The most frequently used personal protection equipment were non-sterile gloves (n = 1,185 pairs) and sterile gloves (n = 189).Conclusion:This study demonstrates a substantial use of disposable medical supplies at a major music festival. The results provide aid for planning similar mass-gathering (MG) events.

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Hoh, Daniel J., Donald W. Larsen, James B. Elder, Paul E. Kim, Steven L. Giannotta, and Charles Y. Liu. "Novel Use of an Endovascular Embolectomy Device for Retrograde Suction Decompression-Assisted Clip Ligation of a Large Paraclinoid Aneurysm: Technical Case Report." Operative Neurosurgery 62, suppl_5 (May 1, 2008): ONS412—ONS413. http://dx.doi.org/10.1227/01.neu.0000326027.39467.88.

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Abstract Objective: Several different methodologies for proximal occlusion and retrograde suction decompression of large paraclinoid aneurysms have been reported previously. In this article, we describe the novel use of an endovascular embolectomy device (F.A.S.T. funnel catheter; Genesis Medical Interventional, Inc., Redwood City, CA) for temporary internal carotid artery occlusion and suction decompression of an intracranial aneurysm to facilitate surgical clip ligation. The combination of atraumatic occlusion technology and large lumen size makes this technique safer and easier. Clinical Presentation: A 53-year-old woman with progressive headaches underwent computed tomographic angiography, which revealed an unruptured large left paraclinoid aneurysm. Cerebral angiography confirmed the diagnosis. The patient did not tolerate a balloon test occlusion for therapeutic Hunterian internal carotid occlusion. The patient was subsequently taken to the operating room for a craniotomy and clip ligation of the aneurysm. Intervention: A standard left pterional craniotomy was performed with opening of the sylvian fissure and exposure of the left paraclinoid aneurysm. Intraoperative angiography with introduction of a new endovascular embolectomy device was performed. The device was deployed to achieve temporary occlusion of the cervical internal carotid artery, and aspiration through the central lumen allowed for retrograde suction decompression of the aneurysm. Collapse of the aneurysm through this technique permitted visualization of the aneurysmal neck with successful clip ligation. Conclusion: A new endovascular embolectomy device can be used to safely perform suction decompression of large paraclinoid aneurysms to facilitate clip ligation.

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Jain, Mahendra K., Anubhuti Jain, and Devendra Sareen. "Intrapartum oropharyngeal and nasopharyngeal suctioning in neonates born through meconium-stained amniotic fluid: Indian scenario." International Journal of Contemporary Pediatrics 5, no. 6 (October 22, 2018): 2103. http://dx.doi.org/10.18203/2349-3291.ijcp20183841.

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Background: Meconium aspiration syndrome (MAS) is a life-threatening respiratory disorder in infants born through meconium-stained amniotic fluid (MSAF). Although anecdotal data concerning the efficacy of intrapartum oropharyngeal and nasopharyngeal suctioning of MSAF are conflicting, the procedure is widely used. We aimed to assess the effectiveness of intrapartum suctioning for the prevention of MAS.Methods: A prospective quasi randomized control trial, assessor blind, single centre study was done at Department of neonatology, Geetanjali Medical College and Hospital, Udaipur, Rajasthan. Patients were enrolled over a total period of 16 months started from January 2016 to April 2017. 312 patients with MSAF of any consistency, gestational age at least 37 weeks, and cephalic presentation were randomly assigned to suctioning of the oropharynx and nasopharynx (including the hypopharynx) before delivery of the shoulders (n=127), or no suctioning before delivery (n=185). Postnatal delivery-room management followed Neonatal Resuscitation Program guidelines. The primary outcome was incidence of MAS. Clinicians diagnosing the syndrome and designating other study outcomes were masked to group assignment. An informed consent waiver was used.Results: No significant difference between treatment groups was seen in the incidence of MAS [36 (26.7%) suction versus 36 (19.5%) no suction; p = 0.167], mortality in suction [5 (3.91%) versus no suction 5 (2.74%); p = 0.779], or in the duration of ventilation, oxygen treatment, and hospital care. There was statistically significant difference in need for mechanical ventilation for MAS [13 (10.23%) vs 4 (2.2%); p = 0.005], any respiratory support for MAS 25 (19.7%) suction versus 18 (9.7) p = 0.019).Conclusions: Routine intrapartum suctioning of infants born through MSAF does not reduce the incidence of MAS. On the contrary, intrapartum suctioning might result in complications like more infant required neonatal resuscitation and respiratory support.

