scholarly journals Re-expansion Pulmonary Edema after Chest Drainage for Pneumothorax; Evaluation of Risk Factors in 630 Episodes

2021 ◽  
Vol 7 (1) ◽  
Keyword(s):  
Risk Factors ◽  
Pulmonary Edema ◽  
Chest Drainage

Abstract W MP54: Risk Factors for Nosocomial Infections after Intracerebral Hemorrhage and Their Impact on Outcome: The Ethnic/Racial Variations of Intracerebral Hemorrhage (ERICH) Study

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Aaron S Lord ◽  
Mitchell S Elkind ◽  
Carl D Langefeld ◽  
Charles J Moomaw ◽  
Neeraj Badjatia ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intracerebral Hemorrhage ◽  
Pulmonary Edema ◽  
Nosocomial Infections ◽  
Fold Increase ◽  
Cns Infection ◽  
Neurosurgical Procedures ◽  
Chi Square ◽  
Factors Associated ◽  
Ct Data

Background: Risk factors for nosocomial infections and their impact on ICH outcomes are unclear. We hypothesized that factors present on admission are associated with developing infection, and patients who develop infections have worse outcomes. Methods: We determined prevalence of infections among patients in ERICH, a multicenter, triethnic case-control study of ICH. Exclusion criteria specific to this analysis were incomplete CT data and death/withdrawal of care <72 hours after admission. Patients with infection <two weeks before ICH were excluded from risk factor analyses, but included for outcomes assessments. We compared prevalence of risk factors for infections using chi-square and non-parametric tests, and performed multivariate logistic regression for risk of infection. Results: We enrolled 1397 individuals, 144 of whom died/had withdrawal of care within 72 hours and 210 with incomplete CT data, leaving 1043 patients. Nosocomial infections occurred in 300 patients (29%). Factors associated with presence of infections included ICH volume (13mL vs. 7mL, p <0.0001), GCS on admission (13 vs. 15, p <0.0001), WBC > 10 (42% vs. 32%), and higher CRP levels (4.9 vs. 1.8, p=0.01). Blacks had higher infection rates versus whites and Hispanics (33% vs. 27% and 24%, p=0.06). Procedural factors associated with infection included ventriculostomy, intrathecal-tPA, and intubation, while major neurosurgical procedures were associated with a 10-fold increase in CNS infection (all p <0.001). Infections were associated with bowel-bladder dysfunction, CHF/pulmonary edema, decubiti, DVT, dysphagia requiring PEG, and MI. Patients with infection were more likely to have DNR/DNI orders or to be dead at discharge (12.3% vs. 6.5%, p=0.0017). In a multivariate model for factors associated with infection, ICH volume, HIV history, intubation, CHF/pulmonary edema, and dysphagia requiring PEG were all associated with infection. Conclusion: There are identifiable risk factors associated with nosocomial infection after ICH, and infections are associated with mortality. Identification of patients at risk for infections may improve outcomes after ICH.

Risk factors and prognostic implication of acute pulmonary edema in resuscitated out-of-hospital cardiac arrest patients

Resuscitation ◽  
2013 ◽  
Vol 84 ◽  
pp. S78
Author(s):  
Joonghee Kim ◽  
Taeyun Kim ◽  
Kyuseok Kim ◽  
Joong Eui Rhee ◽  
You Hwan Jo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiac Arrest ◽  
Pulmonary Edema ◽  
Acute Pulmonary Edema ◽  
Prognostic Implication ◽  
Hospital Cardiac Arrest

scholarly journals Post-pneumonectomy pulmonary edema: analysis and risk factors

1996 ◽  
Vol 10 (11) ◽  
pp. 929-932 ◽  
Author(s):  
F PARQUIN ◽  
M MARCHAL ◽  
S MEHIRI ◽  
P HERVE ◽  
B LESCOT
Keyword(s):  
Risk Factors ◽  
Pulmonary Edema

Risk factors for immersion pulmonary edema in recreational scuba divers: a case-control study

