A rare case of double kidney stones and Emphysematous Pyelonephritis presenting with septic shock
Publication date: Available online 2 April 2020Source: Urology Case ReportsAuthor(s): Wubin Tan, Tieqiu Li, Ke Yang, Zheng Mao, Jiahui Li
No recommendation exists about the timing and setting for tracheal intubation and mechanical ventilation in septic shock.
ConclusionsDay-surgery PCNL can be safely performed via multiple percutaneous tracts by experienced surgeons and is an efficient strategy for the treatment of complex renal stones.
A new urine-based testing system can diagnose people with kidney stones in 30 minutes or less, a study published Friday in the journal Science Advances has found.
Condition: Trans Cranial Doppler Ultrasonography in Heamodynamic Optimisation in Septic Shock Intervention: Procedure: hemodynamic optimisation aiming to achieve normal cerebral perfusion Sponsor: Mongi Slim Hospital Recruiting
Conditions: Hypouricemia, Renal; Urolithiasis Interventions: Drug: Febuxostat 40mg Tab; Behavioral: Non-drug control group Sponsor: Xuhui Central Hospital, Shanghai Enrolling by invitation
(Penn State) An improved urine-testing system for people suffering from kidney stones inspired by nature and proposed by researchers from Penn State and Stanford University may enable patients to receive results within 30 minutes instead of the current turnaround time of a week or more.
Objectives: Sepsis is the most common and costly diagnosis in U.S.’ hospitals. Despite quality improvement programs and heightened awareness, sepsis accounts for greater than 50% of all hospital deaths. A key modifier of outcomes is access to healthcare. The Affordable Care Act, passed in 2010, expanded access to health insurance coverage. The purpose of this study was to evaluate changes in insurance coverage and outcomes in patients with severe sepsis and septic shock as a result of the full implementation of the Affordable Care Act. Design: This retrospective study uses data from the Healthcare Cost and Utili...
Conclusions: Severe B-cell abnormalities are present in the immunosuppressive phase of septic shock and are associated with prognosis.
AbstractPurposeAcute pyelonephritis (AP), a complication of urolithiasis, can be fatal if it progresses to septic shock. We aimed to evaluate the performance of excretory phase computed tomography (CT) in predicting bacteremia among AP patients with upper urinary tract calculi.MethodsWe reviewed medical records of 250 patients diagnosed with AP and upper urinary tract calculi and who were admitted to our institute. We analyzed 132 patients who underwent excretory phase CT. Excretory phase CT images were obtained 7 min after injection with the contrast agent. Obstruction was classified either as high or low grade. Uni...
Conclusions: Serum albumin level was the significant risk factor for the development of uroseptic shock from calculous APN. Emergency drainage to decompress the obstructed urinary tract is mandatory as an initial urological intervention for the patients with lower serum albumin level.Urol Int