Another Case of Disseminated Candidiasis

PEDIATRICS ◽  
1975 ◽  
Vol 55 (6) ◽  
pp. 897-898
Author(s):  
John H. Di Liberti ◽  
Roberta A. Hughes
Keyword(s):  
Mechanical Ventilation ◽  
Case Report ◽  
Umbilical Artery ◽  
Distress Syndrome ◽  
Tube Feeding ◽  
Disseminated Candidiasis ◽  
Idiopathic Respiratory Distress Syndrome ◽  
The One ◽  
Infant Girl ◽  
Nasogastric Tube Feeding

We would like to report a case of disseminated candidiasis quite similar to the one reported by Hill et al. in Pediatrics.1 CASE REPORT A 1,350-gm infant girl developed severe idiopathic respiratory distress syndrome shortly after delivery. An umbilical artery catheter was inserted. By 7 hours of age mechanical ventilation was required. Cultures were obtained and antibiotic therapy instituted Mechanical ventilation continued for about six weeks. During this time peripheral hyperalimentation was given along with continuous nasogastric tube feeding.

Burning of a Neonate due to a Pulse Oximeter: Arterial Saturation Monitoring

PEDIATRICS ◽  
1992 ◽  
Vol 89 (1) ◽  
pp. 154-155
Author(s):  
DANIEL B. SOBEL
Keyword(s):  
Mechanical Ventilation ◽  
Intensive Care ◽  
Case Report ◽  
Pulse Oximeter ◽  
Distress Syndrome ◽  
Pediatric Intensive Care ◽  
Supplemental Oxygen ◽  
Premature Neonate ◽  
Skin Development ◽  
Pulse Oximeter Probe

Monitoring of arterial hemoglobin saturations by pulse oximetry has become a fixture in neonatal and pediatric intensive care units, operating rooms, and in other hospital settings. Use with extremely premature neonates is especially beneficial because of their immature skin development and vulnerability to topical damage—whether due to chemicals, tape, or temperature.1,2 This report documents a case of a burn due to a presumed shorting of a pulse oximeter probe cable in an extremely premature neonate. CASE REPORT The patient was a 690-g Hispanic female neonate born prematurely at approximately 25 weeks' gestation with respiratory distress syndrome requiring mechanical ventilation and supplemental oxygen.

scholarly journals Utility of Endobronchial Valves in a Patient with Bronchopleural Fistula in the Setting of COVID-19 Infection: A Case Report and Brief Review

2021 ◽  
Vol 23 (4) ◽  
pp. 109-114
Author(s):  
Nazanin Sheikhan ◽  
◽  
Elizabeth Benge ◽  
Amanpreet Kaur ◽  
Jerome Hruska ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Acute Respiratory Distress Syndrome ◽  
Case Report ◽  
Distress Syndrome ◽  
Bronchopleural Fistula ◽  
Invasive Mechanical Ventilation ◽  
Air Leak ◽  
Mechanically Ventilated ◽  
Growing Body ◽  
Endobronchial Valve

Patients with COVID-19 pneumonia frequently develop acute respiratory distress syndrome (ARDS), and in severe cases, require invasive mechanical ventilation. One complication that can develop in patients with ARDS who are mechanically ventilated is a bronchopleural fistula (BPF). Although rare, the frequency of BPF in patients with COVID-19 pneumonia is increasingly recognized. Here, we present a 48-year old man with BPF associated with COVID-19 pneumonia. Treatment with a commercial endobronchial valve (EBV) system resulted in reduced air leak allowing for tracheostomy placement. Our case adds to a growing body of evidence suggesting that the presence of COVID-19 pneumonia does not hinder the utility of EBV’s in the treatment of BPF’s.

