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Joham Choque-Velasquez, Roberto Colasanti, Julio C Resendiz-Nieves, Kléber E Gonzáles-Echevarría, Rahul Raj, Behnam Rezai Jahromi, Felix Goehre, Ann-Christine Lindroos, Juha Hernesniemi
BACKGROUND: The sitting position has lost favor among neurosurgeons partly owing to assumptions of increased complications, such as venous air embolisms and hemodynamic disturbances. Moreover, the surgeon must assume a tiring posture. We describe our protocol for the "praying position" for pineal region surgery; this variant may reduce some of the risks of the sitting position, while providing a more ergonomic surgical position. METHODS: A retrospective review of 56 pineal lesions operated on using the praying position between January 2008 and October 2015 was performed...
May 2018: World Neurosurgery
E Bordón Cabrera, A Laín, R Gander, M Pérez Lafuente, I Díez Miranda, C G Fontecha, L Seidler, I Delgado, S Cañadas Palazón, J Lloret
INTRODUCTION: The management of active bleeding with haemodinamic lability in the paediatric trauma patient is difficult and generally leads to damage control surgery. Vascular Interventional Radiology (VIR) techniques are useful for the diagnosis as for the definitive treatment. AIM: The aim of our study was to describe our experience and evaluate effectiveness of VIR in the management of the paediatric trauma patient with active bleeding signs. METHODS: Retrospective analysis (2003-2014) of politraumatic patients who showed contrast blush on computed tomography and then treated by VIR techniques...
January 25, 2016: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
Silvia Ministrini, Gianluca Baiocchi, Frida Pittiani, Daniele Lomiento, Federico Gheza, Nazario Portolani
The presence at CT scan of more retained bullets than expected could be a very difficult interpretation challenge in the early management of gunshot wounds. The modern non operative management of haemodinamically stable patients without peritonitis requires that the trajectory of the bullet is clearly recognized. This clinical case reporting of a gunshot wound without evident entry hole, allows to discuss the diagnostic and therapeutic implications in the management of gunshot wounds cases with atypical entry and/or exit holes...
2015: World Journal of Emergency Surgery: WJES
Wilhelmus Jacobus Conradie, Fekade Admassu Gebremariam
OBJECTIVE: To determine the sensitivity and specificity of computed tomography (CT) esophagography in diagnosing penetrating esophageal and hypopharyngeal injuries in trauma patients and to see if it can be used as the only imaging method in diagnosing these injuries. The confidence of radiologists using only CT esophagography was also measured. PATIENTS AND METHODS: A prospective cross-sectional analytic study was done on haemodinamically stable patients requiring multidetector CT after external penetrating neck or chest trauma...
November 2015: Clinical Imaging
Flavio D'Ascenzi, Marco Solari, Marta Focardi, Matteo Cameli, Marco Bonifazi, Sergio Mondillo
BACKGROUND: The estimation of cardiovascular adaptation to exercise provides valuable information on training status. However, albeit of interest, it has been rarely used in athletes, being the current non-invasive techniques expensive and requiring specialist expertise. Recently, a new bioreactance-based method is available; however, no data have been collected in trained athletes. The aim of this prospective, longitudinal study was to evaluate by bioreactance the training-induced hemodynamic changes...
October 2016: Journal of Sports Medicine and Physical Fitness
M B Iarustovskiĭ, M V Abramian, E V Komardina, E V Rep'eva, E I Nazarova, N P Krotenko, R A Geptner
BACKGROUND & AIMS: Acute liver failure (ALF) usually develops in multiple organ dysfunction syndrome (MODS) and carries a high mortality risk in patients after cardiac surgery. Artificial liver support devices aim to remove albumin-bound and water-soluble toxins arising as a result of liver failure. The currently most used devices combine haemodialysis with albumin dialysis (MARS) or plasma separation and adsorption (Prometheus). The aim of this study was to assess safety and efficacy of use MARS or Prometheus in elderly patients with ALF have been operated for heart diseases...
September 2014: Anesteziologiia i Reanimatologiia
Tomaso Bottio, Jonida Bejko, Vincenzo Tarzia, Gino Gerosa
Carvajal syndrome is a variant of Naxos disease characterized by a predominant left ventricular involvement, wooly or curly hair, and palmoplantar keratoderma or similar skin disorders. We describe the clinical and therapeutic course of a 14-year old boy affected by this syndrome, in whom a progressive biventricular failure developed at 13 years of age. The patient was hospitalized in the pediatric department 3 months earlier after the onset of cardiac arrhythmias and he critically worsened with signs and symptoms of biventricular cardiac failure...
