Fluid Responsiveness Predictability in Immediate Postoperative Pediatric Cardiac Surgery. Is the Old Slandered Central Venous Pressure Back Again?

Conclusions: In a distinct population of mechanically ventilated, young, pediatric cardiac patients in the immediate postoperative period, SPV, USCOM preload parameters, as well as IVC-based parameters by bedside ultrasound failed to predict fluid responsiveness. Dynamic CVP change over several hours was the only parameter that yielded significant but modest fluid responsiveness predictability.
Source: Shock - Category: Emergency Medicine Tags: Clinical Science Aspects Source Type: research

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Objective A method for measuring intracranial pressure (ICP) noninvasively has long been sought after in neurology and neurosurgery. Treatment failure in individuals presenting with unspecific symptoms such as headache, gait disturbance, or visual impairment occurring in response to increased ICP can lead to irreversible brain injury, progressive disability, and death. Guidelines for diagnostic ICP measurement recommend intracranial placement of pressure tip catheters or lumbar puncture (LP) despite their invasiveness and possible complications. As ICP fluctuations are closely associated with changes in brain stiffness...
Source: Investigative Radiology - Category: Radiology Tags: Original Articles Source Type: research
AbstractThe concept of point-of-care ultrasound has been widely accepted owing to the development of portable ultrasound systems and growing body of evidence concerning its extensive utility. Thus, it is reasonable to suggest that training to use this modality be included in undergraduate medical education. Training in ultrasonography helps medical students learn basic subjects such as anatomy and physiology, improve their physical examination skills, and acquire diagnostic and procedural skills. Technological advances such as simulators, affordable handheld devices, and tele-ultrasound systems can facilitate undergraduate...
Source: Journal of Medical Ultrasonics - Category: Radiology Source Type: research
ConclusionsLevator ani muscle trauma can reliably be diagnosed during all assessment periods. However, the agreement between A1 and A2 was only moderate to good. This can be explained by hematomas inside the LAM that were only observed early postpartum. We observed some anatomical improvement at A3, but no complete avulsion improved to an intact LAM.
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
CONCLUSION: With 73.2% recurrence, corticosteroid injections do not appear to be effective in treating dorsal ganglion cysts of the wrist. They lead to an improvement in the functional score of the wrist, but not significantly compared to treatment abstinence.LEVEL OF EVIDENCE: IV.PMID:35031514 | DOI:10.1016/j.otsr.2022.103198
Source: Hand Surgery - Category: Surgery Authors: Source Type: research
Tissue Cell. 2022 Jan 7;75:101730. doi: 10.1016/j.tice.2022.101730. Online ahead of print.ABSTRACTLacunar-canalicular (LC) permeability involves the passage of fluids, nutrients, oxygen, ions, and signalling molecules through bone tissue, facilitating the maintenance of bone vitality and function and responses to various physiological conditions and diseases. LC permeability and fluid flow-shear stress/drag force play important roles in mechanotransduction in bone tissue by inducing mechanical stimuli in osteocytes, modulating cellular functions, and determining bone adaptation. Alterations in LC structure may therefore in...
Source: Tissue and Cell - Category: Cytology Authors: Source Type: research
J Emerg Med. 2022 Jan 12:S0736-4679(21)00748-4. doi: 10.1016/j.jemermed.2021.10.009. Online ahead of print.ABSTRACTBACKGROUND: Hemorrhagic cholecystitis is a rare cause of abdominal pain. Most often described in the setting of blunt abdominal trauma, anticoagulation use, coagulopathy (such as cirrhosis or renal failure), and malignancy (biliary angiosarcoma), this rare condition can be difficult to identify unless high on the differential. With point-of-care ultrasound becoming more commonplace in the emergency department (ED), this tool can be successfully used to make a timely diagnosis in the correct clinical context.CA...
Source: Pain Physician - Category: Anesthesiology Authors: Source Type: research
Ann Thorac Surg. 2022 Jan 11:S0003-4975(22)00020-0. doi: 10.1016/j.athoracsur.2021.11.071. Online ahead of print.ABSTRACTBACKGROUND: The Canada Lymph Node Score (CLNS) uses four sonographic criteria to predict the risk of malignancy in lymph nodes during endobronchial ultrasound (EBUS). CLNS may play a role in identifying targets for biopsy or re-biopsy during invasive mediastinal staging for lung cancer. However, CLNS has not yet been prospectively validated in routine clinical practice.METHODS: CLNS scores for each lymph node biopsied during EBUS were prospectively captured for one year (2019). CLNS and the presence of m...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Source Type: research
ConclusionsOur study findings demonstrate the feasibility of this new LAMS system and its potential clinical value for interventional EUS.
Source: Journal of Hepato-Biliary-Pancreatic Surgery - Category: Surgery Authors: Tags: ORIGINAL ARTICLE Source Type: research
Source: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy - Category: Endocrinology Tags: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Source Type: research
Intravascular ultrasound (IVUS) can overcome the intrinsic limitations of coronary angiography for lesion assessment and stenting. IVUS improves outcomes of patients presenting with stable or complex coronary artery disease, but dedicated data on the impact of IVUS-guided percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI) remains scarce.
Source: International Journal of Cardiology - Category: Cardiology Authors: Tags: Review Source Type: research
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