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ARDS, weaning, shock

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https://www.readbyqxmd.com/read/27903001/right-in-front-of-our-eyes-evolution-of-streptococcal-toxic-shock-syndrome-with-ischemic-optic-neuropathy
#1
Salaheldin M Elhamamsy, Mazen O Al-Qadi, Taro Minami, Marguerite Neill
INTRODUCTION: Toxic shock syndrome occurs from dysregulation of host inflammatory responses. Toxin- producing strains of Group A streptococcus cause TSS. Ischemic optic neuropathy rarely complicates septic shock. We present a rare case of streptococcal pharyngitis complicated by septic arthritis and TSS with reversible blindness due to non-arteritic ischemic optic neuropathy. CASE: A 28-year-old man drove to our ED with exudative pharyngitis. A rapid streptococcal test was positive...
December 1, 2016: Rhode Island Medical Journal
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/25476433/-pulse-indicator-continuous-cardiac-output-measurement-guided-treatment-aids-two-pediatric-patients-with-severe-acute-pancreatitis-complicated-with-acute-respiratory-distress-syndrome
#3
Weiyuan Yan, Lijie Wang
OBJECTIVE: To evaluate the clinical value of the pulse indicator continuous cardiac output (PiCCO) system in patients with severe acute pancreatitis (SAP) complicated with acute respiratory distress syndrome (ARDS). METHOD: Two cases of SAP with ARDS were monitored using PiCCO during comprehensive management in the Pediatric Intensive Care Unit (PICU) of Shengjing Hospital, China Medical University. To guide fluid management, the cardiac index (CI) was measured to assess cardiac function, the global end-diastolic volume index (GEDVI) was used to evaluate cardiac preload, and the extravascular lung water index (EVLWI) was used to evaluate the pulmonary edema...
September 2014: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://www.readbyqxmd.com/read/25316633/-evaluation-of-t-tube-trial-as-a-strategy-of-weaning-from-mechanical-ventilation
#4
Murillo S C Assunção, Flávia R Machado, Heloísa B Rosseti, Hélio G Penna, Carla C A Serrão, Wladimir G Silva, Alda P Souza, José Luiz Gomes do Amaral
BACKGROUND AND OBJECTIVES: Weaning from mechanical ventilation (MV) is an important strategy to reduce morbidity and mortality in critical care patients. In this setting, this study aimed at evaluation of T-tube trial (TT) in weaning from MV. METHODS: Patient admitted in the ICU were included if they present the following inclusion criteria: MV > 24 hours, no neuromuscular disorders, PaO2/FiO2 ratio >200, hemodynamic stability, reversion of the cause of respiratory failure, adequate respiratory drive...
June 2006: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/24616596/intratracheal-administration-of-umbilical-cord-blood-derived-mesenchymal-stem-cells-in-a-patient-with-acute-respiratory-distress-syndrome
#5
Youjin Chang, So Hee Park, Jin-Won Huh, Chae-Man Lim, Younsuck Koh, Sang-Bum Hong
Umbilical cord blood (UCB)-derived mesenchymal stem cells (MSCs) have been introduced as a possible therapy in acute lung injury and acute respiratory distress syndrome (ARDS). This case history is reported of a 59-yr-old man who was treated with MSCs in the course of ARDS and subsequent pulmonary fibrosis. He received a long period of mechanical ventilation and weaning proved difficult. On hospital day 114, he underwent the intratracheal administration of UCB-derived MSCs at a dose of 1 × 10(6)/kg. After cell infusion, an immediate improvement was shown in his mental status, his lung compliance (from 22...
March 2014: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/24381738/atypical-clinic-presentation-of-pandemic-influenza-a-successfully-rescued-by-extracorporeal-membrane-oxygenation-our-experience-and-review-of-the-literature
#6
Massimo Bonacchi, Marco Ciapetti, Gabriella Di Lascio, Guy Harmelin, Guido Sani, Adriano Peris
The novel pandemic influenza A (H1N1) caused an epidemic of critical illness, and some patients developed severe acute respiratory distress syndrome (ARDS) or severe cardiopulmonary failure despite the use of conventional management. Extracorporeal membrane oxygenation (ECMO) support may successfully rescue these severely ill patients. We demonstrate the causative role of H1N1 in refractory ARDS of a previously healthy 15-year-old man who presented to the intensive care unit with a hypoxic and persistent cardiogenic shock refractory to conventional management as the leading symptom of influenza A...
