Cardiac Catheters for Diagnosis and Treatment of Venous Air Embolism. A Prospective Study in Man

1982 ◽  
Vol 26 (4) ◽  
pp. 219-220
Author(s):  
R. F. Bedford ◽  
W. K. Marshall ◽  
A. Butler ◽  
J. E. Welsh
Keyword(s):  
Prospective Study ◽  
Air Embolism ◽  
Diagnosis And Treatment ◽  
Venous Air Embolism ◽  
Cardiac Catheters ◽  
A Prospective Study

COVID-19 WITH RHINO-ORBITO-CEREBRAL MUCORMYCOSIS : A SUDDEN SURGE

2021 ◽  
pp. 130-133
Author(s):  
Seema Patel ◽  
A. Z. Nitnaware ◽  
R. T. Pawar ◽  
Ashish Keche ◽  
Tanvi Rekhade
Keyword(s):  
Diabetes Mellitus ◽  
Early Diagnosis ◽  
Prospective Study ◽  
Previous History ◽  
Diagnosis And Treatment ◽  
Temporal Association ◽  
Concomitant Infection ◽  
History Of ◽  
A Prospective Study

Recently an increase in the incidence of mucormycosis is noticed in COVID-19 cases. The main aim of this study is to present our experience of rhino-orbito-cerebral mucormycosis in COVID-19 patients and thereby aid its early diagnosis and treatment. This is a prospective study of 12 cases diagnosed as Rhino-orbito-cerebral mucormycosis . Presentation of mucormycosis in COVID-19, their temporal association and outcome of treatment was studied. Pre-existing comorbidities were seen in 91.67% patients, Diabetes Mellitus (83.33%). Previous history of COVID-19 infection and treatment for the same in 41.67% cases, concomitant infection in 16.67% and asymptomatic undiagnosed covid (antibodies positive) was detected in 41.67%. All patients showed improvement in general and nasal condition (100%). Early diagnosis is must.

Incidence of Venous Air Embolism during Craniectomy for Craniosynostosis Repair

2000 ◽  
Vol 92 (1) ◽  
pp. 20-20 ◽  
Author(s):  
Lisa W. Faberowski ◽  
Susan Black ◽  
J. Parker Mickle
Keyword(s):  
Air Embolism ◽  
Hemodynamic Instability ◽  
Mortality Rates ◽  
Cardiovascular Collapse ◽  
Ultrasonic Probe ◽  
Safe Method ◽  
Venous Air Embolism ◽  
Doppler Probe ◽  
Initiation Of Therapy ◽  
A Prospective Study

Background Investigations to determine the incidence of venous air embolism in children undergoing craniectomy for craniosynostosis repair have been limited, although venous air embolism has been suspected as the cause of hemodynamic instability and sometimes death. A precordial Doppler ultrasonic probe is an accepted method for detection of venous air embolism and is readily available at most institutions. Methods A prospective study was conducted using a precordial Doppler ultrasonic probe in children undergoing craniectomy for craniosynostosis repair. The Doppler signal was continuously monitored intraoperatively for characteristic changes of venous air embolism. A recording was made of the precordial Doppler probe pulses, which was later reviewed by a neuroanesthesiologist, blinded to the intraoperative events. This information was correlated with the intraoperative events and episodes of venous air embolism were graded. Results Twenty-three patients were enrolled in the study during the 2-yr study period. Nineteen patients (82.6%) demonstrated 64 episodes of venous air embolism; six patients (31.6%) had hypotension associated with venous air embolism. Thirty-two episodes of hypotension were demonstrated in eight patients (34.7%). None of the patients developed cardiovascular collapse. Conclusion The incidence of venous air embolism in our study of 23 children undergoing craniectomy for craniosynostosis was 82.6%. Though most episodes of venous air embolism during craniosynostosis repair are without hemodynamic consequences, the preemptive placement of a precordial Doppler ultrasonic probe is a noninvasive, economic, and safe method for the detection of venous air embolism. Prompt recognition may allow for the early initiation of therapy, thereby decreasing morbidity and mortality rates related to venous air embolism.

