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Anemia and intubation risk

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https://www.readbyqxmd.com/read/27864707/impact-of-operative-length-on-post-operative-complications-in-meningioma-surgery-a-nsqip-analysis
#1
Aditya V Karhade, Luis Fandino, Saksham Gupta, David J Cote, Julian B Iorgulescu, Marike L Broekman, Linda S Aglio, Ian F Dunn, Timothy R Smith
Many studies have implicated operative length as a predictor of post-operative complications, including venous thromboembolism [deep vein thrombosis (DVT) and pulmonary embolism (PE)]. We analyzed the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) database from 2006 to 2014, to evaluate whether length of operation had a statistically significant effect on post-operative complications in patients undergoing surgical resection of meningioma. Patients were included for this study if they had a post-operative diagnosis of meningioma...
November 18, 2016: Journal of Neuro-oncology
https://www.readbyqxmd.com/read/27316915/french-intensive-care-society-international-congress-r%C3%A3-animation-2016
#2
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Annals of Intensive Care
https://www.readbyqxmd.com/read/26821716/maternal-near-misses-from-two-referral-hospitals-in-uganda-a-prospective-cohort-study-on-incidence-determinants-and-prognostic-factors
#3
Annettee Nakimuli, Sarah Nakubulwa, Othman Kakaire, Michael O Osinde, Scovia N Mbalinda, Rose C Nabirye, Nelson Kakande, Dan K Kaye
BACKGROUND: Maternal near misses occur more often than maternal deaths and could enable more comprehensive analysis of risk factors, short-term outcomes and prognostic factors of complications during pregnancy and childbirth. The study determined the incidence, determinants and prognostic factors of severe maternal outcomes (near miss or maternal death) in two referral hospitals in Uganda. METHODS: A prospective cohort study was conducted between March 1, 2013 and February 28, 2014, where cases of severe pregnancy and childbirth complications were included...
January 28, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/26446688/anesthetic-considerations-in-hellp-syndrome
#4
REVIEW
M del-Rio-Vellosillo, J J Garcia-Medina
BACKGROUND: HELLP syndrome (hemolysis, elevated liver enzymes, low platelets) is an obstetric complication with heterogonous presentation and multisystemic involvement. It is characterized by microangiopathic hemolytic anemia, elevated liver enzymes by intravascular breakdown of fibrin in hepatic sinusoids and reduction of platelet circulation by its increased consumption. METHODS: In terms of these patients' anesthetic management, it is essential to consider some details: (1) effective, safe perioperative management by a multidisciplinary approach, and quick, good communication among clinical specialists to achieve correct patient management; (2) neuroaxial block, particularly spinal anesthesia, is the first choice to do the cesarean if there is only moderate, but not progressive thrombocytopenia; (3) if a general anesthesia is required, it is necessary to control the response to stress produced by intubation, especially in patients with either severe high blood pressure or neurological signs, or to prevent major cerebral complications; (4) invasive techniques, e...
February 2016: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/26210192/laparoscopic-revision-of-an-omega-loop-gastric-bypass-to-treat-afferent-loop-syndrome
#5
Radwan Kassir, Pierre Blanc, Patrice Lointier, Christophe Breton, Tarek Debs, Olivier Tiffet
The omega loop gastric bypass (OLGB) has become a very commonly performed bariatric procedure because of the advantages it carries over the Roux en Y gastric bypass (RYGBP). However, mini gastric bypass is a misnomer, as this procedure is more malabsorptive than the RYGBP. Recently, it is called single or one anastomosis gastric bypass. The omega loop procedure is associated with a risk of afferent loop syndrome, a known complication of the Billroth II (Finsterer) operation. This rare complication of the OLGB can be debilitating, serious, and deadly...