2019 ◽  
pp. 611-618
Author(s):  
Anne Henckes ◽  
◽  
Guy Cochard ◽  
Florence Gatineau ◽  
Pierre Louge ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pulmonary Edema ◽  
Case Control Study ◽  
Univariate Analysis ◽  
Physical Exertion ◽  
Case Control ◽  
Individual Characteristics ◽  
Scuba Divers ◽  
Recreational Scuba ◽  
Control Study

Background: Immersion can cause immersion pulmonary edema (IPE) in previously healthy subjects. We performed a case-control study to better identify IPE risk factors. Methods: We prospectively included recreational scuba divers who had presented signs of IPE and control divers who were randomly chosen among diving members of the French Underwater Federation. We sent an anonymous questionnaire to each diver, with questions on individual characteristics, as well as the conditions of the most recent dive (controls) or the dive during which IPE occurred. Univariate logistic regressions were performed for each relevant factor. Then, multivariate logistic regression was performed. Results: Of the 882 questionnaires sent, 480 (54%) were returned from 88 cases (90%) and 392 control divers (50%). Multivariate analysis identified the following independent risk factors associated with IPE: • being aged over 50 years ((OR) 3.30, (95%CI) 1.76-6.19); • female sex (OR 2.20, 95%CI 1.19-4.08); • non-steroidal anti-inflammatory drug (NSAID) intake before diving (OR 24.32, 95%CI 2.86-206.91); • depth of dive over 20 m (OR 2.00, 95%CI 1.07-3.74); • physical exertion prior to or during the dive (OR 5.51, 95%CI 2.69-11.28); • training dive type (OR 5.34, 95%CI 2.62-10.86); and • daily medication intake (OR 2.79, 95%CI 1.50-5.21); this latter factor appeared to be associated with hypertension in the univariate analysis. Conclusions: To reduce the risk of experiencing IPE, divers over 50 years of age or with hypertension, especially women, should avoid extensive physical effort, psychological stress, deep dives and NSAID intake before diving.

scholarly journals A challenging diagnosis of dyspnea: A case report of contralateral reexpansion pulmonary edema

2018 ◽  
Vol 88 (1) ◽  
Author(s):  
Alfonso Sforza ◽  
Maria V. Carlino ◽  
Giovanni Albano ◽  
Maria I. Arnone ◽  
Giuliano De Stefano ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Pulmonary Edema ◽  
Ultrasound Guided ◽  
Chest Drainage ◽  
Massive Pleural Effusion ◽  
Contralateral Lung ◽  
Reexpansion Pulmonary Edema ◽  
The Right ◽  
Healthy Lung ◽  
Uncommon Complication

Reexpansion pulmonary edema (RPE) is an uncommon complication of thoracentesis or chest drainage. It occurs in the ipsilateral or contralateral lung. Causes, pathogenesis and therapy are not well understood especially for contralateral RPE. We describe a case of fatal contralateral RPE in a 59-years-old woman with right lung cancer underwent ultrasound-guided thoracentesis for massive pleural effusion and severe dyspnea. Pathogenesis of contralateral RPE is probably multifactorial and in this case is mostly due to the overperfusion of the healthy lung and consequent capillary damage. The right therapy for this condition is not known.

scholarly journals Presentation of acute pulmonary edema in severe pre-eclamptic pregnant women: a case report

2021 ◽  
Vol 10 (9) ◽  
pp. 3620
Author(s):  
Karishma Chaudhary ◽  
Mamta Tyagi ◽  
Smriti Gupta ◽  
Manvi Gupta ◽  
Yamini Verma ◽  
...  
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Pulmonary Edema ◽  
Cardiac Disease ◽  
Fluid Overload ◽  
Severe Infection ◽  
Acute Pulmonary Edema ◽  
Predisposing Factor ◽  
Multiple Gestations ◽  
Excessive Accumulation

Pulmonary edema refers to an excessive accumulation of fluid in the pulmonary interstitial and alveolar spaces. It may occur in low risk pregnancies but one very important predisposing factor is association with pre-eclampsia. Acute pulmonary edema during pregnancy is very rare and occurs in 0.08% pregnancies. About 3% of severe pre-eclamptic patients develop acute pulmonary edema. Several risk factors have been identified: preeclampsia or eclampsia, use of tocolytic therapy, severe infection, cardiac disease, iatrogenic fluid overload, and multiple gestations. This case examines one such presentation and reviews some of the diagnostic possibilities.

