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Reanimation

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https://www.readbyqxmd.com/read/29149949/attitudes-toward-organ-donation-among-relatives-of-the-patients-who-are-being-followed-up-in-intensive-care-and-dialysis-units
#1
B Kahveci, K Topal, Ç Gereklioglu, H Aksoy
INTRODUCTION: This study sought to investigate attitudes toward organ donation (OD) among the relatives of patients who are being followed up in intensive care units (ICU) and dialysis units. MATERIALS AND METHODS: This cross-sectional study was conducted with relatives of the patients who were being followed up in hemodialysis (HD) and peritoneal dialysis (PD) units and Neurosurgery, Neurology, Anesthesia, and Reanimation ICUs of Adana Numune Research and Training Hospital...
November 2017: Transplantation Proceedings
https://www.readbyqxmd.com/read/29132577/reanimating-patients-after-traumatic-cardiac-arrest-a-practical-approach-informed-by-best-evidence
#2
REVIEW
Chris Evans, David O Quinlan, Paul T Engels, Jonathan Sherbino
Resuscitation of traumatic cardiac arrest is typically considered futile. Recent evidence suggests that traumatic cardiac arrest is survivable. In this article key principles in managing traumatic cardiac arrest are discussed, including the importance of rapidly seeking prognostic information, such as signs of life and point-of-care ultrasonography evidence of cardiac contractility, to inform the decision to proceed with resuscitative efforts. In addition, a rationale for deprioritizing chest compressions, steps to quickly reverse dysfunctional ventilation, techniques for temporary control of hemorrhage, and the importance of blood resuscitation are discussed...
February 2018: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/29125661/eyelid-reanimation-using-crossface-nerve-graft-relationship-between-surgical-outcome-and-preoperative-paralysis-duration
#3
Masayuki Okochi, Hiromi Okochi, Emiko Asai, Takao Sakaba, Kazuki Ueda
BACKGROUND: To reanimate the mimetic muscles, crossface nerve graft (CFNG) is an effective surgical option. However, muscle atrophy after facial paralysis may influence the surgical result. We analyzed the relationship between surgical result and preoperative paralysis duration. METHODS: We performed CFNG on 15 patients. The sural nerve was transferred between the affected and nonaffected sides of the zygomatic branch. Eyelid function and eyelid lid were evaluated using the modified House-Brackmann scale...
November 10, 2017: Microsurgery
https://www.readbyqxmd.com/read/29114964/chief-physicians-attitudes-towards-early-warning-score-systems-in-switzerland-results-of-a-cross-sectional-survey
#4
Aline Richard, Olga Frank, David Schwappach
RATIONALE, AIMS AND OBJECTIVES: Early warning score systems (EWS-S) have been shown to be valuable tools to recognize otherwise unnoticed clinical deterioration (CDET) of patients. They have been associated with fewer unplanned transfers to the intensive care unit (UTICU) and lower in-hospital mortality. Little is known about their current usage in Switzerland and about the attitudes towards such tools among chief physicians. We aimed to assess the use of EWS-S in Switzerland and the attitudes of chief physicians towards EWS-S depending on previously experienced CDET followed by UTICU, reanimation, or death...
November 8, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29098701/instruments-to-assess-patient-comfort-during-hospitalization-a-psychometric-review
#5
REVIEW
Sonia Lorente, Josep-Maria Losilla, Jaume Vives
AIM: To analyse the psychometric properties and the utility of instruments used to measure patient comfort, physical, social, psychospiritual and/or environmental, during hospitalization. BACKGROUND: There are no systematic reviews nor psychometric reviews of instruments used to measure comfort, which is considered an indicator of quality in health care associated with quicker discharges, increased patient satisfaction and better cost-benefit ratios for the institution...
November 3, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29098632/anesth%C3%A3-sie-r%C3%A3-animation-en-chirurgie-thoracique-jean-bussi%C3%A3-res-marc-leone-collection-verte-arnette-2017-464-pages-isbn-978-2-7184-1383-9
#6
Andrew Owen
No abstract text is available yet for this article.
November 2, 2017: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29095203/acute-respiratory-distress-syndrome-cases-volume-and-icu-mortality-in-medical-patients
#7
Martin Dres, Peter C Austin, Tài Pham, Philippe Aegerter, Bertrand Guidet, Alexandre Demoule, Antoine Vieillard-Baron, Laurent Brochard, Guillaume Géri
OBJECTIVES: To determine whether ICUs caring for higher volumes of acute respiratory distress syndrome patients would be associated with lower ICU mortality. DESIGN: A 9-year multicenter retrospective cohort study of prospectively collected data. SETTING: French medical ICUs. PATIENTS: From 2004 to 2012, acute respiratory distress syndrome cases were identified from a coding system through a regional database (Collège des Utilisateurs de Données en Réanimation)...
