keyword
https://read.qxmd.com/read/37405820/injury-pattern-and-clinical-outcome-in-patients-with-and-without-chest-wall-injury-after-cardiopulmonary-resuscitation
#21
JOURNAL ARTICLE
Parsa Hadesi, Rauni Rossi Norrlund, Eva-Corina Caragounis
BACKGROUND: Cardiopulmonary resuscitation (CPR), although lifesaving may cause chest wall injury (CWI) due to the physical force exerted on the thorax. The impact of CWI on clinical outcome in this patient group is unclear. The primary aim of this study was to investigate the incidence of CPR-related CWI and the secondary aim to study injury pattern, length of stay (LOS) and mortality in patients with and without CWI. METHODS: This is a retrospective study of adult patients who were admitted to our hospital due to cardiac arrest (CA) during 2012-2020...
July 5, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37404394/obstetrics-outcomes-in-women-undergoing-second-stage-cesarean-section-a-cross-sectional-study
#22
JOURNAL ARTICLE
Charmy A Vashi, Nikita Vijay, Anuja Bhalerao, Anushree Shetty
Background Cesarean section (CS) involves the delivery of the fetus through incisions in the abdomen or uterine walls which is an alternative to vaginal delivery. In the majority of women, second-stage CS is performed without even attempting assisted vaginal delivery. This leads to difficulty for obstetricians for whether to perform an immediate CS or attempt a difficult vaginal birth as the effective method of delivery as CS are linked with higher morbidities which further increase when a CS is performed in the second stage...
June 2023: Curēus
https://read.qxmd.com/read/37317861/randomized-controlled-trial-of-surgical-rib-fixation-to-nonoperative-management-in-severe-chest-wall-injury
#23
RANDOMIZED CONTROLLED TRIAL
David E Meyer, John A Harvin, Laura Vincent, Kandice Motley, Michael W Wandling, Thaddeus J Puzio, Laura J Moore, Bryan A Cotton, Charles E Wade, Lillian S Kao
OBJECTIVE: To compare the effectiveness of surgical stabilization of rib fractures (SSRFs) to nonoperative management in severe chest wall injury. BACKGROUND: SSRF has been shown to improve outcomes in patients with clinical flail chest and respiratory failure. However, the effect of SSRF outcomes in severe chest wall injuries without clinical flail chest is unknown. METHODS: Randomized controlled trial comparing SSRF to nonoperative management in severe chest wall injury, defined as: (1) a radiographic flail segment without clinical flail or (2) ≥5 consecutive rib fractures or (3) any rib fracture with bicortical displacement...
September 1, 2023: Annals of Surgery
https://read.qxmd.com/read/37316557/tracheal-bifurcation-repair-for-blunt-thoracic-trauma-in-a-patient-with-covid-19
#24
JOURNAL ARTICLE
Shoji Kuriyama, Kazuhiro Imai, Kasumi Tozawa, Shinogu Takashima, Ryo Demura, Haruka Suzuki, Yuzu Harata, Tatsuki Fujibayashi, Sumire Shibano, Yoshihiro Minamiya
BACKGROUND: Tracheobronchial injury (TBI) is a rare but potentially life-threatening trauma that requires prompt diagnosis and treatment. We present a case in which a patient with COVID-19 infection was successfully treated for a TBI through surgical repair and intensive care with extracorporeal membrane oxygenation (ECMO) support. CASE PRESENTATION: This is the case of a 31-year-old man transported to a peripheral hospital following a car crash. Tracheal intubation was performed for severe hypoxia and subcutaneous emphysema...
June 15, 2023: Surgical Case Reports
https://read.qxmd.com/read/37247538/high-frequency-chest-wall-oscillation-multiple-times-daily-can-better-reduce-the-loss-of-pulmonary-surfactant-and-improve-lung-compliance-in-mechanically-ventilated-patients
#25
JOURNAL ARTICLE
Jiaqi Ge, Yinjie Ye, Yongfei Tan, Fang Liu, Yan Jiang, Junjie Lu
BACKGROUND: High-frequency chest wall oscillation (HFCWO) has been widely recognized for its airway secretion clearance effectiveness in critically ill ICU patients. OBJECTIVES: The purpose of this randomized controlled trial is to validate and compare the effects of different frequencies of HFCWO on oxygenation, lung compliance, and pulmonary surfactant proteins (SPs) in critically ill patients admitted to the intensive care unit (ICU). METHODS: Sixty patients with severe craniocerebral injury treated with a tracheostomy and mechanical ventilation were randomized into three groups (20 patients in each group): a single group (treated with 30 minutes of HFCWO once daily) and a double group (treated with 30 minutes of HFCWO twice daily), and a blank group (treated without HFCWO)...
