scholarly journals A 7‐year‐old boy with toxic epidermal necrolysis, heart failure, and sepsis treated with the guidance of invasive hemodynamic monitoring: A case report

2021 ◽  
Vol 9 (7) ◽  
Author(s):  
Amir Saeed ◽  
Nima Mehdizadegan
2020 ◽  
Vol 8 (36) ◽  
pp. 10-22
Author(s):  
Barbara Mantilla ◽  
Pablo Paz ◽  
Rubayat Rahman ◽  
Mohamed Elmassry ◽  
Scott Shurmur ◽  
...  

Acute decompensated heart failure is a clinical syndrome involving the congestion of vital organs, such as the kidneys, liver, and brain, leading to loss of autoregulation and multiorgan failure. The interaction between organ systems is bi-directional and complex; it cannot be explained by hypoperfusion alone. Despite the multiple signs and symptoms that arise with systemic congestion, there are limitations in the assessment of volume status based only on clinical evaluation. Invasive hemodynamic monitoring is an adjunctive diagnostic and prognostic tool in acute decompensated heart failure when standard therapy fails and/or leads to worsening renal function as well as for the evaluation of advanced therapy options. This review will discuss the use of temporary mechanical circulatory support devices in cardiogenic shock and the expected outcomes for advanced heart failure with the implementation of left ventricular assist devices and cardiac transplantation.


Perfusion ◽  
2019 ◽  
Vol 34 (6) ◽  
pp. 519-522 ◽  
Author(s):  
Ying Xu ◽  
Qin Gu

Background: The Swan–Ganz catheter is a reliable method used to monitor hemodynamics in intensive care units. Pump-controlled retrograde trial off is a new weaning test for veno-arterial extracorporeal membrane oxygenation in recent years. The objective of this report is to describe a case in which pulmonary artery flotation catheter hemodynamic monitoring in combination with pump-controlled retrograde trial off was sufficient for veno-arterial extracorporeal membrane oxygenation weaning. Methods: We report the case of an adolescent patient with acute heart failure due to acute severe myocarditis in veno-arterial extracorporeal membrane oxygenation, intra-aortic balloon pump, and pulmonary artery flotation catheter hemodynamic monitoring. Results: Pulmonary artery flotation catheter hemodynamic monitoring pre- and post pump-controlled retrograde trial off was successfully proven to predict decannulation success. The patient was weaned off of the extracorporeal membrane oxygenation, intra-aortic balloon pump, and pulmonary artery flotation catheter. His cardiac function gradually recovered, and he was discharged. Conclusion: The combination of pulmonary artery flotation catheter hemodynamic monitoring and pump-controlled retrograde trial off can increase the possibility of veno-arterial extracorporeal membrane oxygenation successful decannulation.


Choonpa Igaku ◽  
2015 ◽  
Vol 42 (5) ◽  
pp. 631-636
Author(s):  
Tomoka TABATA ◽  
Masako OKADA ◽  
Tomomi MORI ◽  
Miho TERAMOTO ◽  
Nobuyuki OGASAWARA ◽  
...  
Keyword(s):  

2021 ◽  
Author(s):  
Christian Lamar Scheibe ◽  
Luis Eduardo Veras Pinto ◽  
José Aparecido Valadão ◽  
Caio Márcio Barros de Oliveira ◽  
Ed Carlos Rey Moura ◽  
...  

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