Comparative clinical trial of standard operative tracheostomy with percutaneous tracheostomy.

Objective: To compare percutaneous tracheostomy with conventional operative tracheostomy.

Design: Randomized clinical trial.

Setting: The medical and surgical critical care units of a large, tertiary-care, private hospital.

Thrombophlebitis and pulmonary embolism with surgical intervention in the third trimester.

A case of acute deep vein thrombophlebitis and pulmonary embolism in late gestation has been presented with a discussion of diagnostic modalities, therapeutic regimens, and theoretical considerations. It is our belief that aggressive medical management is best accomplished by giving heparin intravenously as the primary anticoagulant. When medical management is best accomplished by giving heparin intravenously as the primary anticoagulant.