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Volume
2 : Number 3 (September – December) 2000
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Abstracts |
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>>>>Editorial |
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The
Concept of Lung Health [No
abstract available]
Remeshchandra Babu K.M.
Editor-in-Chief |
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>>>>Editorial |
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Thinking
Clearly About Lung Diseases[No
abstract available]
Martyn
R.Patridge, Consultant
Chest Physician, Whipps Cross Hospital, London
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>>> Perspectives
in Pulmonary Medicine |
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Breakthrough
in the Management for the “Smoking Illness”
[No
abstract available]
Ravindran
P, Senior Consultant Pulmonologist,
Cosmopolitan Hospital,
Thiruvananthapuram.
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>>>>Academy
Oration |
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Tuberculosis
: Yesterday, Today, Tomorrow
[No
abstract available]
Nataraja
Iyer K
Former
Professor and Head, Dept.of Chest Diseases,
Medical
College, Trichur.
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>>>>Leading
Article |
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Bronchiolitis
Obliterans Organising Pneumonia (BOOP)
[No
abstract available]
Ravindran
C, Professor
& Head, Dept.of TB & Respiratory Medicine, Medical College,
Alappuzha
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>>>> Original
Paper |
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Nocturnal
Asthma : Chronobiology and Chronotherapeutics [No
abstract available]
Gupta KB, Sanjeev Tandon, Monika Tandon*, Mahesh
Gupta*, Departments of Chest & Tuberculosis and Pharmacology*
Pt.BD Sharma Postgraduate Institute of Medical Sciences,
Rohtak, Haryana.
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>>>> Original
Paper |
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A
Study on the Effect of Perfume Inhalation in Preventing Gag Reflex
During Fiberoptic Bronchoscopy
Sajeev
S, Mubarak Sani TP, Kasim Kolakkadan Department of Chest Diseases,
Academy of Medical Sciences,Pariyaram, Kannur.
Abstract:
Background:
Fiberoptic
Bronchoscopy (FOB) is done usually under local anaesthesia to minimize
gag reflex and coughing during the procedure. Lignocaine, the
commonest local anaesthetic used, is absorbed into the circulation and
is known to cause systemic toxic effects. To reduce the dose of the
lignocaine used without increasing the gag reflex rate during
bronchoscopy, we used a novel technique, viz. inhalation of pleasant
smell (jasmine odour) during the procedure.
Objective:
The objective of the study was to compare the gags/minute produced
during the bronchoscopy when lignocaine viscous was used as local
anaesthetic in the upper respiratory tract, when perfume inhalation
was used instead of lignocaine and when no lignocaine or perfume
inhalation was used.
Methods:
Type of study – Randomized controlled double blind clinical study.
83
patients who underwent bronchoscopy for various lung lesions were
grouped into three.
1.
Lignocaine group – who received usual dose of lignocaine
2.
Perfume group – who did not receive lignocaine in the upper
respiratory tract instead
they
were given a gauze piece with perfume (jasmine odour) sprayed into it
and was asked to inhale it during the procedure.
3.
Placebo group – who did not receive lignocaine or perfume
inhalation.
Measurements:
The time taken for the bronchoscope to traverse the upper respiratory
tract (nostril to the vocal cords), number of gags during this time,
time for which the bronchoscope was in the lower respiratory tract
(below the vocal cords), number of time the patient gagged during this
time and the total dose of lignocaine used were measured.
Results:
The results showed that mean gags / minute in the respiratory tract in
the lignocaine group (0.1845) and perfume group (0.l714) did not show
significant difference (p-value 0.758). But the mean gags / minute in
the placebo group (0.4125) was higher than in the lignocaine group and
perfume group (p values <0.001 and <0.001 respectively). The
mean lignocaine dose used in the lignocaine group (340mg) was higher
than the perfume group (244mg) and placebo group (256 mg).
Conclusion: Inhalation
of pleasant smell during FOB is as effective as applying lignocaine in
the upper respiratory tract, in preventing gag reflex associated with
the passage of bronchoscope through the respiratory tract.
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>>>> Special Article
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Bronchiolo
Alveolar Cell Carcinoma
Venugopal
P Lecturer in Chest Medicine, Medical College, Alappuzha
Abstract:
The incidence of bronchiolo
alveolar carcinoma is rising recently. Since the tumour has its own
specific aetiopathogenesis, signs and symptoms as well as radiological
features, a short review of the various aspects of the tumor is
described here.
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>>>>Case Report
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Benign
Fibrous Tumour of the Pleura
Ravindran C,
Ramachandran PV*, Babu KMRC, Suhail N, Institute of Chest Diseases
& KHRWS Imageology Centre*,
Medical College, Calicut.
Abstract:
Benign fibrous tumour of the pleura is a rare neoplasm of the pleura
affecting adult patients over a wide age range (40-70). These tumours
are generally asymptomatic and known to persist for several years with
symptoms in general, related to tumour size. A 70 year old lady who
presented with recurrent attacks of fever and vague symptoms was
investigated and found to have a large pleural based neoplasm filling
the (Rt) lower hemithorax. Her chest radiographs from 1994 were
available for evaluation which showed progressive enlargement of
the lesion. Plain and contrast helical CT was performed, FNAB from the
lesion showing a spindle cell neoplasm.
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>>>>From
the Book of Medical Practice
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Message
from a Dead Patient [No
abstract available]
M.P.S.Menon Professor of Medicine, VP Chest Institute, Delhi.
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