scholarly journals The Underlying Causes of Respiratory Distress in Late-Preterm and Full-Term Infants Are Different From Those of Early-Preterm Infants

2020 ◽  
Vol 30 (5) ◽  
Author(s):  
Li Wang ◽  
Shuqing Tang ◽  
Hui Liu ◽  
Juan Ma ◽  
Bingyi Li ◽  
...  
Keyword(s):  
Risk Factors ◽  
Respiratory Distress ◽  
Pulmonary Edema ◽  
Full Term ◽  
Late Preterm ◽  
Exogenous Surfactant ◽  
Therapeutic Effects ◽  
Perinatal Hypoxia ◽  
Perinatal Infection ◽  
Surfactant Replacement Therapy

Background: A diagnosis of neonatal respiratory distress syndrome (RDS) is common among newborns in China. Some late-preterm and full-term (LP/FT) infants with respiratory distress (RD) symptoms but not primary surfactant deficiency are also diagnosed with RDS and given exogenous surfactant replacement therapy (SRT). Objectives: An increasing number of neonatologists have proposed that RD etiologies should be specifically classified to guide clinical treatment. Methods: The therapeutic effects of SRT on infants of different gestational ages (GAs) were compared in a large retrospective multicenter cohort study performed at 26 Neonatal Intensive Care units in China. The cause of RD at different GAs was further analyzed by comparing the different risk factors closely related to RDS severity at different GAs. Results: Analysis of 1240 infants diagnosed with RDS showed that SRT was less effective in LP/FT infants than in early-preterm (EP) infants. GA < 30 weeks and no prenatal corticosteroid use were closely related to RDS severity in EP infants, whereas perinatal infection- and perinatal hypoxia-associated risk factors and a high cesarean rate were closely related to RDS severity in LP/FT infants. Conclusions: The causes of RD might differ between LP/FT and EP infants, and the diagnosis of RDS might be overused in LP/FT infants. RD in LP/FT infants is more likely related to perinatal infection, perinatal hypoxia, elective cesarean and hereditary factors, which are important causes of neonatal pulmonary edema. New strategies for the treatment of refractory RD in LP/FT infants should concentrate more on pulmonary edema and neonatal ARDS.

scholarly journals Neonatal Pneumothorax- Five Years of Experience in a Tertiary Care Center

2021 ◽  
Author(s):  
Miljana Z Jovandaric ◽  
Svetlana J Milenkovic ◽  
Ivana R Babovic
Keyword(s):  
Risk Factors ◽  
Pathological Condition ◽  
Care Center ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Maternity Hospital ◽  
Parietal Pleura ◽  
Tertiary Care Center ◽  
Anthropometric Parameters ◽  
Chest Drainage

I Introduction: Pneumothorax is a pathological condition characterized by the presence of air between the visceral and parietal pleura. Objectives: To investigate incidence, clinical characteristics, risk factors, management and perinatal outcome among newborns with pneumothorax in a tertiary care center. Materials and Methods: A prospective observational study was conducted in Maternity hospital with tertiary NICU from 2015-2019. We included all neonates with pneumothorax born in our hospital and compared demographic characteristics, perinatal risk factors, anthropometric parameters, concurrent diseases, clinical course and method of chest drainage between full term (&ge;37 GW) and preterm (&lt;37GW) newborns. Results: Mong 30.378 neonates, 74 developed pneumothorax (2, 4/1000 newborns). The incidence of neonatal pneumothorax (NP) was higher in preterm group (59, 5%), with a mean age 34,62 GW in whole group. The mode of delivery was c. section in 68.9%. NP occurred mostly on the right side (47,3%), on the second day of life , in males (67,6%). Chest drainage was performed in 64,9% of cases. Of 74 NP cases, 64 (85.1%) recovered, 6 (8,1%) died. Conclusion: Pneumothorax is a pathological condition of the newborn, which, if not diagnosed in time and treated adequately, leads to a fatal outcome.ads to a

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