keyword
https://read.qxmd.com/read/38522304/novel-technique-to-improves-graft-unfolding-in-vitrectomized-eyes-during-descemet-membrane-endothelial-keratoplasty
#1
Majed Alkharashi, Wael Otaif
INTRODUCTION: Descemet membrane endothelial keratoplasty (DMEK) is commonly used to treat endothelial pathologies in bicameral pseudophakic eyes with a normal depth of the anterior chamber. However, performing this procedure on eyes that have undergone vitrectomy carries a higher risk of complications. Therefore, this report presents a novel technique for improving the unfolding of a DMEK graft in a vitrectomized eye. PRESENTATION OF CASE: A 49-year-old man with a history of complicated cataract surgery one year prior was referred to our clinic with pseudophakic bullous keratopathy in his left eye...
March 15, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38519740/canadian-internal-medicine-ultrasound-cimus-consensus-statement-recommendations-for-mandatory-ultrasound-competencies-for-ultrasound-guided-thoracentesis-paracentesis-and-central-venous-catheterization
#2
JOURNAL ARTICLE
(no author information available yet)
OBJECTIVES: To develop a Canadian Internal Medicine Ultrasound (CIMUS) consensus statement on recommended mandatory point-of-care ultrasound (POCUS) competencies for ultrasound-guided thoracentesis, paracentesis, and central venous catheterizations (CVC) for internal medicine physicians. METHODS: The 2022 CIMUS group consists of 27 voting members, with representations from all 17 Canadian academic institutions across 8 provinces. Members voted in 3 rounds on 46 procedural competencies as "mandatory, must include", "optional, could include" or "superfluous, do not include"...
March 22, 2024: The ultrasound journal
https://read.qxmd.com/read/38501671/assessment-of-the-2021-aasld-practice-guidance-for-albumin-infusion-in-elective-therapeutic-paracentesis-a-regression-discontinuity-design
#3
JOURNAL ARTICLE
Tomohiro Tanaka, Mark Vander Weg, Michael P Jones, George Wehby
BACKGROUND: The 2021 American Association for the Study of Liver Disease (AASLD) Practice Guidance recommends albumin infusion when removing ≥ 5 liters of ascites to prevent post-paracentesis circulatory dysfunction. However, the optimal criteria and scenarios for initiating albumin infusion subsequent to therapeutic paracentesis (TP) have been subject to limited scientific inquiry. METHODS: We conducted a retrospective cohort study at a U.S. academic healthcare center...
March 19, 2024: American Journal of Gastroenterology
https://read.qxmd.com/read/38501095/three-techniques-for-guidewire-assisted-sulcus-glaucoma-tube-shunt-placement
#4
JOURNAL ARTICLE
Arjav Shah, Jacob A Kanter, Jonathan Eisengart, Lauren S Blieden, Mary Qiu
PURPOSE: Tube shunts can be inserted into the anterior chamber, ciliary sulcus, or pars plana. Sulcus tube placement can be challenging. This report demonstrates three techniques for guidewire-assisted sulcus tube insertion. OBSERVATIONS: The first technique uses a needle inserted through a paracentesis 180-degrees across from the tube entry site and creates an ab-interno sclerotomy through which the guidewire is inserted by docking it into the needle bevel. The second technique involves inserting the guidewire into the eye via a paracentesis and using microforceps to retrieve it through a sclerotomy...
June 2024: American Journal of Ophthalmology Case Reports
https://read.qxmd.com/read/38490364/modified-radiation-lobectomy-strategy-of-radioembolization-for-right-sided-unresectable-primary-liver-tumors
#5
JOURNAL ARTICLE
Qian Yu, Yating Wang, Ethan Ungchusri, Anjana Pillai, Chih-Yi Liao, John Fung, Diego DiSabato, Talia Baker, Mikin Patel, Thuong Van Ha, Osman Ahmed
PURPOSE: To assess the safety and effectiveness of using modified radiation lobectomy (mRL) to treat primary hepatic tumors located in the right hepatic lobe (segments V-VIII) and determine future liver remnant (FLR) hypertrophy. METHODS: A retrospective review was performed at a single institution to include 19 consecutive patients (7 Female, 12 Male) who underwent single-session mRL for right sided primary hepatic tumors: 15 received segmentectomy plus lobectomy (segmental dose >190 Gy and lobar dose >80 Gy); 4 were treated with the double-segmental approach (dominant segments >190 Gy and non-dominant segments > 80 Gy)...
