keyword
https://read.qxmd.com/read/38650518/tapse-spap-prognostic-value-for-in-hospital-adverse-events-in-patients-hospitalized-for-acute-coronary-syndrome
#1
JOURNAL ARTICLE
Charles Fauvel, Jean-Guillaume Dillinger, Claire Bouleti, Antonin Trimaille, Christophe Tron, Anne Solene Chaussade, Christophe Thuaire, Clément Delmas, Albert Boccara, Vincent Roule, Damien Millischer, Eugénie Thevenet, Christophe Meune, Mathilde Stevenard, Clément Charbonnel, Laura Maitre Ballesteros, Thibaut Pommier, Amine El Ouahidi, Fédérico Swedsky, David Martinez, Marie Hauguel-Moreau, Guillaume Schurtz, Augustin Coisne, Valentin Dupasquier, Thomas Bochaton, Edouard Gerbaud, Etienne Puymirat, Patrick Henry, Théo Pezel
AIMS: Although several studies have shown that the right ventricular to pulmonary artery (RV-PA) coupling, assessed by the ratio between tricuspid annular plane systolic excursion and systolic pulmonary artery pressure (TAPSE/sPAP) using echocardiography, is strongly associated with cardiovascular events, its prognostic value is not established in acute coronary syndrome (ACS). We aimed to assess the in-hospital prognostic value of TAPSE/sPAP among patients hospitalized for ACS in a retrospective analysis from the prospective ADDICT-ICCU study...
April 23, 2024: European Heart Journal Cardiovascular Imaging
https://read.qxmd.com/read/38647271/predictive-value-of-microcirculation-for-pediatric-extracorporeal-membrane-oxygenation-weaning-test-a%C3%A2-monocentric-prospective-observational-study
#2
JOURNAL ARTICLE
Violette Suc, Julie Starck, Yael Levy, Yohan Soreze, Jerome Rambaud, Pierre-Louis Léger
BACKGROUND: Extracorporeal membrane oxygenation (ECMO) is widely used for children treated for refractory respiratory failures or refractory cardiogenic shock. Its duration depends on organ functions recovery. Weaning is decided using macro-circulatory tools, but microcirculation is not well evaluated. Sidestream dark-field video imaging is used to assess the perfusion of the sublingual microvascular vessels. The aim of this study was to assess the predictive value of microcirculatory indices in ECMO weaning...
April 22, 2024: Artificial Organs
https://read.qxmd.com/read/38646285/post-myocardial-infarction-left-ventricular-aneurysm-with-contained-rupture-and-hemopericardium
#3
Moiz Saeed, Rand Sabanci, Adolfo Martinez, Andrew G Kim, Rohan M Prasad, Christopher Hanson, Michael Kehdi
Left ventricular aneurysms (LVAs) represent a rare yet critical complication arising from late-presenting myocardial infarction (MI). Here, we present the case of an 88-year-old male with chest pressure, elevated troponin, B-type natriuretic peptide, and lactate. The electrocardiogram showed sinus tachycardia and an old right bundle branch block. The patient was started on heparin infusion, but progressively worsening hypotension necessitated transfer to the intensive care unit and the initiation of vasopressors...
March 2024: Curēus
https://read.qxmd.com/read/38641687/combined-cardiac-lung-and-diaphragm-ultrasound-for-predicting-weaning-failure-during-spontaneous-breathing-trial
#4
JOURNAL ARTICLE
Jia Song, Qiancheng Luo, Xinle Lai, Weihang Hu, Yihua Yu, Minjia Wang, Kai Yang, Gongze Chen, Wenwei Chen, Qian Li, Caibao Hu, Shijin Gong
BACKGROUND: Weaning from invasive mechanical ventilation (MV) is a complex and challenging process that involves multiple pathophysiological mechanisms. A combined ultrasound evaluation of the heart, lungs, and diaphragm during the weaning phase can help to identify risk factors and underlying mechanisms for weaning failure. This study aimed to investigate the accuracy of lung ultrasound (LUS), transthoracic echocardiography (TTE), and diaphragm ultrasound for predicting weaning failure in critically ill patients...
April 20, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38633377/a-case-of-fatal-fulminant-fat-embolism-syndrome-saved-by-va-ecmo-in-the-acute-phase-of-multiple-trauma
#5
Yuki Yamafuji, Masafumi Suga, Seiya Fujisawa, Gentoku Oosuki, Takuya Taira, Ryo Takahashi, Shigenari Matsuyama, Satoshi Ishihara
Fat embolism syndrome (FES) is a rare complication of long bone fractures, with fulminant FES developing within 12 h of injury and often proving fatal (Shaikh, 2009 [1]). Here, we present a case of fulminant FES in a patient who developed sudden right heart failure after undergoing external fixation of a lower leg fracture and required veno-arterial extracorporeal membrane oxygenation (VA-ECMO). A 79-year-old woman injured in a traffic accident was transferred to our emergency department. Upon arrival, her level of consciousness deteriorated, and she developed circulatory failure...
