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https://www.readbyqxmd.com/read/27919308/outbreak-of-pantoea-agglomerans-bloodstream-infections-at-an-oncology-clinic-illinois-2012-2013
#1
Brian R Yablon, Raymund Dantes, Victoria Tsai, Rachel Lim, Heather Moulton-Meissner, Matthew Arduino, Bette Jensen, Megan Toth Patel, Michael O Vernon, Yoran Grant-Greene, Demian Christiansen, Craig Conover, Alexander Kallen, Alice Y Guh
OBJECTIVE To determine the source of a healthcare-associated outbreak of Pantoea agglomerans bloodstream infections. DESIGN Epidemiologic investigation of the outbreak. SETTING Oncology clinic (clinic A). METHODS Cases were defined as Pantoea isolation from blood or catheter tip cultures of clinic A patients during July 2012-May 2013. Clinic A medical charts and laboratory records were reviewed; infection prevention practices and the facility's water system were evaluated. Environmental samples were collected for culture...
December 6, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27733219/ultrasound-guided-transversus-abdominis-plane-block-improves-postoperative-analgesia-and-early-recovery-in-patients-undergoing-retroperitoneoscopic-urologic-surgeries-a-randomized-controlled-double-blinded-trial-%C3%A2
#2
Ge Qu, Xu-Lei Cui, Hong-Ju Liu, Zhi-Gang Ji, Yu-Guang Huang
<strong>Objective</strong> To evaluate the effects of ultrasound-guided transversus abdominis plane (TAP) block on postoperative analgesia and early recovery in patients undergoing retroperitoneoscopic urologic surgeries. <strong>Methods</strong> This was a randomized, controlled, double-blinded trial. Eligible patients scheduled for retroperitoneoscopic urologic surgeries were randomly assigned to two groups. Group TAP received ultrasound-guided TAP block with 0.5% ropivacaine 20 ml at 30 minutes before surgery, and Group C received TAP sham block with normal saline...
September 20, 2016: Chinese Medical Sciences Journal, Chung-kuo i Hsüeh K'o Hsüeh Tsa Chih
https://www.readbyqxmd.com/read/27684535/sensory-topography-of-oral-structures
#3
Shethal Bearelly, Steven W Cheung
Importance: Sensory function in the oral cavity and oropharynx is integral to effective deglutition and speech production. The main hurdle to evaluation of tactile consequences of upper aerodigestive tract diseases and treatments is access to a reliable clinical tool. We propose a rapid and reliable procedure to determine tactile thresholds using buckling monofilaments to advance care. Objective: To develop novel sensory testing monofilaments and map tactile thresholds of oral cavity and oropharyngeal structures...
September 29, 2016: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/27589973/parylene-mems-patency-sensor-for-assessment-of-hydrocephalus-shunt-obstruction
#4
Brian J Kim, Willa Jin, Alexander Baldwin, Lawrence Yu, Eisha Christian, Mark D Krieger, J Gordon McComb, Ellis Meng
Neurosurgical ventricular shunts inserted to treat hydrocephalus experience a cumulative failure rate of 80 % over 12 years; obstruction is responsible for most failures with a majority occurring at the proximal catheter. Current diagnosis of shunt malfunction is imprecise and involves neuroimaging studies and shunt tapping, an invasive measurement of intracranial pressure and shunt patency. These patients often present emergently and a delay in care has dire consequences. A microelectromechanical systems (MEMS) patency sensor was developed to enable direct and quantitative tracking of shunt patency in order to detect proximal shunt occlusion prior to the development of clinical symptoms thereby avoiding delays in treatment...
October 2016: Biomedical Microdevices
https://www.readbyqxmd.com/read/27507582/transversus-abdominis-plane-block-or-intravenous-lignocaine-in-open-prostate-surgery-a-randomized-controlled-trial
#5
I Maquoi, J L Joris, C Dresse, S Vandenbosch, I Venneman, J-F Brichant, G A Hans
BACKGROUND AND OBJECTIVES: Transversus abdominis plane block (TAP) and intravenous lignocaine are two analgesic techniques frequently used after abdominal surgery. We hypothesized that these two techniques improve post-operative analgesia after open prostate surgery and sought to compare their efficacy on immediate post-operative outcome after open prostate surgery. METHODS: After ethics committee approval, 101 patients were enrolled in this prospective study and randomly allocated to receive bilateral ultrasound-guided TAP (n = 34), intravenous lignocaine (n = 33) or placebo (n = 34)...
