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"Arterial Line" OR "Arterial Catheter" OR "Intra Arterial Line"

Yoshiaki Iwashita, Kazuto Yamashita, Hiroshi Ikai, Masamitsu Sanui, Hiroshi Imai, Yuichi Imanaka
BACKGROUND: In most countries, patients receiving mechanical ventilation (MV) are treated in intensive care units (ICUs). However, in some countries, including Japan, many patients on MV are not treated in ICUs. There are insufficient epidemiological data on these patients. Here, we sought to describe the epidemiology of patients on MV in Japan by comparing and contrasting patients on MV treated in ICUs and in non-ICU settings. A preliminary comparison of patient outcomes between ICU and non-ICU patients was a secondary objective...
December 4, 2018: Critical Care: the Official Journal of the Critical Care Forum
Atli Steinn Valgardsson, Sigurbergur Karason, Elin Laxdal, Kristin Huld Haraldsdottir
Arterial cannulation is a common procedure in critically ill patients, as it facilitates continuous monitoring of blood pressure, titration of inotropes, vasopressors and fluids and is also used for blood sampling. Serious complications from arterial lines are very rare, permanent ischemic damage occurs in less than 0,1% of patients. We report the case of a 60-year-old woman in septic shock caused by a perforated duodenal ulcer which was treated with emergent laparoscopic repair. She required high doses of vasopressors and received several arterial lines, including lines in both the ulnar and the radial arteries of the left arm...
December 2018: Læknablađiđ
Jin Park, Na Rae Yang, Young-Joo Lee, Kyung Sook Hong
BACKGROUND The aim of this study is to report our experience of brain-dead donor management by a dedicated intensivist who had wide experience in treatment of hemodynamically unstable patient and to suggest a role for intensivists in organ donation. MATERIAL AND METHODS The management of brain-dead donors was performed by experienced intensivists. The hospital medical records and data from the Korean Network of Organ Sharing from August 2013 to December 2016 were reviewed retrospectively. RESULTS Fifty-four brain death patients (3...
December 4, 2018: Annals of Transplantation: Quarterly of the Polish Transplantation Society
Alicia M Bonanno, Todd L Graham, Lauren N Wilson, Brianne M Madtson, James D Ross
BACKGROUND: Hemorrhage is the most common cause of preventable death in the pre-hospital phase in trauma, with a critical capability gap optimizing pre-hospital resuscitation in austere environments. One promising avenue is the concept of a multi-functional resuscitation fluid (MRF) that contains a blood product backbone with agents that promote clotting and enhance oxygen delivery. Oxygen therapeutics, such as hemoglobin based oxygen carriers(HBOCs) and perfluorocarbons(PFCs), may be a critical MRF component...
2018: PloS One
Edward Compton, Patrick Heindel, Blake Formanek, Kyle Schoell, Zorica Buser, Jeffrey C Wang
STUDY DESIGN: This is a retrospective cohort study. OBJECTIVE: This study's objective was to determine whether perioperative invasive vascular catheter placement, independent of comorbid conditions, modified the risk of postoperative infection in lumbar spine surgery. SUMMARY OF BACKGROUND DATA: Infection is a risk inherent to lumbar spine surgery, with overall postoperative infection rates of 0.86%-8.5%. Patients experiencing postoperative infection have higher rates of mortality, revision surgeries, pseudarthrosis, and worsening pain and disability...
November 26, 2018: Clinical Spine Surgery
B Amberg, R Hodges, A Kashyap, S Skinner, K Rodgers, E Mcgillick, J Deprest, S Hooper, K Crossley, P Dekoninck
OBJECTIVES: Partial amniotic carbon dioxide (CO2 ) insufflation (PACI) is used to improve visualisation and enable complex fetoscopic surgery. However, concerns exist about fetal hypercapnic acidosis and post-operative fetal membrane inflammation. We assessed whether heated-humidified CO2 would reduce the impact of PACI on the fetus and fetal membranes in sheep. METHODS: Fetal lambs 105 days gestation (term=145 days) were partially delivered through a caesarean section and instrumented with arterial catheters and flow probes...
November 21, 2018: Ultrasound in Obstetrics & Gynecology
Heather A Wolfe, Elizabeth H Mack
The relatively young field of pediatric critical care has seen a shift from an approach with little consideration for the complications and adverse effects resulting from the procedures and medications to a more cautious approach with careful concern for the associated risks. Many senior pediatric intensivists recall a time when nearly every patient had a central venous line and arterial line; and hospital acquired infections, pressure injuries, unplanned extubations, and venous thromboemboli were expected costs of aggressive care...