June 2024: Trauma Case Reports
https://read.qxmd.com/read/38632330/global-longitudinal-strain-is-an-informative-index-of-left-ventricular-performance-in-neonates-receiving-intensive-care
#6
JOURNAL ARTICLE
Enrico Petoello, Alice Iride Flore, Silvia Nogara, Elena Bonafiglia, Maria Beatrice Lenzi, Olivia C Arnone, Giovanni Benfari, Martina Ciarcià, Iuri Corsini, Koert De Waal, Leonardo Gottin, Benjamim Ficial
Echocardiographic assessment of left ventricular function is crucial in NICU. The study aimed to compare the accuracy and agreement of global longitudinal strain (GLS) with conventional measurements. Real-life echocardiograms of neonates receiving intensive care were retrospectively reviewed. Shortening fraction (SF), ejection fraction (EF) and S' measurements were retrieved from health records. GLS was calculated offline from stored images. The association with stroke volume indexed for body weight (iSV) was evaluated by regression analysis...
April 17, 2024: Scientific Reports
https://read.qxmd.com/read/38627172/intraoperative-and-intraprocedural-use-of-3-dimensional-transesophageal-echocardiography-an-international-european-association-of-cardiothoracic-anesthesia-and-intensive-care-survey-of-cardiac-surgical-centers
#7
JOURNAL ARTICLE
Mathias Schemberg, Joerg Ender, Johan Bence, Joost van der Maaten, Gudrun Kunstd, Chirojit Mukherjee, Massimiliano Meineri
OBJECTIVE: To assess the intraoperative use of 3-dimensional transesophageal echocardiography (3D TEE) in cardiac surgical centers, the authors created a survey aimed at evaluating the availability of equipment and the use of 3D TEE for specific surgical and interventional procedures and single-image modalities. The respondents were asked to identify the perceived impact on patient management and current limitations to its routine use. DESIGN: A multiple choice 25-question online survey submitted to the members of the European Association of Cardiothoracic Anesthesia and Intensive Care (EACTAIC) on December 6, 2021, and closed on January 31, 2022...
March 9, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38626395/targeted-neonatal-echocardiography-performed-by-nurse-practitioners-in-the-nicu-attitudes-and-perceptions-of-the-healthcare-team
#8
JOURNAL ARTICLE
Jill Larocque, Dawn Pepper, Carla Vetland, Sara Mallinson, Abbas Hyderi, Lisa K Hornberger, Kumar Kumaran
BACKGROUND: Targeted neonatal echocardiography (TNE) and hemodynamic consultation have typically been performed by physicians. The Stollery Children's Hospital neonatal intensive care unit (NICU) expanded their TNE training program to include neonatal nurse practitioners (NNPs), the first in North America. PURPOSE: This study examines the thoughts and perceptions of clinicians about the incorporation of NNPs providing TNE and hemodynamic consultation and investigates key facilitators and challenges for consideration when planning future training, expansion of service in Edmonton, or beyond...
April 8, 2024: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://read.qxmd.com/read/38614990/trajectory-of-cardiac-troponin-t-following-moderate-to-severe-covid-19-and-the-association-with-cardiac-abnormalities
#9
JOURNAL ARTICLE
Tarjei Øvrebotten, Albulena Mecinaj, Knut Stavem, Waleed Ghanima, Eivind Brønstad, Michael T Durheim, Tøri V Lerum, Tony Josefsen, Jostein Grimsmo, Siri L Heck, Torbjørn Omland, Charlotte B Ingul, Gunnar Einvik, Peder L Myhre
BACKGROUND: COVID-19 has been associated with cardiac troponin T (cTnT) elevations and changes in cardiac structure and function, but the link between cardiac dysfunction and high-sensitive cardiac troponin T (hs-cTnT) in the acute and convalescent phase is unclear. OBJECTIVE: To assess whether hs-cTnT concentrations are associated with cardiac dysfunction and structural abnormalities after hospitalization for COVID-19, and to evaluate the performance of hs-cTnT to rule out cardiac pathology...