November 2016: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/27355866/awake-sedated-or-anaesthetised-for-regional-anaesthesia-block-placements-a-retrospective-registry-analysis-of-acute-complications-and-patient-satisfaction-in-adults
#6
Christine Kubulus, Kathrin Schmitt, Noemi Albert, Alexander Raddatz, Stefan Gräber, Paul Kessler, Thorsten Steinfeldt, Thomas Standl, André Gottschalk, Winfried Meissner, Stefan P Wirtz, Jürgen Birnbaum, Jan Stork, Thomas Volk, Hagen Bomberg
BACKGROUND: Whether adults should be awake, sedated or anaesthetised during establishment of regional anaesthesia is still debated and there is little information on the relative safety of each. In paediatric practice, there is often little choice but to use sedation or anaesthesia as otherwise the procedures would be too distressing and patient movement would be hazardous. OBJECTIVE(S): The objective of this study was to evaluate complications related to central and peripheral regional block and patient satisfaction in awake, sedated and anaesthetised adult patients...
October 2016: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/27338522/postoperative-analgesia-after-caesarean-section-with-transversus-abdominis-plane-block-or-continuous-infiltration-wound-catheter-a-randomized-clinical-trial
#7
Fanny Klasen, Aurélie Bourgoin, François Antonini, Emma Dazeas, Florence Bretelle, Claude Martin, Karine Baumstarck, Marc Leone
OBJECTIVE: Single shot transversus abdominis plane (TAP) block and continuous local anaesthetic infiltration wound catheter (CLAIWC) decreased the morphine consumption after caesarean section. The aim of this study was to compare the analgesic efficacy of CLAIWC and ultrasound-guided TAP block. METHOD: Sixty patients undergoing caesarean section were prospectively randomized. After the caesarean section, the postoperative analgesia was randomized to either a CLAIWC localized below the fascia with an elastomeric pump for 48hours or a bilateral ultrasound-guided TAP block with injection of ropivacaine...
June 20, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27185705/transversus-abdominis-plane-block-as-the-primary-anesthetic-for-peritoneal-dialysis-catheter-surgery
#8
Daryl S Henshaw, Matthew L Baker, Robert S Weller, Jon Wellington Reynolds, Jonathan Douglas Jaffe
STUDY OBJECTIVE: The primary goal of this study was to determine whether transversus abdominis plane (TAP) blocks were effective as the primary anesthetic technique for insertion and/or removal of peritoneal dialysis catheters. DESIGN: This study is a descriptive case series investigation. SETTING: Operating rooms at a tertiary care academic medical center. PATIENTS: Twenty-four patients, American Society of Anesthesiologists (ASA) physical status 3 and 4, were included in this study...
June 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27112311/pharmacokinetics-of-phenobarbital-in-microenema-via-macy-catheter-versus-suppository
#9
Y W Francis Lam, Ansom Lam, Brad Macy
CONTEXT: The oral route is compromised for nearly all patients approaching death. When agitation, seizures, or other intractable symptoms occur, a quick, discreet, comfortable, and effective alternate route for medication delivery that is easy to administer in the home setting is highly desirable. OBJECTIVES: To characterize the early absorption profile, variability, and comfort of phenobarbital given in microenema suspensions delivered via the Macy Catheter(®) (MC) vs...
June 2016: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/27088020/a-lethal-case-of-sphingomonas-paucimobilis-bacteremia-in-an-immunocompromised-patient
#10
Nata Pratama Hardjo Lugito, Cucunawangsih, Andree Kurniawan
Sphingomonas paucimobilis is a yellow-pigmented, glucose nonfermenting, aerobic, Gram negative bacillus of low pathogenicity. This organism was found in the implantation of indwelling catheters, sterile intravenous fluid, or contaminated hospital environment such as tap and distilled water, nebulizer, ventilator, and hemodialysis device. A 55-year-old female was hospitalized for diabetic foot ulcer in the presence of multiple comorbidities: diabetes mellitus, colonic tuberculosis, end-stage renal disease, and indwelling catheters for central venous catheter and hemodialysis...