October 2018: Translational Pediatrics
Yussr M Ibrahim, Nicole R Marques, Carlos R Garcia, Michael Salter, Christopher McQuitty, Michael Kinsky, Mindy Juan, Achiau Ludomirsky
Background: Intravascular air embolism (AE) is a preventable but potentially catastrophic complication caused by intravenous tubing, trauma, and diagnostic and surgical procedures. The potentially fatal risks of arterial AE are well-known, and emerging evidence demonstrates impact of venous AEs on inflammatory response and coagulation factors. A novel FDA-approved in-line air detection and purging system was used to detect and remove air caused by administering a rapid fluid bolus during surgery...
2018: Perioperative Medicine
Abhijit V Lele, Qian Qiu, Sergii Gorbachov, Christine Fong, Bala G Nair, Pat Blissitt, Rebekah Marsh, Nophanan Chaikittisilpa, Vijay Krishnamoorthy, Monica S Vavilala
Indicator of response urgency (page tag), paging domains, distribution of pages by time of the day, and factors associated with neurocritical care paging remain elusive and were examined in this study. We examined the association between patient, neurocritical care workflow characteristics, and paging domains on frequency of paging using Student's t-test, Chi-square test, and analysis of covariance. A total of 1852 patients generated 36,472 pages. The most common page tagging was "for your information" (n = 15067, 41...
November 16, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Lisa A Bourazak, Erik H Hofmeister
OBJECTIVE To determine the bias, sensitivity, and specificity of Doppler ultrasonic flow detector measurement of blood pressure (DBPM) to detect hypotension in dogs with various disease states and to determine whether patient characteristics could affect accuracy of DBPM in dogs. DESIGN Prospective cross-sectional study. ANIMALS 146 client-owned dogs undergoing general anesthesia at a veterinary teaching hospital between April 2007 and August 2010. PROCEDURES Data collected for each dog were breed, limb conformation, sex, American Society of Anesthesiologists physical status classification, anesthetic protocol, surgical procedure, arterial catheter size and location, and DBPM location...
December 1, 2018: Journal of the American Veterinary Medical Association
Eero Pesonen, Arie Passov, Ulla-Stina Salminen, Minna Ilmakunnas, Antti Vento, Juha Aittomäki, Sture Andersson, Alexey Schramko
BACKGROUND: Heparin binding protein (HBP) is released from neutrophilic secretory vesicles upon neutrophil adhesion on the endothelium. HBP mediates capillary hyperpermeability experimentally. In sepsis, HBP predicts organ dysfunction. Cardiopulmonary bypass induces both neutrophil activation and hyperpermeability. We hypothesized that in cardiopulmonary bypass, HBP is released in the reperfused coronary circulation concomitantly with neutrophil adhesion. METHODS: In 30 patients undergoing aortic valve replacement, concomitant blood samples were drawn from the coronary sinus and arterial line before aortic crossclamping and 5 min after reperfusion to calculate transcoronary differences...
November 14, 2018: Annals of Thoracic Surgery
Eugene Chung, Helena I Karlberg
Pediatric craniosynostosis repair with cranial vault reconstructive surgery can be associated with significant blood loss. Tranexamic acid (TXA), an antifibrinolytic agent, has been shown to decrease blood loss and transfusion volume in craniofacial surgery. Nonetheless data regarding the safety of TXA remains limited. The authors describe a case of ulnar artery thrombosis following ulnar arterial line placement in a patient who received TXA for cranial vault reconstructive surgery.
November 15, 2018: Journal of Craniofacial Surgery
Ashutosh Kaushal, Ashish Bindra, Shalendra Singh
No abstract text is available yet for this article.
October 2018: Indian Journal of Anaesthesia
Lauren E Gibson, Teresa S Henriques, Madalena D Costa, Roger B Davis, Murray A Mittleman, Pooja Mathur, Balachundhar Subramaniam
BACKGROUND: Continuous arterial blood pressure (ABP) is typically recorded by placement of an intraarterial catheter. Recently, noninvasive ABP monitors have been shown to be comparable in accuracy to invasive measurements. In a previous study, we showed that the fluctuations in beat-to-beat ABP measurements were not random variations but had a complex dynamical structure, and that ABP dynamical complexity was inversely associated with surgical risk estimated using the Society of Thoracic Surgeons (STS) index...
