OR02: A New Prognostic Indicator in Septic Shock: Muscle Mass Measured by the Thickness of Quadriceps in Ultrasound

Source: Clinical Nutrition - Category: Nutrition Authors: Tags: Oral Communication I : Critical Care Source Type: research

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Publication date: March 2020Source: Anesthesiology Clinics, Volume 38, Issue 1Author(s): Nibras Bughrara, Jose L. Diaz-Gomez, Aliaksei Pustavoitau
Source: Anesthesiology Clinics - Category: Anesthesiology Source Type: research
Introduction:Sepsis is a systemic infection that can rapidly progress into multi organ failure and shock if left untreated. Previous studies have demonstrated the utility of point of care ultrasound (POCUS) in the evaluation of patients with sepsis. However, limited data exists on the evaluation of the tricuspid annular plane of systolic excursion (TAPSE) in patients with sepsis.Methods: We prospectively enrolled patients who presented to the emergency department (ED) with concern for severe sepsis or septic shock in a pilot study. In patients that screened positive, the treating physician then performed POCUS to measure t...
Source: Western Journal of Emergency Medicine - Category: Emergency Medicine Source Type: research
Publication date: Available online 21 December 2019Source: Journal of Critical CareAuthor(s): RodrigoCerqueira Borges, Hermes Vieira Barbeiro, Denise Frediani Barbeiro, Francisco Garcia SorianoAbstractPurposeTo date, the relationship between systemic inflammation and muscle changes observed by ultrasonography in septic patients in clinical studies is not known. Furthermore, the role of vitamin D on muscle changes in these patients needs to be investigated.Materials and methodsForty-five patients admitted to the ICU due to severe sepsis or septic shock. Blood samples were collected to evaluate systemic inflammation (interle...
Source: Journal of Critical Care - Category: Gastroenterology Source Type: research
CONCLUSIONS: The implementation of protocols and advanced technologies have reduced sepsis mortality. In resource-poor settings, good practices such as early sepsis identification, antibiotic administration, and careful fluid infusion are the cornerstones of sepsis management. PMID: 31843507 [PubMed - as supplied by publisher]
Source: Jornal de Pediatria - Category: Pediatrics Authors: Tags: J Pediatr (Rio J) Source Type: research
ConclusionHepatic and portal vein Doppler ultrasounds are venous hypertension assessment tools that can be readily used at the bedside by clinicians trained in POCUS that may contribute holistically to the hemodynamic profiling for patients with right heart failure and direct therapeutic interventions.
Source: Critical Ultrasound Journal - Category: Radiology Source Type: research
Conclusions Ultrasound enables identification of specific early diaphragm atrophy that affects the majority of mechanically ventilated patients and septic shock patients. Diaphragm atrophy and pectoral muscle atrophy seem to be two unrelated processes.
Source: Anesthesiology - Category: Anesthesiology Source Type: research
We present a case of a medically complex patient with presumed septic shock, diagnosed with a large pericardial effusion with evidence of tamponade using the rapid ultrasound in shock and hypotension protocol. The point-of-care ultrasound examination allowed for more timely and definitive management.
Source: Pediatric Emergency Care - Category: Emergency Medicine Tags: Ultrasound Case Review Source Type: research
RESUMO O traumatismo card íaco é comum em acidentes com veículos automotores. Uma mulher com 50 anos de idade foi transportada para nosso hospital após sofrer múltiplos traumatismos em um acidente de automóvel quando dirigia em alta velocidade. Após admissão à unidade de terapia intensiva, uma ultrassonografia cardí aca revelou ruptura traumática de músculo papilar da valva tricúspide e forame oval patente, enquanto se observou, no exame físico, o sinal de Lancisi. Foi realizado tratamento cirúrgico com anuloplastia da ...
Source: Revista Brasileira de Terapia Intensiva - Category: Intensive Care Source Type: research
ConclusionAlthough rare, tricuspid endocarditis is not exceptional and occurs in a context that favors. The operative indication is rarely hemodynamic, but rather infectious to eradicate an antibiotic resistant focus. Overall prognosis of remains better than the left side.
Source: Archives of Cardiovascular Diseases Supplements - Category: Cardiology Source Type: research
Publication date: Available online 10 May 2019Source: IDCasesAuthor(s): Sara Belga, Will Chen, Gavin Low, Carlos CerveraAbstractXanthogranulomatous (XG) prostatitis is a rare form of granulomatous prostatitis characterized by a benign inflammatory process of non-specific etiology that clinically may mimic carcinoma. Few cases have been reported in the English language medical literature, with only four reported cases presenting as prostatic abscesses. A 70-year-old male with type 2 diabetes mellitus and two previous kidney transplants presented with septic shock secondary to Pseudomonas aeruginosa bacteremia 4 days after u...
Source: IDCases - Category: Infectious Diseases Source Type: research
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