March 13, 2024: Journal of Vascular and Interventional Radiology: JVIR
https://read.qxmd.com/read/38486668/quality-improvement-project-demonstrating-a-sustained-increase-in-the-assessment-and-sampling-of-ascites-for-hospitalised-patients-with-cirrhosis
#6
JOURNAL ARTICLE
Elizabeth L Herrle, Monica Thim, Matthew S Buttarazzi, Jenna Ptaschinski, Victoria Molina, Natalie Channell, Lesley B Gordon
OBJECTIVE: Using quality improvement techniques, we aimed to improve the rate of assessment and sampling of ascitic fluid for the purpose of diagnosing spontaneous bacterial peritonitis in patients with cirrhosis admitted to the hospitalist service of our institution. DESIGN/METHODS: Based on stakeholder needs assessment, we implemented interventions targeting provider knowledge, procedure workflows and clinical decision support. We analysed key metrics during preintervention (September-December 2020), intervention roll-out (January-April 2021), postintervention (May-September 2021) and sustainability (September-December 2022) periods for admissions of patients with cirrhosis to our hospitalist service at Maine Medical Center, a 700-bed tertiary-care academic hospital in Portland, Maine, USA...
March 2024: Frontline Gastroenterology
https://read.qxmd.com/read/38459132/point-of-care-abdominal-ultrasound-in-pediatric-and-neonatal-intensive-care-units
#7
REVIEW
Yasser Elsayed, Hanifi Soylu
A spectrum of critical abdominal pathological conditions that might occur in neonates and children warrants real-time point-of-care abdominal ultrasound (abdominal POCUS) assessment. Abdominal radiographs have limited value with low sensitivity and specificity in many cases and have no value in assessing abdominal organ perfusion and microcirculation (Rehan et al. in Clin Pediatr (Phila) 38(11):637-643, 1999). The advantages of abdominal POCUS include that it is non-invasive, easily available, can provide information in real-time, and can guide therapeutic intervention (such as paracentesis and urinary bladder catheterization), making it a crucial tool for use in pediatric and neonatal abdominal emergencies (Martínez Biarge et al...
March 8, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38447639/use-of-intravenous-albumin-a-guideline-from-the-international-collaboration-for-transfusion-medicine-guidelines
#8
Jeannie Callum, Nikolaos J Skubas, Aarti Bathla, Homa Keshavarz, Edward G Clark, Bram Rochwerg, Dean Fergusson, Sesmu Arbous, Seth R Bauer, Louise China, Mark Fung, Rachel Jug, Michael Neill, Cary Paine, Katerina Pavenski, Prakesh S Shah, Susan Robinson, Hua Shan, Zbigniew M Szczepiorkowski, Thierry Thevenot, Bovey Wu, Simon Stanworth, Nadine Shehata
BACKGROUND: Albumin is commonly employed across a wide range of clinical settings to improve hemodynamics, facilitate fluid removal, and manage complications of cirrhosis. The International Collaboration for Transfusion Medicine Guidelines developed guidelines for the use of albumin in patients requiring critical care, undergoing cardiovascular surgery, kidney replacement therapy, or experiencing complications of cirrhosis. METHODS: Co-chairs oversaw the guideline development process and the panel included researchers, clinicians, methodologists, and a patient representative...
March 4, 2024: Chest
https://read.qxmd.com/read/38442012/continuous-home-terlipressin-infusion-increases-handgrip-strength-and-reduces-ascites-a-prospective-randomized-cross-over-study
#9
JOURNAL ARTICLE
Ryma Terbah, Adam G Testro, Rudolf Hoermann, Avik Majumdar, Brooke Chapman, Paul J Gow, Marie Sinclair
BACKGROUND AIMS: Observational studies suggest a beneficial effect of continuous home terlipressin infusion (CTI) on ascites and sarcopenia in decompensated cirrhosis with portal hypertension. This is the first prospective randomized study of CTI in cirrhosis. METHODS: This single-center, prospective, cross-over study randomized 30 patients with cirrhosis, ascites, and sarcopenia to commence on 12 weeks of home CTI or 12 weeks of observation prior to cross-over...
March 5, 2024: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
https://read.qxmd.com/read/38436937/cytomegalovirus-associated-non-necrotizing-retinopathy-occlusive-retinal-vasculitis-and-neovascularization
#10
JOURNAL ARTICLE
Yasmine Alcibahy, Nidhi Panwar, Asim Malik, Aniruddha Agarwal
PURPOSE: To report a rare case of cytomegalovirus (CMV)-associated non-necrotizing viral retinopathy, occlusive retinal vasculitis, papillitis, and retinal neovascularization in a young 41-year-old woman. METHODS: Case report. RESULTS: The patient presented with features of papillitis, peripapillary cotton-wool spots, pre-retinal hemorrhages, and occlusive vasculitis. Her visual acuity was 20/100 in the left eye. She developed a worsening of the disease upon initiation of systemic corticosteroids...
