Infections occurring in adult patients receiving mechanical circulatory support: The two-year experience of an Italian National Referral Tertiary Care Center

2013 ◽  
Vol 37 (7) ◽  
pp. 468-475 ◽  
Author(s):  
M. Pieri ◽  
N. Agracheva ◽  
L. Fumagalli ◽  
T. Greco ◽  
M. De Bonis ◽  
...  
Keyword(s):  
Mechanical Circulatory Support ◽  
Care Center ◽  
Tertiary Care ◽  
Adult Patients ◽  
Circulatory Support ◽  
Tertiary Care Center

Abstract 240: Concomitant Use of Therapeutic Hypothermia with Mechanical Circulatory Support in Patients Post Cardiac Arrest in Cardiogenic Shock: A Single Center Experience

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Michael G Silverman ◽  
Molly H O’Brien ◽  
Kathleen R Avery ◽  
Annmarie Chase ◽  
Carol D Pierce ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiogenic Shock ◽  
Clinical Outcomes ◽  
Hospital Discharge ◽  
Mechanical Circulatory Support ◽  
Care Center ◽  
Tertiary Care ◽  
Circulatory Support ◽  
Tertiary Care Center ◽  
Baseline Characteristics

Background: The concurrent use of therapeutic hypothermia (TH) following cardiac arrest and mechanical circulatory support (MCS) for cardiogenic shock is becoming increasingly common. Little is known however, about the combined use of TH and MCS for patients after ROSC following a cardiac arrest who remain in cardiogenic shock. Therefore we describe the experience with concomitant use of TH and MCS from a large academic tertiary care center in Boston. Methods: Baseline characteristics and clinical outcomes at hospital discharge were reported for patients undergoing TH following cardiac arrest who also received MCS for cardiogenic shock. MCS included Intra-aortic balloon pump (IABP) two percutaneous ventricular assist devices (Impella, and TandemHeart), and extracorporeal membrane oxygenation (ECMO). Clinical outcomes included mortality as well as cerebral performance category (CPC) at hospital discharge. Results: There were a total of 14 patients who underwent concomitant TH and MCS following a cardiac arrest. Baseline characteristics and clinical outcomes are noted in the Figure. 9 patients underwent placement of IABP, 2 patients an Impella pump, 2 patients a TandemHeart, and 1 patient ECMO. All 14 cardiac arrests were due to cardiovascular etiologies; 9 of 14 had STEMI. 9 of 14 patients had an initial shockable rhythm. Mean age was 56 years (+/- 19), mean downtime was 35 minutes (+/- 24). All patients were vasopressor dependent. Bleeding events are noted in the table. 8 patients survived to hospital discharge, all with good neurologic outcome. These rates were comparable to the survival rates and neurologic outcomes among 82 patients who underwent TH post cardiac arrest (from cardiovascular etiologies) without concomitant MCS (Figure). Conclusion: Based on our experience from a large academic tertiary care center, concomitant use of TH and MCS is both safe and feasible with an encouraging rate of cardiac and neurologic recovery.

scholarly journals Short- and Long-Term Survival of Patients Transferred to a Tertiary Care Center on Temporary Extracorporeal Circulatory Support

2009 ◽  
Vol 88 (3) ◽  
pp. 711-718 ◽  
Author(s):  
Jonathan W. Haft ◽  
Francis D. Pagani ◽  
Matthew A. Romano ◽  
Christina L. Leventhal ◽  
D. Bradley Dyke ◽  
...  
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Circulatory Support ◽  
Tertiary Care Center ◽  
Term Survival ◽  
Long Term Survival ◽  
Short And Long Term

Rituximab Desensitizations in Pediatric and Adult Patients at a Tertiary Care Center

2021 ◽  
Vol 147 (2) ◽  
pp. AB13
Author(s):  
Alekist Quach ◽  
Anthony Wong ◽  
Lulu Tsao ◽  
Angela Chang ◽  
Lauren Sanchez ◽  
...  
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Adult Patients ◽  
Tertiary Care Center

scholarly journals Frequency of early postoperative adverse events (AEs) in adult patients undergoing elective neurosurgical intervention at tertiary care center in Pakistan

2021 ◽  
Vol 37 (4) ◽  
Author(s):  
Mansoor Chandio ◽  
Faraz Shafiq ◽  
Ather Enam
Keyword(s):  
Adverse Events ◽  
Care Center ◽  
Tertiary Care ◽  
Anaesthetic Management ◽  
Adult Patients ◽  
Tertiary Care Center ◽  
Cross Sectional ◽  
Neurosurgical Patients ◽  
The Impact ◽  
Neurosurgical Intervention

Objective: The postoperative period is critical in neurosurgical patients, where the incidence of postoperative AEs is significantly high. Most of events occurs during recovery phase and has got relation to anaesthetic management. The objective of study was to determine frequency of early AEs in elective neurosurgical patients. Methods: This cross sectional study was conducted at our tertiary care center. The duration of study was one year, from August 2017-July 2018. The data was collected using predesigned proforma. The assessment was done on arrival in recovery room (T1) and then at forty five minutes (T2), twenty-fourth hour (T3) and forty-eighth hour (T4) postoperatively. Results: Total ninety-five patients were included. Overall, five hundred and forty AEs were recorded at T1, T2, T3 and T4. Anaesthesia related events like pain, postoperative sore throat, hoarseness, shivering and hypothermia were the commonest (73%). There was a gradual decline in incidence of these events over period of 48 hours. There was no effect of age, sex, BMI and blood loss on incidence of AEs. Conclusions: Postoperative pain, PONV and shivering were frequently reported AEs. We did not identify the impact of age, sex, BMI, comorbid or type of surgery in terms of having these events. doi: https://doi.org/10.12669/pjms.37.4.3501 How to cite this:Chandio M, Shafiq F, Enam SA. Frequency of early postoperative adverse events (AEs) in adult patients undergoing elective neurosurgical intervention at tertiary care center in Pakistan. Pak J Med Sci. 2021;37(4):---------.   doi: https://doi.org/10.12669/pjms.37.4.3501 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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