scholarly journals Oxygen therapy

2020 ◽  
Vol 24 (2) ◽  
pp. 249-250
Author(s):  
Mayuri Gupta ◽  
Pranav Bansal ◽  
Shivani Sharma
Keyword(s):  
Respiratory Distress ◽  
Emergency Room ◽  
Respiratory Rate ◽  
Male Patient ◽  
Oxygen Therapy ◽  
Face Mask ◽  
The Past ◽  
History Of ◽  
Accessory Muscles

A 55-year old male patient with history of smoking for the past 30-years presents to emergency room with complains of respiratory distress since 2-days. On examination his respiratory rate is 30/min with accessory muscles of respiration at work. His SpO2 is 82% on room air. He is administered O2 via face mask with reservoir bag @ 5 L/min and improvement in SpO2 observed is 90%. His is therefore administered a trial of BIPAP and his condition stabilizes over next few hours.

Comorbid Depressive Disorders in Epilepsy

CNS Spectrums ◽  
2010 ◽  
Vol 15 (S4) ◽  
pp. 3-6 ◽  
Author(s):  
Andres M. Kanner ◽  
Andrew J. Cole
Keyword(s):  
Emergency Room ◽  
Depressive Disorders ◽  
Clonic Seizure ◽  
Resonance Imaging ◽  
Abnormal Signal ◽  
The Past ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
History Of Depression

A 27-year-old woman presented to the emergency room after having witnessed generalized tonic clonic seizure while asleep. Birth and development were normal. She had suffered a single febrile seizure at 13 months of age, but had no other seizure risk factors. She was otherwise well except for a history of depression for which she was taking sertraline. Depressive symptoms had been well controlled over the past 3 months, but she had been under increased stress working to finish a doctoral thesis. Neurological examination was normal. Magnetic resonance imaging (MRI) showed modest asymmetry of the hippocampi, slightly smaller on the right, but no abnormal signal and well-preserved laminar anatomy. An electroencephalogram was negative. She was discharged from the emergency room with no treatment. Three weeks later, the patient's boyfriend witnessed an episode of behavioral arrest with lip smacking and swallowing automatisms lasting 45 seconds, after which the patient was confused for 20–30 minutes. The next morning she and her boyfriend kept a previously scheduled appointment with a neurologist.

scholarly journals HISTORICAL DEVELOPMENT OF THE HYPERBARIC OXYGENATION

2021 ◽  
Vol 27 (2) ◽  
pp. 3772-3777
Author(s):  
Krasimira Tsankova ◽  
◽  
Mila Dimitrova ◽  
Keyword(s):  
Hyperbaric Oxygen ◽  
Hyperbaric Oxygen Therapy ◽  
Historical Development ◽  
Oxygen Therapy ◽  
Hyperbaric Oxygenation ◽  
The Past ◽  
History Of ◽  
Hyperbaric Medicine ◽  
Physical Laws ◽  
Based Medicine

Background: Hyperbaric oxygenation (HBO) is a treatment in which a patient breathes near 100% oxygen within a chamber at a pressure greater than one atmosphere absolute (ATA). The development of hyperbaric medicine is continuous and associated with the history of underwater activities, the development of physical laws and physiological mechanisms of breathing. Purpose: The aim of this article is to present the development of hyperbaric oxygenation internationally and nationally. Materials and Methods: We have conducted a literature review of the published works on hyperbaric oxygen therapy (HBOT) during the last 100 years. Our survey includes scientific reports and books in English and Bulgarian. Results: Three main periods of the historical development of HBOT can be defined. In the past, HBO did not have much scientific support but is extensively used in the field of medicine. We observed an increase in scientific interest in HBO during the last two decades both in our country and worldwide. The majority of the reviewed articles contained information about different aspects of HBO as clinical uses, effects, risks. HBOT has been used as a primary and adjuvant treatment for a variety of diseases for nearly 50 years in Bulgaria. The main areas of application and researches of hyperbaric oxygen therapy include diving diseases, intoxications, traumatic injuries, soft tissue infections, diabetic foot, hearing loss, some neurological disorders, etc. Conclusion: Over the past decades, hyperbaric oxygen therapy has grown rapidly worldwide in accordance with evidence-based medicine methods, and future developments to expand the knowledge are perspective.