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Rahimian, Masoud, Salar Khazani Fard, Mohammad Samet, and Fatemeh Aghaei Meybodi. "Effect of pleurodesis with negative pressure suction plus bleomycin on malignant pleural effusions; a clinical trial." Immunopathologia Persa 5, no. 2 (July 27, 2019): e20-e20. http://dx.doi.org/10.15171/ipp.2019.20.

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Introduction: About 50% of patients with metastatic cancers suffer from malignant pleural effusion. The goals of treatment for these patients should be to relieve pain, restore normal function, reduce or eliminate hospitalization, and make efficient use of medical care resources. Objectives: This study aimed to evaluate the effect of negative pressure suction on the success rate of pleurodesis with bleomycin on malignant pleural effusion. Patients and Methods: This study was conducted as before-after interventional study, without randomization. For all patients, 1 mg/kg bleomycin diluted with 50 mL distilled water, was injected into the chest tube. After changing the position of the patient, the clamp was opened and the tube was connected to the central suction with two chest bottles. The negative pressure suction was 20 cmH2O. Before intervention and four weeks after the intervention, a simple decubitus lateral chest X-ray was taken and the amount of malignant pleural effusion was assessed and compared with the amount of pleural effusion before the insertion of the chest tube. If the pleural effusion level was greater than 10 mm from the outer part of the chest, pleurodesis was considered unsuccessful Results: The mean age of patients was 60.44 ± 10.48 years (32-79 years); of which 12 patients (48%) were male. The most common cancer was lung cancer (48%). The success rate of treatment with bleomycin accompanied by negative pressure suction was 80% without a significant relationship with age, gender and type of cancer. Additionally, the results showed the improvement of the respiratory status and the pain level after the pleurodesis. The only side effect after bleomycin injection was fever in 84% of patients. Conclusion: Bleomycin treatment accompanied by negative pressure suction can improve malignant pleural effusion and this method is recommended for these patients.

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Robinson, Marie-Ève, Ileana Diaz, Nicholas James Barrowman, Nicole Huneault-Purney, Brigitte Lemyre, and Nicole Rouvinez-Bouali. "Trainees success rates with intubation to suction meconium at birth." Archives of Disease in Childhood - Fetal and Neonatal Edition 103, no. 5 (April 10, 2018): F413—F416. http://dx.doi.org/10.1136/archdischild-2017-313916.

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ObjectivesTo assess the success rate and main reasons for failure of intubation performed by medical trainees to suction meconium below the vocal cords in non-vigorous infants delivered at ≥36 week gestation.DesignWe conducted a prospective cohort study involving 54 residents and nine neonatology fellows in a Canadian level 3 neonatal intensive care unit. Endotracheal intubation to suction meconium was performed using a videolaryngoscope, the video screen being covered during the procedure. All videos were reviewed by two experts blinded to the procedure and to the identity of the trainee.ResultsSixteen videos were available to review between July 2014 and March 2016. Intubation success rate assessed by the reviewers was 6%, compared with 21% as assessed by the trainees. The most common reasons for intubation failure were an improper view of the glottis (87%) and meconium or secretions obscuring the view (67%). 36 % of the time, the trainees identified different reasons for intubation failure than the reviewers.ConclusionSuccess rate of neonatal intubation to suction meconium was much lower than the success rate reported on infants without meconium. Teaching should be geared towards the most common reasons for intubation failure, possibly using video-based teaching.

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FODOR, P., W. CIMINO, J. WATSON, and A. TAHERNIA. "Continuing medical education article — body contouring: Suction-assisted lipoplasty: Physics, optimization, and clinical verification." Aesthetic Surgery Journal 25, no. 3 (May 2005): 234–46. http://dx.doi.org/10.1016/j.asj.2005.03.001.

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Journal articles on the topic 'Medical suction'

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