May 27, 2023: Heart & Lung: the Journal of Critical Care
https://read.qxmd.com/read/37241048/spontaneous-improvement-of-aortitis-associated-with-severe-covid-19-infection-a-case-report
#26
Takashi Shimada, Hideya Itagaki, Yuko Shirota, Tomoyuki Endo
Aortitis is a rare complication of the coronavirus disease 2019 (COVID-19) and is often treated empirically with steroids. We present a case of spontaneous resolution of aortitis without treatment. A 65-year-old man was admitted to our intensive care unit for severe COVID-19 pneumonia and underwent rehabilitation in the general ward. On day 12, he developed fever, and on day 13, he developed right cervical pain and increased inflammatory markers. On day 16, a cervical echocardiogram showed vasculitis in the right common carotid artery, and on day 17, computed tomography (CT) of the neck showed thickening of the arterial wall of the right common to the internal carotid arteries...
April 22, 2023: Medicina
https://read.qxmd.com/read/37234138/postpartum-septic-shock-due-to-clostridium-perfringens-from-chorioamnionitis-a-rare-case
#27
Eihab A Subahi, Sagda Sayed, Abdalla Fadul, Elrazi A Ali
Although postpartum infections caused by Clostridium species are relatively rare, they can have severe consequences if not promptly identified and treated. Clostridial uterine infections typically originate as localized chorioamnionitis, stemming from fetal and/or placental tissue infection. The infection may then spread to the uterine wall and endometrial tissues, and in the most severe cases, it may result in sepsis and shock. These infections can cause serious illness and a high mortality rate without proper treatment...
April 2023: Curēus
https://read.qxmd.com/read/37186647/-complications-of-percutaneous-endoscopic-gastrostomy-in-intensive-care-patients-with-dysphagia-associated-with-neurological-disorders
#28
JOURNAL ARTICLE
M Kh Gurtsiev, Yu S Teterin, P A Yartsev, Yu O Zharikov, S S Petrikov
OBJECTIVE: To develop an effective method for percutaneous endoscopic gastrostomy using gastropexy technology. MATERIAL AND METHODS: We retrospectively analyzed 260 ICU patients with dysphagia associated with neurological disorders between 2010 and 2020. All patients were divided into two groups: the main group ( n =50) - percutaneous endoscopic gastrostomy with gastropexy, control group ( n =210) - surgery without fixing the anterior wall of the stomach to the abdominal wall...
2023: Khirurgiia
https://read.qxmd.com/read/37171317/acute-mesenteric-ischemia-diagnosed-using-the-aquarium-sign-a-case-report
#29
JOURNAL ARTICLE
Ushio Higashijima, Motohiro Sekino, Naoya Iwasaki, Hiroshi Araki, Tetsufumi Motokawa, Yusuke Inoue, Yasuhiro Taniguchi, Shinya Sato, Yasushi Miyazaki, Tetsuya Hara
RATIONALE: The diagnosis of mesenteric ischemia in critically ill patients remains challenging; however, the aquarium sign, comprising a large number of bubble images in the right cardiac chambers on echocardiography, may be used as a point-of-care ultrasound finding to diagnose acute mesenteric ischemia (AMI). PATIENT CONCERNS: A 65-year-old woman diagnosed with lymphoma was urgently admitted to the intensive care unit with suspected tumor lysis syndrome. High-dose vasopressor and inotropic agents were required to manage the patient's shock with marked lactic acidosis and peripheral hypoperfusion with mottled skin, and multidisciplinary treatment was initiated...
May 12, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37164115/a-protocolized-management-of-walled-off-necrosis-won-reduces-time-to-won-resolution-and-improves-outcomes
#30
JOURNAL ARTICLE
Serge Baroud, Vinay Chandrasekhara, Andrew C Storm, Ryan J Law, Eric J Vargas, Michael J Levy, Tala Mahmoud, Fateh Bazerbachi, Aliana Bofill-Garcia, Rabih Ghazi, Daniel B Maselli, John A Martin, Santhi Swaroop Vege, Naoki Takahashi, Bret T Petersen, Mark D Topazian, Barham K Abu Dayyeh
BACKGROUND AND AIMS: Patients with infected or symptomatic walled-off necrosis (WON) have high morbidity and health care utilization. Despite the recent adoption of nonsurgical treatment approaches, WON management remains nonalgorithmic. We investigated the impact of a protocolized early necrosectomy approach compared with a nonprotocolized, clinician-driven approach on important clinical outcomes. METHODS: Records were reviewed for consecutive patients with WON who underwent a protocolized endoscopic drainage with a lumen-apposing metal stent (cases), and for patients with WON treated with a lumen-apposing metal stent at the same tertiary referral center who were not managed according to the protocol (control subjects)...
