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Topic: Insufflation


  
  Laparoscopic Surgery
Capnography is particularly important in laparoscopy because an increase in end-tidal carbon dioxide tension during insufflation means the patient is not being ventilated adequately to handle the excess carbon dioxide absorbed from the peritoneal cavity.
Insufflation of the abdomen may also result in movement of the trachea proximally almost 1 centimeter in respect to the tracheal tube.
Lower insufflation pressures limit the amount of gas embolized because the insufflator stops gas flow as the pressure in the vein receiving the carbon dioxide rises to the set pressure.
www.rashaduniversity.com /lasu.html   (4059 words)

  
 [No title]
Insufflation of the abdomen with carbon dioxide caused significant (P < 0.01) falls in mean cardiac index (17.9% in group A, 25.1% in group B) and mean stroke volume index (15.3% in group A, 21.2% in group B).
After CO2 insufflation, the initiation of AWL resulted in a significantly decreased IAP (from 13 to 6 mm Hg; P < 0.001) and Rrs (from 20.6 to 17.8 cm H2O.L(-1).s(-1); P = 0.029), whereas Ers was partly modified (34.0 to 33.3 cm H2O/L; not significantly different).
The intraperitoneal insufflation of carbon dioxide during laparoscopic procedures is associated with an increase in mean arterial pressure and systemic vascular resistance.
www.ucsf.edu /teeecho/grandrounds/LapCholey.htm   (5230 words)

  
 Gas insufflation needle with instrument port - Patent 4869717
To insert the insufflation needle, the blunt end 20 of rod 16 is pressed against the surface of skin 64 and the needle is thrust downwardly against the skin in the direction indicated by arrow 66.
A disposable insufflation needle has been provided which can be used to introduce gas into an abdominal cavity to extend the same while at the same time introducing a suitable instrument, all being accomplished through a single incision made by the trochar.
Conveniently, the insufflation needle includes a spring loaded rod within a needle which is removable from an outer sheath after the device is inserted in the abdomen.
www.freepatentsonline.com /4869717.html   (3459 words)

  
 Insufflation   (Site not responding. Last check: 2007-10-10)
Insufflation, stated Eliphas Levi, "is of the most important practices in occult medicine, because it is a perfect sign of the transmission of life.
Warm and prolonged insufflation restores the circulation of the blood, cures rheumatic and gouty pains, re-establishes the balances of the humors, and dispels lassitude.
Magnetic passes have a similar effect to insufflations, and are a real breathing by transpiration and radiation of the interior air, which is phosphorescent in vital light; slow passes constitute warm breathing which fortifies and raises the spirits; swift passes are a cold breathing of dispersive nature, neutralizing tendencies to congestion.
www.themystica.com /mystica/articles/i/insufflation.html   (364 words)

  
 Effects of abdominal CO2 insufflation and changes of position on hepatic blood flow in anesthetized pigs -- ...
Effects of abdominal CO insufflation and changes of position on hepatic blood flow in anesthetized pigs
CO insufflation in the horizontal position (H4 vs. H3 in Table 3 and Fig.
Carbon dioxide absorption is not linearly related to intraperitoneal carbon dioxide insufflation pressure in pigs.
ajpheart.physiology.org /cgi/content/full/275/3/H900   (2587 words)

  
 Insufflation - Wikipedia, the free encyclopedia
Insufflation is the practice of inhaling substances into a body cavity.
Inert, nontoxic gases (such as carbon dioxide) are often insufflated into a body cavity, in order to expand the cavity and increase workroom, or reduce obstruction during investigative surgery.
Psychoactive substances are often inhaled nasally for the purpose of intranasal absorption through the mucous membrane, which is often more rapid, or more complete, than gastrointestinal absorption.
en.wikipedia.org /wiki/Insufflation   (147 words)

  
 Transtracheal high-flow insufflation supports spontaneous respiration in chronic respiratory failure CHEST - Find ...   (Site not responding. Last check: 2007-10-10)
The purpose of this study was to investigate the physiologic effects of high-flow insufflation unobtrusively with a respiratory inductive plethysmograph in patients with chronic respiratory failure.
Insufflation of oxygen through a small catheter inserted transcutaneously into the trachea was introduced by Heimlich.
Since high-flow insufflation seems promising as a novel therapy of chronic respiratory failure, and since a device to provide a high flow of oxygen-enriched air in the patient's home is commercially available, the purpose of this study was to investigate the physiologic effects of therapy with high-flow insufflation in patients with chronic respiratory failure.
www.findarticles.com /p/articles/mi_m0984/is_1_127/ai_n9474598   (766 words)

