Developing a Comprehensive Model of Intensive Care Unit Processes: Concept of Operations
Conclusions Engineering health care to be highly reliable will first require an understanding of the processes and work flows that comprise patient care. The ConOps strategy provided a framework for building complex systems to reduce patient harm.
Abstract Objective: The main goal of our study was to assess the impact of vascular procedures on the activity of hemostatic and fibrinolytic pathways. Methods: We enrolled 38 patients with ≥ 45 years old undergoing surgery for abdominal aortic aneurysm or peripheral artery disease under general or regional anesthesia and who were hospitalized at least one night after the procedure. Patients undergoing carotid artery surgery and those who had acute bypass graft thrombosis, cancer, renal failure defined as estimated glomerular filtration rate
Conclusion: Septic CVT prognosis had better than non septic CVT. Hence, CVT presents with wide range of presentations and anticoagulation is the treatment. Septic CVT if intervened timely with proper antibiotics have better prognosis. Antibiotics are the mainstay of therapy for septic CVT. PMID: 31325261 [PubMed - in process]
Conclusion: In patients of ischemic stroke platelet indices may be used for predicting severity of motor deficit. Although larger sample size and multivariate analysis is required before this can be used regularly in clinical practice. PMID: 31325260 [PubMed - in process]
Conclusion: Thrombolysis is effective in majority of patients with pulmonary embolism with right ventricular dysfunction. The bleeding risk is low. PMID: 31325254 [PubMed - in process]
Authors: Krishnan M, N B, K T, S S PMID: 31324093 [PubMed - in process]
Authors: Jain M, Vargese J, Sachan D, Venkataraman J Abstract Von Willebrand factor (vWF) is an adhesive and multimeric glycoprotein that has a central role in primary hemostasis. v W F levels correlate with thrombosis risk and inversely with bleeding risk within the apparently healthy population. Recently, numerous publications in Indian and western literature have focussed to its role in liver diseases like acute liver failure, chronic liver disease, non cirrhotic portal hypertension and tropical infections eg. dengue. The present review encapsulates the recent advances in this aspect. PMID: 31324089 [PubMed - in process]
Endovenous thermal ablation has become the procedure of choice in the treatment of superficial venous reflux disease. The current armamentarium of devices and techniques aimed at the elimination of saphenous reflux offers surgeons and interventionalists a variety of treatment options; however, there is a lack of data comparing the safety of these products. The most concerning complication after endovenous thermal ablation is endothermal heat-induced thrombosis (EHIT) because of the risk of progression to deep venous thrombosis.
Patent false lumen after thoracic endovascular aortic repair (TEVAR) of dissecting aortic aneurysm is associated with a higher risk of rupture and mortality. Coil embolization of the false lumen promotes thrombosis and potentially aortic remodeling.
Catheter-directed thrombolysis in the treatment of iliofemoral acute venous thrombosis often requires more than one interventional session to yield successful outcomes. Catheter-directed thrombolysis is generally expensive, requiring prolonged hospital stay that may be associated with increased local and systemic hemorrhagic complications. Five years ago, we developed a fast-track protocol (FTP) to address these issues. The goal of the FTP is to restore patency during the initial session of thrombolysis, thereby minimizing costs and complications.
Pharmacomechanical thrombolysis (PMT) is an established treatment for acute deep venous thrombosis (DVT) in selected patients. Despite significant clinical success, hemolysis may lead to acute kidney injury (AKI) with unknown longer term implications. Our aim was to characterize the rate of AKI after PMT and to identify patients at highest risk.