scholarly journals ASD and VSD Flow Dynamics and Anesthetic Management

2015 ◽  
Vol 62 (3) ◽  
pp. 125-130 ◽  
Author(s):  
Philip Yen
Keyword(s):  
Anesthetic Management ◽  
Flow Dynamics ◽  
Ventricular Septal Defects ◽  
Septal Defects ◽  
Atrial Septal Defects ◽  
Flow Mechanisms ◽  
A Minor ◽  
The Impact

Abstract Atrial septal defects and ventricular septal defects are often encountered in patients presenting for treatment under anesthesia. The flow mechanisms for both defects are predominantly left to right shunting prior to long-term maladaptive changes that may occur. Close examination of the shunt dynamics demonstrates a minor right to left shunt that occurs as well. The article discusses these dynamics and the impact on an anesthetic plan.

Long-term results of repair of atrial septal defects

1971 ◽  
Vol 121 (6) ◽  
pp. 724-727 ◽  
Author(s):  
William A. Reed ◽  
Marvin I. Dunn
Keyword(s):  
Long Term Results ◽  
Septal Defects ◽  
Atrial Septal Defects

scholarly journals Why are there long waits at English emergency departments?

2019 ◽  
Vol 21 (2) ◽  
pp. 209-218 ◽  
Author(s):  
James Gaughan ◽  
Panagiotis Kasteridis ◽  
Anne Mason ◽  
Andrew Street
Keyword(s):  
Emergency Departments ◽  
Fixed Effects ◽  
Waiting Times ◽  
Poisson Model ◽  
Bed Occupancy ◽  
Term Care ◽  
Delayed Discharges ◽  
A Minor ◽  
The Impact

Abstract A core performance target for the English National Health Service (NHS) concerns waiting times at Emergency Departments (EDs), with the aim of minimising long waits. We investigate the drivers of long waits. We analyse weekly data for all major EDs in England from April 2011 to March 2016. A Poisson model with ED fixed effects is used to explore the impact on long (> 4 h) waits of variations in demand (population need and patient case-mix) and supply (emergency physicians, introduction of a Minor Injury Unit (MIU), inpatient bed occupancy, delayed discharges and long-term care). We assess overall ED waits and waits on a trolley (gurney) before admission. We also investigate variation in performance among EDs. The rate of long overall waits is higher in EDs serving older patients (4.2%), where a higher proportion of attendees leave without being treated (15.1%), in EDs with a higher death rate (3.3%) and in those located in hospitals with greater bed occupancy (1.5%). These factors are also significantly associated with higher rates of long trolley waits. The introduction of a co-located MIU is significantly and positively associated with long overall waits, but not with trolley waits. There is substantial variation in waits among EDs that cannot be explained by observed demand and supply characteristics. The drivers of long waits are only partially understood but addressing them is likely to require a multi-faceted approach. EDs with high rates of unexplained long waits would repay further investigation to ascertain how they might improve.

Medical Consequences of Long-term Treatment of Acromegaly

2010 ◽  
Vol 06 ◽  
pp. 68
Author(s):  
Rosario Pivonello ◽  
Renata S Auriemma ◽  
Mariano Galdiero ◽  
Ludovica FS Grasso ◽  
Annamaria Colao ◽  
...  
Keyword(s):  
Signs And Symptoms ◽  
Premature Death ◽  
Term Treatment ◽  
Tumour Mass ◽  
Risk Of Death ◽  
Increased Risk ◽  
Long Term Treatment ◽  
A Minor ◽  
The Impact

This article discusses the impact of long-term treatment of acromegaly on cardiovascular, metabolic, respiratory and articular complications as well as on malignancies. The main goals of treatment of acromegaly include normalisation of biochemical markers of disease activity, improvement in signs and symptoms of the disease, removal or reduction of tumour mass and preservation of pituitary function, together with prevention of complications. Cardiovascular and respiratory complications are the main causes of morbidity and mortality, whereas neoplasms are a minor cause of increased risk of death. Other associated diseases are arthropathy, carpal tunnel syndrome and reproductive disorders. The prolonged elevation of growth hormone (GH) and insulin-like growth factor (IGF)-I levels results in premature death, whereas strong biochemical control improves wellbeing and restores life expectancy to normal.

scholarly journals TCT-190 Transcatheter Closure of Secundum Atrial Septal Defects With the Use of Cocoon Septal Occluders: Immediate and Long-Term Outcomes

2021 ◽  
Vol 78 (19) ◽  
pp. B78
Author(s):  
Santosh Sinha ◽  
Umeshwar Pandey ◽  
Puneet Aggarwal ◽  
Mahmadula Razi ◽  
Awadesh Sharma ◽  
...  
Keyword(s):  
Transcatheter Closure ◽  
Long Term Outcomes ◽  
Septal Defects ◽  
Atrial Septal Defects

scholarly journals Risk Analysis of the Long-Term Outcomes of the Surgical Closure of Secundum Atrial Septal Defects

2017 ◽  
Vol 50 (2) ◽  
pp. 78-85 ◽  
Author(s):  
Hong Rae Kim ◽  
Sung-Ho Jung ◽  
Jung Jun Park ◽  
Tae Jin Yun ◽  
Suk Jung Choo ◽  
...  
Keyword(s):  
Risk Analysis ◽  
Long Term Outcomes ◽  
Surgical Closure ◽  
Septal Defects ◽  
Atrial Septal Defects
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