April 13, 2024: BMC Cardiovascular Disorders
https://read.qxmd.com/read/38604914/characterization-of-brighton-collaboration-criteria-for-myocarditis-and-pericarditis-following-covid-19-vaccine-in-korean-adolescents
#10
JOURNAL ARTICLE
Jue Seong Lee, HyoSug Choi, Seung Hwan Shin, Myung-Jae Hwang, Sara Na, Jong Hee Kim, Sangshin Park, Yoonsun Yoon, Hyun Mi Kang, Bin Ahn, Kyoungsan Seo, Young June Choe
BACKGROUND: Vaccines are vital for public health, but concerns about adverse effects, particularly myocarditis and pericarditis linked to COVID-19 vaccines-, persist. This study investigates the application of Brighton Collaboration case definition to national vaccine safety data related to post-COVID-19 vaccine myo/pericarditis, utilizing claims under the Korea National Vaccine Injury Compensation Program (NIVCP). METHODS: This study analyzed 190 medical records of individuals who claimed to have developed myo/pericarditis after receiving the COVID-19 vaccine, as reported to the NVICP between specified dates, categorizing cases based on the Brighton criteria for myocarditis or pericarditis...
April 11, 2024: Vaccine
https://read.qxmd.com/read/38598123/head-to-toe-bedside-ultrasound-for-adult-patients-on-extracorporeal-membrane-oxygenation
#11
REVIEW
Ghislaine Douflé, Laura Dragoi, Diana Morales Castro, Kei Sato, Dirk W Donker, Nadia Aissaoui, Eddy Fan, Hannah Schaubroeck, Susanna Price, John F Fraser, Alain Combes
Bedside ultrasound represents a well-suited diagnostic and monitoring tool for patients on extracorporeal membrane oxygenation (ECMO) who may be too unstable for transport to other hospital areas for diagnostic tests. The role of ultrasound, however, starts even before ECMO initiation. Every patient considered for ECMO should have a thorough ultrasonographic assessment of cardiac and valvular function, as well as vascular anatomy without delaying ECMO cannulation. The role of pre-ECMO ultrasound is to confirm the indication for ECMO, identify clinical situations for which ECMO is not indicated, rule out contraindications, and inform the choice of ECMO configuration...
April 10, 2024: Intensive Care Medicine
https://read.qxmd.com/read/38597982/anterolateral-papillary-muscle-suction-causing-low-flow-in-a-covid-19-patient-without-medical-history-a-case-report-of-central-extracorporeal-life-support-with-left-ventricular-apex-decompression
#12
JOURNAL ARTICLE
Tomoaki Miyake, Kimito Minami, Masahiro Kazawa, Naoki Tadokoro, Kohei Tonai, Satsuki Fukushima
BACKGROUND: Left ventricular (LV) decompression is an essential strategy for improving early survival in patients with refractory cardiogenic shock. Low pump flow in patients on extracorporeal life support (ECLS) with LV apex decompression is a life-threatening issue. However, identifying the underlying causes of low flow can be challenging. CASE PRESENTATION: A 38-year-old woman with COVID-19-related fulminant myocarditis was treated with central ECLS with LV apex decompression...
April 10, 2024: JA Clinical Reports
https://read.qxmd.com/read/38593757/proactive-diagnosis-and-tailor-made-treatment-of-patent-ductus-arteriosus-in-very-preterm-infants-with-routine-echocardiography-in-japan-a-post-hoc-analysis-of-the-plase-study
#13
JOURNAL ARTICLE
Seiichi Tomotaki, Tetsuya Isayama, Tohru Kobayashi, Satoshi Masutani, Hidenori Kawasaki, Atsushi Nakayama, Toshifumi Ikeda, Katsuaki Toyoshima
INTRODUCTION: A feature of the management of extremely preterm infants in Japan is proactive circulatory management using early routine echocardiography performed by neonatologists. METHODS: This study was a post hoc analysis of the Patent ductus arteriosus and Left Atrial Size Evaluation in preterm infants (PLASE) study, which is a prospective cohort study including preterm infants admitted to 34 tertiary neonatal intensive care units in Japan between October 2015 and December 2016...
April 9, 2024: Neonatology
https://read.qxmd.com/read/38592568/effect-of-volume-infusion-on-left-atrial-strain-in-acute-circulatory-failure
#14
JOURNAL ARTICLE
Marta Cicetti, François Bagate, Cristina Lapenta, Ségolène Gendreau, Paul Masi, Armand Mekontso Dessap
BACKGROUND: Left atrial strain (LAS) is a measure of atrial wall deformation during cardiac cycle and reflects atrial contribution to cardiovascular performance. Pathophysiological significance of LAS in critically ill patients with hemodynamic instability has never been explored. This study aimed at describing LAS and its variation during volume expansion and to assess the relationship between LAS components and fluid responsiveness. METHODS: This prospective observational study was performed in a French ICU and included patients with acute circulatory failure, for whom the treating physician decided to proceed to volume expansion (rapid infusion of 500 mL of crystalloid solution)...