  
 ERBLAN Surgical: Insufflation Needle
An insufflator is a needle-like device through which a gas or other fluid can be injected into a space or potential space somewhere within the body.
Existing insufflator needles used for endoscopic surgical procedures are incapable of truly effective prevention of injuries to internal organs during insertion and manipulation of the device.
The need for safer insufflator needles is thus imperative, especially given that endoscopic surgical procedures are likely to become more widespread in the future.
www.erblan.com /ip/needle.htm   (186 words)

  
 The Effect of Insufflation Pressure on CO2 Pneumoperitoneum and Embolism in Piglets -- Beebe et al. 94 (5): 1182 -- ...   (Site not responding. Last check: 2007-10-10)
The Effect of Insufflation Pressure on CO2 Pneumoperitoneum and Embolism in Piglets -- Beebe et al.
The Effect of Insufflation Pressure on CO Pneumoperitoneum and Embolism in Piglets
Abdominal insufflation at 5, 10, 15, and 20 mm Hg caused an
www.anesthesia-analgesia.org /cgi/content/abstract/94/5/1182   (475 words)

  
 Home Ozone Administration - Rectal Insufflation   (Site not responding. Last check: 2007-10-10)
The gas is absorbed through the intestinal walls during rectal insufflation into the bloodstream; the ozone is carried through the system when the large intestine is clean.
There are people using rectal insufflation or vagina insufflation for 1/2 - 1 minute, one to three times daily for the first week.
One can do a rectal insufflation for 30 minutes and a vaginal for 60 minutes at these low flow rates, which increases the absorption of it.
www.falconblanco.com /health/ozone/rectal.htm   (409 words)

  
 OzoneLab™ Insufflation Bags
In order to meet the pressing need for disposable ozone insufflation supplies which eliminate all possibilities for cross-contamination, we have designed, performed functional tests as well as tests targeting the ozone resistance of used materials, and initiated the production of Ozone Insufflation Bags as well as Ozone Insufflation Catheters.
Inflate one (200ml), two (200+200m) or all three (200+200+350ml) chambers of the Ozone Insufflation Bag with ozone gas using ozone concentration and the total gas volume according to the selected treatment protocol and dosage.
Use the MLL to attach the Ozone Insufflation Bag to the FLL of the Insufflation Catheter.
www.ozoneservices.com /products/OLP/med/insufflations/ib.htm   (579 words)

  
 Operating channel/insufflation port assemblies (US5226876)
The port assembly is anchorable in place, extending percutaneously into the stomach with remotely operable instrumentation being advanceable through the operating channel and into the stomach, and with CO being passable into the stomach through the insufflation lumen.
An insufflation valve member, connectable to said insufflation port, provides means for variably controlling the supply of CO into the stomach while a sealing member prevents gas leakage through the operating channel during operation/insufflation by providing a seal between the port member and the remotely operable instrumentation received therethrough.
After the balloon has been inflated, an inflation/insufflation tube within the inflation/insufflation lumen is advanced to seal the inflated balloon and open an insufflation port, through which a positive pressure may be maintain within the stomach during a subsequent surgical procedure performed through the operating channel.
www.delphion.com /details?pn10=US05226876   (574 words)

  
 ENIT, Thermal baths in Italy
Insufflation is a particular thermal inhalation treatment for the initial phases of tubaric problems of the middle ear (eustachian tube / eardrum/transmission system) which can develop into form of chronic otitis and lead to deafness.
This type of insufflation is known as ‘tympanic tube insufflation’.
Instead, nasal-pharyngeal insufflation is performed directly inside the nasal cavities using catheters or probes.
www.enit.it /insufflazioni.asp?lang=UK   (198 words)

  
 Effect of manually assisted cough and mechanical insufflation on cough flow of normal subjects, patients with chronic ...
Effect of manually assisted cough and mechanical insufflation on cough flow of normal subjects, patients with chronic obstructive pulmonary disease (COPD), and patients with respiratory muscle weakness -- Sivasothy et al.
Effect of manually assisted cough and mechanical insufflation on cough flow of normal subjects, patients with chronic obstructive pulmonary disease (COPD), and patients with respiratory muscle weakness
insufflation alone or in combination in normal subjects.
thorax.bmjjournals.com /cgi/content/full/56/6/438   (3704 words)