December 2013: Interventional Medicine & Applied Science
https://www.readbyqxmd.com/read/23917895/-acute-respiratory-distress-syndrome-and-septic-cardiomyopathy-successful-application-of-veno-venoarterial-extracorporeal-membrane-oxygenation
#7
J Küstermann, A Gehrmann, M Kredel, T Wurmb, N Roewer, R M Muellenbach
A 30-year-old patient was admitted to hospital with fever and respiratory insufficiency due to community acquired pneumonia. Within a few days the patient developed septic cardiomyopathy and severe acute respiratory distress syndrome (ARDS) which deteriorated under conventional mechanical ventilation. Peripheral venoarterial extracorporeal membrane oxygenation (va-ECMO) was initiated by the retrieval team of an ARDS/ECMO centre at a paO2/FIO2 ratio of 73 mmHg and a left ventricular ejection fraction (EF) of 10 %...
August 2013: Der Anaesthesist
https://www.readbyqxmd.com/read/23515152/impact-of-extracorporeal-membrane-oxygenation-support-on-clinical-outcome-of-pediatric-patients-with-acute-cardiopulmonary-failure-a-single-center-experience
#8
Ying-Jui Lin, Sheng-Ying Chung, Chi-Di Liang, Hsuan-Chang Kuo, Chien-Fu Huang, Shao-Ju Chien, I-Chun Lin, Steve Leu, Cheuk-Kwan Sun, Sheung-Fat Ko, Jiunn-Jye Sheu, Hon-Kan Yip
BACKGROUND: Conventional therapy against acute pediatric cardiopulmonary failure (APCPF) caused by a variety of disease entities remains unsatisfactory with extremely high morbidity and mortality. For refractory APCPF, extracorporeal membrane oxygenation (ECMO) is one of the last resorts. METHODS: In this study, the in-hospital outcomes of pediatric patients with refractory APCPF receiving ECMO support were reviewed. RESULTS: Between August 2006 and May 2011, a single-center cohort study was performed in pediatric patients who required ECMO support due to cardiogenic shock or severe hypoxemia...
January 2013: Biomedical Journal
https://www.readbyqxmd.com/read/23361625/surviving-sepsis-campaign-international-guidelines-for-management-of-severe-sepsis-and-septic-shock-2012
#9
R P Dellinger, Mitchell M Levy, Andrew Rhodes, Djillali Annane, Herwig Gerlach, Steven M Opal, Jonathan E Sevransky, Charles L Sprung, Ivor S Douglas, Roman Jaeschke, Tiffany M Osborn, Mark E Nunnally, Sean R Townsend, Konrad Reinhart, Ruth M Kleinpell, Derek C Angus, Clifford S Deutschman, Flavia R Machado, Gordon D Rubenfeld, Steven Webb, Richard J Beale, Jean-Louis Vincent, Rui Moreno
OBJECTIVE: To provide an update to the "Surviving Sepsis Campaign Guidelines for Management of Severe Sepsis and Septic Shock," last published in 2008. DESIGN: A consensus committee of 68 international experts representing 30 international organizations was convened. Nominal groups were assembled at key international meetings (for those committee members attending the conference). A formal conflict of interest policy was developed at the onset of the process and enforced throughout...
February 2013: Intensive Care Medicine
https://www.readbyqxmd.com/read/23353941/surviving-sepsis-campaign-international-guidelines-for-management-of-severe-sepsis-and-septic-shock-2012
#10
R Phillip Dellinger, Mitchell M Levy, Andrew Rhodes, Djillali Annane, Herwig Gerlach, Steven M Opal, Jonathan E Sevransky, Charles L Sprung, Ivor S Douglas, Roman Jaeschke, Tiffany M Osborn, Mark E Nunnally, Sean R Townsend, Konrad Reinhart, Ruth M Kleinpell, Derek C Angus, Clifford S Deutschman, Flavia R Machado, Gordon D Rubenfeld, Steven A Webb, Richard J Beale, Jean-Louis Vincent, Rui Moreno
OBJECTIVE: To provide an update to the "Surviving Sepsis Campaign Guidelines for Management of Severe Sepsis and Septic Shock," last published in 2008. DESIGN: A consensus committee of 68 international experts representing 30 international organizations was convened. Nominal groups were assembled at key international meetings (for those committee members attending the conference). A formal conflict of interest policy was developed at the onset of the process and enforced throughout...
