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Mobilizing patients with femoral central lines

Fred Mullins, Mohammad Anwarul Huq Mian, Dana Jenkins, Claus Brandigi, Joseph R Shaver, Bruce Friedman, Badrul Alam, Meyer Schwartz, Zaheed Hassan
Early mobilization and deep venous thrombosis (DVT) prophylaxis have been shown to reduce the incidence of DVT and pulmonary embolism among hospitalized patients, yet thromboembolic complications remain a great concern, especially to those who remain immobilized for an extended period of time. There are many risk factors associated with the development of thromboembolism, especially DVT. The main objective of this retrospective study is to estimate the occurrence of DVT in burn patients and to investigate some burn-related risk factors...
May 2013: Journal of Burn Care & Research: Official Publication of the American Burn Association
Vincent de Bruin, Victor de Ridder, Emanuel Gautier
INTRODUCTION: Fractures of the teardrop are very rare. We would like to present two patients with a fracture of the teardrop. The teardrop is a radiological entity, also known as the U figure. It can be seen on the antero-posterior as well as on the obturator oblique radiographs of the pelvis. It is one of the six fundamental radiographic reference lines corresponding to anatomical landmarks, which Letournel introduced for the evaluation of acetabular fractures. Injuries of the hip joint may include pure hip dislocations, dislocations with fracture of the femoral head, dislocations with fracture of the acetabulum, or both...
July 2011: Archives of Orthopaedic and Trauma Surgery
Rekhi Varghese, David Chess, David Lasorda
Diagnostic cardiac catheterizations are predominantly performed using access through the femoral artery. To improve patient comfort and early mobilization, a number of percutaneous closure devices have been developed. One such device using the nitinol clip was developed by Abbott Vascular Devices and was approved for use on the basis of the results of the Clip Closure In Percutaneous Procedures (CLIP) study. The safety of repuncture through a previously deployed device has not been established in humans. We present the case of a patient who had an arterial line placed for post-operative monitoring after cardiac surgery at the site of a previous arteriotomy closed with the Starclose device...
June 1, 2009: Catheterization and Cardiovascular Interventions
Mark A Chaney, Mohammed M Minhaj, Komal Patel, David Muzic
We investigated the potential utility of transoesophageal echocardiography (TOE) in facilitating central venous catheter (CVC) insertion in patients undergoing cardiac surgery. Thirty five patients undergoing elective cardiac surgery and CVC insertion were prospectively included in the observational, single-centre clinical investigation. Following induction of general anaesthesia and tracheal intubation, the TOE probe was inserted and the bicaval view obtained prior to CVC insertion (site at discretion of the anaesthesiologist)...
July 2007: Annals of Cardiac Anaesthesia
J Kanold, P Halle, M Berger, C Rapatel, J B Palcoux, C Rouzier, L deLumley, J P Vannier, J L Stéphan, F Deméocq
BACKGROUND: We update our experience on large-volume leukapheresis (LVL) in very small patients with malignancies. LVLs were performed with the aim of reducing the psychological impact of leukaphereses by reducing the number of procedures while collecting large numbers of cells. PROCEDURE: Seventeen LVLs were performed using a Cobe Spectra separator in 14 patients weighing < or = 15 kg. A median of 3.8 patient's blood volumes corresponding to 296 mL/kg (range, 202-565) of blood was processed per session of 190 minutes (120-279) duration...
January 1999: Medical and Pediatric Oncology
F Deméocq, J Kanold, J Chassagne, M J Bezou, P Lutz, L deLumley, I Philip, J P Vannier, G Margueritte, J P Lamagnére
Peripheral blood stem cells (PBSCs) were collected for autotransplantation in 20 children (median age 4 years, range 0.5-10 years) weighing < 25 kg (median 14.5 kg, range 6.8-24 kg) with various malignant diseases: leukemias and lymphomas (n = 6), solid tumours (n = 14). Cytaphereses were carried out after standard chemotherapy (n = 10), mobilizing high-dose chemotherapy (n = 9) or radiotherapy alone (n = 1). In 13 children PBSCs were harvested after haematopoietic growth factor (HGF) administration. PBSCs were collected using a continuous flow blood separator (Cobe Spectra)...
January 1994: Bone Marrow Transplantation
P Djian, P Christel, B Roger, J Witvoet
INTRODUCTION: the purpose of this study was to evaluate the influence of the graft positioning on the clinical outcome and MRI signal of the graft as well, following ACL reconstruction using the central one-third of the patellar tendon. MATERIAL AND METHODS: twenty one patients having a chronic anterior instability sustained a modified Marshall-Mac Intosh procedure, while 15 having a subacute torn ACL had an ACL reconstruction using a free bone-patellar tendon-bone graft...
1994: Revue de Chirurgie Orthopédique et Réparatrice de L'appareil Moteur
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