October 2015: Obesity Surgery
https://www.readbyqxmd.com/read/25885982/a-retrospective-analysis-of-anesthetic-experience-in-2917-patients-posted-for-cleft-lip-and-palate-repair
#6
Parul Jindal, Gurjeet Khurana, Deepali Gupta, J P Sharma
CONTEXT: Anaesthesia during cleft lip and palate surgery carries a high risk and difficult airway management in children. AIM: to study the perioperative anesthetic complications in poor children with cleft abnormalities. SETTINGS AND DESIGN: Retrospective analysis. MATERIALS AND METHODS: This retrospective audit was conducted on 2917 patients of smile train project under going general anesthesia for cleft lip and palate from January 2007 to December 2010...
September 2013: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/25334266/a-rare-cause-of-diffuse-alveolar-hemorrhage
#7
Puneet Agarwal, Michael Warner, Mark Abi Nader, Cristina Reichner, Tunay Kuru
Critical Care Case Report Posters IISESSION TYPE: Affiliate Case Report PosterPRESENTED ON: Tuesday, October 28, 2014 at 01:30 PM - 02:30 PMINTRODUCTION: Diffuse alveolar hemorrhage (DAH) is recognized by the constellation of hemoptysis, anemia, diffuse radiographic pulmonary infiltrates, and hypoxemic respiratory failure. Common causes include Granulomatosis with polyangiitis, Good-pasture syndrome, and collagen vascular diseases.CASE PRESENTATION: A 44 year old Ethiopian female with past medical history of hepatitis C and primary biliary cirrhosis underwent upper endoscopy for chronic anemia...
October 1, 2014: Chest
https://www.readbyqxmd.com/read/25070193/successful-resuscitation-with-thrombolysis-of-pulmonary-embolism-due-to-thrombotic-thrombocytopenic-purpura-during-cardiac-arrest
#8
Tao Zhu, Konhan Pan, Yonggang Wang
Our case describes an episode of fulminant pulmonary embolism (PE) due to thrombotic thrombocytopenic purpura, which was accompanied by cardiac arrest. A 33-year-old woman was transferred to intensive care unit who had severe dyspnea with microangiopathic hemolytic anemia. After intubated with ventilation support, the patient’s symptoms were exacerbated with cardiac arrest from the narrow QRS complex pulseless electrical activity. With an initially unsuccessful cardiopulmonary resuscitation period of 56 minutes, spontaneous circulation returned after a bolus injection of recombinant tissue plasminogen activator...
January 2015: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/24283074/-respirtory-distress-in-newborns-of-mothers-with-factor-v-leiden-thrombophilia
#9
T Pramatarova, B Marinov, B Slancheva, N Yarakova, A Popivanova, E Doycheva, S Hitrova, P Radulova, Z Emilova
AIM: The main aim of the trial is to determine the frequency of respiratory distress syndrome / RDS/ and disorders of coagulation in infants of mothers with thrombophilia. MATERIALS AND METHODS: In 51 newborns of mothers with thrombophilia were evaluated the presence of respiratory distress and maternal-fetal infection /MFI/. The children were divided in two groups: Group I--16 newborns of mothers with thrombophilia and Group II--15 healthy children. We analyzed Hb, Ht, Er, Thr, prothrombin index /INR/, activated partial thromboplastin time /aPTT/ in both groups...
2013: Akusherstvo i Ginekologii︠a︡
https://www.readbyqxmd.com/read/24263014/management-of-blood-transfusion-in-aortic-valve-surgery-impact-of-a-blood-conservation-strategy
#10
COMPARATIVE STUDY
David W Yaffee, Deane E Smith, Patricia A Ursomanno, Fredrick T Hill, Aubrey C Galloway, Abe DeAnda, Eugene A Grossi
BACKGROUND: There are limited data in the literature concerning the effect of a blood conservation strategy (BCS) on aortic valve replacement (AVR) patients. METHODS: From 2007 to 2011, 778 patients underwent AVR at a single institution. During this period, a multidisciplinary BCS was initiated with emphasis on limiting intraoperative hemodilution, tolerance of perioperative anemia, and blood management education for the cardiac surgery care providers. RESULTS: Mortality was 3...