November 1, 2018: Anesthesia and Analgesia
Andrew D Shaw, Michael G Mythen, Douglas Shook, David K Hayashida, Xuan Zhang, Jeffrey R Skaar, Sloka S Iyengar, Sibyl H Munson
Background: The utility of pulmonary artery catheters (PACs) and their measurements depend on a variety of factors including data interpretation and personnel training. This US multi-center, retrospective electronic health record (EHR) database analysis was performed to identify associations between PAC use in adult cardiac surgeries and effects on subsequent clinical outcomes. Methods: This cohort analysis utilized the Cerner Health Facts database to examine patients undergoing isolated coronary artery bypass graft (CABG), isolated valve surgery, aortic surgery, other complex non-valvular and multi-cardiac procedures, and/or heart transplant from January 1, 2011, to June 30, 2015...
2018: Perioperative Medicine
Brett Cronin, E Orestes O'Brien, Wenlu Gu, Dalia Banks, Timothy Maus
OBJECTIVES: To assess the change in 3-dimensional (3D) echocardiography-derived right ventricular volumes before and after pulmonary thromboendarterectomy (PTE) and to evaluate the correlation of these variables with right heart catheterization-calculated pulmonary vascular resistance (PVR). SETTING: Single university hospitals. PARTICIPANTS: Patients undergoing elective PTE surgery between November 2016 and February 2018. METHODS: All patients received a pulmonary artery catheter and arterial line, and transesophageal echocardiographic monitoring was performed...
September 27, 2018: Journal of Cardiothoracic and Vascular Anesthesia
Olivier Montandrau, Paola Mascitti, Cécile Boucau, Julie Cosserat, Christine Denet, Marc Beaussier, Ivan Philip
We report the perioperative management of a patient with pulmonary hypertension under new-generation treatments who underwent laparoscopic surgery. Preoperatively, arterial catheter, central venous line, and transesophageal echocardiography probe were inserted in addition to standard monitoring. Intraoperatively, inhaled nitric oxide was used because of increasing pressure in the right heart chambers related to the Trendelenburg position and the pneumoperitoneum. The operation finally lasted <2 hours without complication...
October 26, 2018: A&A practice
Lukas Lannemyr, Sven-Erik Ricksten, Bengt Rundqvist, Bert Andersson, Sven-Erik Bartfay, Charlotta Ljungman, Pia Dahlberg, Niklas Bergh, Clara Hjalmarsson, Thomas Gilljam, Entela Bollano, Kristjan Karason
Background The management of the cardiorenal syndrome in advanced heart failure is challenging, and the role of inotropic drugs has not been fully defined. Our aim was to compare the renal effects of levosimendan versus dobutamine in patients with heart failure and renal impairment. Methods and Results In a randomized double-blind study, we assigned patients with chronic heart failure (left ventricular ejection fraction <40%) and impaired renal function (glomerular filtration rate <80 mL/min per 1.73 m2 ) to receive either levosimendan (loading dose 12 μg/kg+0...
August 21, 2018: Journal of the American Heart Association
Abderrahim Marouane, Elisabeth A M Cornelissen, Anneliese Nusmeier, Charlotte M H H T Bootsma-Robroeks
OBJECTIVE: Blood pressure (BP) monitoring in children immediately after kidney transplantation is ideally performed with an arterial line. Accurate measurement of BP is necessary for optimal management. However, during the first days postoperative, the arterial line is removed and BP measurement is switched to a non-invasive device. The aim of this study was to determine the accuracy and reliability of the automated oscillometric device compared to invasive arterial BP (IBP) monitoring in patients after renal transplantation in pediatric intensive care unit (PICU)...
October 25, 2018: Pediatric Transplantation
Navin K Kapur, Colin S Hirst
Limited data exploring the utility of IABPs in shock without acute myocardial infarction exist. Counterpulsation pumps depend on native LV contractile function. Hemodynamic monitoring with a pulmonary artery catheter should help guide management of the cardiogenic shock patient. More studies are required to identify the optimal patient population and hemodynamic parameters best suited for IABP therapy.
October 1, 2018: Catheterization and Cardiovascular Interventions
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