2016: Case Reports in Infectious Diseases
https://www.readbyqxmd.com/read/27042909/diagnosis-and-treatment-of-idiopathic-normal-pressure-hydrocephalus
#11
Michael A Williams, Jan Malm
PURPOSE OF REVIEW: This article provides neurologists with a pragmatic approach to the diagnosis and treatment of idiopathic normal pressure hydrocephalus (iNPH), including an overview of: (1) key symptoms and examination and radiologic findings; (2) use of appropriate tests to determine the patient's likelihood of shunt responsiveness; (3) appropriate referral to tertiary centers with expertise in complex iNPH; and (4) the contribution of neurologists to the care of patients with iNPH following shunt surgery...
April 2016: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/27010421/ventriculoperitoneal-shunt-malfunction-caused-by-proximal-catheter-fat-obstruction
#12
Cezar José Mizrahi, Sergey Spektor, Emil Margolin, Yigal Shoshan, Eliel Ben-David, José E Cohen, Samuel Moscovici
Ventriculoperitoneal (VP) shunt placement is the mainstay of treatment for hydrocephalus, yet shunts remain vulnerable to a variety of complications. Although fat droplet migration into the subarachnoid space and cerebrospinal fluid pathways following craniotomy has been observed, a VP shunt obstruction with fat droplets has never been reported to our knowledge. We present the first reported case of VP shunt catheter obstruction by migratory fat droplets in a 55-year-old woman who underwent suboccipital craniotomy for removal of a metastatic tumor of the left medullocerebellar region, without fat harvesting...
August 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/27005290/local-wound-infiltration-plus-transversus-abdominis-plane-tap-block-versus-local-wound-infiltration-in-laparoscopic-colorectal-surgery-and-eras-program
#13
Corrado Pedrazzani, Nicola Menestrina, Margherita Moro, Gianluca Brazzo, Guido Mantovani, Enrico Polati, Alfredo Guglielmi
BACKGROUND: Few data are available on TAP block in laparoscopic colorectal surgery and ERAS program. The aim of this prospective study was to evaluate local wound infiltration plus TAP block compared to local wound infiltration in the management of postoperative pain, nausea and vomiting, ileus and use of opioids in the context of laparoscopic colorectal surgery and ERAS program. METHODS: From March 2014 to March 2015, 48 patients were treated by laparoscopic resection and ERAS program for colorectal cancer and diverticular disease at the Division of General and Hepatobiliary Surgery, University of Verona Hospital Trust...
November 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/26985426/spontaneous-puerperal-extraperitoneal-bladder-wall-rupture-in-young-woman-with-diagnostic-dilemma
#14
Debabrat Kumar Sabat, Pradeep Kumar Panigrahi, Ranjan Kumar Sahoo, Mousumi Acharya, Mahesh Ch Sahu
A young female presented with an acute abdominal pain and oliguria for 1 week following normal vaginal delivery. No history of hematuria was present. Patient was having lochia rubra. Sealed uterine rupture was suspected clinically. Initial ultrasound of the patient showed distended urinary bladder containing Foley catheter ballon with clamping of Foley catheter and particulate ascites. Abdominal paracentesis revealed hemorrhagic fluid. Contrast-enhanced computed tomography of abdomen revealed ascites, distended urinary bladder and no extraluminal contrast extravasation in delayed scan...
October 2015: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/26954167/yeast-culture-and-vitamin-e-supplementation-alleviates-heat-stress-in-dairy-goats
#15
Lizhi Wang, Zhisheng Wang, Huawei Zou, Quanhui Peng
This study was conducted to determine and compare the effects of yeast yeast culture (YC) and vitamin E (VE) supplementation on endotoxin absorption and antioxidant status in lactating dairy goats suffering from heat stress (HS). Three first lactation Saanen dairy goats (body weight 30±1.5 kg) were surgically fitted with indwelling catheters in the portal vein, mesenteric vein and carotid artery, and were randomly assigned to a 3×3 Latin square design. Dietary treatments were the basal diet, and the basal diet supplemented with either 100 IU VE or 30 g YC...