Predictors of resilience in women treated for breast cancer: A prospective study.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. 9044-9044
Author(s):  
Barbara Kaye Bennett ◽  
Andrew R. Lloyd ◽  
Kate Webber ◽  
Michael Friedlander ◽  
David Goldstein ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Logistic Regression ◽  
Prospective Study ◽  
Cancer Diagnosis ◽  
Adjuvant Treatment ◽  
Somatic Symptoms ◽  
Self Report ◽  
Diagnosis And Treatment ◽  
Post Surgery ◽  
A Prospective Study

9044 Background: Because a cancer diagnosis may be regarded as a potentially traumatic event with untoward consequences, much research has focussed on negative aspects of cancer diagnosis and treatment, emphasising psychological outcomes. A recent paradigm shift recognises that such a psycho-pathological approach discounts the human capacity for resilience "the ability to maintain relatively stable functioning following an aversive life event" (Bonanno GA Curr Direct in Psychol Science 2005 14(3) 135). Predictors of resilience in women who recovered uneventfully from surgical and adjuvant treatment for early stage breast cancer were investigated in a prospective study. Methods: Validated self-report measures of mood, somatic symptoms, temperament, illness attitudes, and social support were completed post-surgery. Clinical, tumor and treatment details were recorded. At end treatment and subsequently at 1, 3, 6, 9 and 12 months, self-report measures of mood and somatic symptoms were completed. Resilience was defined as: no evidence of protracted psychological or somatic distress in the 12 months following treatment completion. Identified resilient and non-resilient groups were compared and predictors sought by logistic regression. Results: Of 218 women evaluated, 106 (49%) were classified as "resilient." They either reported no clinically significant psychological or other distress post-surgery (34%) and 12months following adjuvant treatment or recovered promptly (15%) and remained well. There were no significant differences in age (52 years); marital status; tumor size; treatment; treatment toxicity (nadir hemoglobin and neutrophil count) or mortality at 5 years post treatment (8 confirmed deaths in each group). Logistic regression identified low neuroticism (temperament or personality trait) as the most significant predictor of resilience. Conclusions: These findings suggest that without any intervention almost half the women treated for breast cancer adapt well to diagnosis and treatment. These outcomes warrant further research, to provide further insight into how individuals cope with major illness and to facilitate development of programs to aid those in whom outcomes are protracted.

The ENT consultation: A prospective study of the doctor's and the patient's perceptions

1989 ◽  
Vol 103 (4) ◽  
pp. 363-365 ◽  
Author(s):  
D. W. Sim
Keyword(s):  
Prospective Study ◽  
Outpatient Clinic ◽  
Diagnosis And Treatment ◽  
Matched Pair ◽  
Significant Difference ◽  
Patient’S Perception ◽  
A Prospective Study

AbstractIn this prospective study of 126 patients attending the ENT outpatient clinic the doctor's and the patient's perception of the consultation were evaluated by questionnaire; 96 patients completed the questionnaire correctly. The results were analysed by scattergram plot and Wilcoxon's matched-pair signed ranks test. There was a statistically significant difference between the doctor's and the patient's perception of the ‘history’ (p<0.01) and the ‘explanation of diagnosis and treatment’ (p<0.05) in the consultation. There was no statistically significant difference between the doctor's and the patient's perception of the ‘examination’ in the consultation. The results are discussed.

scholarly journals A prospective study of clinico-radiological assesment and management of obstructive jaundice in Mmimsr, Mullana

2021 ◽  
Author(s):  
Karaninder Singh Wilku ◽  
Himank Gandhi
Keyword(s):  
Early Diagnosis ◽  
Obstructive Jaundice ◽  
Prospective Study ◽  
Abdominal Ultrasound ◽  
Vital Role ◽  
Diagnosis And Treatment ◽  
Female Ratio ◽  
Cbd Stones ◽  
Benign Pathology ◽  
A Prospective Study