March 4, 2024: Ocular Immunology and Inflammation
https://read.qxmd.com/read/38436322/-a-case-of-neonatal-liver-failure
#11
JOURNAL ARTICLE
Xiao-Xiao Lu, Yi Lu, Lin Yang, Yang-Yang Ma, Huan-Huan Wang
The patient was a male infant, born full-term, admitted to the hospital at 28 days of age due to jaundice for 20 days and abdominal distension for 15 days. The patient developed symptoms of jaundice, hepatosplenomegaly, massive ascites, and progressively worsening liver function leading to liver failure, severe coagulation disorders, and thrombocytopenia one week after birth. Various treatments were administered, including anti-infection therapy, fluid restriction, use of diuretics, use of hepatoprotective and choleretic agents, intermittent paracentesis, blood exchange, and intravenous immunoglobulin, albumin, and plasma transfusions...
February 15, 2024: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://read.qxmd.com/read/38430893/refractory-chylous-ascites-revealing-follicular-lymphoma-a-case-report
#12
Yassine Tlili, Zied Hadrich, Montacer Hafsi, Omrani Sahir, Bayar Rached, Hafedh Mestiri
INTRODUCTION AND IMPORTANCE: Chylous ascites is an uncommon form of ascites characterized by milky fluid rich in triglycerides. It is associated with poor lymphatic drainage. We report a case of chylous ascites revealing a follicular lymphoma. CASE PRESENTATION: A 73-year-old man presented with a 6-month history of abdominal distension attributed to a chylous ascitis. The thoraco-abdomino-pelvic CT scan revealed voluminous intra- and retroperitoneal mass inseparable from the duodeno-pancreatic block and encompassing the mesenteric vessels, inferior vena cava and renal vessels; abundant ascites and multiple mediastinal, coeliomesenteric, retroperitoneal, iliac and inguinal adenomegalia...
February 23, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38417292/cell-free-dna-in-plasma-and-ascites-as-a-biomarker-of-bevacizumab-response-a-translational-research-sub-study-of-the-rezolve-anzgog-1101-clinical-trial
#13
JOURNAL ARTICLE
Bonnita Werner, Katrin M Sjoquist, David Espinoza, Sonia Yip, Garry Chang, Michelle M Cummins, Linda Mileshkin, Sumitra Ananda, Catherine Shannon, Michael Friedlander, Kristina Warton, Caroline E Ford
OBJECTIVE: To investigate cell-free DNA (cfDNA) in plasma and ascites and its association with clinical outcomes (paracentesis-free interval, overall survival) and CA125 level in participants with advanced ovarian cancer, treated with palliative intraperitoneal bevacizumab to delay re-accumulation of ascites. METHODS: cfDNA was extracted from 0.3 to 1 mL samples from 20/24 participants of the REZOLVE trial. Standard and methylation-specific PCRs were performed to measure 3 biomarkers: total cfDNA (Alu), tumour-derived cfDNA (ctDNA, methylated IFFO1 promoter) and endothelium-derived cfDNA (ec-cfDNA, unmethylated CDH5 promoter)...
February 27, 2024: Translational Oncology
https://read.qxmd.com/read/38406720/improving-access-to-ultrasound-guided-large-volume-abdominal-paracentesis-in-a-district-general-hospital
#14
JOURNAL ARTICLE
Kimberley Butler, Holly Harrison-Reid, Richard Keld
No abstract text is available yet for this article.
November 2023: Future Healthcare Journal
https://read.qxmd.com/read/38378980/disparities-in-care-for-low-income-patients-with-cirrhosis-implementing-an-innovative-outpatient-clinic-for-refractory-ascites-in-a-safety-net-hospital
#15
JOURNAL ARTICLE
Shadi Dowlatshahi, Jennifer Koh, Annasha Vyas, Wendy J Mack, Barbara J Turner
BACKGROUND: Disparities in life-saving interventions for low-income patients with cirrhosis necessitate innovative models of care. AIM: To implement a novel generalist-led FLuid ASPiration (FLASP) clinic to reduce emergency department (ED) care for refractory ascites. SETTING: A large safety net hospital in Los Angeles. PARTICIPANTS: MediCal patients with paracentesis in the ED from 6/1/2020 to 1/31/2021 or in FLASP clinic or the ED from 3/1/2021 to 4/30/2022...
