Anesthesia management in neonatal congenital bronchobiliary fistula: case report and literature review

Abstract Background There is very little published literature and none that discussed care in a neonate regarding anesthetic risk and management of neonate with congenital bronchobiliary fistula during thoracoscopy and thoracotomy. This article analyzes related risk factors and literature review from perioperative ventilation, circulation and other aspects of management. Case presentation A neonate diagnosed as congenital bronchobiliary fistula combined with severe chemical pneumonia, consolidation of the lungs, and infection was facing the risk of anaesthesia under thoracoscopy exploration surgery, who experiened more than 20 days diagnostic period before operation. Many risk factors have led to conversion from minimally invasive surgery to thoracotomy, including persistent hypoxemia, hypercapnia, difficult surgical exposure and extremly difficulty of intraoperative ventilation management. Anesthesia maintenance after conversion to open access remained problematic. Fortunately the patient showed no sign of any adverse CNS effects after 4 months of follow-up. Conclusions The most prominent anesthesia challenges are hypoxemia, increased airway resistance, impaired ventilation, and the risk of metabolic acidosis. Close cooperation among the entire neonatal medical team is the key factors in successful management of this rare case.

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Clinical and lifestyle-related risk factors for incident multimorbidity: 10-year follow-up of Finnish population-based cohorts 1982–2012

European Journal of Internal Medicine ◽

10.1016/j.ejim.2015.02.012 ◽

2015 ◽

Vol 26 (3) ◽

pp. 211-216 ◽

Cited By ~ 33

Author(s):

Katja Wikström ◽

Jaana Lindström ◽

Kennet Harald ◽

Markku Peltonen ◽

Tiina Laatikainen

Keyword(s):

Risk Factors ◽

Population Based ◽

Finnish Population ◽

Related Risk

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Sleep bruxism and related risk factors in adults: A systematic literature review

Archives of Oral Biology ◽

10.1016/j.archoralbio.2017.07.002 ◽

2017 ◽

Vol 83 ◽

pp. 25-32 ◽

Cited By ~ 18

Author(s):

Tommaso Castroflorio ◽

Andrea Bargellini ◽

Gabriele Rossini ◽

Giovanni Cugliari ◽

Andrea Deregibus

Keyword(s):

Risk Factors ◽

Literature Review ◽

Systematic Literature Review ◽

Sleep Bruxism ◽

Related Risk

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Sleep bruxism in adolescents: a systematic literature review of related risk factors

European Journal of Orthodontics ◽

10.1093/ejo/cjw012 ◽

2016 ◽

Vol 39 (1) ◽

pp. 61-68 ◽

Cited By ~ 10

Author(s):

Tommaso Castroflorio ◽

Andrea Bargellini ◽

Gabriele Rossini ◽

Giovanni Cugliari ◽

Andrea Deregibus

Keyword(s):

Risk Factors ◽

Literature Review ◽

Systematic Literature Review ◽

Sleep Bruxism ◽

Related Risk

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Fall-related risk factors and heel quantitative ultrasound in the assessment of hip fracture risk: a 10-year follow-up of a nationally representative adult population sample

Osteoporosis International ◽

10.1007/s00198-014-2674-9 ◽

2014 ◽

Vol 25 (6) ◽

pp. 1685-1695 ◽

Cited By ~ 7

Author(s):

M. Kauppi ◽

S. Stenholm ◽

O. Impivaara ◽

J. Mäki ◽

M. Heliövaara ◽

...

Keyword(s):

Risk Factors ◽

Hip Fracture ◽

Fracture Risk ◽

Quantitative Ultrasound ◽

Adult Population ◽

Population Sample ◽

Hip Fracture Risk ◽

Related Risk ◽

Nationally Representative

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ARTERIAL HYPERTENSION AND RISK FACTORS IN CHILDREN: LITERATURE REVIEW

Journal of the Grodno State Medical University ◽

10.25298/2221-8785-2020-18-5-523-531 ◽

2020 ◽

Vol 18 (5) ◽

pp. 523-531

Author(s):

N. A. Maхimovich ◽

◽

A. V. Luksha ◽

Keyword(s):

Risk Factors ◽

Primary Prevention ◽

High Risk ◽

Young People ◽

Literature Review ◽

Arterial Hypertension ◽

Qualitative Analysis ◽

Environmental Risk ◽

Modern Society ◽

Related Risk

Background. In modern society, there is an intensive increase in the incidence of arterial hypertension among young people, which is mainly due to lifestyle characteristics and related risk factors.Objective: to analyze the results of scientific researches of domestic and foreign authors regarding the study of risk factors in the development of arterial hypertension in children.Material and methods. A qualitative analysis of the current literature data on the risk factors for arterial hypertension and its prevention has been carried out.Results. It has been established that the occurrence of arterial hypertension in childhood is due to not only hereditary, but also a number of environmental risk factors.Conclusions. Further researches are needed to study new and established risk factors that must be considered when conducting primary prevention of the disease in children at high risk.

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Syncope in a Working-Age Population: Recurrence Risk and Related Risk Factors

Journal of Clinical Medicine ◽

10.3390/jcm8020150 ◽

2019 ◽

Vol 8 (2) ◽

pp. 150 ◽

Cited By ~ 4

Author(s):

Franca Barbic ◽

Franca Dipaola ◽

Giovanni Casazza ◽

Marta Borella ◽

Maura Minonzio ◽

...

