The inconsistencies between conventional and global lab tests in cardiosurgeric patient (a clinical case)

2020 ◽  
Vol 1 (1) ◽  
pp. 68-70
Author(s):  
Eugene Roitman ◽  
◽  
Keyword(s):  
Postoperative Period ◽  
Clinical Case ◽  
Early Postoperative Period ◽  
The Other ◽  
Laboratory Methods ◽  
Hemostatic System

The clinical case demonstrates inconsistencies between the results of thromboelastography and conventional coagulation lab tests at the early postoperative period of patient undergoing cardiosurgery. The analyzing of the revealed discrepancy proves that the opposition of laboratory methods as 'one against the other' for studying the hemostatic system is unacceptable.

scholarly journals Uncommon inappropriate shock of subcutaneous defibrillator in early postoperative period due to air in close proximity of shock electrode is presented

2020 ◽  
Vol 26 (4) ◽  
pp. 53-58
Author(s):  
E. B. Kropotkin ◽  
E. A. Ivanitsky ◽  
A. Yu. Cheremisina ◽  
O. V. Kostyleva ◽  
V. A. Sakovich
Keyword(s):  
Case Report ◽  
Postoperative Period ◽  
Clinical Case ◽  
Early Postoperative Period ◽  
Inappropriate Shock ◽  
Subcutaneous Defibrillator ◽  
Close Proximity

Clinical case report of uncommon inappropriate shock of subcutaneous defibrillator in early postoperative period due to air in close proximity of shock electrode is presented.

scholarly journals Q-wave myocardial infarction of lower left ventricular in a female patient in the early postoperative period after lung resection due to tuberculoma

2020 ◽  
Vol 98 (4) ◽  
pp. 53-57
Author(s):  
V. L. Dobin ◽  
A. N. Nikolaev ◽  
N. A. Аrkhipochkina ◽  
M. A. Muravieva ◽  
L. M. Kryukova
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Female Patient ◽  
Postoperative Period ◽  
Clinical Case ◽  
Lung Resection ◽  
Clinical Manifestations ◽  
Left Ventricular ◽  
Early Postoperative Period ◽  
The Right

The article presents a clinical case of myocardial infarction in the early postoperative period after lung resection due to tuberculosis in a 51-year-old patient; clinical manifestations, diagnosis, management tactics and successful treatment are described. In 24 hours after the diagnosis was made, the patient underwent emergency stenting of the right coronary artery in the cardiologic dispensary.The authors state that they have no conflict of interests.

scholarly journals CASE OF SUCCESSFUL CURE OF PROXIMAL TRANSECTION PANCREATIC INJURY IN A 6 YEARS CHILDREN

2019 ◽  
Vol 23 (1) ◽  
pp. 38-39
Author(s):  
A. A. Baulin ◽  
L. I. Pogozhev ◽  
N. A. Popov ◽  
V. P. Shishkanov ◽  
V. V. Sretenskii ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Pancreatic Duct ◽  
Postoperative Period ◽  
Main Pancreatic Duct ◽  
Clinical Case ◽  
Pancreatic Injury ◽  
Early Postoperative Period ◽  
Complete Rupture

The article presents a clinical case of a traumatic complete rupture of the pancreas at the level of the isthmus in a 6-year-old child. Twelve hours after the injury, laparoscopy, laparotomy, a pancreas rupture at the level of the isthmus was performed. Surgical treatment consisted in stenting the main pancreatic duct with a catheter, carrying the latter through a large duodenal nipple, sealing the parenchyma of the gland, and draining the gland bag. In the early postoperative period, no complications were noted. The stent is removed 5 weeks after the operation. The catamnesis was followed for about a year, complications were not observed.

scholarly journals Endovascular interventions in patients with multilevel steno-occlusive lesions of the infrarenal aortic arteries

