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Results 1 - 50 of 2011
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Dongara Ashish Rajeshwar AR Department of Pediatrics, Pramukhswami Medical College; and #Central Research Services, Charutar Arogya Mandal; Karamsad, Anand, Gujarat, India. Correspondence to: Dr Somashekhar Nimbalkar, Department of Pediatrics, Pramukhswami Medical College, Karamsad, Anand 388 325, Gujarat, India. - - 2014
To determine success rate and time taken for intubation by pediatric residents/fellows. Prospective observational study among neonates requiring endotracheal intubation. 212 attempts and 118 successful intubations were recorded in 153 videos. An average of 1.93 attempts per successful intubation was observed. Success rate at first attempt and mean time taken ...
Reijas Teresa - - 2013
Introduction: Suicide is a public health problem. Consumed suicides reach 1 million cases per year worldwide and it is estimated that the number of suicide attempts is 10 to 20 times higher. The aim of this study was to evaluate the effectiveness in reducing repeat suicide attempts in a program ...
Mohr S - - 2013
BACKGROUND: Laryngeal mask insertion (LMI) represents a fundamental skill for anesthesiologists in routine management as well as in difficult airway situations. This study aimed to evaluate the time needed by first year anesthesiology residents to perform 40 LMIs and assessed the associated success rates and the number of attempts needed for ...
Häske David - - 2013
BACKGROUND: Current cardiopulmonary resuscitation (CPR) guidelines recommend airway and ventilation whilt minimising interruptions to chest compressions. We have assessed i-gel use during CPR. METHODS: In an observational study of i-gel™ use during CPR we assessed the ease of igel™ insertion, adequacy of ventilation, the presence of a leak during ventilation, ...
Guyette Francis X - - 2012
Abstract Objective. We evaluated video laryngoscopy (VL) (C-MAC, Karl Storz, Tuttlingen, Germany) for use in a critical care transport system. We hypothesized that the total number of airway attempts would decrease when using a video laryngoscope versus use of direct laryngoscopy (DL). Methods. We performed a nonrandomized group-controlled trial where ...
Cebrià Ana Isabel - - 2012
OBJECTIVE: To determine the effectiveness over one year of a specific telephone management programme on patients discharged from an emergency department (ED) after a suicide attempt. We hypothesized that the programme will reduce the percentage of patients re-attempting suicide and delay the time between attempts. DESIGN: A multicentre, case-control, population-based ...
Glaizal Mathieu - - 2012
Context. Methadone is used in France since March 1995, only for opioid maintenance treatment, in a syrup form. For the launching of a capsule form in April 2008, French health authorities requested a prospective survey of all cases involving exposure to methadone in either of the two available pharmaceutical forms. ...
Ambani Sapan Nitin - - 2012
Background: For the narrow ureter that will not accommodate a ureteroscope, it is common practice to place a ureteral stent to allow subsequent ureteroscopy in the passively dilated ureter. Surprisingly, there are limited data on the effectiveness or safety of these maneuvers. Methods: We retrospectively analyzed patients managed with ureteral ...
O'Neill Siobhan M - - 2012
Abstract This paper compares and contrasts the experiences of two different long term psychodynamic psychotherapy groups in which a patient suicided. The acute reactions and longer term process of each group is described in detail and discussed. The reactions of the two leaders, married to each other and in a ...
Jochner Susanne C - - 2011
Long-term studies on urban phenology using network data are commonly limited by the small number of observation sites within city centres. Moreover, cities are often located on major rivers and consequently at lower altitudes than their rural surroundings. For these reasons, it is important (1) to go beyond a plain ...
da Costa Francisco D A - - 2010
This study evaluates the early and midterm results of decellularized aortic valve allografts (DAVA) as an aortic valve replacement. Between October 2005 and February 2010, 41 patients, 28 of whom were male, with a median age of 34 years (range, 0.1 to 71), had aortic valve replacement with DAVA. Decellularization ...
Stulak John M - - 2010
Because reoperation is often necessary for bioprostheses, mechanical pulmonary valve replacement (mPVR) may be appropriate for many patients. Mechanical prostheses are durable, but there has been concern concerning valve thrombosis and bleeding complications from warfarin. Between October 1965 and August 2008, 54 patients (33 male, median age 30 years, range ...