February 2013: Critical Care Medicine
https://www.readbyqxmd.com/read/23158812/-emergency-use-of-extracorporeal-membrane-oxygenation-in-pediatric-critically-ill-patients
#11
Ru Lin, Chen-mei Zhang, Lin-hua Tan, Li-ping Shi, Qi-xing Xiong, Ee-wei Zhang, Qiang Shu, Li-zhong Du
OBJECTIVE: The history of clinical application of extracorporeal membrane oxygenation (ECMO) has been more than 30 years. But in China, there were only a few ECMO centers with limited successful cases reported by the end of twentieth century. The high morbidities and mortalities in current pediatric ECMO practice are noted in China. Therefore, it is necessary to review the experience on rescue use of ECMO in critically ill pediatric patients. METHOD: A retrospective analysis was done for patients who had been receiving ECMO treatment to rescue refractory cardiorespiratory failure from different causes in a hospital between July 2007 and May 2011...
September 2012: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://www.readbyqxmd.com/read/22500278/outcomes-of-venovenous-extracorporeal-membrane-oxygenation-support-for-acute-respiratory-distress-syndrome-in-adults
#12
Dae Sung Ma, Joon Bum Kim, Sung-Ho Jung, Suk Jung Choo, Cheol Hyun Chung, Jae Won Lee
BACKGROUND: Despite improved managements for acute respiratory distress syndrome (ARDS), its mortality remains high. Extracorporeal membrane oxygenation (ECMO) has emerged as the final option for the treatment of ARDS unresponsive to conventional measures. This study describes our experiences of venovenous ECMO support for the treatment of ARDS. MATERIALS AND METHODS: Between 2007 and 2010, 56 patients (aged 56.6±13.4 years, 43 males) received venovenous ECMO for the treatment of ARDS...
April 2012: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/22011871/-severe-acute-respiratory-distress-syndrome-complicating-type-a-h1n1-influenza-treated-with-extracorporeal-co2-removal
#13
Jakub Smiechowicz, Barbara Barteczko, Małgorzata Grotowska, Teresa Kaiser, Stanisław Zieliński, Andrzej Kübler
BACKGROUND: The influenza pandemic of 2009 was reported to be frequently associated with pulmonary complications, including ARDS. We report the case of a morbidly obese, 37-year-old, AH1N1-infected woman, who was admitted to a regional hospital because of rapidly progressing respiratory failure. She was treated successfully with high frequency oscillatory ventilation (HFOV) and low-flow extracorporeal CO2 removal. CASE REPORT: The patient was admitted to a regional hospital because of severe viral infection, diabetes and hypertension that developed during pregnancy...
April 2011: Anestezjologia Intensywna Terapia
https://www.readbyqxmd.com/read/21869618/safe-transport-of-critically-ill-adult-patients-on-extracorporeal-membrane-oxygenation-support-to-a-regional-extracorporeal-membrane-oxygenation-center
#14
Jeffrey Javidfar, Daniel Brodie, Hiroo Takayama, Linda Mongero, Joseph Zwischenberger, Joshua Sonett, Matthew Bacchetta
Patients with severe cardiac or pulmonary failure who require transport to specialized hospitals currently pose a challenge. Mechanical support in the form of extracorporeal membrane oxygenation (ECMO) may increase the safety of transporting such patients to an institution where they will have access to advanced medical therapy. Over 2.5 years, 17 patients were successfully cannulated and placed on a simplified ECMO circuit at other institutions and transported via ambulance to our hospital. Fourteen patients with acute respiratory distress syndrome (ARDS) were placed on venovenous (VV) ECMO...
September 2011: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/21494219/coupled-plasma-filtration-adsorption-in-weil-s-syndrome-case-report
#15
R Moretti, S Scarrone, B Pizzi, V Bonato, N Vivaldi
Weil's syndrome is a form of leptospirosis characterized by jaundice, renal failure and hemorrhagic diathesis. Its pathogenesis is related with the invasiveness of leptospires and with the subsequent systemic inflammatory response. Coupled plasma filtration-adsorption (CPFA) is a modality of extracorporeal blood purification in which plasma is separated from the whole blood and directed into a sorbent cartridge. Due to the ability of the sorbent agent to remove cytokines, CPFA has been proposed as an adjuvant treatment in septic shock...
