scholarly journals EVALUATION OF PUNCTURE DRAINING INTERVENTIONS EFFICACY IN PATIENTS WITH PANCREATIC FLUID COLLECTIONS

2020 ◽  
Vol 24 (3-4) ◽  
pp. 3-5
Author(s):  
Ohanezian Aikanush
Keyword(s):  
Ultrasound Guidance ◽  
Minimal Invasive ◽  
Ultrasound Guided ◽  
Septic Complications ◽  
Surgical Interventions ◽  
Group I ◽  
Specific Sign ◽  
Group Ii ◽  
Ultrasound Guided Puncture ◽  
Guided Puncture

The aim of the research is to evaluate the effectiveness of ultrasound guided punctures and drainage for FCs in AP. The results of the examination and treatment of 72 patients with FCs in AP who have been treated using step up approach in the period from 2010 till 2018 are analyzed. Patients were divided on two groups: The first group included 40 patients, who underwent draining of FCs under ultrasound guidance as a first stage of treatment. The second group included 32 patients, who underwent puncture of FCs under ultrasound guidance as the first stage of treatment. In the majority of patients in Group I (65.0%) we observed acute post-necrotic FCs. In 30 (75.0%) patients draining under ultrasound guidance was final in treatment. 10 (25.0%) patients with infected acute postnecrotic FCs, after drainage and aspiration underwent necrectomy. In most of patients of group II (62.5%) were noted acute postnecrotic FCs too. 17 patients underwent ultrasound guided puncture and aspiration of FCs. 15 patients of group II underwent drainage of acute post-necrotic FCs under the ultrasound guidance. In 11 (73.3%) of them the drainage of FCs was definitive in treatment, 4 (26.7%) - required the necrosectomy. In group II, in 81.2% patients minimal invasive surgical interventions were effective. SIRS was noted as in patients with aseptic FCs so in patients with infected FCs. In patients with acute pancreatitis, the duration of the disease up to 4 weeks, as well as the presence of SIRS, is not a specific sign of infection only. Ultrasound-guided diagnostic puncture of FCs is a safe method that facilitates early diagnosis of infected FCs. Ultrasound guided puncture with aspiration can reduce the incidence of purulent-septic complications and be definitive in treatment for aseptic acute parapancreatic FCs and aseptic acute post-necrotic FCs. Infected FCs without suppuration do not require routine drainage. Drainage is absolutely indicated in case of purulent content and persistent SIRS in patients after primary puncture of infected FCs.

scholarly journals ADVANTAGES OF INTRATHECAL BUPIVACAINE AND DEXMEDETOMIDINE COMBINATION OVER BUPIVACAINE AND CLONIDINE: A COMPARATIVE ANALYSIS IN GYNAECOLOGICAL INTERVENTIONS

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Aruna Mahanta ◽  
Keshav Saran Agrawal
Keyword(s):  
Regional Anaesthesia ◽  
Motor Block ◽  
Surgical Intervention ◽  
Average Duration ◽  
Sensory Block ◽  
Lower Side ◽  
Regional Analgesia ◽  
Surgical Interventions ◽  
Group I ◽  
Group Ii

Background: most of the gynaecological interventions are generally done under regional anaesthesia. Currently dexmedetomidine came out as a beneficial adjunct for regional analgesia as well as anaesthesia. It is a highly selective α-2 agonist. Aims & objectives: to compare the effects & behavior of dexmedetomidine with clonidine when both are used with bupivacaine for spinal analgesia. Material and Methods: 100 cases of ASA grade 1 & 2 who were undergoing elective gynaecological surgical intervention were studied. They were divided into two groups (50 each). Group I received combination of bupivacaine & clonidine while group II received combination of bupivacaine + dexmedetomidine. Results: Average duration of onset of sensory block was earlier in group II. Arrival of motor block in Group I was slightly on lower side than Group II. Ten cases in Group I and eighteen cases from group II had notable bradycardia and hypotension. Discussion: Our study concludes that dexmedetomidine when used in combination with bupivacaine is very effective in gynaecological surgical interventions that demand longer duration & have comparatively lesser side effects. Keywords: dexmedetomidine, clonidine, Bupivacaine, gynaecological procedures.

