JAMA : the journal of the American Medical Association
-
To assess the clinical consequences of duration of adult respiratory distress syndrome (ARDS) on lung structure and function. ⋯ The lung structure and function changes markedly with ARDS duration, and the late stages may be described as restrictive lung disease with superimposed emphysemalike lesions. Presence of pneumothorax affects survival and appears to be related to the lung structural changes occurring with time.
-
There are potential long-term problems with anterior cruciate ligament reconstruction, even in those who have had a successful result. Arthroplasty of the elbow has been evolving. Infection after total joint arthroplasty is a potentially disastrous complication.
-
In suitable candidates undergoing cardiac surgery, inhalation agents and new protocols for postoperative care have facilitated early extubation and reduced levels of intensive care. Volunteers with no prior experience in resuscitation were more successful in maintaining patent airways with the laryngeal mask airway than with the standard face mask and oral airway.