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Results 201-210 of 2267 (Search time: 0.005 seconds).
    • Accuracy of linear-probe ultrasonography in diagnosis of infraorbital rim fractures
    Authors: Chatchai, Pruksapong; Nuttadon, Wongprakob; Minth Panphichet, Panphichet;  Advisor: -;  Co-Author: - (2023)

    Maxillofacial fractures are a common cause of visits to emergency department, accounting for more than 400,000 annual visits in the United States. Gold standard diagnostic tool is conventional computerized tomography (CT) or 3DCT reconstruction. However, the disadvantages of CT are radiation exposure, unavailable in some hospital and expensiveness. Whereas the bony structures overlap is a problem in diagnostic when using plain film X-ray. The objective of this study is to show the accuracy of a linear-probe ultrasound compared to computed tomography and plain film X-ray in diagnosis of infraorbital rim fracture.
    • Moving beyond the lines: lung ultrasound pixel-wise computer-assisted analysis for critically ill patients
    Authors: Orphée, Faucoz; Denis, Standarovski; Amazigh, Aguersif;  Advisor: -;  Co-Author: - (2023)

    Lung ultrasonography (LUS) has become an essential component of the evaluation and clinical management of patients admitted to the intensive care unit (ICU). The interpretation of LUS artifact (A- and B-patterns), analysis of the pleura, and the visualization of real images (C pattern) have demonstrated usefulness for the differential diagnosis of acute respiratory failure (ARF) [1]. However, current methods are non-quantitative and have important drawbacks deriving from visually guided assessment of LUS data [2]. Interestingly, recent in vitro and in vivo studies suggest that LUS data carry valuable information that correlates with lung density [2].
    • A pleural drainage tube misplaced into the right atrium
    Authors: Yiping, Feng; Shouyin, Jiang; Shanxiang, Xu;  Advisor: -;  Co-Author: - (2023)

    A 70-year-old female presented to our department due to requiring for extracting a pleural tube penetrated into the right heart 22 days ago. She was previously hospitalized for the right femur fracture. The patient had rheumatic heart disease with mitral and tricuspid valves replaced. She suffered deoxygenation following internal femur fixation.
    • Clinical practice selectively follows acute appendicitis guidelines
    Authors: Gary Alan, Bass; Shahin, Mohseni; Éanna J., Ryan;  Advisor: -;  Co-Author: - (2023)

    Acute appendicitis is a common surgical emergency, and the standard approach to diagnosis and management has been codified in several practice guidelines. Adherence to these guidelines provides insight into independent surgical practice patterns and institutional resource constraints as impediments to best practice. We explored data from the recent ESTES SnapAppy observational cohort study to determine guideline compliance in contemporary practice to identify opportunities to close evidence-to-practice gaps.
    • Lower gut dysbiosis and mortality in acute critical illness a systematic review and meta-analysis
    Authors: Tess, Evans; Umar, Ali; Ryan, Anderton;  Advisor: -;  Co-Author: - (2023)

    The human gastrointestinal tract harbours a complex multi-kingdom community known as the microbiome. Dysbiosis refers to its disruption and is reportedly extreme in acute critical illness yet its clinical implications are unresolved. The review systematically evaluates the association between gut dysbiosis and clinical outcomes of patients early in critical illness.
    • Point-of-care diagnosis and monitoring of fibrinolysis resistance in the critically ill: results from a feasibility study
    Authors: Lucy A., Coupland; David J., Rabbolini; Jonathan G., Schoenecker;  Advisor: -;  Co-Author: - (2023)

    ibrinolysisis is essential for vascular blood flow maintenance and is triggered by endothelial and platelet release of tissue plasminogen activator (t-PA). In certain critical conditions, e.g. sepsis, acute respiratory failure (ARF) and trauma, the fibrinolytic response is reduced and may lead to widespread thrombosis and multi-organ failure. The mechanisms underpinning fibrinolysis resistance include reduced t-PA expression and/or release, reduced t-PA and/or plasmin effect due to elevated inhibitor levels, increased consumption and/or clearance. This study in critically ill patients with fibrinolysis resistance aimed to evaluate the ability of t-PA and plasminogen supplementation to restore fibrinolysis with assessment using point-of-care ClotPro viscoelastic testing (VET).
    • Point of care transthoracic echocardiography for the prediction of post – spinal anesthesia hypotension in elderly patients with cardiac diseases and left ventricular dysfunction
    Authors: Nefeli, Moschovaki; Theodosios, Saranteas; Elen, Spiliotaki;  Advisor: -;  Co-Author: - (2023)

    In elderly patients with cardiac diseases, changes in cardiovascular physiology diminish cardiovascular reserve and predispose to hemodynamic instability after spinal anesthesia; hence, such patients could be at risk of postoperative complications. Additionally, transthoracic echocardiography (TTE) is used in clinical practice to evaluate cardiovascular hemodynamics. Therefore, we hypothesized that echocardiographic measurements could display significant diagnostic power in the prediction of post - spinal anesthesia hypotension in elderly patients with cardiac diseases and reduced left ventricular ejection fraction (LV-EF). Therefore, sixty-one elderly orthopedic-trauma patients were recruited. Prior to spinal anesthesia a TTE examination was performed.