scholarly journals Pneumothorax Complicating Port-a-Cath and Groshong Catheter Positioning in Children: Our Experience before Routine Ultrasound-Guided Puncture

2013 ◽  
Vol 03 (08) ◽  
pp. 345-348
Author(s):  
Silvia Guenzani ◽  
Paola Previtali ◽  
Federico Piccioni ◽  
Maria Chiara Allemano ◽  
Serena Catania ◽  
...  
Keyword(s):  
Ultrasound Guided ◽  
Ultrasound Guided Puncture ◽  
Guided Puncture

Direct ultrasound-guided puncture of vertebral artery V2 segment during mechanical thrombectomy

2021 ◽  
Vol 14 (1) ◽  
pp. e238979
Author(s):  
Vittorio Semeraro ◽  
Fulvio Gasparrini ◽  
Sofia Vidali ◽  
Roberto Gandini
Keyword(s):  
Vertebral Artery ◽  
Basilar Artery ◽  
Time Lapse ◽  
Respiratory Arrest ◽  
Ultrasound Guided ◽  
Percutaneous Puncture ◽  
Complete Recanalisation ◽  
Ultrasound Guided Puncture ◽  
Guided Puncture ◽  
Distal Occlusion

An 83-year-old man experienced left upper limb uncontrolled movements preceded by intense gasping during night rest, which progressed to unconsciousness and respiratory arrest requiring intubation. He was diagnosed with acute stroke due to distal occlusion of the basilar artery and received indication for endovascular thrombectomy. Standard endovascular approach includes percutaneous puncture of the femoral or radial arteries; however, the presence of unfavourable vascular anatomies (stenotic origin and tortuosity) did not allow catheterisation of the intracranial vessels through conventional access, and based on the consistent time lapse from onset of symptoms and deterioration of the clinical condition, a direct right vertebral artery ultrasound-guided puncture was performed. After one attempt of a triaxial technique, a complete recanalisation of the basilar artery and of its distal branches was achieved. Direct percutaneous puncture of the vertebral artery represents a rescue access strategy for treatment of posterior circulation stroke when other routes are not feasible.

Ultrasound-Guided Puncture for Gynaecological and Pelvic Lesions

1985 ◽  
Vol 25 (3) ◽  
pp. 227-229 ◽  
Author(s):  
Lachlan Ch Crespigny ◽  
Hugh P. Robinson ◽  
Ruth AM Davoren ◽  
Denys W. Fortune
Keyword(s):  
Ultrasound Guided ◽  
Ultrasound Guided Puncture ◽  
Guided Puncture ◽  
Pelvic Lesions

Unplanned ultrasound-guided puncture of a tracheal balloon in a premature infant with congenital diaphragmatic hernia

2014 ◽  
Vol 7 (4) ◽  
pp. 311-313
Author(s):  
S. Rugolotto ◽  
L. Giacomello ◽  
G. El-Dalati ◽  
L. Sacchetto ◽  
L. Antonello ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Premature Infant ◽  
Diaphragmatic Hernia ◽  
Ultrasound Guided ◽  
Ultrasound Guided Puncture ◽  
Guided Puncture

Interfascial block by ultrasound-guided puncture for the treatment of myofascial pain of the trapezius muscle.

2012 ◽  
Vol 16 (3) ◽  
pp. 405-406
Author(s):  
Tomás Domingo-Rufes ◽  
Maribel Miguel-Pérez ◽  
Victor Mayoral ◽  
Juan Blasi ◽  
Antonio Sabaté
Keyword(s):  
Myofascial Pain ◽  
Trapezius Muscle ◽  
Ultrasound Guided ◽  
Ultrasound Guided Puncture ◽  
Guided Puncture
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