keyword
https://read.qxmd.com/read/36174824/clinical-outcome-and-risk-factors-for-acute-fulminant-myocarditis-supported-by-venoarterial-extracorporeal-membrane-oxygenation-an-analysis-of-nationwide-csecls-database-in-china
#21
JOURNAL ARTICLE
Tong Hao, Yu Jiang, Changde Wu, Chenglong Li, Chuang Chen, Jianfeng Xie, Chun Pan, Fengmei Guo, Yingzi Huang, Ling Liu, Haixiu Xie, Zhongtao Du, Xiaotong Hou, Songqiao Liu, Yi Yang, Haibo Qiu
BACKGROUND: To assess the outcomes and risk factors for adult patients with acute fulminant myocarditis (AFM) supported with venoarterial extracorporeal membrane oxygenation (VA ECMO) in China mainland. METHODS: Data were extracted from Chinese Society of ExtraCorporeal Life Support (CSECLS) Registry database. Data from adult patients who were diagnosed with AFM and needed VA ECMO in the database were retrospectively analyzed. The primary outcome was 90-day mortality after ECMO initiation in patients with AFM supported with VA ECMO...
September 26, 2022: International Journal of Cardiology
https://read.qxmd.com/read/36160774/home-oxygen-use-and-1-year-outcome-among-preterm-infants-with-bronchopulmonary-dysplasia-discharged-from-a-chinese-regional-nicu
#22
JOURNAL ARTICLE
Huijia Lin, Xuefeng Chen, Jiajing Ge, Liping Shi, Lizhong Du, Xiaolu Ma
Objective: This study aims to compare the clinical characteristics and 1-year outcomes of preterm infants with bronchopulmonary dysplasia (BPD) who were discharged on supplemental oxygen or room air. Materials and Methods: The preterm infants (born <32 weeks' gestation, birth weight ≤1,250 g) diagnosed with BPD and admitted between January 2020 and December 2020 were enrolled. The clinical data during hospitalization were collected through the hospital's electronic record system...
2022: Frontiers in Pediatrics
https://read.qxmd.com/read/36114590/case-report-of-congenital-methemoglobinemia-an-uncommon-cause-of-neonatal-cyanosis
#23
JOURNAL ARTICLE
Allison N J Lyle, Rebecca Spurr, Danielle Kirkey, Catherine M Albert, Zeenia Billimoria, Jose Perez, Mihai Puia-Dumitrescu
BACKGROUND: Methemoglobinemia can be an acquired or congenital condition. The acquired form occurs from exposure to oxidative agents. Congenital methemoglobinemia is a rare and potentially life-threatening cause of cyanosis in newborns that can be caused by either cytochrome B5 reductase or hemoglobin variants known as Hemoglobin M. CASE PRESENTATION: A term male infant developed cyanosis and hypoxia shortly after birth after an uncomplicated pregnancy, with oxygen saturations persistently 70-80% despite 1...
September 16, 2022: Maternal Health, Neonatology and Perinatology
https://read.qxmd.com/read/36093465/a-case-of-covid-19-associated-fulminant-myocarditis-successfully-treated-with-mechanical-circulatory-support
#24
Ryosuke Asakura, Tatsuki Kuroshima, Naohiro Kokita, Motoi Okada
A 49-year-old man, who had not been vaccinated against COVID-19 visited the hospital for fever and cough, and a PCR test for COVID-19 was positive on the Day X. Initially, there was no decrease in oxygen saturation and the patient was under observation as a mild case without medication. Five days after the onset (Day X + 5), chest pain appeared. Electrocardiogram showed widespread ST-segment elevation, and blood tests showed high levels of troponin I. However, given that there was no stenotic lesion on coronary computed tomography, myocarditis was suspected, and he was transferred to our hospital on the Day X + 6...
September 2022: Clinical Case Reports
https://read.qxmd.com/read/36060640/a-case-of-welder-s-pneumoconiosis-treated-with-corticosteroid-followed-by-nintedanib
#25
Hideyuki Kaida, Takuhide Utsunomiya, Yohei Koide, Yusuke Ueda, Kenji Wada, Yuji Yoshida, Yoshiaki Kinoshita, Hisako Kushima, Hiroshi Ishii
A 32-year-old man who had worked as a welder for 13 years was hospitalized for a fever and hemosputum with dyspnea. He was diagnosed with welding fume-associated lung disease with alveolar hemorrhaging and acute respiratory failure. Despite surviving the acute phase with corticosteroid therapy, hypoxemia persisted after a month and a half, requiring home oxygen therapy. As a result of the introduction of nintedanib, his clinical findings gradually improved, and the patient was weaned from oxygen therapy after six months...