June 2016: Asian-Australasian Journal of Animal Sciences
https://www.readbyqxmd.com/read/26919598/effects-of-catheter-shape-interelectrode-spacing-and-electrode-size-on-transesophageal-atrial-pacing-in-dogs
#16
Robert A Sanders, Emily H Chapel
OBJECTIVE: To determine effects of catheter shape, interelectrode spacing (IS), and electrode size (ES) on pacing threshold (PT), extraneous muscular stimulation (EMS), and zone of capture (ZOC) for dogs undergoing transesophageal atrial pacing (TAP). ANIMALS: 10 purpose-bred dogs without cardiac conduction disturbances. PROCEDURES: 7 configurations for TAP catheters were tested in each dog to evaluate effects of catheter shape (curved or straight), IS (5, 15, and 25 mm), and ES (2, 4, and 6 mm)...
March 2016: American Journal of Veterinary Research
https://www.readbyqxmd.com/read/26702214/the-analgesic-efficacy-of-continuous-transversus-abdominis-plane-block-in-renal-transplant-recipients
#17
Beena Kandarp Parikh, V Waghmare, Veena R Shah, P Modi, S Rizvi, S Khemchandani, B Butala, G Parikh
BACKGROUND AND AIMS: Transversus abdominis plane (TAP) block is suitable for operations where parietal pain is a major cause of pain. Renal transplant recipients are ideally suited to gain maximum benefit from TAP block as the incision classically involves the lower abdomen. This study was conducted to evaluate the analgesic efficacy of continuous TAP block in transplant recipients. MATERIAL AND METHODS: In a prospective double-blind study, 40 chronic renal failure patients undergoing open renal transplant were randomly divided into two groups...
October 2015: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/26693120/endobronchial-malposition-of-matthys-pleural-catheter-a-case-report
#18
Andreas Kirschbaum, Alexander Damanakis, Caroline Rolfes, Detlef Bartsch
Background Matthys catheters (Matthys drainage A Set, Bösch Feinmechanik und Medizintechnik GmbH, Gottenheim, Germany) are thin catheters with an external diameter of 2.7 mm, which are often used in internal medicine to drain pleural effusions. After puncturing the pleural cavity with a hollow needle the Matthys catheter is advanced through it without resistance. Once the three-way tap on the catheter has been opened, the pleural effusion should flow out. Case Description In our case, the positioning of the Matthys catheter was thought to be completely straightforward but an X-ray check nonetheless revealed malposition...
December 2015: Thoracic and Cardiovascular Surgeon Reports
https://www.readbyqxmd.com/read/26644609/safety-of-post-operative-epidural-analgesia-in-the-paediatric-population-a-retrospective-analysis
#19
Ramakrishna Chaitanya Kasanavesi, Suhasini Gazula, Ravikanth Pula, Nagarjuna Thakur
BACKGROUND AND AIMS: Epidural infusion analgesia (EIA) is among the common procedures performed in children to provide analgesia. However, the administration of epidural is not without complications. Limited studies are available regarding the safety of EIA in children with no studies from the Indian subcontinent. The aim of this study was to analyse all the complications that occured during administration and maintenance of EIA in paediatric patients. METHODS: All children undergoing elective or emergency surgeries under general anaesthesia and given concomitant epidural analgesia for post-operative pain management were included...
October 2015: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/26450819/urine-drainage-leg-bags-an-overview
#20
Mary Wilson
This article looks at leg bags from the perspective of the clinical guidance available, published research, review papers, the diverse nature of products available, and their use with catheters, sheaths or urinals. The part that leg bags play in catheter-associated urinary tract infection control is addressed. Other aspects of catheter safety are discussed, including the avoidance of catheter traction. Variations in leg-bag structure including bag size, inlet tubing, tap, connector and backing, along with the reasons for selecting a particular leg bag are considered, along with the choice of either leg-bag straps or sleeves...
October 8, 2015: British Journal of Nursing: BJN
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