keyword
https://read.qxmd.com/read/38481740/case-report-foetal-gastroschisis-with-ideal-pregnancy-outcomes-under-multidisciplinary-treatment-management
#1
Shuhua Liu, Jingyu Qian, Qiuru Li, Dehong Liu, Bin Zhang, Xianxia Chen
BACKGROUND: Gastroschisis has increased in recent years, however, complicated gastroschisis is associated with higher mortality, as well as higher health care costs and disease burdens from short- and long-term complications. CASE INTRODUCTION: A woman aged 25 years old at 37 + 1 weeks gestation (gravida 2; para 0) was admitted to the hospital because of foetal gastroschisis. Targeted quaternary ultrasound performed at our hospital showed that 34 mm of the abdominal wall was interrupted continuously, an intestinal echo with a range of approximately 88 × 50 mm was seen bulging outwards the local area close to the intestinal wall showed a 34 × 23 m anecho, and the foetus was measuring 2 weeks smaller than expected...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38448640/characterizing-continuous-positive-airway-pressure-cpap-belly-syndrome-in-preterm-infants-in-the-neonatal-intensive-care-unit-nicu
#2
JOURNAL ARTICLE
Hannah Gu, Jayne Seekins, Victor Ritter, Louis P Halamek, James K Wall, Janene H Fuerch
OBJECTIVE: Reproducibly define CPAP Belly Syndrome (CBS) in preterm infants and describe associated demographics, mechanical factors, and outcomes. STUDY DESIGN: A retrospective case-control study was conducted in infants <32 weeks gestation in the Stanford Children's NICU from January 1, 2020 to December 31, 2021. CBS was radiographically defined by a pediatric radiologist. Data analysis included descriptive statistics and comparator tests. RESULTS: Analysis included 41 infants with CBS and 69 infants without...
March 6, 2024: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/38360558/diagnostic-challenges-between-takotsubo-cardiomyopathy-and-acute-myocardial-infarction-where-is-the-emergency-a-literature-review
#3
REVIEW
Alexandru Scafa-Udriste, Ruxandra-Nicoleta Horodinschi, Miruna Babos, Bogdan Dinu
BACKGROUND: Takotsubo cardiomyopathy (TC) is an emergency cardiovascular disease, with clinical and paraclinical manifestations similar to acute myocardial infarction (AMI), but it is characterized by reversible systolic dysfunction of the left ventricle (LV) in the absence (most of the time) of obstructive coronary artery disease (CAD). MANAGEMENT OF PATIENTS WITH TC: TC seems to be more frequent in post-menopausal women and it is triggered by emotional or physical stress...
February 15, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38266368/small-bowel-volvulus-associated-with-percutaneous-endoscopic-gastrojejunostomy-tube-a-case-report
#4
Nobuhisa Tanioka, Michio Kuwahara, Naoki Edo, Yuzuko Nokubo, Shigeto Shimizu, Toyokazu Akimori
INTRODUCTION: Percutaneous endoscopic gastrojejunostomy (PEG-J) is a convenient and safe enteral feeding tool for patients with oropharyngeal dysfunction accompanied by gastroesophageal reflux. However, serious complications have not been fully characterized. PRESENTATION OF CASE: A 22-year-old man with cerebral palsy was referred to our department with complaints of vomiting and massive bloody stools for 10 h. On imaging examination, strangulated bowel obstruction due to the PEG-J tube was suspected because the tube was located on the right side of the body, and the small intestine was diffusely dilated with a reduced wall contrast effect...
January 13, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38236316/association-between-left-ventricular-systolic-function-parameters-and-myocardial-injury-organ-failure-and-mortality-in-patients-with-septic-shock
#5
JOURNAL ARTICLE
Patrik Johansson Blixt, Maxime Nguyen, Bernard Cholley, Fredrik Hammarskjöld, Alois Toiron, Belaid Bouhemad, Shaun Lee, Lina De Geer, Henrik Andersson, Meriam Åström Aneq, Jan Engvall, Michelle S Chew
BACKGROUND: Left ventricular ejection fraction (LVEF) is inconsistently associated with poor outcomes in patients with sepsis. Newer parameters such as LV longitudinal strain (LVLS), mitral annular plane systolic excursion (MAPSE) and LV longitudinal wall fractional shortening (LV-LWFS) may be more sensitive indicators of LV dysfunction, but are sparsely investigated. Our objective was to evaluate the association between five traditional and novel echocardiographic parameters of LV systolic function (LVEF, peak tissue Doppler velocity at the mitral valve (s´), LVLS, MAPSE and LV-LWFS) and outcomes in patients admitted to the Intensive Care Unit (ICU) with septic shock...
