Lack of a significant protective effect of augmented circulating glucose on the ischemic myocardium.
This was a 60 year old woman, with a very large retro-pharyngeal tumour, mainly situated on the right, revealed by chronic decompensated respiratory failure. Admission to hospital was justified by deep coma with cyanosis of the face and extremities. She had taken 50 mg of Oxazepam the day before admission to hospital. This coma was due to chronic respiratory failure decompensated, as suggested by clinical and laboratory examination after elimination of any traumatic, neurological, endocrine or metabolic disorder. Intubation, rendered difficult by the retro-pharyngeal tumour and assisted ventilation permitted recovery of normal consciousness within 48 hours. This bi-lobed and encapsulated tumor was completely removed after full radiological assessment which showed the absence of any bony lesions. Histology suggested that this was a  benign lipoma. The course was very rapidly favourable with a definite improvement in respiratory function one year after the surgical operation.
Lack of a significant protective effect of augmented circulating glucose on the ischemic myocardium. This was a 60 year old woman, with a very large retro-pharyngeal tumour, mainly situated on the right, revealed by chronic decompensated respiratory failure. Admission to hospital was justified by deep coma with cyanosis of the face and extremities. She had taken 50 mg of Oxazepam the day before admission to hospital. This coma was due to chronic respiratory failure decompensated, as suggested by clinical and laboratory examination after elimination of any traumatic, neurological, endocrine or metabolic disorder. Intubation, rendered difficult by the retro-pharyngeal tumour and assisted ventilation permitted recovery of normal consciousness within 48 hours. This bi-lobed and encapsulated tumor was completely removed after full radiological assessment which showed the absence of any bony lesions. Histology suggested that this was a  benign lipoma. The course was very rapidly favourable with a definite improvement in respiratory function one year after the surgical operation.