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Resuscitation in ot

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https://www.readbyqxmd.com/read/28756909/gastroduodenal-artery-coiling-to-curb-upper-gastrointestinal-bleeding
#1
Krishnamurti A Rao, Ramsey Al-Hakim, Thomas Scagnelli, George Sanchez, William Munios, Erick Hernandez, Juan E Sola, Holly Neville, Anthony Hogan, Eduardo A Perez
BACKGROUND: Peptic ulcers in pediatric populations are uncommon and can present with upper gastrointestinal bleeding and shock on presentation. An endoscopy is done initially to identify bleeding source. However, definitive treatment is achieved with angiography. The use of coiling is effective in achieving hemorrhagic control in duodenal ulcers or gastric ulcers, particularly in adults. However, the use in pediatric populations is unknown. We present a case of peptic ulcer disease treated with a gastroduodenal artery coil in a pediatric patient that has never been reported in the literature...
October 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28141719/-more-than-meets-the-eye-when-the-neonatal-course-may-impact-several-years-out
#2
Fadiyla Dopwell, John Maypole, Bharati Sinha, Heidi Currier, William DeBassio, Marilyn Augustyn
Nadia is a 7-year-old girl who you have followed since her discharge from the Neonatal Intensive Care Unit (NICU). Her parents are here today for an urgent visit with behavioral concerns, such as inattention, hyperactivity, and aggression.Nadia is a former 40-weeker born through vacuum-assisted vaginal delivery at 9 pounds 7 ounces. Her delivery was complicated with shoulder dystocia, which resulted in resuscitation. Her Apgar scores were 1, 3, and 4 at 1, 5, and 10 minutes, respectively. After intubation and stabilization on mechanical ventilation, Nadia was transferred to the NICU...
February 2017: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/25127342/-more-than-meets-the-eye-when-the-neonatal-course-may-impact-several-years-out
#3
Fadiyla Dopwell, John Maypole, Bharati Sinha, Heidi Currier, William DeBassio, Marilyn Augustyn
Nadia is a 7-year-old girl who you have followed since her discharge from the Neonatal Intensive Care Unit (NICU). Her parents are here today for an urgent visit with behavioral concerns, such as inattention, hyperactivity, and aggression.Nadia is a former 40-weeker born through vacuum-assisted vaginal delivery at 9 pounds 7 ounces. Her delivery was complicated with shoulder dystocia, which resulted in resuscitation. Her Apgar scores were 1, 3, and 4 at 1, 5, and 10 minutes, respectively. After intubation and stabilization on mechanical ventilation, Nadia was transferred to the NICU...
September 2014: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/22939180/acute-transfusion-practice-during-trauma-resuscitation-who-when-where-and-why
#4
Krisztian Sisak, Michael Manolis, Benjamin M Hardy, Natalie Enninghorst, Cino Bendinelli, Zsolt J Balogh
BACKGROUND: Early transfusion (ET=within 24h) has been shown to be required in approximately 5% of trauma patients. Critical care transfusion guidelines control transfusion triggers by evidence based cut-offs. Empirical guidelines influence decision making for ET in trauma. AIM: to describe the patterns, indications and timing of ET at level 1 trauma centre. METHODS: A 12-month prospective study was performed on all trauma admissions requiring ET...
May 2013: Injury
https://www.readbyqxmd.com/read/21507554/unplanned-return-to-the-operating-theatre-in-gynaecology-five-years-experience
#5
Ismaiel Mahfouz, Fida Asali, Rebecca Wiltshire, Timothy R Sayer, Christian H Phillips
OBJECTIVES: To review our incidence of unplanned return to the operating theatre (OT) and compare our findings with the published literature. STUDY DESIGN: Five year retrospective review of case notes in our gynaecology department between January 2005 and April 2010. Women were eligible for recruitment if they returned to the OT for an unplanned operation during the same admission following a gynaecological operation. RESULTS: Seventeen cases were identified, mean age 40 years (range 27-52 years)...
