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https://www.readbyqxmd.com/read/29886639/-application-of-superselective-lingual-artery-embolization-in-treatment-of-severe-hemorrhange-in-patients-with-carcinoma-of-tongue
#1
Z P Li, J Meng, H J Wu, J Zhang, Q P Gu
To explore the clinical value of superselective lingual artery embolization in treating the severe hemorrhage in patients with advanced carcinoma of tongue. Four patients with advanced tongue cancer hemorrhage from March 2014 to February 2016 were enrolled in this study. T3N2M0 (2 cases) and T4N1M0 (2 cases) were diagnosed preoperatively. Two cases of advanced tongue carcinoma tumors had severe bleeding and the other 2 cases of hemorrhage were after radiotherapy. All cases including 3 squamous cell carcinoma and 1 adenocarcinoma were firstly demonstrated by arterigraphy under seldinger technique with digtial subtraction angiogarphy to ensure the rupture site and then all cases were followed by superselective artery embolization...
June 9, 2018: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
https://www.readbyqxmd.com/read/29843506/a-bench-study-comparing-scalpel-bougie-technique-versus-cannula-to-melker-technique-for-emergency-cricothyroidotomy-in-a-porcine-model
#2
See Seong Chang, Qian Jun Tong, Zhi Yuen Beh, Kelvin How Yow Quek
Background: The ideal emergency cricothyroidotomy technique remains a topic of ongoing debate. This study aims to compare the Cannula-to-Melker technique with the Scalpel-Bougie technique, and to determine if yearly training in cricothyroidotomy techniques is sufficient for skill retention. Methods: We conducted an observational crossover bench study, comparing the Cannula-to-Melker with the Scalpel-Bougie technique on a porcine model. Twenty-eight anesthetists participated...
May 30, 2018: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/29799898/-origin-of-commonly-used-eponyms-in-the-intensive-care-unit-daily-job
#3
Alejandro Donoso F, Daniela Arriagada S, Megan Neumann B
Eponyms reflect the history of medicine, diseases, and doctors in their time. Their use is controversial, presenting supporters and detractors. However, the use of eponyms persist in the modern medical language in the Intensive Care Units and includes some frequently used ones such as Foley, Seldinger, Down, Macintosh, Magill, Ringer, Yankauer, Doppler, and French. The objective of this review is to promote biographical knowledge and the historical period in which its medical use took place, in order to deepen aspects of medicine history...
April 2018: Revista Chilena de Pediatría
https://www.readbyqxmd.com/read/29799408/the-results-of-ultrasound-guided-percutaneous-nephrostomy-tube-placement-for-obstructive-uropathy-a-single-centre-10-year-experience
#4
Ozan Efesoy, Barış Saylam, Murat Bozlu, Selahittin Çayan, Erdem Akbay
OBJECTIVE: The aim of this study was to determine the results of ultrasound-guided percutaneous nephrostomy tube placement performed solely by urologists. We present our relevant one decade experience in a tertiary care hospital. MATERIAL AND METHODS: We evaluated technical success and complication rates of ultrasound- guided percutaneous nephrostomy tube placement for obstructive uropathy in our clinic, between December 2004 and January 2015. Data were retrieved retrospectively from patients' files...
March 9, 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29796908/endoscopic-necrosectomy-through-percutaneous-self-expanding-metal-stents-may-be-a-promising-additive-in-treatment-of-necrotizing-pancreatitis
#5
Andreas Thorsen, Anders Malthe Borch, Srdan Novovic, Palle Nordblad Schmidt, Lise Lotte Gluud
BACKGROUND: The recommended treatment of infected walled-off necrosis (WON) in necrotizing pancreatitis entails a step-up treatment approach starting with endoscopic necrosectomy (ETDN). AIMS: To report a small number of cases from 2013 to 2016 that were not amenable to or failed to respond to ETDN, and to describe a new, minimally invasive technique that may be a promising supplement to ETDN in this difficult patient population. METHODS: Using the Seldinger technique, a fully covered self-expanding metal stent (SEMS) was placed percutaneously in order to drain, irrigate, and debride WON...