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Recurrence Risk ◽

Multivariable Logistic Regression Analysis ◽

Related Risk ◽

Working Age ◽

Working Age Population ◽

The Individual ◽

Syncope Episode

Syncope in a worker undertaking risky tasks may result in fatalities for the individual or for third parties. We aimed at assessing the rate of syncope recurrence and the risk factors underlying the likelihood of syncope relapse in a working-age population. A prospective cohort of all patients aged 18–65 years consecutively admitted to the Emergency Department for syncope was enrolled. Risk of syncope relapse was assessed at a six-month, 1-year, and 5-year follow-up. Predictors of syncope recurrence have been evaluated at six months and 1 year from the syncope index by a multivariable logistic regression analysis. 348 patients were enrolled. Risk of syncope relapse was 9.2% at 6 months, 11.8% at 1 year, and 23.4% at 5 years. At 6-month follow-up, predictor of syncope recurrence was ≥3 prior lifetime syncope episodes. At 1-year, ≥3 prior lifetime syncope episodes, diabetes mellitus, and anaemia were risk factors for syncope relapse. There was an exceeding risk of recurrence in the first 6 months and a reduced risk of 3.5% per year after the first year. Anaemia, diabetes mellitus, and prior lifetime syncope burden are of importance when giving advice about the resumption of “high risk” jobs following a syncope episode.

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The effect of community hypertension management on blood pressure control and its determinants in southwest China

International Health ◽

10.1093/inthealth/ihaa002 ◽

2020 ◽

Vol 12 (3) ◽

pp. 203-212 ◽

Cited By ~ 2

Author(s):

Xiaohua Liang ◽

Haiying Zhong ◽

Lun Xiao

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Kidney Disease ◽

Southwest China ◽

Antihypertensive Agents ◽

Pressure Control ◽

Community Healthcare ◽

Related Risk ◽

Clinical Centre

Abstract Background Hypertension is a leading cause of cardiovascular disease (CVD). The purpose of this study was to examine the effectiveness of community healthcare in controlling blood pressure (BP) and mitigating related risk factors after 5 y of follow-up. Methods Hierarchical clustering sampling was employed to choose a representative sample of 10 rural and 10 urban community populations (N=4235). The 5y prospective cohort study was completed by the medical group in the community clinical centre. Results The study included 4235 patients, median age 69 y (range 61–76), with hypertension in 2009; 2533 (59.81%) were female. The rate of BP control increased from 28.33% in 2009 to 64.05% in 2014. The BP control rate was higher in patients with CVD and kidney disease and lower in those with obesity than in those without. Comparing 2009 and 2014 values, the intervention resulted in median systolic BP and diastolic BP reductions of 7.0 mmHg and 6.5 mmHg, respectively. Age, medication treatment, antihypertensive agents, BP at baseline and follow-up, complications of diabetes, CVD, obesity and kidney disease, the aspartate aminotransferase:aminotransferase ratio and smoking were identified as risk factors for BP control. Conclusions Community management of hypertension by general practitioners achieved significant BP control over 5 y of intervention.

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PERFIL EPIDEMIOLÓGICO Y FACTORES DE RIESGO DE MORTALIDAD EN ADULTOS CON COVID-19: ESTUDIO RETROSPECTIVO.

Revista Medica Vozandes ◽

10.48018/rmv311.2 ◽

2020 ◽

Vol 31 (1) ◽

Author(s):

Dayami Martínez Sosa ◽

Oswaldo Vásconez Hatt ◽

Katherine Rosero Arboleda ◽

Fabian Zurita Alvarado ◽

Mónica Hernández Lojano ◽

...

Keyword(s):

Risk Factors ◽

Clinical Course ◽

Demographic Data ◽

Severity Of Illness ◽

Factors Associated ◽

Related Risk ◽

Factores De Riesgo ◽

New Type ◽

Epidemiological Characteristics

By the ending of 2019 a new type of coronavirus was identified named SARS-CoV 2, and now known to be the etiological agent of the acute respiratory syndrome coronavirus (SARS-CoV-2). Known as coronavirus 2019 disease or (COVID-19) constitutes a challenge for the world in many unknown aspects and problems in public health. In Ecuador the first reported of a confirmed appeared on February 29 2020, and in March 12 an emergency health status is declared. Objective: To determine the epidemiological characteristics and factors related to death and survival in patients with COVID-19. Design: The study is of transversal retrospective design, the patients chosen were those seen in the respiratory or suspicious of COVID-19 area of Hospital Vozandes Quito between March 2 and April 30. Demographic data and related risk factors for mortality were obtained using the EPI-1 individual form, epidemiological research files, the VI Epi system and electronic promptuary of patients. Results: 250 patients were obtained for this study, 87 of those were confirmed COVID-19, out those eight died and 79 were alive at the ending of the follow up. Regarding the severity of illness, 61% of the patients were classified as mild and 6 % critical (p =<0.001). Elevated values of CRP (OR 1 IC 95% 1.000 – 1.024), age about 55 years old to diagnosis (OR 42,040 IC 95% 36,320 – 47,760) and the presence of hiporexia (OR 24 IC 95% 1.183 – 504.413) were associated with higher mortality levels amongst COVID-19 positive patients. Conclusions The majority of COVID-19 cases showed no serious manifestations, were treated symptomatically and home isolation. Elevated values of CRP and the presence of hiporexia at the diagnosis are factors consistently with death. Future investigations are required to determine the risk factors associated with worst clinical course and prognosis.

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