5.Hereditary antithrombin deficiency and hyperhomocysteinemia in venous thromboembolic disease.
Zheng XI-XI ; Bing ZHONG-XING ; Liu BAO
Acta Academiae Medicinae Sinicae 2012;34(6):645-648
Hypercoagulability state is the result of the interplay of genetic predisposition and risk factors. Many key enzymes and reactions in coagulation and anti-coagulation system are involved. Hereditary antithrombin deficiency is one of the major risk factors of venous thromboembolic disease (VTE), whereas hyperhomocysteinemia may also play a role. This article reviews the recent researches on the contributions of these two factors to VTE.
Antithrombin III Deficiency
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complications
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Humans
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Hyperhomocysteinemia
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complications
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Venous Thrombosis
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etiology
10.Laryngeal mask airway (LMA-ProSeal™) malfunction causing acute airway obstruction
Binu Puthur SIMON ; Syed Harun HABIBULLAH
Brunei International Medical Journal 2012;8(4):205-209
The Laryngeal Mask Airway ProSeal™ (LMA-ProSeal™; Laryngeal Mask Company Limited) is a reusable supraglottic airway device developed to enhance supraglottic airway protection and extend the benefits of the classic LMA (Laryngeal Mask Airway) to greater number of patients. Added features include an additional drain tube to channel fluid away from the airway and a tighter seal against the glottic opening with no increase in mucosal pressure. Clinicians have extended the use of the LMA-ProSeal™ inside and outside the operating theatre including use for difficult airway management and airway rescue. However, even these new devices have their limitations. We report an unforeseen acute airway obstruction caused by LMA-ProSeal™ malfunction during ophthalmic surgery. The cuff of the device was deformed with herniation to one side upon insufflation of the balloon.
Laryngeal Masks
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Equipment Failure
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Complications
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Percutaneous Coronary Intervention
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Stents
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Thrombosis