April 9, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38591948/management-changes-after-echocardiography-are-associated-with-improved-outcomes-in-critically-ill-children
#15
JOURNAL ARTICLE
Pui Yin Florence Ip, Uvaraj Periasamy, Steven J Staffa, David Zurakowski, David B Kantor
OBJECTIVES: To evaluate management changes and outcomes in critically ill children after formal echocardiography. DESIGN: Retrospective cohort study between January 1, 2011, and December 31, 2020. SETTING: Tertiary care children's hospital. PATIENTS: Patients from 1 to 18 years who had formal echocardiography within 72 hours of ICU admission and who were intubated and on vasoactive infusions at the time of the study...
April 9, 2024: Pediatric Critical Care Medicine
https://read.qxmd.com/read/38584522/mobile-bedside-ductus-arteriosus-closure-in-severely-premature-neonates-using-only-echocardiographic-guidance
#16
JOURNAL ARTICLE
Stanimir Georgiev, Daniel Tanase, Andreas Eicken, Jürgen Hörer, Evan Zahn, Kristina Borgmann, Dunja Renner, Peter Ewert
BACKGROUND: Transcatheter closure of the patent ductus arteriosus (PDA) in premature infants is currently dependent on fluoroscopic guidance and transportation to the catheterization laboratory. AIM: We describe a new echocardiographically guided technique to allow our team to move to the bedside at the neonatal intensive care unit (NICU) of the referring center for percutaneous treatment of PDA in premature infants. METHODS: This is a single-center, retrospective, primarily descriptive analysis...
April 8, 2024: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/38576518/interest-of-thoracic-ultrasound-after-cardiac-surgery-or-interventional-cardiology
#17
EDITORIAL
Martin Boussuges, Philippe Blanc, Fabienne Bregeon, Alain Boussuges
Thoracic ultrasound has attracted much interest in detecting pleural effusion or pulmonary consolidation after cardiac surgery. In 2016, Trovato reported, in the World Journal of Cardiology , the interest of using, in addition to echocardiography, thoracic ultrasound. In this editorial, we highlight the value of assessing diaphragm function after cardiac surgery and interventional cardiology procedures. Various factors are able to impair diaphragm function after such interventions. Diaphragm motion may be decreased by chest pain secondary to sternotomy, pleural effusion or impaired muscle function...
March 26, 2024: World Journal of Cardiology
https://read.qxmd.com/read/38575875/echocardiographic-features-of-right-ventricle-in-septic-patients-with-elevated-central-venous-pressure
#18
JOURNAL ARTICLE
Hongmin Zhang, Dingding Zhang, Hui Lian, Qing Zhang, Xiukai Chen, Xiaoting Wang
BACKGROUND: Elevated central venous pressure (CVP) is deemed as a sign of right ventricular (RV) dysfunction. We aimed to characterize the echocardiographic features of RV in septic patients with elevated CVP, and quantify associations between RV function parameters and 30-day mortality. METHODS: We retrospectively reviewed a cohort of septic patients with CVP ≥ 8 mmHg in a tertiary hospital intensive care unit. General characteristics and echocardiographic parameters including tricuspid annular plane systolic excursion (TAPSE), pulmonary vascular resistance (PVR) as well as prognostic data were collected...
April 4, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38571983/sepsis-induced-myocardial-dysfunction-in-pediatric-septic-shock-prevalence-predictors-and-outcome-a-prospective-observational-study
#19
JOURNAL ARTICLE
Viresh S Swami, Lalitha A V, Santu Ghosh, Mounika Reddy
There is a paucity of literature on the prevalence, predictors, prognostic markers, and outcomes of sepsis-induced myocardial dysfunction (SMD) in pediatric septic shock. The objectives of our study were to estimate the prevalence of SMD in pediatric septic shock by point-of-care functional echocardiography (POCFE) and to study the association of SMD with severity of illness, organ dysfunctions, and outcomes. This prospective, observational study was conducted over a period of 1 year (from July 2018 to July 2019) in a 12-bed, tertiary pediatric intensive care unit (PICU) of an academic and referral hospital in South India...
March 2024: Journal of Pediatric Intensive Care
https://read.qxmd.com/read/38571979/comparison-of-plane-technique-versus-standard-echocardiography-guidance-for-pediatric-pericardiocentesis
#20
JOURNAL ARTICLE
Stephen T Clark, Jeffrey A Alten, Santiago Borasino, Kristal M Hock, Mark A Law
Percutaneous pericardiocentesis remains a challenging and potentially dangerous procedure, particularly in small, critically ill patients. We present outcomes of the PLANE (pericardiocentesis using long-axis in-plane real-time echocardiography) technique for pediatric pericardiocentesis compared with a standard echocardiography (ECHO) guidance cohort. This was a retrospective chart review of all children undergoing percutaneous pericardiocentesis from March 2013 to February 2021 at a single center. A total of 78 procedures were performed, 52 utilizing PLANE technique and 26 utilizing standard ECHO-guidance technique...
March 2024: Journal of Pediatric Intensive Care
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