July 31, 2014: International Journal of Artificial Organs
Polonca Kogoj, Rok Devjak, Matjaz Bunc
BACKGROUND: Balloon aortic valvuloplasty (BAV) is a percutaneous treatment option for severe, symptomatic aortic stenosis. Due to early restenosis and failure to improve long term survival, BAV is considered a palliative measure in patients who are not suitable for open heart surgery due to increased perioperative risk. BAV can be used also as a bridge to surgical or transcatheter aortic valve implantation (TAVI) in haemodinamically unstable patients or in patients who require urgent major non-cardiac surgery...
March 2014: Radiology and Oncology
Roman Pavić, Petra Margetić
Unstable pelvic fractures very frequently occur with haemorrhage, not only from the broken pelvis but from the presacral venous plexus and/or iliac arterial or venous branches which may cause hypotension and increases the mortality rate. Very often this type of injury is concurrent with injuries in other organ systems. The compounded nature of these injuries makes it necessary for doctors who may encounter this type of patient to be educated in the techniques to effectively stabilise and treat the patient's complex injuries...
December 2012: Collegium Antropologicum
Aleksander Zurakowski, Michał Bońkowski, Przemysław Nowakowski, Maciej Agopsowicz, Paweł Buszman
We present the case of a 55 year-old male admitted to Malopolskie Centrum Sercowo-Naczyniowe PAKS in Chrzanów with diagnosis of anterior wall myocardial infarction (STEMI). We decided to treat the patient invasively because of presence of chest pain, persistent ST elevation and signs of haemodinamical instability. As it revealed later patient needed combination of PCI of left main/left anterior descending artery with PTA of iliac artery.
2012: Kardiologia Polska
N A Gadzhieva
The patients divided into two groups: in 12 patients (13-16 years old) including into I group observed decrease of internal size of the left ventricle, in 8 persons (17-18 year old) revealed the elevation of internal size of the cavity of the left ventricle. From the analysis of results of the observations it is seen that, in patients including into 1 group the thickness of the wall of the left ventricle is higher than the internal size of the ventricular cavity. This time, the main aim of hypertrophy is the compensation of the increase of 2R/T thickening the wall of the left ventricle and decrease of the internal size of the ventricular cavity happened...
January 2011: Likars'ka Sprava
C Oros, Maria Voroneanu
UNLABELLED: General and practical training, knowing of safe methods of preanesthesia, pain and anxiety control and establishing a good relation with the patient are some of the most important methods of patient management in the dental office. The final goals of the methods are to obtain a calm patient, haemodinamic equilibrated and safely prepared for the surgery. MATERIAL AND METHOD: Our study was performed on 448 patients. Different methods of preanesthesia were used by administrating per oral, intravenous, intramuscular, according with DAS score: Midazolam, Diazepam + Algocalmin, Xanax...
October 2009: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
Alberto Lucchini, Matteo Giacovelli, Stefano Elli, Roberto Gariboldi, Giulia Pelucchi, Herman Bondi, Daniela Brambilla
UNLABELLED: Hygiene care in critical patients may alter vital signs. Aim of this paper is to measure vital signs and their modifications in critical patients during hygiene care and measure differences with pre and post hygiene values. METHOD: Vital signs of 6 patients two hours before, during and 90 minutes after hygienic care were measured. RESULTS: During and 2 hours after the end of hygiene a modification of vital signs was observed compared to basic values (mean values during/90 min after, compared to baseline): heart rate +11...
July 2009: Assistenza Infermieristica e Ricerca: AIR
Gianluca Donatini, Pietro Iacconi, Carmine De Bartolomeis, Chiara Iacconi, Claudio Caldarelli, Davide Caramella, Massimo Chiarugi, Paolo Miccoli
INTRODUCTION: Bleeding from pancreatic pseudocyst's rupture into adjacent organs is a rare, but potentially fatal, complication of chronic pancreatitis requiring quick management. Timing of the rupture is unpredictable; early diagnosis and correct management is essential in preventing the bleeding. CASE PRESENTATION: We describe the case of a 53 years old male patient successfully treated with emergency surgery for massive hematemesis due to a rupture of a bleeding pseudocyst into the stomach...