scholarly journals Medical Image of the Month: Severe Acute Respiratory Distress Syndrome and Embolic Strokes from Polymethylmethacrylate (PMMA) Embolization

2021 ◽  
Vol 22 (4) ◽  
pp. 86-87
Author(s):  
Sooraj Kumar ◽  
Sharanyah Srinivasan ◽  
Tammer El-Aini
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Emergency Room ◽  
Medical Image ◽  
Distress Syndrome ◽  
Depression And Anxiety ◽  
History Of ◽  
The Brain ◽  
History Of Depression

No abstract available. Article truncated after 150 words. A 35-year-old lady with a history of depression and anxiety presented to the emergency room with worsening shortness of breath after receiving polymethylmethacrylate (PMMA) injections in her buttock for cosmetic purposes in Mexico. Immediately after the injection in the outpatient office, she became acutely short of breath, tachypneic, and tachycardic. She was brought to the emergency room where she was hypoxic with oxygen saturations in the low 80s on a non-rebreather, tachypneic with a respiratory rate in the 40s, and tachycardic with heart rates in 140s. She was emergently intubated. A CTA of the chest demonstrated bilateral ground glass opacities throughout, most pronounced in the upper lobes which progressed to significant bilateral airspace disease consistent with acute respiratory distress syndrome (Figure 1). Her neurological examination declined over the course of her hospitalization. An MRI of the brain with contrast demonstrated bilateral foci of susceptibility artifact throughout the entirety of the …

scholarly journals A 14-Year-Old Boy with Unusual Presentation of Respiratory Distress

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Adam W. Powell ◽  
Samuel Hanke ◽  
James S. Tweddell ◽  
Nicolas Madsen
Keyword(s):  
Respiratory Distress ◽  
Emergency Room ◽  
Surgical Resection ◽  
Persistent Asthma ◽  
Unusual Presentation ◽  
Cor Triatriatum ◽  
Minimal Improvement ◽  
History Of ◽  
Mild Persistent Asthma ◽  
High Degree

There are multiple cardiac etiologies for wheezing and respiratory distress which require a high degree of suspicion for the pediatrician to diagnose. We present a case of a patient with a history of long-standing mild persistent asthma with minimal improvement on controller and bronchodilator therapies who presented to the emergency room with acute respiratory distress. When he demonstrated a lack of improvement with traditional respiratory therapies, additional etiologies of respiratory distress were considered. Ultimately an echocardiogram was performed, which revealed the diagnosis of cor triatriatum. He underwent surgical resection of his accessory membrane and has had no additional symptoms of asthma since repair.

scholarly journals EFFECT OF KUNJAL KRIYA AND AGASTYA HARITKI RASAYANA IN TAMAKA SHWASA W.S.R BRONCHIAL ASTHMA: A CASE STUDY

2021 ◽  
Vol 9 (12) ◽  
pp. 3169-3173
Author(s):  
Neerja R. Sharma ◽  
Hemant Kumar
Keyword(s):  
Respiratory Distress ◽  
Bronchial Asthma ◽  
Male Patient ◽  
Human Race ◽  
Body Tissues ◽  
History Of ◽  
Cardinal Symptoms ◽  
Chronic Course ◽  
Sincere Effort

Tamaka Shwasa (Bronchial asthma) is one of the stressful medical conditions of today's era and is well known for its episodic and chronic course which affects the whole human race. Tamaka shwasa is a disease in which the pa- tient experiences severe symptoms of respiratory distress with extreme weakness, fatigue and mental glooming. Tamaka Shwasa can be correlated with the disease Bronchial Asthma based on its features & etiopathogenesis. Here the sincere effort has been made using Kunjal kriya a shodhana chikitsa and Agastya Haritaki as Rasayana. Rasayana plays an important role in the rejuvenation of body tissues and providing strength to patients. A male patient of Age 40 years with a history of Tamaka shwasa from last 5 years. The Patient has all classical symptoms like Shwasakashtata, Kasa, Kaphashteevan, Aruchi, Parshvashula, Asino Labhate Saukhyam, Ghurghuraka comes at O.P.D of Govt. Ayurvedic Hospital Model Gram Ludhiana, On Auscultation of chest wheezing present bilater- ally in lungs. The patient was using short-acting Bronchodilator puffs almost 3-4 puffs in a day. So, this case of Tamaka shwasa is treated with Kunjal Kriya a Yogic Shodhana Karma once a week followed by Rasayana for four weeks. All this was done after examination of Bala of the Patient. In this case, it was observed patient got good relief in all cardinal symptoms of Tamaka shwasa. Keywords: Rasayana, Kunjal Kriya, Tamaka Shwasa