Perrotta Sossio - - 2010
Treatment of prosthetic aortic valve endocarditis and native aortic valve endocarditis with abscess formation is associated with high mortality and morbidity. Aortic root replacement with a freestanding aortic homograft is an attractive alternative. We report outcome and quality of life after homograft replacement for infective endocarditis. Sixty-two patients with infective ...
Neukamm Christian - - 2011
In a retrospective study we assessed surgical results following right ventricular to pulmonary artery connection repair or replacement at a medium of 2.4 years (0-8) follow-up. Data were retrieved from hospital charts. Three hundred and sixty five operations were performed in 286 patients in eight years starting in 2000 using ...
Elbardissi Andrew W - - 2011
Risk-stratifying algorithms are currently used to determine which patients may be at prohibitive risk for surgical aortic valve replacement, and thus candidates for transcatheter aortic valve implantation. Minimally invasive surgical approaches have been successful in reducing morbidity and improving survival after aortic valve replacement, especially in octogenarians. We documented outcomes ...
Chikwe Joanna - - 2010
Choosing the optimal aortic valve prosthesis for middle-aged patients (late 40s to early 60s) with aortic stenosis presents a challenge. The available options all have substantial drawbacks that must be considered in the decision-making process. Current data indicate that there is little or no difference in survival between mechanical and ...
Koertke Heinrich - - 2010
BACKGROUND: Self-management improves oral anticoagulation control. Here we provide data of a preplanned interim analysis of very low-dose early self-controlled anticoagulation. METHODS: In a prospective, randomized, multicenter trial, 1,137 patients performed low-dose international normalized ratio (INR) self-management with a target INR range of 1.8. to 2.8 for aortic valve replacement ...
Sherif Mohammad A - - 2010
The conventional surgical aortic bioprostheses used for treatment of aortic stenosis (AS) are inherently stenotic in nature. The more favorable mechanical profile of the Medtronic CoreValve bioprosthesis may translate into a better hemodynamic and neurohormonal response. The early hemodynamic and neurohormonal responses of 56 patients who underwent successful transcatheter aortic ...
Pasic Miralem - - 2010
Transapical aortic valve implantation is a novel approach for high-risk patients with severe aortic stenosis. During our learning curve, we were faced with several problems, technical difficulties, and complications, and our strategy and procedural technique evolved accordingly. We report our experience during the learning curve for establishing this new method. ...
Galema Tjebbe W - - 2010
Patients with aortic stenosis (AS) should undergo aortic valve replacement (AVR) before irreversible LV dysfunction has developed. Assessment of long-axis left ventricular (LV) function may assist in proper timing of AVR. To assess serial changes in long-axis LV function before and after AVR in patients with severe AS and preserved ...
Wijesinghe Namal N St. Paul's Hospital, University of British Columbia, Vancouver, British Columbia, - - 2010
We evaluated transcatheter aortic valve implantation (TAVI) in high-risk patients with bicuspid aortic valve (BAV) stenosis. TAVI shows promise in the treatment of severe stenosis of triscupid aortic valves, especially in high-risk patients. However, BAV stenosis has been considered a contraindication to TAVI. Eleven patients (age 52 to 90 years) ...
Godino Cosmo C Interventional Cardiology Unit, San Raffaele Institute, Milan, Italy. - - 2010
Our aim was to assess clinical outcome after transcatheter aortic valve implantation (TAVI) performed with the 2 commercially available valves with 3 delivery approaches selected in a stepwise fashion. Limited data exist on the results of a comprehensive TAVI program using different valves with transfemoral, transapical, and transaxillary approaches for ...
Maisch Stefan - - 2011
Background The 2005 guidelines for cardiopulmonary resuscitation (CPR) do not include a statement on performance of basic life support by a single healthcare professional using a bag-valve-mask device. Three positions are possible: chest compressions and ventilations from over the head of the casualty (over-the-head CPR), from the side of the ...
Burch Phillip T - - 2010
BACKGROUND: Although decellularized cryopreserved valved allografts (DCAs) have reduced immunogenicity, proof of clinical superiority over standard cryopreserved allografts (SCAs) is lacking. To assess functional results and durability, we studied a group of patients with DCAs implanted between 2000 and 2005 and compared them with a similar group with SCAs. METHODS: ...