2022: Respiratory Medicine Case Reports
https://read.qxmd.com/read/36045221/low-flow-nasal-cannula-requirement-among-preterm-infants-predictors-and-description-of-clinical-course
#26
JOURNAL ARTICLE
Jaclyn Daigneault, Megan Horgan, Heather White, Austin Lee, Lawrence Rhein
OBJECTIVE: We aim to identify potential risk factors associated with longer duration of supplemental oxygen use in preterm infants at risk for bronchopulmonary dysplasia (BPD) to better inform families and weaning protocols. STUDY DESIGN: This is a retrospective study of infants with a birth gestational age (GA) < 32 0/7 weeks admitted to the neonatal intensive care unit (NICU) between October 2017 and September 2019. RESULTS: A total of 172 infants met criteria for inclusion and analysis, of which 69 (40...
August 31, 2022: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/35832023/frequent-hypoxemia-found-in-infants-with-bronchopulmonary-dysplasia-after-weaning-home-oxygen
#27
JOURNAL ARTICLE
Melissa House, Sarah Klein, Danielle Parham, Erik B Hysinger, Jennifer M Brady
OBJECTIVE: Parental report and brief clinical examination are the primary information used to assist clinicians in weaning of home supplemental oxygen in infants with bronchopulmonary dysplasia (BPD). Recorded nocturnal oximetry provides an objective assessment of hypoxemia, however, it is unknown if it identifies clinically undetected hypoxemia in the home setting. Our objective was to determine if nocturnal oximetry can identify unreported hypoxemia in infants with BPD who appear ready to wean from supplemental oxygen...
July 13, 2022: Pediatric Pulmonology
https://read.qxmd.com/read/35574827/indications-and-outcome-of-home-high-flow-nasal-therapy-in-children-a-single-center-experience
#28
JOURNAL ARTICLE
Mathis Steindor, Carolin Ellen Wagner, Alexandra Kavvalou, Claudia Bock, Margarete Olivier, Florian Stehling
High-flow nasal therapy (HFNT) is a safe and simple way to deliver humidified air and oxygen for respiratory support in infants and children. HFNT is well established in an inpatient setting, but home HFNT lacks evidence. In the current study, we studied characteristics and outcomes of pediatric patients with home HFNT. In a monocentric retrospective analysis of data for 10 years (April 2010-April 2020), patient characteristics from the time point of the first discharge from hospital with home HFNT-treatment and the subsequent course were analyzed...
May 16, 2022: Pediatric Pulmonology
https://read.qxmd.com/read/35537972/venovenous-extracorporeal-membrane-oxygenation-in-awake-non-intubated-patients-with-covid-19-ards-at-high-risk-for-barotrauma
#29
JOURNAL ARTICLE
Gianluca Paternoster, Pietro Bertini, Alessandro Belletti, Giovanni Landoni, Serena Gallotta, Diego Palumbo, Alessandro Isirdi, Fabio Guarracino
OBJECTIVES: To assess the efficacy of an awake venovenous extracorporeal membrane oxygenation (VV-ECMO) management strategy in preventing clinically relevant barotrauma in patients with coronavirus disease 2019 (COVID-19) with severe acute respiratory distress syndrome (ARDS) at high risk for pneumothorax (PNX)/pneumomediastinum (PMD), defined as the detection of the Macklin-like effect on chest computed tomography (CT) scan. DESIGN: A case series. SETTING: At the intensive care unit of a tertiary-care institution...
March 17, 2022: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/35426322/a-short-course-of-prednisolone-in-patients-with-moderate-covid-19-respiratory-failure-stop-the-progression-a-case-series
#30
JOURNAL ARTICLE
Dale Ventour, Rheana Sieunarine, Chavin Gopaul
Covid 19 positive patients requiring oxygen therapy to maintain saturations above 90% were given a trial of oral prednisolone between 15 and 30 mg until they were weaned to room air maintaining saturations >95%. This treatment resulted in the rapid resolution of worsening respiratory function of 4 Covid 19 positive patients within the High Dependency unit in a tertiary medical center. The cases are from the "first wave" in Trinidad, March 2020. The signs and symptoms of respiratory failure resolved after 72 hours of prednisolone treatment and none of these patients were escalated to non-invasive or invasive respiratory support...