August 2011: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/21329919/emergency-angio-embolisation-in-the-operating-theatre-for-trauma-patients-using-the-c-arm-digital-subtraction-angiography
#6
Li Tserng Teo, S Punamiya, C Y Chai, K T S Go, Y T Yeo, D Wong, V Appasamy, M T Chiu
BACKGROUND AND AIMS: Angio-embolisation in trauma is a relatively new technique that is gaining popularity and recognition in identifying and arresting bleeding in trauma patients. We studied the possibility whether angio-embolisation using the Digital Subtraction Angiography (DSA), in the operating theatre (OT) could achieve successful haemostasis in trauma patients. We further studied the feasibility of using this technique as part of trauma resuscitation/damage control. METHODS: A retrospective study of trauma patients, with Injury Severity Score (ISS ≥ 9), admitted to Tan Tock Seng Hospital (TTSH) from January 2004 to December 2008 was done...
September 2012: Injury
https://www.readbyqxmd.com/read/21145056/acute-coagulopathy-and-early-deaths-post-major-trauma
#7
Biswadev Mitra, Peter A Cameron, Alfredo Mori, Mark Fitzgerald
INTRODUCTION AND AIMS: Acute traumatic coagulopathy is observed in 10-25% of patients post major trauma and its management forms an integral part of haemostatic resuscitation. The identification and treatment of this coagulopathy is difficult and there is uncertainty regarding optimal therapeutic guidelines during the early phases of trauma resuscitation. This study aimed to examine the association between acute coagulopathy and early deaths post major trauma. METHODS: A retrospective review of data over a 5 year period was performed to determine the associations between variables considered to contribute to mortality for adult major trauma patients (Injury Severity Score (ISS)>15) receiving blood transfusions as part of their initial resuscitation...
January 2012: Injury
https://www.readbyqxmd.com/read/20544151/european-union-of-medical-specialists-uems-section-of-physical-rehabilitation-medicine-a-position-paper-on-physical-and-rehabilitation-medicine-in-acute-settings
#8
Anthony B Ward, Christoph Gutenbrunner, Hermina Damjan, Alessandro Giustini, Alain Delarque
Physical and rehabilitation medicine (PRM) specialists have an important role in the clinical care of patients during the acute phase of a disabling health condition. This phase is defined as once definitive care or resuscitation has taken place and a patient's need to stay in hospital as an inpatient is primarily for PRM services for rehabilitation. This paper describes 4 options for the delivery of services for people, who continue to require to be inpatients and who will benefit from PRM interventions. These are described, along with their clear benefits during the acute phase of a health condition...
May 2010: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/20486522/the-multiply-injured-trauma-patient-resuscitation-rehabilitation-recovery
#9
REVIEW
Shea C Gregg, Daithi S Heffernan, Jason T Legere, Helen M Lilly, Annah Kinsler, Amy B Muschiano, Moira K McDonnell, Kelly L Tober, Amy L Smith, David T Harrington, Charles A Adams
The care of the acutely injured patient requires a multidisciplinary approach from the moment of injury through rehabilitation and reintegration into society. In addition to the doctors and nurses providing many aspects of the acute and chronic medical care, the rehabilitation component is delivered by several skilled specialists focused on maximizing functional outcomes.
April 2010: Medicine and Health, Rhode Island
https://www.readbyqxmd.com/read/19230628/-evaluation-of-an-educational-intervention-on-the-standard-of-neonatal-resuscitation-orotracheal-versus-nasotracheal-intubation
#10
MULTICENTER STUDY
R Lenclen, P Narcy, F Castela, F Huard
UNLABELLED: Proficiency in endotracheal intubation is an essential step in the neonatal resuscitation process. This skill is difficult to acquire and its mastery requires experience. Recent changes in neonatal resuscitation guidelines (ILCOR 2006) have resulted in a decrease in the opportunities to practice intubations. Appropriate education and training is therefore essential. The goal of this study was to assess the skills of neonatal care professionals in performing intubation via orotracheal (OT) and nasotracheal (NT) routes...
April 2009: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/18402745/reactionary-hemorrhage-in-gynecological-surgery
#11
Mark Erian, Glenda Mc Laren, Akram Khalil
BACKGROUND: Bleeding is a major complication in contemporary gynecological surgery. We discusses this rare, albeit potentially serious, unexpected complication. The authors mean by "reactionary," hemorrhage that occurs within the first 24 hours after surgery. More or less, all gynecological surgeons have had to deal with this situation at some stage of their career. The seriousness of this complication stems from the fact that often the surgeon is not in the immediate vicinity to promptly step in and treat the patient...