January 18, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38096702/a-giant-gastrointestinal-stromal-tumor-revealed-by-a-life-threatening-hematemesis-a-case-report-of-a-rare-entity-and-a-challenging-management
#6
Anis Hasnaoui, Racem Trigui, Mohamed Ben Hassine, Salma Kacem, Houda Bellamine
INTRODUCTION: Gastrointestinal stromal tumors (GIST) are the most common mesenchymal malignancies in the digestive tract. Despite the stomach being their site of predilection, only a few giant GISTs have been discovered in hypovolemic shock and require urgent surgery. CASE PRESENTATION: A 62-year-old patient was admitted for hematemesis. Initial examination revealed a compensated hemodynamic shock with a mass in the left hemi abdomen of 20 cm without signs of portal hypertension or peritonitis...
December 11, 2023: International Journal of Surgery Case Reports
https://read.qxmd.com/read/37900810/oxaliplatin-associated-takotsubo-cardiomyopathy-in-a-patient-with-metastatic-gastric-cancer-a-case-report
#7
Luis Miguel Osorio-Toro, Diana Marcela Bonilla-Bonilla, Santiago Leandro Escobar-Dávila, Jhon Herney Quintana-Ospina, Luis Álvaro Melo-Burbano, Edith Norela Benitez-Escobar, Duván Arley Galindes-Casanova, Jorge Enrique Daza-Arana, Giovanna Patricia Rivas-Tafurt
We present the case of a 64-year-old female with stage IV gastric adenocarcinoma, pulmonary, and abdominal wall metastases, and no history of cardiovascular disease. In palliative care, she received systemic cytotoxic treatment with fluorouracil, leucovorin, oxaliplatin, and docetaxel protocol, which was well tolerated over five cycles. During cycle 6, she presented with cardiovascular symptoms with hemodynamic consequences while receiving oxaliplatin injection without docetaxel or 5-fluorouracil. She was transferred to the emergency department and then to the intensive care unit...
2023: Case Reports in Oncology
https://read.qxmd.com/read/37868670/hemophagocytic-lymphohistiocytosis-and-pancreatic-cancer-a-rare-association
#8
Ali Jaan, Farhan Khalid, Abdullah M Firoze Ahmed, Ahmed Salman, Trisha Meghal, Doantrang Du
INTRODUCTION: Hemophagocytic lymphohistiocytosis (HLH) or hemophagocytic syndrome (HPS) is a life-threatening and relatively rare condition that usually presents as a multisystem febrile illness. It is associated with excessive activation of the immune system and hypercytokinemia, leading to an unregulated aggregation of macrophages and lymphocytes. Here, we present the first likely case of HLH with metastatic pancreatic carcinoma being the underlying etiology. CASE: A 44-year-old male with past medical history significant for heart transplant for which he was on tacrolimus, End-Stage Renal Disease (ESRD) on hemodialysis, recently treated CMV viremia, and necrotizing pancreatitis presented to the emergency with complaints of chills, decreased appetite, worsening non-bloody emesis, and dull left upper quadrant abdominal pain with radiation to the back for four days...
2023: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/37834926/safety-and-effectiveness-of-intensive-treatments-administered-outside-the-intensive-care-unit-to-hematological-critically-ill-patients-an-intensive-care-without-walls-trial
#9
JOURNAL ARTICLE
Beatrice Vergnano, Davide Signori, Annalisa Benini, Serena Calcinati, Francesca Bettini, Luisa Verga, Lorenza Maria Borin, Fabrizio Cavalca, Carlo Gambacorti-Passerini, Giacomo Bellani, Giuseppe Foti
Historically, the admission of hematological patients in the ICU shortly after the start of a critical illness is associated with better survival rates. Early intensive interventions administered by MET could play a role in the management of hematological critically ill patients, eventually reducing the ICU admission rate. In this retrospective and monocentric study, we evaluate the safety and effectiveness of intensive treatments administered by the MET in a medical ward frame. The administered interventions were mainly helmet CPAP and pharmacological cardiovascular support...
September 29, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37829598/3d-printed-external-fixation-guide-combined-with-video-assisted-thoracoscopic-surgery-for-the-treatment-of-flail-chest-a-technical-report-and-case-series
#10
JOURNAL ARTICLE
Meng Hu, Maolin Sun, Chuanen Bao, Junlong Luo, Longcai Zhuo, Ming Guo
BACKGROUND: Flail chest is a common and serious traumatic condition in thoracic surgery. The treatment of flail chest often includes open reduction and internal fixation, which is relatively traumatic, complicated, and expensive. As three-dimensional (3D) printing technology is widely used in the clinical field, the application of 3D-printed products to chest trauma will become a new treatment option. To date, the use of 3D-printed external fixation guides for flail chests has not been reported...