February 20, 2024: Journal of General Internal Medicine
https://read.qxmd.com/read/38374552/midodrine-reduces-new-onset-acute-kidney-injury-and-hyponatremia-in-children-with-cirrhosis-and-ascites-awaiting-liver-transplantation-results-from-an-open-label-rct
#16
RANDOMIZED CONTROLLED TRIAL
A Ashritha, Bikrant B Lal, Rajeev Khanna, Vikrant Sood, Arun K Sood, Seema Alam
OBJECTIVES: Midodrine, an oral α-1-adrenergic receptor agonist, counters arterial hypovolemia and reduces complications in adult patients with cirrhosis. This randomized controlled trial (RCT) aimed to assess the efficacy and safety of midodrine in preventing complications and improving survival in children with cirrhosis and ascites who are awaiting liver transplantation (LT). METHODS: This open-label RCT conducted from January 2022 to May 2023 included children under 18 years with cirrhosis and ascites...
February 2024: Journal of Pediatric Gastroenterology and Nutrition
https://read.qxmd.com/read/38371003/henry-ingersoll-bowditch-the-prominent-physician-who-introduced-thorax-examination-and-trocar-thoracentesis-in-the-united-states-of-america
#17
REVIEW
Theoni Zougou, Nikolaos Pappas, Evaggelos Mavrommatis
Born in a wealthy family with a tradition in science, Henry Ingersoll Bowditch (1808-1882) with studies at Harvard Medical School and in Europe had succeeded in leaving his mark in the American history of medicine. He had been a pioneer in the stethoscope's use, which was promoted and suggested to all physicians of his era. He had widely used thoracentesis, an ancient procedure, for pleuritic effusions, diagnosed with a stethoscope. Inside his most popular treatise "The Young Stethoscopist," he had given a plethora of data concerning the auscultation of the lungs, heart, and vessels; obstetrics; and veterinary...
January 2024: Curēus
https://read.qxmd.com/read/38350961/hospitalizations-and-re-hospitalizations-at-the-end-of-life-among-cancer-patients-a-retrospective-register-data-study
#18
JOURNAL ARTICLE
J Singh, E K Grov, M Turzer, A Stensvold
BACKGROUND: Patients with incurable cancer are frequently hospitalized within their last 30 days of life (DOL) due to numerous symptoms and concerns. These hospitalizations can be burdensome for the patient and the caregivers and are therefore considered a quality indicator of end-of-life care. This retrospective cohort study aims to investigate the rates and potential predictors of hospitalizations and re-hospitalizations within the last 30 DOL. METHODS: This register data study included 383 patients with non-curable cancer who died in the pre-covid period between July 2018 and December 2019...
February 13, 2024: BMC Palliative Care
https://read.qxmd.com/read/38328315/different-timing-for-abdominal-paracentesis-catheter-placement-and-drainage-in-severe-acute-pancreatitis-complicated-by-intra-abdominal-fluid-accumulation
#19
JOURNAL ARTICLE
Rui Chen, Hua-Qiang Chen, Rui-Die Li, Hui-Min Lu
BACKGROUND: Non-surgical methods such as percutaneous drainage are crucial for the treatment of patients with severe acute pancreatitis (SAP). However, there is still an ongoing debate regarding the optimal timing for abdominal paracentesis catheter placement and drainage. AIM: To explore the influence of different timing for abdominal paracentesis catheter placement and drainage in SAP complicated by intra-abdominal fluid accumulation. METHODS: Using a retrospective approach, 184 cases of SAP complicated by intra-abdominal fluid accumulation were enrolled and categorized into three groups based on the timing of catheter placement: group A (catheter placement within 2 d of symptom onset, n = 89), group B (catheter placement between days 3 and 5 after symptom onset, n = 55), and group C (catheter placement between days 6 and 7 after symptom onset, n = 40)...
January 27, 2024: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38292997/hospital-utilization-for-patients-with-cirrhosis-and-severe-ascites-in-a-model-of-outpatient-paracentesis-by-interventional-radiology
#20
JOURNAL ARTICLE
Mustajab Ahmed, Masuma Islam, Lasha Gogokhia, Carolina Borz-Baba, Dorothy Wakefield, Sofia S Jakab
BACKGROUND:  Paracentesis is currently performed by interventional radiologists (IR) rather than gastroenterologists/hepatologists or internists. In this model of care, there is usually no evaluation of patients' renal function or adjustment of their medications at the time of paracentesis. The objectives of this study were to analyze hospital utilization and cirrhosis complications within six months of index outpatient paracentesis by IR and to identify potential areas of improvement in care...
December 2023: Curēus
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