Sphincter, Artificial: From 1 Different Sources
A surgically created valve or other device used to treat or prevent urinary or faecal incontinence.
A circular muscle which surrounds the opening from an organ, and, by maintaining a constant state of moderate contraction, prevents the escape of the contents of the organ. Sphincters close the outlet from the URINARY BLADDER and RECTUM, and in certain nervous diseases their action is interfered with, so that the power to relax or to keep moderately contracted is lost, and retention or INCONTINENCE of the evacuation results.... sphincter
Forced introduction of air into the lungs of someone who has stopped breathing (see respiratory arrest) or whose breathing is inadequate. As an emergency first-aid measure, artificial respiration can be given mouth-to-mouth or mouth-tonose, which can prevent brain damage due to oxygen deprivation; a delay in breathing for more than 6 minutes can cause death. Cardiac compressions may also be necessary if poor respiration has led to cessation of the heartbeat (see cardiopulmonary resuscitation). Artificial respiration can be continued by use of a ventilator (see ventilation).... artificial respiration
The design and study of computer systems that have properties resembling human intelligence, such as natural language, problem-solving, and analysis of novel situations.... artificial intelligence (ai)
See ARTHROPLASTY.... artificial joints
See DIALYSIS.... artificial kidney
See PROSTHESIS.... artificial limbs and other parts
See APPENDIX 1: BASIC FIRST AID.... artificial respiration
When we breathe in, the outward movement of the chest increases the volume of the lungs and the pressure in them falls below that of the outside world. Therefore, air is drawn in automatically. When we breathe out, some air exits because of the normal elastic recoil of the lungs, but we also force air out by using the muscles of the chest and the DIAPHRAGM. Replicating this arti?cially involves using a device to produce intermittent positive or negative pressure ventilation as described below.... artificial ventilation of the lungs
A mechanical device in the chest that enhances or takes over the pumping action of the HEART, thus maintaining the necessary level of circulation of blood through the lungs and other body structures. An arti?cial heart was ?rst used in humans in 1985 and the three types in use are: an intra-aortic balloon pump, driven by compressed air, which in?ates a balloon in the AORTA with every heartbeat, increasing the volume of circulating blood; an electrical device that assists the left VENTRICLE by pumping blood into the abdominal aorta; and a mechanical arti?cial heart that replaces a diseased heart that has been removed. As yet there is no arti?cial heart suitable for long-term use. Existing devices are intended to tide over a patient who is extremely ill until a live heart can be transplanted from a donor. The results from arti?cial hearts have been disappointing because of complications and also because the patients have usually been already dangerously ill.... heart, artificial
See DIALYSIS.... kidney, artificial
See PROSTHESIS.... limbs, artificial
The procedure, usually carried out in an operating theatre or intensive-care unit, in which a device called a VENTILATOR takes over a person’s breathing. This is done for someone who is unable to breathe normally. Damage to the respiratory centre of the brain as a result of head injury, disease of the brain, or an overdose of sedative or narcotic drugs may affect the respiratory centre. Chest injuries, disease of the lungs, nerve or muscle disorders or surgery of the chest or abdomen can also affect breathing and require the use of a ventilator to maintain normal breathing. Arti?cial ventilation can also be carried out as an emergency by mouth-to-mouth resuscitation. (See also ANAESTHESIA; ARTIFICIAL VENTILATION OF THE LUNGS.)... ventilation, artificial
The common name for the machine used in dialysis.... artificial kidney
See amniotomy.... artificial rupture of membrane
See artificial sweeteners.... sweeteners, artificial
Preparations to supplement tear production in disorders that cause dry eye, such as keratoconjunctivitis sicca, and to relieve irritation.... tears, artificial
see perineal tear; obstetric anal sphincter injury.... anal sphincter tears
see ventricular assist device.... artificial heart
the use of enteral feeding tubes or cannulas to administer nutrients and fluids directly into the gastrointestinal tract or bloodstream when the oral route cannot be used owing to disability or disease. When other intensive treatments are judged *futile, artificial nutrition and hydration are considered *extraordinary means of prolonging life in patients who have no prospect of recovery. It is permissible to withdraw such treatment when it is no longer in the patient’s interests and when the primary intention is not to kill the patient, although death is foreseen (see doctrine of double effect). In cases of patients in a *persistent vegetative state in England and Wales, the matter must be referred to the courts following the case of Tony Bland. Where food and water are withdrawn it is still considered important to moisten the patient’s lips and to keep him or her comfortable until death.... artificial nutrition and hydration
(ARM) see amniotomy.... artificial rupture of membranes
an apparatus designed to replace or support a *sphincter that is either absent or ineffective. See also neosphincter.... artificial sphincter
(OASIS) a spectrum of injuries that encompasses both third- and fourth-degree *perineal tears. Injury to the anal sphincter mechanism during childbirth may arise secondarily to direct disruption of the sphincter muscles and/or traction of the pudendal nerves. Disruption of the anal sphincter muscles is best assessed by anal ultrasound examination. This is usually performed using a high-frequency (10 MHz) endoanal probe. In selected cases with complex injury and/or suspected rectovaginal *fistula, magnetic resonance imaging (MRI) may also be employed.... obstetric anal sphincter injury
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