  
 The Potential for CKD Insufflation to Impact Metal Emissions from Cement Kilns
Because the volatile heavy metals concentrate in CKD, it is worth examining whether the CKD insufflation rate might affect the metal balance in the kiln.
Dust insufflation remained relatively constant at 9-10 tons/hr for most of this period except for one 2-3 hour period of increased insufflation about half way through the equilibration period.
Clearly if increased insufflation materially impacts equilibration, the 35% increase during testing should have resulted in a corresponding increase in metal emissions, particularly volatile metal emissions.
gcisolutions.com /995tn.htm   (730 words)

  
 Tracheal gas insufflation for the prevention of morbidity and mortality in mechanically ventilated newborn infants
Tracheal gas insufflation (TGI) is a technique where a continuous flow of gas is instilled into the lower trachea during conventional mechanical ventilation.
Tracheal gas insufflation (TGI), or dead space washout, is a technique where, in addition to conventional mechanical ventilation (CMV), a continuous flow of gas (air/oxygen) is instilled into the lower trachea.
This additional flow, or insufflation, of gas can occur throughout the ventilator cycle or only during expiration, with or without the addition of active aspiration of gas from the trachea during expiration (De Robertis 1999).
www.nichd.nih.gov /cochrane/Davies2/Davies.htm   (3240 words)

  
 Capnography in laparoscopic surgery   (Site not responding. Last check: 2007-10-10)
during insufflation due to changes in alveolar dead space consequent to reduced cardiac output, increased ventilation-perfusion mismatching, or both.
The incidence of negative gradients increased from 54% at pre-insufflation to 67% during CO insufflation.
Intra-abdominal carbon dioxide insufflation in the pregnant ewe.
www.capnography.com /lapscopy/lapscopy.htm   (1219 words)

  
 Home Ozone Administration - Vaginal Insufflation   (Site not responding. Last check: 2007-10-10)
This method is not at all intrusive, the practitioner does not need to stay in the room while the insufflation takes place, and the patient does not experience discomfort of any kind.
Women have an advantage, in that vaginal insufflation requires no preparation, and can be administered for very long periods of time, hours in fact.
Vaginal insufflation is used for any vaginal, uterine, ovarian or lower abdominal problem, including pelvic inflammatory diseases, fibroids, etc. The ozone will enter the lymph system from vaginal insufflation, as well as the blood stream.
www.falconblanco.com /health/ozone/vaginal.htm   (383 words)

  
 Transtracheal High-Flow Insufflation Supports Spontaneous Respiration in Chronic Respiratory Failure -- Brack et al. ...   (Site not responding. Last check: 2007-10-10)
For two breaths during low-flow insufflation and high-flow insufflation (marked with asterisks, respectively) rib cage vs abdominal volume loops (bottom left, C), and flow-volume loops (ie, time derivative of the sum volume vs the sum volume loops) [bottom right, D] are plotted.
In bottom left, C, the major downward and minor leftward displacement of the loops with high-flow insufflation indicates that the drop in lung volume was predominantly related to deflation of the rib cage.
High-flow insufflation induced similar changes in breathing patterns in both groups of patients (ie, a lower operating lung volume and a longer respiratory cycle time).
www.chestjournal.org /cgi/content/full/127/1/98   (2966 words)

  
 Carbon Dioxide Insufflation on the Number and Behavior of Air Microemboli in Open-Heart Surgery * Response -- Whitaker ...   (Site not responding. Last check: 2007-10-10)
Carbon Dioxide Insufflation on the Number and Behavior of Air Microemboli in Open-Heart Surgery * Response -- Whitaker et al.
Effect of CO insufflation on the number and behavior of air microemboli in open-heart surgery: a randomized clinical trial.
Svenarud P, Persson M, van der Linden J. Effect of CO insufflation on the number and behavior of air microemboli in open-heart surgery: a randomized clinical trial.
circ.ahajournals.org /cgi/content/full/110/5/e55   (980 words)