2023: Frontiers in Surgery
https://read.qxmd.com/read/37805478/successful-conservative-treatment-for-left-ventricular-free-wall-rupture-after-acute-myocardial-infarction
#11
JOURNAL ARTICLE
Haruyuki Kinoshita, Munehiro Kanegawa, Masashi Morita, Shiori Maeda, Yoji Sumimoto, Kenji Masada, Takashi Shimonaga, Toshifumi Hiraoka, Katsuhiko Imai, Hiroshi Sugino
Left ventricular free wall rupture (LVFWR) is a rare but fatal complication of acute myocardial infarction (AMI). An 81-year-old female patient with several cardiovascular risk factors presented to the emergency department with symptoms of developing a chronic stomachache and cold sweat. An echocardiograph showed wall motion abnormalities from the lateral to posterior wall, as well as pericardial effusion containing clots of up to 17 mm in the posterior wall that indicated LVFWR after AMI. Although she was conscious after being brought to the initial care unit, she suddenly lost consciousness and fell into electromechanical dissociation (EMD)...
October 7, 2023: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/37706445/spontaneous-duodenal-wall-hematoma
#12
JOURNAL ARTICLE
Víctor Echavarría Rodríguez, Ángela Antón Rodríguez, Luis Martín Ramos, Javier Crespo
59-year-old man, smoker, diabetic and hypertensive. He went to the ER due to fixed abdominal pain in the epigastrium, diaphoresis, dizziness, nausea, and "coffee grounds" vomiting. On examination he presented abdominal distension and pain on palpation in the epigastrium, without peritonism. He had a BP of 235/100 mmHg and in the blood-tests, leukocytosis with neutrophilia and normal hemoglobin. An urgent abdominal CT scan was performed, identifying a 5x6 cm nodular lesion of homogeneous density attached to the wall of the second and third duodenal portions that compressed the lumen, with two vessels with active bleeding within it...
September 14, 2023: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/37667379/advanced-respiratory-mechanics-assessment-in-mechanically-ventilated-obese-and-non-obese-patients-with-or-without-acute-respiratory-distress-syndrome
#13
JOURNAL ARTICLE
François M Beloncle, Jean-Christophe Richard, Hamid Merdji, Christophe Desprez, Bertrand Pavlovsky, Elise Yvin, Lise Piquilloud, Pierre-Yves Olivier, Dara Chean, Antoine Studer, Antonin Courtais, Maëva Campfort, Hassene Rahmani, Arnaud Lesimple, Ferhat Meziani, Alain Mercat
BACKGROUND: Respiratory mechanics is a key element to monitor mechanically ventilated patients and guide ventilator settings. Besides the usual basic assessments, some more complex explorations may allow to better characterize patients' respiratory mechanics and individualize ventilation strategies. These advanced respiratory mechanics assessments including esophageal pressure measurements and complete airway closure detection may be particularly relevant in critically ill obese patients...
September 4, 2023: Critical Care: the Official Journal of the Critical Care Forum
https://read.qxmd.com/read/37628383/avoiding-high-pressure-abdominal-closure-of-congenital-abdominal-wall-defects-one-step-further-to-improve-outcomes
#14
JOURNAL ARTICLE
Raluca-Alina Mocanu, Cătălin Cîrstoveanu, Mihaela Bizubac, Ionuț Fernando Secheli, Nicolae Sebastian Ionescu
The main goal of surgical treatment for gastroschisis and omphalocele is the reduction of viscera in the abdominal cavity and closure of the abdomen, but the challenge is to succeed without the detrimental effects of increased intraabdominal pressure. In this regard, we performed a retrospective study for all patients admitted for gastroschisis and omphalocele to the Neonatal Intensive Care Unit of 'Marie Sklodowska Curie' Emergency Clinical Hospital for Children, from January 2011 until June 2021. Our aim was to highlight the presence of postoperative abdominal compartment syndrome...
August 14, 2023: Children
https://read.qxmd.com/read/37610552/a-survey-of-pediatric-intensive-care-unit-clinician-experience-with-restricted-family-presence-during-covid-19
#15
JOURNAL ARTICLE
Jennifer R Foster, Laurie A Lee, Jamie A Seabrook, Molly Ryan, Corey Slumkoski, Martha Walls, Laura J Betts, Stacy A Burgess, Neda Moghadam, Daniel Garros
PURPOSE: Limiting family presence runs counter to the family-centred values of Canadian pediatric intensive care units (PICUs). This study explores how implementing and enforcing COVID-19-related restricted family presence (RFP) policies impacted PICU clinicians nationally. METHODS: We conducted a cross-sectional, online, self-administered survey of Canadian PICU clinicians to assess experience and opinions of restrictions, moral distress (Moral Distress Thermometer, range 0-10), and mental health impacts (Impact of Event Scale [IES], range 0-75 and attributable stress [five-point Likert scale])...
