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Procedure: Tracheostomy

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Total 264 results found since Jan 2013.

Evaluation of patients with stroke monitored by home care programs
The purpose of this study was to evaluate the patient with a stroke in home treatment, investigating physical capacity, mental status and anthropometric analysis. This was a cross-sectional study conducted in Fortaleza/CE, from January to April of 2010. Sixty-one individuals monitored by a home care program of three tertiary hospitals were investigated, through interviews and the application of scales. The majority of individuals encountered were female (59%), elderly, bedridden, with a low educational level, a history of other stroke, a high degree of dependence for basic (73.8%) and instrumental (80.3 %) activities of da...
Source: Revista da Escola de Enfermagem da USP - December 13, 2013 Category: Nursing Source Type: research

Repair of retrograde ascending dissection after descending stent grafting
Conclusions: Retrograde ascending dissection can present as an early or a late complication after descending stent grafting because of aortic instability or disease progression and has usually been associated with descending dissection or intramural hematoma. It is a life-threatening complication that can be managed safely with early recognition and rapid delivery of open or hybrid repair.
Source: The Journal of Thoracic and Cardiovascular Surgery - October 21, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Jahanzaib Idrees, Amr Arafat, Douglas R. Johnston, Lars G. Svensson, Eric E. Roselli Tags: Acquired Cardiovascular Disease Source Type: research

A woman with sudden-onset facial oedema
An 84-year-old woman presented with acute facial oedema that developed suddenly 2 h prior to the visit. She had no particular medical history, no episode of neck injury, nor was she on any anticoagulant or antiplatelet agent. CT showed a pharyngeal mass (figure 1), which was confirmed as a retropharyngeal haematoma with a nasopharyngeal fiberscope (figure 2). A clinical diagnosis of spontaneous retropharyngeal haematoma was established. Retropharyngeal haematoma is a rare but potentially life-threatening condition; it can progress rapidly, causing airway obstruction once it starts to grow.1 It has been reported to dev...
Source: Emergency Medicine Journal - October 18, 2013 Category: Emergency Medicine Authors: Fujiwara, T., Kuriyama, A., Shimizu, T. Tags: Open access, Drugs: cardiovascular system, Stroke, Clinical diagnostic tests, Ethics, Trauma Images in emergency medicine Source Type: research

A rare cause of headache-the importance of a tissue diagnosis and perseverance
A 64 year old diabetic hypertensive milkman presented in September 2011 with 4 months progressive constant right frontotemporal retro–orbital pain. It was worse at night affecting sleep with slight right field blurring and later vomiting. Full examination including blood pressure was normal with acuities 6/9. Tension type headache was considered. Initial brain CT was reported as normal. With concern about giant cell arteritis steroids were trialled although ESR was 8 and CRP 25 with no other clinical features: pain reduction was short–lived and temporal artery biopsy negative. Symptoms worsened despite analgesi...
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Defty, H., Cavazza, A., Warner, G. Tags: Immunology (including allergy), Cranial nerves, Headache (including migraine), Neurooncology, Pain (neurology), Stroke, Hypertension, CNS cancer, Ophthalmology, Pain (palliative care), Anxiety disorders (including OCD and PTSD), Radiology, Disability, Dru Source Type: research

Tracheostomy after Severe Ischemic Stroke: A Population-based Study
Conclusions: Tracheostomy is common after decompressive craniectomy and is strongly associated with the development of pneumonia. Given its impact on patient function and potentially modifiable associated factors, tracheostomy may warrant further study as an important patient-centered outcome among patients with stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - October 7, 2013 Category: Neurology Authors: Brian P. Walcott, Hooman Kamel, Brandyn Castro, W. Taylor Kimberly, Kevin N. Sheth Tags: Original Articles Source Type: research

Endovascular versus open elephant trunk completion for extensive aortic disease
Objectives: To compare the outcomes between patients undergoing endovascular (EEC) or open (OEC) approaches to second-stage elephant trunk completion (EC).Methods: From 1993 to 2010, 225 patients underwent second-stage EC (EEC, n = 92; OEC, n = 133). Propensity matching was performed for a fair comparison.Results: The EEC patients were older, more likely to have atrial fibrillation, and had a smaller proximal aorta. The 30-day mortality was 6.2% (6.5% EEC vs 6% OEC, P = .88). No difference was found in bleeding (8.8%), stroke (3%), renal failure (4%), or spinal cord injury (4%); however, the OEC patients required tra...
Source: The Journal of Thoracic and Cardiovascular Surgery - September 26, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Eric E. Roselli, Sreekumar Subramanian, Zhiyuan Sun, Jahanzaib Idrees, Edward Nowicki, Eugene H. Blackstone, Roy K. Greenberg, Lars G. Svensson, Bruce W. Lytle Tags: Acquired Cardiovascular Disease Source Type: research

Predictors and Outcomes of Pneumonia in Patients With Spontaneous Intracerebral Hemorrhage
Conclusion. Mechanical ventilation, tube feeding, dysphagia, and tracheostomy are exposures associated with increased risk of the development of pneumonia in patients with sICH. Pneumonia is associated with an increase in morbidity, length of stay, and mortality among patients with sICH.
Source: Journal of Intensive Care Medicine - February 20, 2013 Category: Intensive Care Authors: Alsumrain, M., Melillo, N., DeBari, V. A., Kirmani, J., Moussavi, M., Doraiswamy, V., Katapally, R., Korya, D., Adelman, M., Miller, R. Tags: Review of a Large Clinical Series Source Type: research

Predictors of Surgical Feeding Tube Placement after Acute Stroke (P02.045)
CONCLUSIONS: Our study suggests that admission findings may be indicative of impending PEG placement. Further, PEG placement was found to be associated with significantly worse functional and neurological outcomes.Supported by: Award Numbers 5 T32 HS013852-10 from The Agency for Healthcare Research and Quality (AHRQ) and 3 P60 MD000502-08S1 from The National Institute on Minority Health and Health Disparities (NIMHD), National Institutes of Health (NIH). The content is solely the responsibility of the authors and does not necessarily represent the official views of the AHRQ or the NIH.Disclosure: Dr. Dubin has nothing to d...
Source: Neurology - February 14, 2013 Category: Neurology Authors: Dubin, P., Boehme, A., Schluter, L., Siegler, J., Shaban, A., Sudkamp, J., Albright, K., Martin-Schild, S. Tags: P02 Cerebrovascular Disease II Source Type: research

Stroke-Related Early Tracheostomy Versus Prolonged Orotracheal Intubation in Neurocritical Care Trial (SETPOINT): A Randomized Pilot Trial Original Contributions
Conclusions— Early tracheostomy in ventilated intensive care stroke patients is feasible, and safe, and presumably reduces sedation need. Whether the suggested benefits in mortality and outcome truly exist has to be determined by a larger multicenter trial. Clinical Trial Registration— http://www.clinicaltrials.gov. Unique identifier: NCT01261091.
Source: Stroke - December 24, 2012 Category: Neurology Authors: Bosel, J., Schiller, P., Hook, Y., Andes, M., Neumann, J.-O., Poli, S., Amiri, H., Schonenberger, S., Peng, Z., Unterberg, A., Hacke, W., Steiner, T. Tags: Other Treatment, Acute Cerebral Hemorrhage, Acute Cerebral Infarction, Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage, Other Stroke Treatment - Surgical Original Contributions Source Type: research