Vasopressin-2 receptor antagonist attenuates the ability of the lungs to clear edema in an experimental model.

In the last two decades, the role of the alveolar active sodium transport was extensively studied and was found to play a crucial role in regulating alveolar fluid clearance (AFC), and thus in keeping the airspaces free of edema. The recent development of highly selective nonpeptide vasopressin-receptor antagonists gives us a rare chance to explore the role of vasopressin in the pathogenesis of lung edema. Therefore, the present study examined the involvement of vasopressin in modulating the ability of the lung to clear edema.

Preferential use of basilic vein for surgical repair of popliteal aneurysms via the posterior approach.

The facedown position used for the posterior surgical approach to repair popliteal aneurysms limits access to the great saphenous vein. Using the basilic vein as the conduit of choice in five patients, we were able to harvest the vein conveniently and simultaneously with aneurysm exposure. On follow-up of 4 to 36 months, all grafts were functioning well.

Prolonged international normalized ratio correlates with a large intravascular fluid balance after major abdominal surgery.

We performed a prospective randomized study of 32 patients who had undergone pancreaticoduodenectomy and did not receive blood during and after surgery. The patients were prospectively assigned to two groups related to fluid balance in the immediate postoperative period. Group 1 (14 patients) were maintained at a positive intravascular fluid balance of 0-1000 mL; Group 2 (18 patients) were maintained at a positive balance of 1000-2000 mL.