  
 LM
The distinction between "insufflation" and "exsufflation" has not always been preserved.
Insufflation was also used to refer to the action of the priest during the blessing of the font, where the ancient rubric read, "let the priest breathe three times into the font in the form of a cross.
The biblical roots of the insufflation ceremonies are found in such passages as the second creation story in Genesis which describes God breathing the breath of life into the first human being (Gn 2:7), and the account of Jesus' breathing upon the disciples and imparting to them the Holy Spirit (Jn 20:22).
www.episcopalchurch.org /19625_14582_ENG_HTM.htm   (235 words)

  
 Continuous Tracheal Gas Insufflation in Preterm Infants with Hyaline Membrane Disease . A Prospective Randomized Trial ...
Schema of the continuous tracheal gas insufflation (CTGI) device: a pump located in the incubator draws a flow of 0.5 L/min from the inspiratory circuit downstream to the heater-humidifier and feeds the gases into the CTGI circuit.
Tracheal gas insufflation is a useful adjunct in permissive hypercapnic management of acute respiratory distress syndrome.
Efficacy of tracheal gas insufflation in acute respiratory distress syndrome with permissive hypercapnia.
ajrccm.atsjournals.org /cgi/content/full/162/3/826   (3673 words)

  
 Critical Care | Full text | Equipment review: Tracheal gas insufflation
Tracheal gas insufflation (TGI) is an adjunctive ventilatory technique that delivers fresh gas into the trachea either continuosly or only during a specific segment of the respiratory cycle (phasic flow) [1,2,3,4].
We tested this possibility in normal dogs, and our data suggest that the volume of fresh gas insufflated by the catheter, rather than the flow rate, determines the efficacy of TGI [14].
Nahum A, Marini JJ: Tracheal gas insufflation as an adjunct to conventional ventilation.
ccforum.com /content/2/2/43   (4188 words)

  
 insufflation tubing / filter
insufflation filter prevents bacterial and viral contamination from possible backflow of surgical smoke, protecting both equipment and operating room personnel.
Compatible with insufflators with flow capacities to 24 liters/minute.
Cells are present in the smoke created during laparocopic surgery.
www.surgin.com /insufflation_tubing_filter.htm   (176 words)

  
 NORCCAP (Norwegian colorectal cancer prevention): a randomised trial to assess the safety and efficacy of carbon ...
NORCCAP (Norwegian colorectal cancer prevention): a randomised trial to assess the safety and efficacy of carbon dioxide versus air insufflation in colonoscopy -- Bretthauer et al.
Acid base balance during laparoscopy: The effect of intraperitoneal insufflation of carbon dioxide and nitrous oxide on acid-base balance during controlled ventilation.
The safety of carbon dioxide insufflation during colonoscopic electrosurgical polypectomy.
gut.bmjjournals.com /cgi/content/full/50/5/604   (2491 words)

  
 Complications of Tracheal Gas Insufflation   (Site not responding. Last check: 2007-10-10)
Numerous reports of patient, lung model, and animal use of tracheal gas insufflation (TGI) have appeared in the literature over the past 10 years.
Over the last 10 years much interest has focused on the potential for mechanical ventilation to induce lung injury similar in pathophysiology to that of acute respiratory distress syndrome.
or airway pressure is the flushing of mechanical and anatomic dead space by a secondary independent gas flow at the carina--tracheal gas insufflation (TGI).
www.rcjournal.com /contents/02.01/02.01.0167.asp   (477 words)

  
 Minimizing Diaphragmatic Injury During Radiofrequency Ablation: Efficacy of Intraabdominal Carbon Dioxide Insufflation ...
insufflation needle was inserted in the infraumbilical midline using
After CO insufflation was begun, the abdomen gradually became distended
of the insufflation needle were detected on postmortem examination.
www.ajronline.org /cgi/content/full/183/1/197   (2117 words)

  
 E-Z-EM : Virtual Colonoscopy : PROTOCO2L™
Automated CO2 insufflation demonstrates improved distention compared to manual insufflation, particularly in segments that are prone to collapse.
Yee J. Comparison of colonic distention using electronic CO2 insufflation and manual atmospheric insufflation on CT colonography.
Regulated pressure gently distends the colon and then helps maintain constant, adequate insufflation for the duration of the study.
www.ezem.com /virtual_colon/proto.htm   (266 words)

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