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Condition: Septic Shock
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Total 242 results found since Jan 2013.
Prosthetic valve endocarditis in patients on hemodialysis
We read with great interest the manuscript entitled “Prognostic factors of infective endocarditis in patients on hemodialysis: A case series from a National Multicenter Registry” by Dr. A. Ramos-Martínez and colleagues showing that hemodialysis patients with IE present a high mortality and that advanced age and complications, such as heart failu re, CNS stroke or septic shock, are associated with mortality [1].
Source: International Journal of Cardiology - December 5, 2017 Category: Cardiology Authors: Jinmiao Chen, Kui Hu, Jun Li, Tao Hong, Chunsheng Wang Tags: Correspondence Source Type: research
Combined use of high doses of vasopressin and corticosteroids in a patient with Crohn ’s disease with refractory septic shock after intestinal perforation: a case report
ConclusionsThe significant increase in her cardiac index and stroke volume index resulted in an improvement in peripheral resistance, gas exchange, and urine output and a decrease in her heart rate, interleukin-6 level, and tumor necrosis factor- α level. The administration of high doses of vasopressin and corticosteroids was demonstrated to be safe for the immune system, to reduce the systemic inflammatory response, and to have direct cardiovascular effects. Further studies are required to examine the use of vasopressin as an initial vasop ressor as well as its use in high dosages and in combination with corticosteroids.
Source: Journal of Medical Case Reports - November 13, 2017 Category: General Medicine Source Type: research
Photoluminescence intensity ratio of Eu conjugated lactates ‐ a simple optical imaging technique for biomarker analysis for critical diseases
Instant measurement of elevated biomarker such as lactic acid offers the most promising approaches for early treatment and prevention of many critical diseases including cardiac arrest, stroke, septic shock, trauma, liver dysfunction, and as well as for monitoring lactic acid level during intense exercise. In the present study a unique dependence of visible photoluminescence of Eu3+ ions resulting from 5D0 to 7FJ(J=0,1,2,3,4) transitions, which can be exploited for rapid detection of biomarkers both in vitro and ex vivo has been reported. It is observed that the integrated intensity ratio of photoluminescence signals domin...
Source: Journal of Biophotonics - October 1, 2017 Category: Physics Authors: Tarun Kakkar, Nikita Thomas, Eric Kumi Barimah, Gin Jose, Sikha Saha Tags: Full Article Source Type: research
Should Hyperoxia Be Avoided During Sepsis? An Experimental Study in Ovine Peritonitis*
Conclusions: In this acute peritonitis model, hyperoxia induced during resuscitation provided better hemodynamics and peripheral microvascular flow and better preserved cerebral metabolism, renal function, and gas exchange. These observations are reassuring with recent concerns about excessive oxygen therapy in acute diseases.
Source: Critical Care Medicine - September 16, 2017 Category: Emergency Medicine Tags: Online Laboratory Investigations Source Type: research
Institutional care paths: Development, implementation, and evaluation.
CONCLUSION: Care paths provide a standardized approach to treatment or prevention of a disease or condition, reducing unnecessary variability and expense while promoting optimal, cost-effective patient care.
PMID: 28887350 [PubMed - in process]
Source: American Journal of Health-System Pharmacy : AJHP - September 10, 2017 Category: Drugs & Pharmacology Authors: Leonard MC, Bauer SR, Ahrens C, Reddy A, Katzan I Tags: Am J Health Syst Pharm Source Type: research
Postoperative Complications Affecting Survival After Cardiac Arrest in General Surgery Patients.
CONCLUSIONS: Among general surgery patients with cardiac arrest after POD #0, complications occurring before cardiac arrest are common but are not associated with increased mortality risk.
PMID: 28891912 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - September 7, 2017 Category: Anesthesiology Authors: Kim M, Li G Tags: Anesth Analg Source Type: research
Minimally Invasive Access Aortic Arch Surgery
Conclusions: Minimally invasive aortic arch surgery via partial upper sternotomy does not increase the risk of morbidity or mortality. Thus, in experienced hands, it is viable, safe, and therefore favorable and as a result should be offered to more patients.