May 24, 2018: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/29760924/extensive-subcutaneous-emphysema-following-lobectomy
#6
Fiqry Fadhlillah, Wei Jia
We present a case report of extensive subcutaneous emphysema secondary to an elective left upper lobectomy. A 65-year-old gentleman was brought into a London teaching hospital's Accident and Emergency department following report of severe swelling. He was mistakenly treated by the paramedics as an allergic reaction and given hydrocortisone and salbutamol nebulisers with no effect. Upon arrival, the patient had widespread crepitus extending from his peri-orbital muscles down to mid-torso. A computer tomography scan revealed a pleuro-cutaneous fistula at the site of a recently sited chest drain, with extensive emphysema and a pneumothorax...
2018: SAGE Open Medical Case Reports
https://www.readbyqxmd.com/read/29732179/cannulation-technique-femoro-femoral
#7
REVIEW
Aidan J C Burrell, Joshua F Ihle, Vincent A Pellegrino, Jayne Sheldrake, Paul T Nixon
The cannulation technique used during veno-venous extracorporeal membrane oxygenation (VV ECMO) insertion can have a major impact on a patients' overall outcome. We have developed a technique that aims to combine speed and effectiveness, with minimal risk. The steps include: (I) percutaneous cannulation using the Seldinger technique; (II) ultrasound guided access and positioning of cannulas; (III) femoro-femoral circuit configuration with a later option of high flow; (IV) a no skin cut serial dilation technique; (V) non-suturing securing of cannulas and (VI) a non-surgical manual pressure technique of explantation...
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29602176/wang-s-forceps-assisted-percutaneous-insertion-and-fixation-of-peritoneal-dialysis-catheter
#8
Huiming Wang, Yujuan Wang, Jili Zhu, Xinghua Chen, Cheng Chen, Cuizhi Xiang, Houjun Jia, Guohua Ding
Percutaneous insertion of peritoneal dialysis catheters is theoretically most preferred by nephrologists because of the advantages of bedside performing, surgery independence, and minimal injury over other procedures of catheter placement such as open surgical dissection or laparoscopic operation. However, blindly placing catheters in the percutaneous procedure brings the risk of catheter malposition or bowel perforation; this largely retarded it's implementation. We had previously developed a novel technique termed "Wang's forceps-assisted catheter insertion and fixation," which had been successfully applied in the open surgical catheter insertion and displaced catheter reposition in our center...
March 30, 2018: Artificial Organs
https://www.readbyqxmd.com/read/29551881/novel-modified-seldinger-technique-for-gastrojejunal-feeding-tube-placement
#9
Maitham A Moslim, Gavin A Falk, Federico G Seifarth
Background: Temporary or long-term nutritional support through gastrojejunal (GJ) feeding tubes is a safe and common means of enteral feeding in adults and children. It is indicated in patients with severe gastroesophageal reflux disease, gastric outlet obstruction, or severe gastric dysfunction or gastroparesis. Several techniques for GJ feeding tube placement have been reported. The most technically challenging part of GJ tube placement is the advancement and optimal positioning of the jejunal extension into the proximal jejunum...
January 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/29529968/use-of-8-cm-22g-long-peripheral-cannulas-in-pediatric-patients
#10
Maurizio Pacilli, Catherine J Bradshaw, Simon A Clarke
INTRODUCTION: Medium-term intravenous access in children is normally achieved by means of repeated multiple peripheral intravenous cannula insertions or peripherally inserted central catheters. Long peripheral cannulas might offer an alternative to these devices in children. Our aim was to clarify whether long peripheral cannulas provide reliable medium-term intravenous access avoiding the need for multiple peripheral intravenous cannulations or peripherally inserted central catheter insertion in children undergoing surgery...