September 2023: Clinical Gastroenterology and Hepatology
https://read.qxmd.com/read/37064360/a-case-report-of-colonic-stent-placement-without-x-ray-control-in-the-covid-19-era-a-practical-method-or-a-mistake
#31
Irina Gorovaia, Pavel Pavlov, Aisha Bagirova, Andrey Kiryukhin, Alexandr Fedorenko
BACKGROUND: During the recent 2-year quarantine, the coronavirus disease 2019 (COVID-19) pandemic changed the course of medical treatment and posed some new challenges to the care of particularly vulnerable oncology patients. Despite the re-purposing of The Second University Clinic (Sechenov University), we still admitted many patients with colonic obstruction. The endoscopic unit was situated in a separate facility, but due to the intensive use of all of our X-ray equipment for COVID-19 patients, the question arose about the possibility of placing a stent without fluoroscopic control...
April 1, 2023: Quantitative Imaging in Medicine and Surgery
https://read.qxmd.com/read/36937972/intra-arterial-vasodilators-infusion-for-management-of-reversible-cerebral-vasoconstriction-syndrome-in-a-12-year-old-girl-a-case-report
#32
Frida Rizzati, Guillaume Marie, Vivianne Chanez, Thomas Ferry, Julia Natterer, David Longchamp, Guillaume Saliou, Maria-Helena Perez
Reversible cerebral vasoconstriction syndrome (RCVS) is a vascular disease characterized by diffuse transient vasoconstriction and vasodilatation of the cerebral arteries. It is commonly associated with recurrent severe acute headaches with or without focal neurological deficits due to hemorrhages, infarcts, and even posterior reversible encephalopathy syndrome. The optimal management of acute neurologic deficits caused by RCVS is still uncertain. Calcium channel blockers (CCBs) such as nimodipine or verapamil have been reported to be effective in adult series...
2023: Frontiers in Pediatrics
https://read.qxmd.com/read/36936744/therapeutic-hypothermia-treatment-for-an-infant-with-hypoxic-ischemic-encephalopathy-and-gastroschisis-a-case-report
#33
Nicole Flores-Fenlon, Grant Shafer, Saeed Awan, Irfan Ahmad
Gastroschisis is a congenital, typically isolated, full-thickness abdominal wall defect in which the abdominal contents, usually only the small intestine, remain outside the abdominal cavity. It is commonly detected on fetal ultrasonography, and has generally excellent survival and outcomes, though these can be decreased in cases of complicated gastroschisis. We present the case of a female infant with a prenatal diagnosis of gastroschisis who required a prolonged and complex resuscitation after delivery. In addition to her gastroschisis, she presented with a history and physical examination consistent with severe hypoxic-ischemic encephalopathy and was treated with therapeutic hypothermia (TH) without further compromise to her bowel...
January 2023: American Journal of Perinatology Reports
https://read.qxmd.com/read/36922404/critical-care-outreach-teams-a-service-without-walls
#34
JOURNAL ARTICLE
Natasha Trenchard-Turner, Nishita Desai, Victoria Metaxa
No abstract text is available yet for this article.
March 15, 2023: Intensive Care Medicine
https://read.qxmd.com/read/36895295/a-triplicated-bladder-with-diphallia-rare-variant-of-duplicate-exstrophy
#35
Hana Abebe Gebreselassie, Binyam Gebremedihin Godu, Hiwote Girma Assefa, Maru Gama Erge
BACKGROUND: Exstrophy variants are well described urologic anomalies. They are characterized by atypical anatomical and physical findings than those found in patients with classic bladder exstrophy and epispadias malformation. The combination of these anomalies with duplicated phallus is a rare occurrence. Here we present a neonate with a rare form of exstrophy variant associated with penile duplication. CASE SUMMARY: One day old male neonate who was born at term was admitted to our neonatal intensive care unit...