2009: Cases Journal
E Spaziani, M Briganti, A Saltarelli, M Iozzino, E Notarianni, R Cianni, A Di Filippo, M Picchio, F Ceci, P Gammardella, F De Angelis, G Nardecchia, B Cipriani, S Nicodemi, F Stagnitti
UNLABELLED: Abdominal blunt trauma is the main cause of death in people younger than 40 years old. The liver injury still represents a challenging problem. Isolated hepatic injury is rare and it occurs more frequentely in polytraumatizated patients and causes massive haemoperitoneum. The Authors report a case of a 83 years-old woman admitted to Emergency Department for syncope due to an active bleeding arising from a rupture of a right hepatic lobe unsuspected tumor. The computer tomography (CT) scans showed a clear pattern of liver laceration of the VI segment with contrast enhancement spreading in the surrounding tissues, and detected a multifocal hepatocarcinoma located in the VI, VII and VIII segments...
January 2009: Il Giornale di Chirurgia
F Minozzi, N Chipaila, V Unfer, M Minozzi
Pregnancy is a condition characterized by various physiological modifications (placentary and ovarian hormones release) that influence various organic districts, including the oral district. In this review were re-examined the rules about the execution of dental services with the relative indications and contraindications during the different phases of pregnancy, the use of the ionizing radiations and the pharmacologic therapy during pregnancy, considering the metabolic, anatomical haemodinamic modifications to which the gestant is exposed during this condition and considering the various parameters related to it: the pharmacokinetic modifications, the drug toxicity based on its teratogenic potential, indications, side effects and specific effects of drugs administrated, the toxicological aspects of dental amalgams and the use of the local anaesthetics during pregnancy...
November 2008: European Review for Medical and Pharmacological Sciences
M Popović-Rolović
A substantial number of renal diseases progress to renal failure although the initaial injury is no more active. Enhanced understanding of the diverse pathogenic me-chanisms involved in progression of renal disease has pointed to the three main factors which initiate and/or sustain this progress. These factors are: altered activity of intrinsic glo-merular cells, enhanced activity of mononuclear cells infiltrating glomerulus, and tubulointerstitial injury. In addition several potentional risk factors, such as disturbed glomerular haemodinamics, proteinuria, systemic hypertension, intraglomerular coagulation, hyperlipidaemia, dietary protein and phosphate, may contribute to progression of renal disease and renal failure...
July 1994: Srpski Arhiv za Celokupno Lekarstvo
O Chiara, S Cimbanassi, P R Brioschi, L Bucci, V Terzi, S Vesconi
AIM: Massive haemorrhage after trauma is a big challenge for care-givers, being a leading cause of early in-hospital mortality. Surgical bleeding may be easily controlled with several techniques. Otherwise, consumptive coagulopathy is often extremely difficult to stop. An adjunctive strategy to treat traumatic coagulopathic bleeding is recombinant activated factor VII (rFVIIa) (NovoSeven, Novo Nordisk A/S, Bagsvaerd, Denmark). METHODS: All major trauma victims haemodinamically unstable (systolic blood pressure < 90 mmHg or > 90 mmHg with massive infusions or vasopressors) admitted to the Emergency Department of the Niguarda Ca' Granda Hospital in Milan from October 2002 to September 2005 were reviewed...
June 2006: Minerva Anestesiologica
A Iranzo-de Riquer, J Santamaría-Cano
Similar to myocardium infarct and sudden death, stroke presents a circadian rhythm with a maximum incidence of the beginning of the symptoms during the first morning hours. It is believed that this morning pick is secondary to haemodynamic, haemostatic and autonomic changes that happen during sleep, the sleep-awake transition and after wake up. About 25% of stroke, especially lacunar and atherothrombotic infarcts, occurs during night sleep. Usually, the symptoms are perceived for first time when the individual wakes up in the morning although stroke could have occurred long time before...
October 1, 2005: Revista de Neurologia
P Bassi, P Lattuada, S Tonietti
An adequate treatment of ischaemic stroke in the early phase (28-48 h) is the most important factor for a better outcome. Thrombolysis with rTPA (within 3 h) and oral ASA 300 mg/days are the first therapeutic misures. Continuous monitoring of cardiological and haemodinamic parameters allows early detection of cardiac disturbances. Treatment of hypertension, low haematic oxigenation, hyperglicaemia, seizures and hypertermia is basic to improve outcome. Pharmacological therapy is only one of the components of effective multidisciplinary integrated management of ischaemic stroke; we remind also the precocity of rehabilitation procedures and an accurate psychological assessment...
May 2005: Neurological Sciences
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