March 1, 2018: Journal of Vascular Access
https://www.readbyqxmd.com/read/29529917/ultrasound-guided-intravenous-access-in-adults-using-sonostik-%C3%A2-a-novel-encapsulated-sterile-guidewire-a-prospective-cohort-trial
#11
Keith S Boniface, Maxine A LeSaux, Sohaib Mandoorah, Amit Patel, Kai L Neander, Hamid Shokoohi
PURPOSE: We evaluated the performance of an encapsulated guidewire designed for single-handed use with ultrasound-guided vascular access (SonoStik) with Seldinger technique, as compared with conventional intravenous catheters placed under ultrasound guidance in healthy subjects. METHODS: This is a prospective cohort trial in healthy subjects in which each subject served as his/her own control by having a SonoStik ultrasound intravenous cannulation placed in one arm and a conventionally placed, standard ultrasound intravenous cannulation placed in the other arm...
March 1, 2018: Journal of Vascular Access
https://www.readbyqxmd.com/read/29481918/a-comparison-between-upper-arm-and-chest-for-optimal-site-of-totally-implanted-venous-access-ports-in-patients-with-female-breast-cancer
#12
Shin-Seok Yang, Moon Sang Ahn
BACKGROUND: The objective of the study was to evaluate the safety, technical feasibility, and complications of totally implanted venous access ports (TIVAPs) in the upper arm, for comparison with transjugular chest ports in patients with breast cancer. METHODS: In total, 223 consecutive female breast cancer patients who received a TIVAP in the upper arm or chest between July 2014 and February 2016 were included. All procedures were performed via a sonographic and fluoroscopic-guided approach using the Seldinger technique under local anesthesia...
February 23, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29417586/office-based-esophageal-dilation-in-head-and-neck-cancer-safety-feasibility-and-cost-analysis
#13
Rebecca J Howell, Melissa A Schopper, John Paul Giliberto, Ryan M Collar, Sid M Khosla
OBJECTIVE: To review experience, safety, and cost of office-based esophageal dilation in patients with history of head and neck cancer (HNCA). METHODS: The medical records of patients undergoing esophageal dilation in the office were retrospectively reviewed between August 2015 and May 2017. Patients were given nasal topical anesthesia. Next, a transnasal esophagoscopy (TNE) was performed. If the patient tolerated TNE, we proceeded with esophageal dilation using Seldinger technique with the CRE™ Boston Scientific (Boston Scientific Corp...
February 8, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29372629/chest-tube-drainage-of-the-pleural-space-a-concise-review-for-pulmonologists
#14
REVIEW
José M Porcel
Chest tube insertion is a common procedure usually done for the purpose of draining accumulated air or fluid in the pleural cavity. Small-bore chest tubes (≤14F) are generally recommended as the first-line therapy for spontaneous pneumothorax in non-ventilated patients and pleural effusions in general, with the possible exception of hemothoraces and malignant effusions (for which an immediate pleurodesis is planned). Large-bore chest drains may be useful for very large air leaks, as well as post-ineffective trial with small-bore drains...
April 2018: Tuberculosis and Respiratory Diseases
https://www.readbyqxmd.com/read/29363332/the-application-of-improved-abdominal-wall-punctures-technique-in-ventriculoperitoneal-shunt-for-hydrocephalus-a-retrospective-analysis-versus-open-mini-laparotomy
#15
Meiqing Lou, Guanghua Zhou, Yaodong Zhao
PURPOSE: Ventriculoperitoneal shunt (VPS) remains as one of the main treatment for hydrocephalus. The traditional technique for placing the distal ends of shunts is via a mini-laparotomy. However, laparotomies are relatively time consuming. Trocars to penetrate abdominal wall by blind puncture have been used. Here, we report on the abdominal wall puncture technique, and compare the possible complications and outcomes with traditional mini-laparotomy. MATERIALS AND METHODS: We use a 5mm incision at the inverse McBurney point...