2023: Research and Reports in Urology
https://read.qxmd.com/read/36882604/assessment-of-ultrasound-features-of-placenta-accreta-spectrum-in-women-at-high-risk-association-with-outcome-and-interobserver-concordance
#36
MULTICENTER STUDY
A Bhide, A M Hussein, R M Elbarmelgy, R A Elbarmelgy, M M Thabet, E Jauniaux
OBJECTIVES: To evaluate the prenatal ultrasound features associated with operative complications and to assess the interobserver agreement of prenatal ultrasound assessment with histopathologic confirmation of placenta accreta spectrum (PAS) in a cohort of high-risk patients with detailed intraoperative and histopathologic data. METHODS: This was a retrospective multicenter cohort study of patients at high risk of PAS referred for specialist perinatal care and management between January 2019 and May 2022...
July 2023: Ultrasound in Obstetrics & Gynecology
https://read.qxmd.com/read/36759310/surgical-stabilization-of-rib-fractures-in-patients-with-pulmonary-comorbidities
#37
JOURNAL ARTICLE
Francisco Alvarado, Jody Kaban, Edward Chao, James A Meltzer
INTRODUCTION: Prior studies have shown that the surgical stabilization of rib fractures (SSRF) for patients with multiple rib fractures is associated with improved outcomes by restoring chest wall integrity and decreasing time to return to prior functional status. It is unclear if patients with pulmonary comorbidities (PCM) would benefit from this procedure. OBJECTIVE: To compare the difference in morbidity and mortality of patients with multiple rib fractures undergoing SSRF who have underlying PCM to those who do not have PCM...
February 6, 2023: Injury
https://read.qxmd.com/read/36730672/non-surgical-management-and-analgesia-strategies-for-older-adults-with-multiple-rib-fractures-a-systematic-review-meta-analysis-and-practice-management-guideline-from-the-eastern-association-for-the-surgery-of-trauma
#38
JOURNAL ARTICLE
Kaushik Mukherjee, Sebastian D Schubl, Gail Tominaga, Sarah Cantrell, Brian Kim, Krista L Haines, Krista L Kaups, Robert Barraco, Kristan Staudenmayer, Lisa M Knowlton, Adam M Shiroff, Zachary M Bauman, Steven E Brooks, Haytham Kaafarani, Marie Crandall, Raminder Nirula, Suresh K Agarwal, John J Como, Elliott R Haut, George Kasotakis
BACKGROUND: Chest wall injury in older adults is a significant cause of morbidity and mortality. Optimal nonsurgical management strategies for these patients have not been fully defined regarding level of care, incentive spirometry (IS), noninvasive positive pressure ventilation (NIPPV), and the use of ketamine, epidural, and other locoregional approaches to analgesia. METHODS: Relevant questions regarding older patients with significant chest wall injury with patient population(s), intervention(s), comparison(s), and appropriate selected outcomes were chosen...
March 1, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/36540301/ureteric-trauma-caused-by-urethral-catheter-insertion-case-report-and-literature-review
#39
Hani Sayedin, Paul Jamieson
Urethral catheterization is one of the most common procedures in medical practice. Catheterization is not only restricted for urological purposes, but also used for many other indications. For instance, urethral catheterization could be used for intensive care unit patients, trauma and multiple fracture injuries, and advanced neurological condition e.g. multiple sclerosis. Therefore, it may be performed by both well trained and not fully trained medical professionals resulting in complications. We present an 82-year-old female presented to A&E with hematuria, abdominal pain and low catheter output drainage after recent catheter exchange by the district nurse...
December 2022: Journal of Surgical Case Reports
https://read.qxmd.com/read/36440988/characteristics-of-pediatric-patient-transfers-from-general-emergency-departments-in-california-from-2005-to-2018
#40
JOURNAL ARTICLE
Moon O Lee, Jessica Wall, Olga Saynina, Carlos A Camargo, N Ewen Wang
OBJECTIVE: Each year, approximately 300,000 pediatric patients are transferred out of emergency departments (EDs). Emergency department transfers may not only provide a higher level of care but also incur increased resource use and cost. Our objective was to identify hospital characteristics and patient demographics and conditions associated with ED transfer as well as the trend of transfers over time. METHODS: This was a retrospective cohort study of pediatric visits to EDs in California using the California Office of Statewide Health Planning and Development ED data set (2005-2018)...
January 1, 2023: Pediatric Emergency Care
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