January 2008: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/8745356/the-king-s-college-hospital-acute-stroke-unit
#12
P Bath, R J Butterworth, J Soo, J E Kerr
The King's College Hospital (KCH) Acute Stroke Unit (ASU) was set up in January 1994 in order to provide acute management for patients admitted with stroke and to undertake biomedical research. Of 206 patients admitted to KCH with a stroke or suffering an in-hospital stroke, 141 (68%) patients were admitted to the ASU over its first 6 months of operation: 120 (85%) were from the Accident and Emergency Department and 21 (15%) from other wards. Management included resuscitation and medical stabilisation, investigation, prevention of stroke complications (including aspiration, venous thrombosis, and pressure sores), rehabilitation (physiotherapy, occupational therapy, speech and language therapy), nutrition (dietetics) and initiation of secondary prevention measures (aspirin or anticoagulation, blood pressure and lipid lowering, and carotid endarterectomy)...
January 1996: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/6164413/-changes-in-the-concentrations-of-total-rna-and-dna-in-the-cerebral-cortex-and-internal-organs-liver-and-heart-after-prolonged-hypovolemic-hypotension-and-in-the-post-resuscitation-period
#13
COMPARATIVE STUDY
V L Kozhura
It was shown in experiments on dogs that after 4-hour hypovolemic hypotension the content of total RNA in brain cortex and myocardium homogenates decreased. In the liver, there was a significant decrease both in RNA and DNA content. In the postresuscitation period, the content of nucleic acids in the myocardium returned to normal after 14--21 days, and that in the liver after 3--4 months. The gray matter of the brain manifested a delayed lowering of DNA content (after 14--21 days), and the level of nucleic acid did not return ot normal over 3--4 months after resuscitation...
February 1981: Biulleten' Eksperimental'noĭ Biologii i Meditsiny
https://www.readbyqxmd.com/read/2596723/-evaluation-of-the-function-of-the-myocardium-by-carrying-out-anti-and-orthostatic-tests-in-patients-in-resuscitation-units
#14
G G Ivanov, N V Edeleva
Ortho- and antiorthostatic tests (OT, AOT) were performed in critically ill patients to assess cardiovascular system function. Two types of reactions were observed depending on changes in the cardiac index occurring in response to maximum load (transition from the supine -15 degrees into the upright position +15 degrees). In group 1 (58 tests) transition into the upright position caused a decrease in the parameters of the cardiac pump function, while in group 2 (43 (tests) an increase was observed. The results obtained indicate that these tests increase considerably the diagnostic value of central hemodynamic indexes in the assessment of the circulatory function and functional myocardial reserve in critically ill patients...
September 1989: Anesteziologiia i Reanimatologiia
https://www.readbyqxmd.com/read/1623756/elevation-of-cardiac-output-and-oxygen-delivery-improves-outcome-in-septic-shock
#15
RANDOMIZED CONTROLLED TRIAL
J Tuchschmidt, J Fried, M Astiz, E Rackow
Septic shock is characterized by hypoperfusion and tissue energy defects. We prospectively evaluated the therapeutic benefit of augmenting cardiac output and therefore oxygen delivery (DO2) on mortality in patients with septic shock. Twenty-five patients were randomized to a normal treatment (NT) group and 26 patients were randomized to an optimal treatment (OT) group. All patients had a clinically evident site of infection, sepsis as defined by a systemic response to the infection, and shock indicated by systemic hypoperfusion...
July 1992: Chest
https://www.readbyqxmd.com/read/1474729/cardiopulmonary-bypass-in-the-successful-resuscitation-of-a-28-year-old-woman-with-cardiac-arrest
#16
M Holley-Jones, V B Howard, C Siegfried, D Trautman
This patient remained hospitalized for several weeks, and her stay was relatively uneventful. She extubated herself 2 days after admission, after an operative procedure to remove the cannulas and repair the right femoral cutdown site. A fasciotomy of her right calf was done for compartment syndrome. The patient had minor neurologic deficits of short-term memory loss and spatial depth perception loss. These deficits, attributed to postresuscitative hypoxia, eventually resolved. Extensive cardiac testing performed to pinpoint the underlying cause of her cardiac dysfunction were inconclusive...
October 1992: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
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