CARBOHYDRATE AND ENERGY METABOLISM IN THE NEWBORN—AN INTERNATIONAL EXPLORATION

PEDIATRICS ◽  
1967 ◽  
Vol 39 (4) ◽  
pp. 582-602
Author(s):  
Marvin Cornblath
Keyword(s):  
Distress Syndrome ◽  
Fat Metabolism ◽  
Newborn Infants ◽  
Hyaline Membrane Disease ◽  
Similar Nature ◽  
Hyaline Membrane ◽  
International Attention ◽  
Idiopathic Respiratory Distress Syndrome ◽  
The Subject ◽  
The One

Dr. Smith (Chairman): To start the evening, I might remind you that 6 years ago a similar group took advantage of their presence at the International Congress in Montreal to gather together informally for the exchange of ideas about hyaline membrane disease. The one major result of that discussion was the agreement that, whatever hyaline membrane disease is, it should thereafter always be called the idiopathic respiratory distress syndrome. As you may know, the syndrome is now referred to more firmly than ever as hyaline membrane disease; nevertheless, something of value was accomplished in the exchange of ideas and in the focusing of international attention upon central rather than peripheral aspects of a previously ill-defined problem. In organizing tonight's meeting, I know Dr. Cornblath hopes something of a similar nature can occur with regard to problems of carbohydrate and fat metabolism in newborn infants. Some of us, I am afraid, would have said 6 years ago that newborn infants actually had no problems of this sort. It was largely through Marvin Cornblath's alertness and continued investigations that we now know the subject as one of great importance and interest. Yet, I think one of the reasons we are here is not only to discuss how these matters look to all the rest of us, but to find out if anyone else sees quite as many infants with significant hypoglycemia as seem to be encountered in Chicago. What it is that we are missing in other cities, or what Dr. Cornblath is doing that we are not, are aspects which, I hope, can come out in the discussion tonight.

scholarly journals A Case Report of Extracorporeal Membrane Oxygenation and Hemadsorber Therapy in Septic Patient with Multiorgan Injury

2020 ◽  
Vol 18 (1) ◽  
pp. 15-18
Author(s):  
Anna Klesmite ◽  
Roberts Leibuss ◽  
Baiba Arklina ◽  
Larisa Semcenko ◽  
Martins Kalejs ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Acute Respiratory Distress Syndrome ◽  
Case Report ◽  
Extracorporeal Membrane Oxygenation ◽  
Distress Syndrome ◽  
The Past ◽  
Membrane Oxygenation ◽  
Number Of Patients ◽  
Per Se ◽  
Diagnostic Microbiology

SummaryDiagnostic microbiology and management of sepsis have advanced, even though the complication of multiorgan dysfunction remains a significant cause of morbidity and mortality. An estimated incidence of sepsis in 2017 is about 48 million a year, including 11 million sepsis- related deaths, which represents 19.7% of all global deaths.(1,2) Acute respiratory distress syndrome (ARDS) is a devastating complication of sepsis, conventionally, a substantial number of patients require mechanical ventilation (MV) to avert hypoxemia and hypercapnia. However, MV per se can cause lung injury, accelerating the disease progression. The use of extracorporeal membrane oxygenation (ECMO) in the management of ARDS has grown considerably in the past decade. More recently, an increasing popularity of spontaneous breathing and awake patients undergoing ECMO is seen, as well as the use of various types of hemadsorbers for reducing pathologically increased inflammatory response.(3) The purpose of this case report is to review airway and multiorgan support management during ECMO.

Nanomembrane-Based Therapeutic Plasmapheresis after Non-Invasive Ventilation Failure for Treatment of a Patient with Acute Respiratory Distress Syndrome and Myasthenia Gravis: A Case Report

2019 ◽  
Vol 48 (4) ◽  
pp. 382-384 ◽  
Author(s):  
Yordanka Yamakova ◽  
Viktoria Asenova Ilieva ◽  
Rosen Petkov ◽  
Georgi Yankov
Keyword(s):  
Mechanical Ventilation ◽  
Acute Respiratory Distress Syndrome ◽  
Case Report ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Myasthenia Gravis ◽  
Distress Syndrome ◽  
Invasive Mechanical Ventilation ◽  
Bioactive Molecules ◽  
Non Invasive

Acute respiratory distress syndrome (ARDS) is characterized by a widespread inflammation of the lungs, causing severe hypoxemia. Several mediators have been associated with it and almost all of them are small enough to be filtrated through a nanomembrane. We present a case report of a 41-year-old man with myasthenia gravis in remission; he developed ARDS caused by pneumonia. Although he performed well on both non-invasive and invasive mechanical ventilation, his oxygenation continued to deteriorate. As a last resort of treatment, we decided to apply nanomembrane-based apheresis to cleanse his plasma from the harmful inflammatory mediators. After 3 sessions of plasmapheresis, his condition improved and he was successfully weaned from mechanical ventilation. The obtained results gave us ground to assume that the removal of bioactive molecules can be a useful adjunct to protective mechanical ventilation in ARDS.