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - September 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research
Clinical Reasoning: A 61-year-old man with conjugate gaze deviation, hemiparesis, and asymmetric reflexes
A 61-year-old man with a history of alcoholic cirrhosis was transferred from an outside hospital for spontaneous bacterial peritonitis, septic shock, and respiratory failure after intubation. The patient was initially on sedation; however, more than 48 hours after the sedative was discontinued, his mental status remained depressed and he also developed new onset of conjugate rightward gaze deviation. On neurologic examination, the patient was unresponsive to verbal stimuli and sternal rub. He could not follow any command, including closing or opening eyes and squeezing hands. He had remarkable conjugate, forced eye deviati...
Source: Neurology - August 28, 2017 Category: Neurology Authors: Lin, C.-Y., Yoo, J. Y., Doshi, A., Colman, R. Tags: MRI, Clinical neurology examination, All Cerebrovascular disease/Stroke, Critical care, Video/ EEG use in epilepsy RESIDENT AND FELLOW SECTION Source Type: research
Clinical – microbiological characterization and risk factors of mortality in infective endocarditis from a tertiary care academic hospital in Southern India
CONCLUSIONS This study reiterates the persistent dominance of rheumatic heart disease in the population studied and α − haemolytic Streptococci as the commonest responsible microorganism.
Source: Indian Heart Journal - August 17, 2017 Category: Cardiology Source Type: research
Risk Stratification for Major Postoperative Complications in Patients Undergoing Intra-abdominal General Surgery Using Latent Class Analysis.
CONCLUSIONS: LCA can be used to classify patients undergoing intra-abdominal general surgery based on preoperative risk factors, and the classes are independently associated with postoperative complications. However, model performance is not uniform across individual complications, resulting in variations in the utility of preoperative risk stratification tools depending on the complication evaluated.
PMID: 28806210 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - August 10, 2017 Category: Anesthesiology Authors: Kim M, Wall MM, Li G Tags: Anesth Analg Source Type: research
Troponin elevation in other conditions than acute coronary syndromes.
We present some clinical cases that illustrate this diagnostic problem. A troponin elevation is observed in myopericarditis, renal failure, heart failure, pulmonary embolism, septic shock, rhabdomyolysis, stroke and others where there is a myocardial damage unrelated to coronary occlusion. Many cases of false positives, which raise the possibility of analytical interferences, must be identified.
PMID: 28751286 [PubMed - in process]
Source: Annales de Biologie Clinique - July 30, 2017 Category: Biochemistry Authors: Masri W, Le Guillou E, Hamdi E, Ghazal K, Lebigot E, Cosson C, Cynober FB, Therond P Tags: Ann Biol Clin (Paris) Source Type: research
Pulse-induced contour cardiac output (PiCCO) combined with passive leg raising test predicting fluid resuscitation in adult patients with septic shock
Publication date: Available online 17 July 2017 Source:The Kaohsiung Journal of Medical Sciences Author(s): Si-Dong Zhan To investigate the clinical value of pulse-induced contour cardiac output (PiCCO) monitoring combined with passive leg raising (PLR) test in predicting fluid responsiveness so as to guide fluid resuscitation in adult septic shock patients managed by rehydration test. One hundred and forty five adult septic shock patients, who were informed to receive PLR tests and rehydration tests. Patients were divided into two groups based on the observation of fluid responsiveness in the rehydration test. Parameters...
Source: The Kaohsiung Journal of Medical Sciences - July 18, 2017 Category: Universities & Medical Training Source Type: research
Stroke volume guided resuscitation in severe sepsis and septic shock improves outcomes
This study demonstrated that SV guided fluid resuscitation in patients with severe sepsis and septic shock was associated with reduced fluid balance and improved secondary outcomes. Graphical abstract
Source: Journal of Critical Care - July 1, 2017 Category: Gastroenterology Source Type: research
Coagulation Profile as a Risk Factor for 30-Day Morbidity and Mortality Following Posterior Lumbar Fusion
Study Design. A retrospective cohort study.
Objective. The aim of this study was to identify associations between abnormal coagulation profile and postoperative morbidity and mortality in patients undergoing posterior lumbar fusion (PLF).
Summary of Background Data. The literature suggests that abnormal coagulation profile is associated with postoperative complications, notably the need for blood transfusion. However, there is little research that directly addresses the influence of coagulation profile on postoperative complications following PLF.
Methods. The American College of Surgeons National Surgical Quality Impro...
Source: Spine - June 15, 2017 Category: Orthopaedics Tags: Surgery Source Type: research