Background: Obstructive jaundice poses diagnostic and therapeutic challenges. This study was undertaken to highlight the clinical and radiological assessment of obstructive jaundice in our setting and to approach for early diagnosis and treatment before irreversible tissue insult sets in.Methods: Present study was prospective study conducted at Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala. Data were collected on prescribed proforma and analyzed stastically.Results: A total of 50 patients were studied. It is more common in productive adult with the mean age of 51.04±12.40 years. The male to female ratio was 1:1.08. Majority of the patients were having benign pathology (62%) and choledocholithiasis was the commonest benign cause. Abdominal ultrasound was the diagnostic imaging done in all patients and revealed dilated CBD (>1 cm) in 78% cases, dilated IHBR in 96%of cases and multiple CBD stones in 78.3% of cases. CT was reserved for suspected malignant and MRCP was planned in stone or benign causes. 70% patients were selected for ERCP and 62% of patients underwent definitive open procedure viz choledocholithotomy (40%), hepaticojejunostomy (12%).Conclusions: Obstructive jaundice in our study was more prevalent in females and the cause is mostly CBD stones. The result suggests that early diagnosis and treatment plays vital role in the prognosis of patients with obstructive jaundice.  

scholarly journals A prospective study of female genital chronic graft-versus-host disease symptoms, signs, diagnosis and treatment

2018 ◽  
Vol 97 (9) ◽  
pp. 1122-1129 ◽  
Author(s):  
Eva Smith Knutsson ◽  
Yvonne Björk ◽  
Anna-Karin Broman ◽  
Lotti Helström ◽  
Malin Nicklasson ◽  
...  
Keyword(s):  
Prospective Study ◽  
Graft Versus Host Disease ◽  
Diagnosis And Treatment ◽  
Disease Symptoms ◽  
Host Disease ◽  
Graft Versus Host ◽  
A Prospective Study ◽  
Female Genital

scholarly journals Occurrence and Severity of Venous Air Embolism During Neurosurgical Procedures in Semi-Sitting Versus Supine Position

2021 ◽  
Author(s):  
Franziska Magdalena Konrad ◽  
Angela S Mayer ◽  
Lina Maria Serna-Higuita ◽  
Helene Hurth ◽  
Marcos Tatagiba ◽  
...  
Keyword(s):  
Supine Position ◽  
Air Embolism ◽  
Central Venous Line ◽  
Neurosurgical Procedures ◽  
Sitting Position ◽  
Venous Air Embolism ◽  
Standardized Protocol ◽  
Single Center Study ◽  
Cranial Fossa ◽  
A Prospective Study

Abstract Background: Patients undergoing neurosurgical procedures in the posterior cranial fossa can be placed in different positions: the semi-sitting position or the supine position. The major risk of the semi-sitting positioning is venous air embolism (VAE). However, VAEs may also occur in the supine position.Objective: In a prospective study, we investigated the incidence of VAE based on the positioning of the patients (trial registration 553/2013BO1).Methods: In a single-center study with 137 patients, we prospectively evaluated the occurrence of VAEs in patients in the supine and semi-sitting position over the period from January 2014 to April 2015. All patients were monitored for VAE by the use of a transesophageal echocardiography (TEE).Results: 50% of all participating patients experienced a VAE (with 56% of these patients undergoing surgery in the semi-sitting position and 11% in the prone position). 86% of the VAEs were just detected by the use of a TEE. We only observed VAEs with a decrease in EtCO2 in the semi-sitting position. However, none of the patients had any hemodynamic changes due to the VAE. We found that surgeries in patients with a preexisting intracardial shunt such as a patent foramen ovale (PFO) less likely resulted in VAEs (42% vs. 58%).Conclusion: The semi-sitting position with TEE monitoring and a standardized protocol, including a deep central venous line is a safe and advantageous technique, taking also account of a significant rate of VAEs. VAEs also occur in the supine position, however, less frequently.

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