scholarly journals From today to the past: the cupping therapy as a form of alternative medicine

2021 ◽  
Vol 7 (4) ◽  
pp. 251
Author(s):  
Tânia P. Batista ◽  
Paula F. Manuel ◽  
Eurico L. Oliveira
Keyword(s):  
Pain Relief ◽  
Alternative Medicine ◽  
Emergency Room ◽  
Male Patient ◽  
Symptomatic Relief ◽  
Cupping Therapy ◽  
Traditional Treatment ◽  
The Past ◽  
Appropriate Therapy ◽  
Clinical Worsening

<p class="abstract">For thousands of years, the cupping therapy usually used as traditional treatment for pain relief and as cure of disease among its main purposes. We described a case of a 76-year-old male patient, who used the cupping therapy to symptomatic relief and home treatment for pneumonia. The patient showed clinical worsening, which lead him to the emergency room with a subsequent favourable clinical evolution after appropriate therapy.</p>

Predictors of inflammatory lower airway disease in cats presented to the emergency room in respiratory distress: a case-control study

2021 ◽  
pp. 1098612X2199614
Author(s):  
Nolan V Chalifoux ◽  
Kenneth J Drobatz ◽  
Erica L Reineke
Keyword(s):  
Pleural Effusion ◽  
Physical Examination ◽  
Respiratory Distress ◽  
Respiratory Rate ◽  
Venous Blood ◽  
Multivariable Analysis ◽  
Airway Disease ◽  
Final Diagnosis ◽  
Lower Airway ◽  
History Of

Objectives The objective of the study was to identify whether venous blood gas (VBG) variables may serve as a predictor of inflammatory lower airway disease (ILAD) in cats presenting with respiratory distress. A secondary objective of this study was to compare the diagnostic utility of patient signalment, history and physical examination findings, as compared with VBG variables. Methods The medical records of cats presenting with respiratory distress secondary to ILAD (54 cases) and non-ILAD (121 controls) were retrospectively reviewed. Results No admission VBG variables were predictive of a final diagnosis of ILAD. Comparatively, multivariable analysis identified a history of a cough ( P <0.001), increased respiratory rate ( P = 0.001), the presence of an abdominal component to respiration ( P = 0.007) and the absence of pleural effusion ( P <0.01) to be independently associated with a final diagnosis of ILAD. Cats with a history of a cough and an abdominal component to respiration had 7.86 and 5.81 greater odds of being diagnosed with ILAD, respectively. Cats with pleural effusion had 7.43 lower odds of having this final diagnosis. For every 10 breaths/min increase in respiratory rate, cats had 1.48 greater odds of being diagnosed with ILAD. Cats diagnosed with ILAD had a survival rate of 94% (95% CI 84–99%) vs 61% (95% CI 51–70%) for non-ILAD controls ( P <0.001). Conclusions and relevance The results of this study found patient history and physical examination findings to be more useful predictors of a final diagnosis of ILAD in comparison with VBG variables at presentation. A history of a cough, an abdominal component to respiration and a lack of pleural effusion were found to be significant predictors of this diagnosis. Further investigation into the role of respiratory rate in ILAD is warranted.