January 2014: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/24173019/incidence-outcomes-and-mortality-of-reintubation-after-anterior-cervical-fusion
#11
Alejandro Marquez-Lara, Sreeharsha V Nandyala, Steven J Fineberg, Kern Singh
STUDY DESIGN: Retrospective database analysis. OBJECTIVE: To compare perioperative patient characteristics, hospital resource utilization, and early postoperative outcomes in patients requiring reintubation after anterior cervical fusion (ACF). SUMMARY OF BACKGROUND DATA: Airway compromise is a potential complication after anterior cervical surgery. Postsurgical soft-tissue edema or hematoma formation may be so severe that an unplanned reintubation may be required...
January 15, 2014: Spine
https://www.readbyqxmd.com/read/23456187/what-are-the-factors-influencing-outcome-among-patients-admitted-to-a-hospital-with-a-proximal-humeral-fracture
#12
Valentin Neuhaus, Christiaan H J Swellengrebel, Jeroen K J Bossen, David Ring
BACKGROUND: Fracture of the proximal humerus is common in older patients during the decline of their physical health. QUESTIONS/PURPOSES: Our purpose was to evaluate the association between specific risk factors in patients with fractures of the proximal humerus and any inpatient adverse events, mortality, and discharge to a short-term or long-term care facility. METHODS: The National Hospital Discharge Survey (NHDS) provided estimates of all adult patients who were admitted to hospitals after fractures of the proximal humerus in the United States between 1990 and 2007...
May 2013: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/23391368/a-case-of-thrombotic-thrombocytopenic-purpura-associated-with-bupropion
#13
Neriman Defne Altintas, Seval Izdes, Sibel Yucel, Murat Suher, Imdat Dilek
OBJECTIVE: To report a case of bupropion-associated thrombotic thrombocytopenic purpura (TTP) syndrome. CASE SUMMARY: A 55-year-old man was admitted with complaints of diarrhea, acute renal failure, and confusion ~ 54 days after bupropion initiation for smoking cessation. Subsequently he had a tonic-clonic seizure and had to be intubated because of altered consciousness. Laboratory findings were compatible with microangiopathic hemolytic anemia. He was diagnosed as TTP for which the Naranjo adverse drug reaction probability scale indicated a probable relationship with bupropion (a score of 5)...
March 2013: International Journal of Clinical Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/23332168/initial-staging-for-squamous-cell-carcinoma-of-the-mouth-larynx-and-pharynx-except-nasopharynx-part-3-general-assessment-2012-sforl-recommendations
#14
E de Monès, S Vergez, B Barry, C Righini, F Rolland, G Raoul, M Langeard, J F Chassagne, C Badoual, S Morinière, D de Raucourt
OBJECTIVES: The French Society of Otorhinolaryngology (SFORL) set up a work group to draw up guidelines for initial staging of head and neck squamous cell carcinoma. Locoregional and remote extension assessment are dealt with in two separate reports. The present part 3 deals with the assessment of frequent associated symptoms and pathologies, requiring early treatment and the collection of data on a certain number of clinical and paraclinical parameters for therapeutic decision-making in the multidisciplinary team meeting...
June 2013: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/22993727/incomplete-colonoscopy-maximizing-completion-rates-of-gastroenterologists
#15
Mayur Brahmania, Jei Park, Sigrid Svarta, Jessica Tong, Ricky Kwok, Robert Enns
BACKGROUND: Cecal intubation is one of the goals of a quality colonoscopy; however, many factors increasing the risk of incomplete colonoscopy have been implicated. The implications of missed pathology and the demand on health care resources for return colonoscopies pose a conundrum to many physicians. The optimal course of action after incomplete colonoscopy is unclear. OBJECTIVES: To assess endoscopic completion rates of previously incomplete colonoscopies, the methods used to complete them and the factors that led to the previous incomplete procedure...