January 2022: Journal of Investigative Medicine High Impact Case Reports
https://read.qxmd.com/read/35416740/acquired-methemoglobinemia-in-children-presenting-to-italian-pediatric-emergency-departments-a-multicenter-report
#31
JOURNAL ARTICLE
Umberto Raucci, Michela Stanco, Marco Roversi, Eduardo Ponticiello, Mara Pisani, Margherita Rosa, Raffaele Falsaperla, Piero Pavone, Claudia Bondone, Irene Raffaldi, Lucia Calistri, Stefano Masi, Antonino Reale, Alberto Villani, Marco Marano
INTRODUCTION: Methemoglobinemia (MetHb) is a rare inherited or acquired cause of cyanosis in children. Owing to its rarity, case reports and case series are mostly available in the current literature. This study reports data on a large sample of children with acquired MetHb. METHODS: Data on patients admitted for acquired MetHb between January 2007 to December 2020 was extracted from the databases of five Italian pediatric emergency departments (EDs). Demographical and clinical characteristics was reported and discussed...
April 13, 2022: Clinical Toxicology
https://read.qxmd.com/read/35348063/high-flow-nasal-cannula-use-in-children-with-bronchiolitis-in-a-community-hospital-setting-evaluation-of-safety-flow-limits-and-intensive-care-unit-transfers
#32
JOURNAL ARTICLE
Patrick J Van Winkle, Allen M Castro, Shareemae A Salvador-Lloyd, Janet M GilbertLambert, Qiaoling Chen
INTRODUCTION: High-flow nasal cannula (HFNC) oxygen therapy is being used in pediatric wards at increasing rates, including community hospitals that do not have a pediatric intensive care unit (PICU). This study describes the use of HFNC in a pediatric ward at a community hospital, evaluating safety, flow limits, and outcomes for children transferred to a PICU. METHODS: A descriptive, single center retrospective cohort study of consecutive subjects from birth to 24 months of age treated with HFNC for bronchiolitis in our pediatric ward from January 2016 to May 2019...
May 12, 2021: Permanente Journal
https://read.qxmd.com/read/35330590/venovenous-extra-corporeal-life-support-in-an-infant-with-foreign-body-aspiration-a-case-report
#33
Ahmed S AlKhalifah, Nada A AlJassim
BACKGROUND: Foreign body aspiration (FBA) is a life-threatening emergency and a common cause of morbidity and morbidity in children. FBA can lead to rapidly progressive respiratory failure. Stabilizing patients after FBA for bronchoscopic removal of the aspirated object can be complex and may necessitate advanced support such as high-frequency oscillatory ventilation (HFOV) or extracorporeal membrane oxygenation (ECMO). This case report presents the feasibility of using ultrasound (US) in percutaneous catheterization in infants and the benefit of using venovenous ECMO (VV-ECMO) as rescue therapy in FBA...
2022: Respiratory Medicine Case Reports
https://read.qxmd.com/read/35322284/venoarterial-extracorporeal-membrane-oxygenation-for-septic-cardiomyopathy-caused-by-pasteurella-multocida-infection-a-case-report
#34
JOURNAL ARTICLE
Ai Nagai, Takeshi Adachi, Yoshiyuki Nishizawa, Masayuki Kuroiwa, Masayasu Arai
Pasteurella is a gram-negative coccobacillus that is commonly transmitted through cat and dog bites and causes various diseases in humans. In the present case, kissing an animal caused Pasteurella multocida infection, leading to sepsis and cardiogenic shock. We used venoarterial extracorporeal membrane oxygenation (VA-ECMO) to support the cardiovascular system until recovery. A 62-year-old man with no relevant history was referred to our hospital with a 1-day history of sore throat and fever. He was diagnosed with cervical cellulitis and later developed septic shock, which necessitated catecholamine administration and intubation...
June 2022: Journal of Anesthesia
https://read.qxmd.com/read/35099569/home-high-flow-nasal-cannula-therapy-in-children-with-congenital-heart-disease
#35
JOURNAL ARTICLE
Yuka Hanaki, Jun Muneuchi, Junko Yamamoto, Chie Yokota, Junya Ohmura, Hiroki Ezaki, Miwa Yoshino, Ryoko Nakamura, Miho Takeichi, Yuichiro Sugitani, Ryouhei Matsuoka, Hirohito Doi, Mamie Watanabe, Yasuhiko Takahashi
High-flow nasal cannula (HFNC) therapy has been applied in the perioperative respiratory care for children with congenital heart disease and respiratory problems. However, the information about the feasibility of home HFNC therapy remains lacking among them. We retrospectively reviewed 5 children with congenital heart disease and respiratory problems who underwent home HFNC therapy, and evaluated their feasibility and safety. Age and weight at the introduction of home HFNC therapy were 19 (2-119) months and 5...