October 31, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/29094752/consequences-of-proceeding-with-surgery-after-resuscitation-from-intra-operative-anaphylaxis
#8
P H M Sadleir, R C Clarke, B Bozic, P R Platt
Intra-operative acute hypersensitivity reactions require a decision to be made regarding whether to proceed with or abandon the planned surgical procedure once the patient has stabilised. Using retrospective case controls, we examined all cases (223) of proven acute hypersensitivity reactions from 2005 to 2014 in Western Australia, in which the syndrome was recognised by the treating clinician before or during surgery, to determine whether recovery outcomes were adversely affected by proceeding with the planned procedure...
November 2, 2017: Anaesthesia
https://www.readbyqxmd.com/read/29077877/cryonics-in-the-courtroom-which-interests-whose-interests
#9
Richard Huxtable
In an apparent international first, the High Court has allowed a terminally ill 14-year-old to be cryopreserved after her death. The patient, JS, requested this, as she hoped one day to be reanimated and cured. Jackson J focused on the welfare (or best interests) of JS as she approached the end of her life and particularly on her (apparently) competent wish to be cryopreserved. I consider the interests involved in a decision to undergo cryonics, specifically exploring which interests and whose interests are engaged...
October 25, 2017: Medical Law Review
https://www.readbyqxmd.com/read/29026828/objective-outcomes-of-minimally-invasive-temporalis-tendon-transfer-for-prolonged-complete-facial-paralysis
#10
Michal Brichacek, Babar Sultan, Kofi D Boahene, Lisa Ishii, Patrick J Byrne
OBJECTIVES: We describe an approach to reanimation of complete, prolonged facial paralysis using minimally invasive temporalis tendon transfer (MIT3) by the melolabial or transoral approach. Objective outcome measures are evaluated based on symmetry, and grading of preoperative/post-operative results and the scar at the melolabial fold. STUDY DESIGN: Retrospective cohort study. METHODS: Twenty-five patients undergoing the MIT3 technique were studied...
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/28961964/deep-temporal-nerve-transfer-for-facial-reanimation-anatomic-dissections-and-surgical-case-report
#11
Mark A Mahan, Walavan Sivakumar, David Weingarten, Justin M Brown
BACKGROUND: Facial nerve palsy is a disabling condition that may arise from a variety of injuries or insults and may occur at any point along the nerve or its intracerebral origin. OBJECTIVE: To examine the use of the deep temporal branches of the motor division of the trigeminal nerve for neural reconstruction of the temporal branches of the facial nerve for restoration of active blink and periorbital facial expression. METHODS: Formalin-fixed human cadaver hemifaces were dissected to identify landmarks for the deep temporal branches and the tension-free coaptation lengths...
September 8, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28953733/discussion-symmetry-restoration-at-rest-after-masseter-to-facial-nerve-transfer-is-it-as-efficient-as-smile-reanimation
#12
COMMENT
Shai M Rozen
No abstract text is available yet for this article.
October 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28953147/levator-palpebrae-superioris-muscle-direct-neurotization
#13
Alexánder Cárdenas-Mejía, Damián Palafox, Daniela Téllez-Palacios, Sara Contreras-Merida, Lilia de La Maza-Krzeptowsky, Rubén López, Tzilacatzin Hernández
Direct muscle neurotization has been proved to be a feasible technique for facial reanimation microsurgical procedures. Direct muscle neurotization is performed by implanting the interposition nerve graft directly into the substance of the muscle. The authors present the case of a 36-year-old male patient with upper eyelid dysfunction secondary to facial trauma. The levator palpebrae superioris muscle was macroscopically unaffected; however, neurophysiological test proved a selective denervation of the CN III motor branch to the levator palpebrae superioris muscle...
November 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28918071/the-masseteric-nerve-an-anatomical-study-in-thai-population-with-an-emphasis-on-its-use-in-facial-reanimation
#14
Apichai Angspatt, Chirayu Pannanusorn
BACKGROUND: The use of the masseteric nerve has been escalated as a donor nerve for facial reanimation in facial palsy patient (Wang et al., 2014; Manktelow et al., 2006; Klebuc, 2011; Bianchi et al., 2012; Zuker et al., 2000; Bae et al., 2006; Terzis, Konofaos, 2013; Terzis, Olivares, 2009; Bianchi et al., 2014). Previous studies had been done in Euro-Caucasian cadavers (Kaya et al., 2014). However, difference in anatomical details does exist between Asian and Euro-Caucasian population (Tzou et al...