August 23, 2023: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/37553213/the-impact-of-high-frequency-chest-wall-compression-on-mechanical-ventilation-delivery-and-flow-bias
#16
JOURNAL ARTICLE
George Ntoumenopoulos, Alison Jones, Eirini Koutoumanou, Harriet Shannon
BACKGROUND: It is unclear if high-frequency chest-wall compression (HFCWC) has a role to assist with secretion clearance in patients on mechanical ventilation. The effect of HFCWC on the delivery of mechanical ventilation is unknown. This study describes the effect of HFCWC on mechanical ventilation delivery and flow bias in an orally intubated and mechanically ventilated bench model. METHODS: An orally intubated mannequin was mechanically ventilated in 5 commonly used modes of ventilation at settings that reflect current practice...
August 8, 2023: Respiratory Care
https://read.qxmd.com/read/37548499/invasion-anomaly-or-neovascularization-a-new-surgical-approach-for-cesarean-delivery-in-pregnant-women-with-invasive-placenta-accreta-spectrum-disorder-accompanied-by-placenta-previa
#17
JOURNAL ARTICLE
Metin Kaba
OBJECTIVES: The objective of study is to describe a new surgical approach to cesarean delivery in women with invasive placenta accreta spectrum (PAS) accompanied by placenta previa. MATERIAL AND METHODS: Cesarean delivery was initiated with a transverse abdominal (Pfannenstiel) incision. A transverse incision was made above the vascular area in the lower uterine segment, and the fetus was delivered. The uterine fundus was removed from the abdomen and wrapped. Placental removal was started at posteriorly, continuing toward the anterior region...
August 7, 2023: Ginekologia Polska
https://read.qxmd.com/read/37515250/sars-cov-2-infection-and-preeclampsia-how-an-infection-can-help-us-to-know-more-about-an-obstetric-condition
#18
REVIEW
Otilia González-Vanegas, Oscar Martinez-Perez
Pregnant women with SARS-CoV-2 infection have a significantly higher risk of maternal death, ICU admission, preterm delivery, and stillbirth compared to those without infection. Additionally, the risk of preeclampsia (PE) increases in pregnant women infected with SARS-CoV-2, particularly in severe cases. The association between COVID-19 and PE is likely attributed to various mechanisms, including direct effects of the virus on trophoblast function and the arterial wall, exaggerated inflammatory response in pregnant women, local inflammation leading to placental ischemia, SARS-CoV-2-related myocardial injury, cytokine storm, and thrombotic microangiopathy...
July 17, 2023: Viruses
https://read.qxmd.com/read/37470082/association-between-physicians-geriatric-training-and-patterns-of-end-of-life-care-delivered-to-persons-with-dementia
#19
JOURNAL ARTICLE
Hiroshi Gotanda, Jessica J Zhang, David B Reuben, Anne M Walling, Haiyong Xu, Anupam B Jena, Nate Gross, Yusuke Tsugawa
BACKGROUND: Geriatric training is designed to prepare physicians to meet the complex needs of older adults, including persons with dementia at the end-of-life (EOL) stage. We sought to compare patterns of EOL care delivered to persons with dementia between physicians with versus without geriatric training. METHODS: We conducted a cross-sectional study of a 20% random sample of fee-for-service Medicare beneficiaries with dementia who died in 2016-2018 (n = 99,631)...
July 20, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/37469001/feasibility-of-2-dimensional-speckle-tracking-echocardiography-strain-analysis-of-the-right-ventricle-with-trans-thoracic-echocardiography-in-intensive-care-a-literature-review-and-meta-analysis
#20
JOURNAL ARTICLE
James McErlane, Ben Shelley, Philip McCall
OBJECTIVES: To identify variables that affect the feasibility of 2-dimensional right ventricular speckle tracking echocardiography (RV-STE) in the intensive care unit. BACKGROUND: Trans-thoracic echocardiography (TTE) of the right ventricle is challenging. RV-STE is a novel echocardiography method thought to measure global RV function more fully than conventional TTE parameters. The feasibility of RV-STE in ICU populations has not been well described, and variables influencing RV-STE in ICU have not been investigated...
July 20, 2023: Echo Research and Practice
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