August 2011: Minerva Anestesiologica
https://www.readbyqxmd.com/read/18964254/review-of-ecmo-extra-corporeal-membrane-oxygenation-support-in-critically-ill-adult-patients
#16
REVIEW
Silvana F Marasco, George Lukas, Michael McDonald, James McMillan, Benno Ihle
Mechanical circulatory support has evolved markedly over recent years. ECMO (extra corporeal membrane oxygenation) is instituted for the management of life threatening pulmonary or cardiac failure (or both), when no other form of treatment has been or is likely to be successful. Most commonly, it is instituted in an emergency or urgent situation after failure of other treatment modalities. It is used as temporary support, usually awaiting recovery of organs, or can be used as a bridge to a more permanent device or cardiac transplantation...
2008: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/18158437/surviving-sepsis-campaign-international-guidelines-for-management-of-severe-sepsis-and-septic-shock-2008
#17
R Phillip Dellinger, Mitchell M Levy, Jean M Carlet, Julian Bion, Margaret M Parker, Roman Jaeschke, Konrad Reinhart, Derek C Angus, Christian Brun-Buisson, Richard Beale, Thierry Calandra, Jean-Francois Dhainaut, Herwig Gerlach, Maurene Harvey, John J Marini, John Marshall, Marco Ranieri, Graham Ramsay, Jonathan Sevransky, B Taylor Thompson, Sean Townsend, Jeffrey S Vender, Janice L Zimmerman, Jean-Louis Vincent
OBJECTIVE: To provide an update to the original Surviving Sepsis Campaign clinical management guidelines, "Surviving Sepsis Campaign Guidelines for Management of Severe Sepsis and Septic Shock," published in 2004. DESIGN: Modified Delphi method with a consensus conference of 55 international experts, several subsequent meetings of subgroups and key individuals, teleconferences, and electronic-based discussion among subgroups and among the entire committee. This process was conducted independently of any industry funding...
January 2008: Critical Care Medicine
https://www.readbyqxmd.com/read/18058085/surviving-sepsis-campaign-international-guidelines-for-management-of-severe-sepsis-and-septic-shock-2008
#18
R Phillip Dellinger, Mitchell M Levy, Jean M Carlet, Julian Bion, Margaret M Parker, Roman Jaeschke, Konrad Reinhart, Derek C Angus, Christian Brun-Buisson, Richard Beale, Thierry Calandra, Jean-Francois Dhainaut, Herwig Gerlach, Maurene Harvey, John J Marini, John Marshall, Marco Ranieri, Graham Ramsay, Jonathan Sevransky, B Taylor Thompson, Sean Townsend, Jeffrey S Vender, Janice L Zimmerman, Jean-Louis Vincent
OBJECTIVE: To provide an update to the original Surviving Sepsis Campaign clinical management guidelines, "Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock," published in 2004. DESIGN: Modified Delphi method with a consensus conference of 55 international experts, several subsequent meetings of subgroups and key individuals, teleconferences, and electronic-based discussion among subgroups and among the entire committee. This process was conducted independently of any industry funding...
January 2008: Intensive Care Medicine
https://www.readbyqxmd.com/read/17219352/autopsy-findings-in-patients-on-postcardiotomy-extracorporeal-membrane-oxygenation-ecmo
#19
A J Rastan, N Lachmann, T Walther, N Doll, T Gradistanac, J F Gommert, S Lehmann, C Wittekind, F W Mohr
OBJECTIVES: To assess the clinical sensitivity of causes of death, concomitant diseases and postoperative complications including thromboembolic events in ECMO patients. METHODS: Between January 2000 and December 2004 154/202 patients (76.2%) died after postcardiotomy ECMO circulatory support. Autopsy was performed in 78 (50.6%) consecutive patients. Clinical and post-mortem data were prospectively recorded and compared concerning causes of death and postoperative complications including venous and arterial thromboembolisms and significant comorbidities...
December 2006: International Journal of Artificial Organs
https://www.readbyqxmd.com/read/15717186/-management-of-acute-pulmonary-failure-diagnostics-ventilation-withdrawal
#20
REVIEW
L Engelmann
Acute pulmonary failure by definition excludes cardiac insufficiency as the pathogenetic mechanism involved in the development of acute lung injury (ALI) and acute respiratory distress syndrome (ARDS). The systemic inflammatory reaction underlying acute pulmonary failure has many etiological causes. One of the most important trigger mechanisms is sepsis. In the realm of cardiac intensive care medicine, the systemic inflammatory reaction is observed in conjunction with assist systems, during extracorporeal circulation, or in the course of cardiogenic shock...
March 2005: Der Internist
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