September 13, 2017: Asian Journal of Surgery
https://www.readbyqxmd.com/read/28916260/primary-facial-reanimation-in-head-and-neck-cancer
#15
REVIEW
Axel Sahovaler, David Yeh, John Yoo
Facial Paralysis (FP) profoundly impairs the life of individuals, both functionally and psychosocially. Surgical approaches to treat this condition are myriad, but the ultimate goal is to restore symmetry and movement. Ablative surgery for tumors of the head and neck region are amongst the most common etiologies causing FP and this group of patients represents unique challenges. Surgical defects may have multiple competing reconstructive requirements and addressing the FP must be considered in this context...
September 12, 2017: Oral Oncology
https://www.readbyqxmd.com/read/28901791/determinants-of-1-year-survival-in-critically-ill-acute-leukemia-patients-a-grrr-oh-study
#16
Márcio Tavares, Virginie Lemiale, Djamel Mokart, Frédéric Pène, Etienne Lengliné, Achille Kouatchet, Julien Mayaux, François Vincent, Martine Nyunga, Fabrice Bruneel, Antoine Rabbat, Christine Lebert, Pierre Perez, Anne-Pascale Meert, Dominique Benoit, Michael Darmon, Elie Azoulay
Acute leukemia (AL) is the most common hematological malignancy requiring intensive care unit (ICU) management. Data on long-term survival are limited. This is a post hoc analysis of the prospective multicenter data from France and Belgium: A Groupe de Recherche Respiratoire en Réanimation Onco-Hématologique [A Research Group on Acute Respiratory Failure in Onco-Hematological Patients (French)] Study, to identify determinants of 1-year survival in critically ill AL patients. A total of 278 patients were admitted in the 17 participating ICUs...
September 13, 2017: Leukemia & Lymphoma
https://www.readbyqxmd.com/read/28899065/strategies-for-autonomous-sensor-brain-interfaces-for-closed-loop-sensory-reanimation-of-paralyzed-limbs
#17
Timothy H Lucas, Xilin Liu, Milin Zhang, Sri Sritharan, Ivette Planell-Mendez, Yohannes Ghenbot, Solymar Torres-Maldonado, Cameron Brandon, Jan Van der Spiegel, Andrew G Richardson
No abstract text is available yet for this article.
September 1, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28888861/development-of-nanohybrid-adsorbent-for-defluoridation-from-aqueous-systems
#18
Vicky Dhongde, Kailas L Wasewar, Biswajit S De
The objective of present study is advancement of an efficient nanomaterial which was investigated to substantiate its efficiency, using kinetic studies to ensnare fluoride in order to make water potable. A new crystalline ZrAlCa nanohybrid adsorbent for fluoride removal was successfully synthesized by a co-precipitation method in this study. The prepared adsorbents were characterized by XRD, FT-IR, TGA, BET and FESEM and EDX. The adsorption properties of the developed adsorbent were studied using batch adsorption method which shown the noticeable fluoride removal efficiency up to 99% at near neutral pH as well as in acidic pH range...
September 4, 2017: Chemosphere
https://www.readbyqxmd.com/read/28882147/unexpected-collateral-impact-after-out-of-hospital-resuscitation-using-lucas-system
#19
Jasmin Hasmik Shahinian, Jonas Quitt, Mark Wiese, Friedrich Eckstein, Oliver Reuthebuch
BACKGROUND: Mechanical chest compression using a piston device during reanimation is often the only way to ensure stable chest compression at a constant rate and force. However, its use can be associated with severe fractures of the thoracic rib cage and endanger the clinical course of the patient. Thus, the usage of such a piston device during the reanimation has currently been classified as a mere Class IIB indication. CASE PRESENTATION: We present a case of a 66-year-old male who underwent emergent CABG surgery after receiving out-of-hospital resuscitation as a result of myocardial infarction using the LUCAS system...
September 7, 2017: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28876712/-ethics-and-the-decision-of-cardiopulmonary-resuscitation
#20
Nathalie Tebib-Jauslin, Marcos Schwab, Alexandre Leszek
Following the guidelines of the Swiss Academy of Medical Science, most Swiss hospitals have implemented advanced directives that define what should be undertaken in case of cardiorespiratory arrest for every patient. This remains difficult to apply for physicians and difficult to understand for patients. From a medical perspective, some confusion occurs around medical directives. Difficulties include subjective misinterpretation of patient's quality of life, as well as decision making bias. In addition, patients overestimate the cardiopulmonary reanimation success rate, modify their choices with time and health status, and might lack their individual ability of discernment...
September 6, 2017: Revue Médicale Suisse
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