Application of extracorporeal membrane oxygenation in severe ARDS secondary to pneumonia: a case report

Open Medicine ◽  
2013 ◽  
Vol 8 (5) ◽  
pp. 658-661
Author(s):  
Xi-Hong Zhang ◽  
Rui-Xia Xiu ◽  
Tie-Jun Wu ◽  
Xiu-Li Zou ◽  
Long-Le Ma ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Acute Respiratory Distress Syndrome ◽  
Case Report ◽  
Extracorporeal Membrane Oxygenation ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Distress Syndrome ◽  
Therapeutic Option ◽  
Conventional Mechanical Ventilation ◽  
Membrane Oxygenation

AbstractThis report describes a 24-year-old patient with marked and continuous hypoxemia resulting from severe acute respiratory distress syndrome (ARDS) secondary to pneumonia, which in turn was refractory to mechanical ventilation and other conventional adjunctive therapies. Veno-venous extracorporeal membrane oxygenation (ECMO) was applied for 14 days and resulted in significant improvement in the hypoxemia. We conclude that ECMO presents a therapeutic option for ARDS patients who fail to respond to conventional mechanical ventilation.

scholarly journals Proning related bilateral anterior ischaemic optic neuropathy in a patient with COVID-19 related acute respiratory distress syndrome

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kirsty Michelle Clarke ◽  
Vivi Riga ◽  
Amy-lee Shirodkar ◽  
Joel Meyer
Keyword(s):  
Mechanical Ventilation ◽  
Acute Respiratory Distress Syndrome ◽  
Visual Field ◽  
Respiratory Distress Syndrome ◽  
Distress Syndrome ◽  
Vision Loss ◽  
Prone Positioning ◽  
Disc Oedema ◽  
Ischaemic Optic Neuropathy ◽  
The Right

Abstract Background Non-arteritic ischaemic optic neuropathy (NAION) is a rare but harmful complication of prone positioning. Prone mechanical ventilation is a therapeutic strategy which has been used extensively during the COVID-19 pandemic to treat acutely hypoxemic patients with COVID-19 related acute respiratory distress syndrome (ARDS). Though a small number of cases of unilateral NAION have been reported in patients testing positive for the SARS-CoV-2 virus, we describe what is to our knowledge, the first reported case of bilateral NAION occurring in a patient proned extensively for the treatment of COVID-19 related ARDS. We consider the potential aetiological factors leading to NAION after prone mechanical ventilation in patients with COVID-19 and suggest strategies to protect against its development. Case presentation : We report a case of severe, irreversible, visual impairment secondary to bilateral anterior ION in a fifty-five-year-old male who underwent eight episodes of prone mechanical ventilation to treat COVID-19 related ARDS. Once weaned from his sedation he reported bilateral painless vision loss, and bedside ophthalmological assessment identified a reduced visual acuity of 3/30 unaided in the left eye and counting fingers in the right. Dilated indirect ophthalmoscopy revealed inferotemporal optic disc oedema with splinter haemorrhages in the right eye and mild disc oedema, temporal pallor, and nerve fibre layer haemorrhages inferiorly in the left eye. Humphrey visual field 24 − 2 testing confirmed a severely constricted visual field with macular sparing on the right and depressed inferonasal vision with preserved peripheral vision on the left eye. OCT disc imaging shortly after diagnosis revealed bilateral disc swelling and flame haemorrhages in the right eye. Conclusions NAION is a devastating, but preventable complication of prone positioning, which may pose significant risk of vision loss in patients with COVID-19 related ARDS.

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