Non-Invasive CPAP Ventilation in Acute Carbon Monoxide Poisoning

2019 ◽  
Vol 34 (04) ◽  
pp. 454-455 ◽  
Author(s):  
Hasan Idil ◽  
Orkun Unek
Keyword(s):  
Carbon Monoxide ◽  
Male Patient ◽  
Oxygen Therapy ◽  
Carbon Monoxide Poisoning ◽  
Symptomatic Relief ◽  
Co Poisoning ◽  
Non Invasive ◽  
Cpap Ventilation ◽  
History Of

AbstractOxygen is the main treatment of carbon monoxide (CO) poisoning. In two simultaneous cases, the efficacy of conventional and continuous positive airway pressure (CPAP)-administered oxygen therapy was compared. A 63-year-old man and his 58-year-old wife were brought to the emergency department with complaints of dizziness, headache, and nausea. The man had a history of congestive heart failure and additionally had shortness of breath. Initial carboxyhemoglobin (COHb) values were 26% in the male patient and 24% in his wife. For the female patient, oxygen therapy was performed with a reservoir balloon mask; a CPAP device was used for the male patient. The COHb levels decreased below five percent after approximately two hours in the male patient and at the end of five hours in his wife. In follow-up, symptomatic relief was achieved in both patients and no additional complications were observed. According to our experience, CPAP ventilation can be a new and effective method for oxygen therapy in CO poisoning.

CLINICAL EVALUATION OF RESPIRATORY INSUFFICIENCY IN NEWBORN INFANTS

PEDIATRICS ◽  
1955 ◽  
Vol 16 (4) ◽  
pp. 427-437
Author(s):  
Herbert C. Miller ◽  
Eugene V. Conklin
Keyword(s):  
Respiratory Distress ◽  
Respiratory Rate ◽  
Chest Wall ◽  
Clinical Evaluation ◽  
Respiratory Insufficiency ◽  
Oxygen Therapy ◽  
Newborn Infants ◽  
Clinical Observations ◽  
Respiratory Behavior

Detailed clinical observations were made on the respiratory behavior of 96 newborn infants, 69 of whom were prematurely born. It was found that the infants could be divided into 3 main groups depending on the trend taken by their respiratory rates during the first few hours following birth. All of the severe respiratory insufficiency and all the deaths occurred in the group of infants whose respiratory rates were approximately normal during the first hour but subsequently increased to 60 or more per minute sometime during the next 2 days. Some of the latter infants died during this 48-hour period of initial respiratory distress; others appeared to recover and some of these died a few days later. There was a greater tendency for infants whose birth weights were 1500 gm. or less to have an increase in their respiratory rates during the first day or two following birth than for infants who weighed more than 1500 gm. at birth. The trend of the respiratory rate was helpful in planning oxygen therapy during the first 2 days. Satisfactory criteria for using oxygen therapy after the first 2 days were not developed from the data in this study. Retraction of the chest wall on inspiration during the first 24 hours was minimal or absent in infants whose respiratory rates did not increase after the first hour.

scholarly journals Resection of middle petroclival meningioma via combined anterior transpetrosal and retrosigmoid approaches at two separate stages: 3D operative video

2017 ◽  
Vol 43 (videosuppl2) ◽  
pp. V12 ◽  
Author(s):  
Ihsan Dogan ◽  
Pinar Eser Ocak ◽  
G. Mark Pyle ◽  
Mustafa K. Başkaya
Keyword(s):  
Skull Base ◽  
Male Patient ◽  
Individual Case ◽  
Surgical Approaches ◽  
Petroclival Meningioma ◽  
The Past ◽  
Surgical Access ◽  
Petroclival Meningiomas ◽  
Wide Range ◽  
History Of

Surgical access to the petroclival region poses a challenge to neurosurgeons. A wide range of approaches has been demonstrated in the past. In this video, the authors present a 69-year-old male patient who presented with 3-month history of worsening left-sided numbness. The tumor was totally removed in 2 sessions via anterior transpetrosal and retrosigmoid approaches, respectively. The authors demonstrate 2 separate skull base approaches to resect a petroclival meningioma and discuss pitfalls and problems of management for challenging meningiomas. The authors suggest that surgical approaches to petroclival meningiomas should be selected based on an individual case. A skull base team should be versatile in performing all these approaches.The video can be found here: https://youtu.be/BCVrn3TeNvE.

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