January 24, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29330575/a-new-technique-for-minimal-invasive-complete-spinal-cord-injury-in-minipigs
#16
Elena E Foditsch, Gratian Miclaus, Irina Patras, Ioan Hutu, Karin Roider, Sophina Bauer, Günter Janetschek, Ludwig Aigner, Reinhold Zimmermann
BACKGROUND: The aim of this study was to develop a minimal invasive complete spinal cord injury (SCI) minipig model for future research applications. The minipig is considered a translationally relevant model for SCI research. However, a standardized minimal invasive complete SCI model for pigs has not yet been established. METHODS: Adult Göttingen minipigs were anesthetized and placed in extended prone position. After initial computed tomography (CT) scan, the skin was incised, a needle placed in the epidural fatty tissue...
March 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29314636/moving-beyond-seldinger-a-vascular-access-and-closure-smorgasbord-safe-zone-or-not
#17
EDITORIAL
Zoltan G Turi
This paper describes a quality improvement initiative featuring the adoption of multiple access and closure techniques to assess "real world" outcomes. Although the study does not provide a scientific evidence base, it does highlight the changing platforms being adopted. Radial, micropuncture, and image guided access will hopefully become near universal in the coming decade.
January 1, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29307904/randomised-controlled-trial-of-central-venous-catheterisation-through-external-jugular-vein-a-comparison-of-success-with-or-without-body-manoeuvres
#18
Rohan Magoon, Surender Kumar Malhotra, Vikas Saini, Ridhima Sharma, Jasleen Kaur
Background and Aims: The external jugular vein (EJV), often used for resuscitation, has been underutilised for central venous catheterisation (CVC) in view of an unpredictable success rate. There is an encouraging literature on the improved success rate of CVC through EJV with the inclusion of certain body manoeuvres. This prospective randomised controlled study was conducted with the aim of evaluating the efficacy of body manoeuvres in improving the success rate of CVC through EJV. Methods: One hundred patients aged 18-50 years, scheduled for elective surgery requiring CVC, were randomly assigned to either undergo CVC using Seldinger technique with body manoeuvres or a control group undergoing CVC without body manoeuvres...
December 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/29284888/haemothorax-following-internal-jugular-vein-cannulation-a-rare-event
#19
Sanjeev Kumar, Srinarayan, Anand Kumar Jha
Catheterization of central veins is a routine technique which is widely used in emergency department, operation theater, and intensive care units. Seldinger technique is widely used to place central venous and arterial catheters and is generally considered safe. The technique does have multiple potential risks. We describe a case of hemothorax following internal jugular venous cannulation. Measures which can be taken to prevent such complications are explained in detail as well as recommended steps to remedy errors should they occur...
October 2017: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/29280162/managing-traps-and-pitfalls-during-initial-steps-of-an-ecmo-retrieval-program-using-a-miniaturized-portable-system-what-have-we-learned-from-the-first-two-years
#20
Anton Sabashnikov, Ilja Djordjevic, Antje-Christin Deppe, Elmar W Kuhn, Julia Merkle, Carolyn Weber, Dirk Sindhu, Kaveh Eghbalzadeh, Mohamed Zeriouh, Oliver J Liakopoulos, Parwis B Rahmanian, Ferdinand Kuhn-Régnier, Yeong-Hoon Choi, Navid Madershahian, Thorsten Wahlers
The aim of this study was to provide early and mid-term results of the newly established extracorporeal membrane oxygenation (ECMO) retrieval service in a tertiary cardiothoracic center using the miniaturized portable Cardiohelp System (Maquet, Rastatt, Germany). A particular attention was paid to organizational and logistic specifics as well as challenges and pitfalls associated with initial phase of the program. From January 2015 until January 2017 a heterogenic group of 28 consecutive patients underwent ECMO implantation in distant hospitals for acute cardiac, pulmonary or combined failure as a bridge-to-decision and were subsequently transported to our institution...
December 27, 2017: Artificial Organs
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