September 2012: Canadian Journal of Gastroenterology, Journal Canadien de Gastroenterologie
https://www.readbyqxmd.com/read/22257741/health-care-and-socioeconomic-impact-of-falls-in-the-elderly
#16
Jeffrey J Siracuse, David D Odell, Stephen P Gondek, Stephen R Odom, Ekkehard M Kasper, Carl J Hauser, Donald W Moorman
BACKGROUND: Elderly falls are associated with long hospital stays, major morbidity, and mortality. We sought to examine the fate of patients ≥75 years of age admitted after falls. METHODS: We reviewed all fall admissions in 2008. Causes, comorbidities, injuries, procedures, mortality, readmission, and costs were analyzed. RESULTS: Seven hundred eight patients ≥75 years old were admitted after a fall, with 89% being simple falls. Short-term mortality was 6%...
March 2012: American Journal of Surgery
https://www.readbyqxmd.com/read/22050948/preoxygenation-and-prevention-of-desaturation-during-emergency-airway-management
#17
REVIEW
Scott D Weingart, Richard M Levitan
Patients requiring emergency airway management are at great risk of hypoxemic hypoxia because of primary lung pathology, high metabolic demands, anemia, insufficient respiratory drive, and inability to protect their airway against aspiration. Tracheal intubation is often required before the complete information needed to assess the risk of periprocedural hypoxia is acquired, such as an arterial blood gas level, hemoglobin value, or even a chest radiograph. This article reviews preoxygenation and peri-intubation oxygenation techniques to minimize the risk of critical hypoxia and introduces a risk-stratification approach to emergency tracheal intubation...
March 2012: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/20964765/anesthetic-management-of-the-pediatric-bleeding-tonsil
#18
Ryan G Fields, Frank J Gencorelli, Ronald S Litman
BACKGROUND: Anesthetic management of the child with post-tonsillectomy hemorrhage is challenging and fraught with hazards such as anemia, hypovolemia, and risk of difficult airway. The aim of this retrospective cohort study was to determine the incidence and further define the anesthetic complications in this population. METHODS: Retrospective cohort study of all children who underwent operative intervention for post-tonsillectomy hemorrhage (with or without adenoidectomy) from 1998 to 2005 at The Children's Hospital of Philadelphia...
November 2010: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/20864060/an-analysis-of-perioperative-eye-injuries-after-nonocular-surgery
#19
Han-Dung Yu, An-Hsun Chou, Min-Wen Yang, Chee-Jen Chang
OBJECTIVE: Perioperative eye injuries, although rare, often lead to great discomfort and anxiety for patients. The purpose of this study was to explore the incidence and related risk factors of perioperative eye injuries. METHODS: We retrospectively analyzed the records of inpatients who underwent nonocular surgery under general anesthesia with intubation between October 2006 and December 2008. Incidents of eye injuries were extracted from the Department of Anesthesiology Quality Assurance Database of Chang Gung Memorial Hospital...
September 2010: Acta Anaesthesiologica Taiwanica: Official Journal of the Taiwan Society of Anesthesiologists
https://www.readbyqxmd.com/read/20643363/evaluation-of-risk-factors-for-postoperative-prolonged-intubation-in-premature-infants-after-cryotherapy-for-retinopathy-of-prematurity
#20
Tsung-Hsiao Shih, Siu-Wah Chau, Chien-Cheng Liu, Hung-Shu Chen, His-Kung Kuo, Sheng-Chun Yang, Wen-Ying Chou
OBJECTIVE: Premature infants are more prone to cardiorespiratory complications after surgery than term infants. Risk factors for postoperative apnea include post-conception age, gestational age, postnatal age, birth weight, history of respiratory distress syndrome, bronchopulmonary dysplasia, anemia, necrotizing enterocolitis, use of opioids or nondepolarizing muscle relaxants, aminophylline use, history of apnea, body weight at operation, and pre-existing disease. The aim of this study was to identify the most important factors associated with postoperative extubation and respiratory outcomes among premature infants undergoing cryotherapy for retinopathy of prematurity (ROP)...
June 2010: Acta Anaesthesiologica Taiwanica: Official Journal of the Taiwan Society of Anesthesiologists
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