2021 ◽  
pp. 24-29
Author(s):  
Vasyl Shaprynskyi ◽  
Volodymyr Shaprynskyi ◽  
Vasylysa Suleimanova
Keyword(s):  
Postoperative Period ◽  
Limb Ischemia ◽  
Early Postoperative Period ◽  
The Other ◽  
Peripheral Artery ◽  
Arterial Segment ◽  
Endovascular Interventions ◽  
Atherosclerosis Obliterans ◽  
Peripheral Artery Diseases ◽  
Degrees Of Severity

Peripheral artery diseases are a worldwide medical and social problem. Approximately 30 % of patients with critical limb ischemia will undergo amputations and 25 % will die after 1 year. These patients require reconstructive and angioplastic interventions to preserve the limb. The aim of the study is to compare the effectiveness of different endovascular surgical technologies in patients with multilevel steno-occlusive lesions of the infrarenal aortic arteries. Materials and methods. Among 243 endovascular interventions, 51 patients were presented with multilevel steno-occlusive lesions of the infrarenal aortic arteries as a result of atherosclerosis obliterans. 42 patients (82.4 %) had two-level lesions and 9 (17.6 %) had three-level lesions. Results. Among 42 patients with a two-level lesion, 29 (56.9 %) ones had femoral arterial segment affection in combination with tibial artery affection. 13 (25.5 %) patients suffered from the lesion of the iliac segment in combination with the affection of the femoral segment arteries. In 9 (17.6 %) patients the lesions of three or more levels were determined: an iliac segment in combination with femoral and popliteal arteries – in 4 patients, and in 2 patients there were lesions of the femoral, popliteal and tibial segments, in 3 patients there was a lesion of the iliac, femoral, popliteal and tibial-foot segments in different degrees of severity. 7 balloon angioplasties and 13 stenting procedures were performed in two and three-level lesions in which the iliac arterial segment was affected. Only balloon angioplasty was used to revascularize the infraingvinal arterial segments. In the early postoperative period, the complications included thrombosis appeared in 6 patients. It was possible to restore the blood flow and save the limb only in 3 persons. For the other 3 ones, the attempts to restore the patency of the arteries were unsuccessful and resulted in the amputation of the lower extremity. Mortality in the early postoperative period was 3.9 % (2 death due to myocardial infarction). Conclusions. The persons with multilevel steno-obstructive lesions of the infrarenal aortic arteries are the most difficult category of patients with CLI. The surgical method of choice for patients with multilevel steno-occlusive lesions is the endovascular angioplasty with or without stenting.

INTRAOPERATIVE MITOMYCIN C AND 5 FLUOROURACILAPPLICATION DURING PRIMARY TRABECULECTOMY : A COMPARATIVE STUDY

2021 ◽  
pp. 15-17
Author(s):  
Gopal Prasad Singh ◽  
Urvashi Singh ◽  
Alka Jha
Keyword(s):  
Postoperative Complications ◽  
Mitomycin C ◽  
Postoperative Period ◽  
Early Postoperative Period ◽  
The Other ◽  
Average Period ◽  
Medical College ◽  
Primary Glaucoma

Aim: To compare the outcome variables of these 2 commonly used anti-metabolites 5-Fluorouracil and Mitomycin-C in trabeculectomy surgeries in primary glaucoma. Material & methods: The present study was conducted on 50 eyes of 39 patients of primary glaucoma who underwent trabeculectomy over a period from January 2019 to August 2020 at Darbhanga Medical College & Hospital, Laheriasarai, Darbhanga.The patients were randomly categorized into 2 groups of 25 each. One group received 5-Fluorouracil in the dose of 50 mg/ml for duration of 4 to 5 minutes intraoperatively. The other group received intraoperative Mitomycin-C in the dose of 0.4 mg/ml applied over duration of 2 to 3 minutes. Result:Maximum complications were seen during early postoperative period in which maximum number were seen with POAG (9 cases) followed by PACG (5 cases). Late postoperative complications were seen in POAG and PACG (2 in each). Conclusion:Long-term complications may only become apparent many years later. Since our study had average period follow up of about 42 weeks, we are not able to comment on the long-term complications following the use of these drugs. In this study both 5-Fluorouracil and Mitomycin-C were found to be equally safe.

