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ID31351560Published Date2019-09-01JournalCritical care nursing clinics of North America, 2019-09-01, Volume 31
Cardiac surgical patients risk arrest from tamponade, profound bleeding, and hypovolemia, typically occurring within hours of intensive care admission and associated with diminished response to cardiopulmonary resuscitation (CPR). The Society of Thoracic Surgeons' evidence-based Expert Consensus Statement establishes a new standard for postsurgery arrest management, prioritizing defibrillation or pacing before CPR, restricting epinephrine use, and calling for prompt resternotomy if initial ef…
Publication
ID30852767Published Date2019-08-01JournalDigestive diseases and sciences, 2019-08-01, Volume 64
Abdominal pain can be an important symptom in some patients with gastroparesis (Gp).(1) To describe characteristics of abdominal pain in Gp; (2) describe Gp patients reporting abdominal pain.Patients with idiopathic gastroparesis (IG) and diabetic gastroparesis (DG) were studied with gastric emptying scintigraphy, water load test, wireless motility capsule, and questionnaires assessing symptoms [Patient Assessment of Upper GI Symptoms (PAGI-SYM) including Gastroparesis Cardinal Symptom Index …
Publication
ID31229298Published Date2019-08-01JournalGynecologic oncology, 2019-08-01, Volume 154
To compare patient/tumor characteristics and outcomes of Asians to Caucasian patients with epithelial ovarian cancer.Ancillary data were pooled and analyzed from ten prospective randomized front-line Gynecologic Oncology Group clinical trials from 1996 to 2011. Demographic, clinicopathologic features, disease-specific and all-cause survival were analyzed.Of 7914 patients, 7641 were Caucasian and 273 Asian. When compared to Caucasians, Asians were younger at trial enrollment, had a better perf…
Publication
ID31348334Published Date2019-08-01JournalPlastic and reconstructive surgery, 2019-08-01, Volume 144
Retrobulbar injection of hyaluronidase is a proposed but unproven treatment for blindness induced by hyaluronic acid gel fillers. This study examines the viability of this treatment by determining whether hyaluronidase can diffuse through the dural sheath of the optic nerve to clear a filler-mediated occlusion of the central retinal artery.Six human cadaveric optic nerves were studied in vitro. One optic nerve was selected as a control and maintained at physiologic temperature, without any ex…
Publication
ID31365298Published Date2019-07-31JournalAmerican journal of respiratory and critical care medicine, 2019-07-31
Less invasive, non-surgical approaches are needed to treat severe emphysema.Evaluate the effectiveness and safety of the Spiration Valve System versus optimal medical management.In this multicenter, open-label, randomized, controlled trial, subjects aged ≥40 years with severe, heterogeneous emphysema were randomized 2:1 to Spiration Valve System with medical management (treatment) or medical management alone (control).The primary efficacy outcome was the difference in mean forced expiratory v…
Publication
ID31318624Published Date2019-07-18JournalStroke, 2019-07-18
Background and Purpose- It remains unclear how experience influences outcomes after the advent of stent retriever technology. We studied the relationship between site experience and outcomes in the Trevo Acute Ischemic Stroke multicenter registry. Methods- The 24 sites that enrolled patients in the Trevo Acute Ischemic Stroke registry were trichotomized into low-volume (4 cases/month). Baseline features, imaging, and …
Publication
ID31299669Published Date2019-07-09JournalRetinal cases & brief reports, 2019-07-09
To describe a patient with newly developed paracentral acute middle maculopathy after uncomplicated epiretinal membrane removal.Retrospective chart review.A 74-year-old white man underwent uncomplicated vitrectomy and epiretinal membrane removal in his left eye. One week later, the patient complained of a small paracentral visual field deficit and decreased visual acuity. Spectral domain optical coherence tomography revealed a characteristic hyperreflective band-like lesion at the level of th…
Publication
ID31290991Published Date2019-07-03JournalJAMA network open, 2019-07-03, Volume 2
Better prediction of major bleeding after percutaneous coronary intervention (PCI) may improve clinical decisions aimed to reduce bleeding risk. Machine learning techniques, bolstered by better selection of variables, hold promise for enhancing prediction.To determine whether machine learning techniques better predict post-PCI major bleeding compared with the existing National Cardiovascular Data Registry (NCDR) models.This comparative effectiveness study used the NCDR CathPCI Registry data v…
Publication
ID31277995Published Date2019-07-02JournalJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2019-07-02
Current standard practice guidelines recommend ICU admission for ischemic stroke patients treated with intravenous tissue plasminogen activator (IV-tPA). More recently, the trend in stroke care is to broaden eligibility for IV thrombolysis. Two examples are a more liberal inclusion criteria known as SMART criteria (sIV-tPA), and the transfer of patients to comprehensive stroke centers (CSC). The present study characterizes ICU interventions in these patients. Understanding which stroke patien…
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