January 31, 2022: Pediatric Cardiology
https://read.qxmd.com/read/35057667/tracheal-stenting-on-venovenous-ecmo-with-a-dual-lumen-right-atrium-to-pulmonary-artery-cannula-in-a-covid-19-patient-with-an-inferior-vena-cava-filter
#36
JOURNAL ARTICLE
Marco Giani, Andrea Pisa, Eliseo Passera, Leonello Avalli, Roberto Rona, Giuseppe Foti
A 47-year-old man, with no medical history, was diagnosed with severe COVID-19 ARDS and pulmonary embolism. Venovenous extracorporeal membrane oxygenation (ECMO) was required for impossibility to deliver protective ventilation. The patient was weaned from ECMO after clinical improvement. An inferior vena cava filter was then positioned to prevent embolization from a persistent left femoral deep venous thrombosis. Two days after the ECMO removal, a large lesion of the tracheal posterior wall was diagnosed. Tracheal stenting was deemed necessary...
January 20, 2022: Perfusion
https://read.qxmd.com/read/34878697/update-on-ventilatory-management-of-extremely-preterm-infants-a-neonatal-intensive-care-unit-perspective
#37
REVIEW
Sven M Schulzke, Benjamin Stoecklin
Extremely preterm infants commonly suffer from respiratory distress syndrome. Ventilatory management of these infants starts from birth and includes decisions such as timing of respiratory support in relation to umbilical cord management, oxygenation targets, and options of positive pressure support. The approach of early intubation and surfactant administration through an endotracheal tube has been challenged in recent years by primary noninvasive respiratory support and newer methods of surfactant administration via thin catheters...
February 2022: Paediatric Anaesthesia
https://read.qxmd.com/read/34866823/practice-patterns-and-outcome-of-extracorporeal-membrane-oxygenation-therapy-for-severe-acute-respiratory-distress-syndrome-in-indian-icus
#38
JOURNAL ARTICLE
Ramadevi Mariappan, Madhan Kumar, Nagarajan Ramakrishnan, Ashwin K Mani, Senthil Kumar, Vignesh Chandrasekaran
Introduction: Extracorporeal membrane oxygenation (ECMO) is increasingly used in managing patients with severe acute respiratory distress syndrome (ARDS). The aim of the study is to describe the practice of ECMO and evaluate the outcomes in patients with severe ARDS in Indian intensive care units (ICUs). Methods: Data of 39 patients with severe ARDS managed with ECMO in two tertiary centers between 2012 and 2018 were retrospectively studied. Results: The mean age of the patient was 44...
November 2021: Indian Journal of Critical Care Medicine
https://read.qxmd.com/read/34838490/tocilizumab-in-critically-ill-covid-19-patients-an-observational-study
#39
JOURNAL ARTICLE
Muhammad Z Mushtaq, Saad B Z Mahmood, Aysha Almas, Syed Ather Wasti, Syed Ahsan Ali
Tocilizumab decreases inflammatory response in the cytokine storm which is one of the mechanisms behind the development of ARDS in COVID-19 patients. The objective of our study was to determine response of tocilizumab in patients suffering from COVID-19 by analyzing clinical parameters and inflammatory markers. A single-arm observational retrospective study was conducted from March 15, 2020 to March 15, 2021. Clinical outcomes in terms of mortality, weaning from mechanical ventilator, improvement in laboratory parameters including inflammatory cytokines, and length of hospital stay were documented...
November 20, 2021: International Immunopharmacology
https://read.qxmd.com/read/34818884/physiotherapy-approach-after-lung-transplantation-in-a-critically-ill-covid-19-patient-a-case-report
#40
JOURNAL ARTICLE
Veronica Rossi, Serena Tammaro, Martina Santambrogio, Mariangela Retucci, Francesca Gallo, Stefania Crotti, Marco Mantero, Mario Nosotti, Emilia Privitera, Alessandro Palleschi
This study describes the case of an 18-years-old male affected by severe COVID-19, who was receiving bilateral lung transplantation (LT), after 71 days of mechanical ventilation and 55 days of veno-venous extracorporeal membrane oxygenation. From post-operative day 2, early mobilization and physiotherapy treatments were performed. Weaning from mechanical ventilation, the use of non-invasive ventilation and tracheostomy management were included in the treatment. Forty-five days after LT the patient was discharged at home, showing improvements in terms of functional and respiratory parameters, quality of life and mood...
November 24, 2021: Monaldi Archives for Chest Disease
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