scholarly journals Acute pulmonary non-cardiogenic edema after extubation with laryngospasm: a case report

2018 ◽  
Vol 6 (7) ◽  
pp. 2528 ◽  
Author(s):  
Juan J. Granados-Romero ◽  
Alan I. Valderrama-Treviño ◽  
Gerardo Arauz-Peña ◽  
Javier Alcazar-Castro ◽  
German E. Mendoza-Barrera ◽  
...  
Keyword(s):  
Case Report ◽  
Pulmonary Edema ◽  
Laparoscopic Appendectomy ◽  
Postoperative Period ◽  
Negative Pressure ◽  
Clinical Case ◽  
Early Postoperative Period ◽  
Cardiogenic Pulmonary Edema ◽  
Acute Pulmonary Edema ◽  
Surgical Patient

Acute pulmonary edema post extubation due to negative pressure with laryngospasm in the early postoperative period has been reported and may occur at any time during anesthesia. The usual treatment consists of respiratory support and diuretics. We present the clinical case of a 15-year-old patient who underwent laparoscopic appendectomy, who presented acute non-cardiogenic pulmonary edema in the postoperative period. This complication can be presented in any surgical patient intubated, so it is important to know the pathophysiological basis to be able to diagnose and treat this pathology.

Combined Extended High Spinal Anesthesia and Endotracheal Narcosis: a Clinical Case

2019 ◽  
Vol 4 (2) ◽  
pp. 152-154
Author(s):  
A. B. Yakushevsky ◽  
A. N. Plekhanov ◽  
A. B. Ayusheev
Keyword(s):  
Abdominal Surgery ◽  
Spinal Anesthesia ◽  
Postoperative Period ◽  
Initial Dose ◽  
Clinical Case ◽  
Central Hemodynamics ◽  
Narcotic Analgesics ◽  
Spinal Catheter ◽  
The Right ◽  
Endotracheal Anesthesia

Background. In recent years, various methods of combined anesthesia during abdominal surgery have been introduced into clinical practice.Aim. To demonstrate the possibilities of a combination of high prolonged spinal anesthesia and endotracheal anesthesia during abdominal surgery.Materials and methods. A clinical case of combined use of high prolonged spinal anesthesia and endotracheal anesthesia in a 48-year-old patient with a tumor in the right half of the ascending part of the right half of the colon is presented.Results. The patient received a puncture of the spinal space at a standard point and was installed a spinal catheter in the cranial direction for 3 cm. An isobaric solution of marcaine in the initial dose of 20 mg was injected into the catheter. The regulation of the development of the block was regulated by the inclination of the head end of the table by 60°. After that endotracheal anesthesia was performed on the basis of fentanyl and propofol. This combination allowed to expand the scope of surgical intervention, provided adequate pain relief intraoperatively and in the postoperative period, without the use of narcotic analgesics. With the appearance of signs of recovery of pain sensitivity, intraoperatively or in the postoperative period, re-introduction of the anesthetic into the spinal catheter was performed in half of the initial dose with liquor barbotage. In the early postoperative period, the patient was on strict bed rest with a head end of the bed raised at 30–45°. The method provides complete segmental blockade and muscle relaxation in the area of operation, stability of central hemodynamics during surgery and in the postoperative period.Conclusion. This type of anesthesia is more easily tolerated by patients, accompanied by early awakening and extubation, characterized by stability of central hemodynamics, reduced risk of complications, the possibility of prolonging anesthesia with lower doses of narcotic analgesics in the intraoperative period, providing high-quality anesthesia in the postoperative period without resorting to the use of narcotic analgesics.

Sign in / Sign up

Export Citation Format

Share Document