Late recurrence of cardiac sarcoma presenting as giant pulmonary artery aneurysm.

We report the case of a 46-year-old woman who had undergone cardiac transplantation for a malignant, right ventricular sarcoma. Five years later, she experienced pulmonary hypertension and a pulmonary artery aneurysm. Medical management of the pulmonary hypertension being unsuccessful, she underwent surgical exploration of the pulmonary artery aneurysm and bilateral pulmonary endarterectomy.

Pressure on the face while in the prone position: ProneView versus Prone Positioner.

Study Objective: To measure the surface pressure on the face of a patient placed in the prone position with the most commonly used prone positioning devices, a non-face-contoured positioner (PP) and a new face-contoured device (PV).

Design: Prospective, randomized comparison.

Setting: Operating room in an American academic medical center.

Force and torque vary between laryngoscopists and laryngoscope blades.

Several studies have examined the effects of patient characteristics on force of laryngoscopy, but little attention has been paid to the importance of technique and equipment. This study investigated whether force, torque, head extension, and view varied significantly between laryngoscopists and compared force and torque using Macintosh 3 and Miller 2 blades. The study population consisted of ASA grade I and II patients requiring general anesthesia and endotracheal intubation for elective surgery.

Force, torque, and stress relaxation with direct laryngoscopy.

The anesthetist exerts axial force on the laryngoscope handle to expose the glottis. The anesthetist must also apply a perpendicular force to balance the torque on the laryngoscope. Several studies have measured axial force during direct laryngoscopy, but none has measured torque.

Acute effects of hypercapnia and hypoxia on minute ventilation in unrestrained Weddell seals.

We studied the ventilatory response to hypoxia and hypercapnia in five freely diving juvenile Weddell seals (age = 2 years) at McMurdo Station, Antarctica. The ventilatory response to CO2 was brisk, with minute ventilation increasing as a linear function of end tidal CO2 with an average slope of 3.1 L X (min X mm Hg)-1.