scholarly journals Effectiveness and Safety of Ultrasound Guided Lower Extremity Nerve Blockade in Infragenicular Bypass Grafting for High Risk Patients With Chronic Limb Threatening Ischaemia

2019 ◽  
Vol 70 (3) ◽  
pp. 1011 ◽  
Author(s):  
S. Kikuchi ◽  
T. Yamaguchi ◽  
K. Miyake ◽  
D. Uchida ◽  
A. Koya ◽  
...  
Keyword(s):  
High Risk ◽  
Lower Extremity ◽  
Bypass Grafting ◽  
Ultrasound Guided ◽  
Nerve Blockade ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Current Outcomes of Lower Extremity Bypass in High-Risk Patients†

2014 ◽  
Vol 60 (3) ◽  
pp. 816-817
Author(s):  
Julia T. Saraidaridis ◽  
Emel Ergul ◽  
Virendra I. Patel ◽  
David H. Stone ◽  
Richard P. Cambria ◽  
...  
Keyword(s):  
High Risk ◽  
Lower Extremity ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Prophylactic Application of an Intra-Aortic Balloon Pump in High-Risk Patients Undergoing Off-Pump Coronary Artery Bypass Grafting

Cardiology ◽  
2015 ◽  
Vol 131 (2) ◽  
pp. 109-115 ◽  
Author(s):  
WenJun Ding ◽  
Qiang Ji ◽  
Qiang Wei ◽  
YunQing Shi ◽  
RunHua Ma ◽  
...  
Keyword(s):  
High Risk ◽  
Artery Bypass ◽  
Control Group ◽  
Bypass Grafting ◽  
Surgical Mortality ◽  
Low Cardiac Output ◽  
Off Pump ◽  
High Risk Patients ◽  
Risk Patients ◽  
Pump Coronary Artery Bypass

Background: An intra-aortic balloon pump (IABP) is the most commonly used circulatory assist device in cardiac surgery. We hypothesized that prophylactic application of an IABP improves early clinical outcome of high-risk patients undergoing scheduled off-pump coronary artery bypass grafting (OPCABG). Methods: From January 2010 to December 2013, hemodynamically stable, high-risk patients undergoing scheduled OPCABG with preincision use of an IABP were recruited to the IABP group. Using the propensity score-matching method, every patient in the IABP group was matched with another patient (the control group) with a similar propensity score who received an IABP on an as-needed basis during or after OPCABG. Surgical mortality and major morbidity rates were compared between groups. Results: A total of 116 patient pairs were included in this study. In patients in the IABP group, postoperative low cardiac output and respiratory as well as renal failure were less frequent, intensive care unit stay was shorter, and surgical mortality was lower compared to patients in the control group. In multivariate logistic regression, timing of IABP implantation, as an independent risk factor, was associated with postoperative low cardiac output (OR = 2.02, 95% CI 1.28-5.76), respiratory failure (OR = 1.86, 95% CI 1.19-4.27), renal failure (OR = 2.96, 95% CI 1.51-6.63) and surgical mortality (OR = 2.45, 95% CI 1.42-6.07). Conclusions: Prophylactic application of an IABP improves postoperative cardiac performance, reduces respiratory and renal complications, and consequently lowers surgical mortality in high-risk patients undergoing scheduled OPCABG.

scholarly journals Usefulness of ultrasound in the diagnosis of peritoneal tuberculosis

2012 ◽  
Vol 6 (12) ◽  
pp. 886-890 ◽  
Author(s):  
Sebastiana Atzori ◽  
Gianpaolo Vidili ◽  
Giuseppe Delitala
Keyword(s):  
High Risk ◽  
Diagnostic Tests ◽  
Diagnostic Process ◽  
Tuberculous Infection ◽  
Peritoneal Tuberculosis ◽  
Ultrasound Guided ◽  
High Risk Patients ◽  
High Prevalence ◽  
Risk Patients ◽  
High Index Of Suspicion

The peritoneum is one of the most common extrapulmonary sites of tuberculous infection. We report a case of peritoneal tuberculosis (TB) in a 25-year-old man. In this case, ultrasound of the abdomen played an important role in the diagnostic process. The diagnosis of this disease, however, remains a challenge because of its insidious nature, the variability of its presentation, and the limitations of available diagnostic tests. A high index of suspicion should be considered, particularly in high-risk patients with unexplained ascites. In our case ultrasound guided the diagnosis by rapidly identifying abnormal signs, which in high-prevalence settings are extremely suggestive of peritoneal tuberculosis.

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