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10.1590/1414-431X20154438 http://scihub22266oqcxt.onion/10.1590/1414-431X20154438 C4541692!4541692!26176310     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26176310&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26176310.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Braz+J+Med+Biol+Res 2015 ; 48 (8): 725-7 Nephropedia Template TP {{tp|p=26176310|t=2015. Transtracheal puncture: a forgotten procedure |pdf=|usr=}}{{26176310}} gab.com Text Transtracheal puncture: a forgotten procedure JO: Braz J Med Biol Res http://www.kidney.de/pget.php?&tw=1&pmid=26176310 #FOAvip Transtracheal puncture has long been known as a safe, low-cost procedure. However, with the advent of bronchoscopy, it has largely been forgotten. Two researchers have suggested the use of ?-amylase activity to diagnose salivary aspiration, but the normal values of this enzyme in tracheobronchial secretions are unknown. We aimed to define the normal values of ?-amylase activity in tracheobronchial secretions and verify the rate of major complications of transtracheal puncture. From October 2009 to June 2011, we prospectively evaluated 118 patients without clinical or radiological signs of salivary aspiration who underwent transtracheal puncture before bronchoscopy. The patients were sedated with a solution of lidocaine and diazepam until they reached a Ramsay sedation score of 2 or 3. We then cleaned the cervical region and anesthetized the superficial planes with lidocaine. Next, we injected 10 mL of 2% lidocaine into the tracheobronchial tree. Finally, we injected 10 mL of normal saline into the tracheobronchial tree and immediately aspirated the saline with maximum vacuum pressure to collect samples for measurement of the ?-amylase level. The ?-amylase level mean � SE, median, and range were 1914 � 240, 1056, and 24-10,000 IU/L, respectively. No major complications (peripheral desaturation, subcutaneous emphysema, cardiac arrhythmia, or hemoptysis) occurred among 118 patients who underwent this procedure. Transtracheal aspiration is a safe, low-cost procedure. We herein define for the first time the normal ?-amylase levels in the tracheobronchial secretions of humans. Twit Text FOAVip Transtracheal puncture: a forgotten procedure ????Braz J Med Biol Res http://www.kidney.de/pget.php?&tw=1&pmid=26176310 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26176310 #FOAvip English Wikipedia <ref>{{Cite pmid|26176310}}</ref> Transtracheal puncture: a forgotten procedure #MMPMID26176310 Almeida E; Almeida A; Almeida F; Montessi J; Gomes C; Ferreira L Braz J Med Biol Res 2015[Aug]; 48 (8): 725-7 PMID26176310show ga Transtracheal puncture has long been known as a safe, low-cost procedure. However, with the advent of bronchoscopy, it has largely been forgotten. Two researchers have suggested the use of ?-amylase activity to diagnose salivary aspiration, but the normal values of this enzyme in tracheobronchial secretions are unknown. We aimed to define the normal values of ?-amylase activity in tracheobronchial secretions and verify the rate of major complications of transtracheal puncture. From October 2009 to June 2011, we prospectively evaluated 118 patients without clinical or radiological signs of salivary aspiration who underwent transtracheal puncture before bronchoscopy. The patients were sedated with a solution of lidocaine and diazepam until they reached a Ramsay sedation score of 2 or 3. We then cleaned the cervical region and anesthetized the superficial planes with lidocaine. Next, we injected 10 mL of 2% lidocaine into the tracheobronchial tree. Finally, we injected 10 mL of normal saline into the tracheobronchial tree and immediately aspirated the saline with maximum vacuum pressure to collect samples for measurement of the ?-amylase level. The ?-amylase level mean � SE, median, and range were 1914 � 240, 1056, and 24-10,000 IU/L, respectively. No major complications (peripheral desaturation, subcutaneous emphysema, cardiac arrhythmia, or hemoptysis) occurred among 118 patients who underwent this procedure. Transtracheal aspiration is a safe, low-cost procedure. We herein define for the first time the normal ?-amylase levels in the tracheobronchial secretions of humans. �Transtracheal puncture: a forgotten procedure (epmc).pdf DeepDyve Pubget Overpricing