Okamura Homare - - 2010
When aortic valve replacement is performed in patients with a small aortic annulus, prosthesis-patient mismatch is of concern because it may affect postoperative clinical status. We conducted a retrospective study of outcomes in 65 patients with aortic stenosis requiring valve replacement. Fifty were given a 17-mm or 19-mm St. Jude ...
Kolseth Solveig Moss - - 2010
Freedom Solo is a stentless biological aortic valve which is implanted supra-annularly with a single suture line. An increased risk of postoperative thrombocytopenia in the early postoperative period has been reported in recent studies. In our study we evaluated postoperative haemodynamic performance and thrombocyte-levels. Thirty seven patients who underwent valve ...
Frigiola Alessandro - - 2010
BACKGROUND: The Ross operation in children and adolescents offers many potential advantages. Concerns have been raised about the long-term development of the neoaortic complex and the risk of dilation. METHODS: Retrospective analysis of prospectively collected follow-up data in a population of patients who underwent Ross operations when they were younger ...
Chodór Piotr - - 2010
Background: Severe symptomatic aortic valve stenosis is an unequivocal indication for surgical valve replacement, assuring symptoms relief and increasing survival. About one third of elderly patients is not being operated due to, among others, high peri-procedural risk and comorbidities. Transcatheter aortic valve implantation (TAVI) has recently become a valuable therapeutic ...
Grant S W - - 2010
To assess the impact of introducing a transcatheter aortic valve implantation (TAVI) service on aortic valve surgical activity and outcomes. A retrospective analysis of prospectively collected data. University hospital of south Manchester. 815 consecutive patients undergoing isolated aortic valve replacement (AVR) or coronary artery bypass grafting plus AVR from January ...
Taniguchi Shinichiro - - 2010
The aim of this study was to investigate the outcome of aortic valve replacement (AVR) performed with a 17-mm St. Jude Medical Regent prosthetic valve (17SJMR) for an aortic annulus ≤19 mm in elderly patients aged ≥65 years. Six female patients (age 73.0 ± 5.1 years, body surface area 1.43 ...
Kaza Aditya K - - 2010
BACKGROUND: Truncus arteriosus associated with truncal valve dysfunction has been shown to increase the mortality and morbidity associated with repair and the various techniques employed for truncal valve repair continue to evolve. We sought to examine the durability of truncal valve repair in truncus arteriosus. METHODS: We reviewed all patients ...
Balsam Leora B - - 2010
BACKGROUND: Elderly patients requiring reoperative cardiac surgery for valve disease are considered high risk for immediate outcomes, but little is known about their long-term survival. It is often conjectured that medical therapy provides equivalent late survival in this population, which may dissuade both patient and surgeon from considering reoperation. We ...
Aziz Abdulhameed A Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, - - 2010
The purpose of this study was to determine the impact of prosthesis-patient mismatch on long-term survival after mitral valve replacement. From 1992 to 2008, 765 patients underwent bioprosthetic (325; 42%) or mechanical (440; 58%) mitral valve replacement, including 370 (48%) patients older than 65 years of age. Prosthesis-patient mismatch was ...
Riess Friedrich-Christian - - 2011
The Mosaic bioprosthesis is a third-generation stented porcine bioprosthesis combining physiologic fixation and α-amino oleic acid antimineralization treatment to improve durability and hemodynamic function. This single-center study reports on the performance of the Mosaic bioprosthesis in patients 65 years of age or less and patients older than 65 years at ...
Gunebakmaz Ozgur - - 2010
This study was designed to examine the change in mean platelet volume (MPV) over the course of infective endocarditis (IE) and also the association between MPV and complications including embolic events in IE. Forty patients (26 male, mean age 46±15 years) who were hospitalized with a diagnosis of IE at ...
Kaya Abdullah - - 2011
We retrospectively evaluated our results with the Shelhigh biological conduit model NR-2000C (Shelhigh, Inc, Milburn, NJ). From November 1998 through December 2007, 175 patients with a mean age of 71.1 ± 7.4 years underwent aortic root replacement with a Shelhigh biological conduit. Indication for surgery was aneurysmal disease of the aorta ...
Kim Dae-Hee - - 2010
BACKGROUND: Surgical indications to prevent systemic embolism in infective endocarditis (IE) remain controversial. We sought to compare clinical outcomes of early surgery with conventional treatment in IE patients with embolic indications only. METHODS AND RESULTS: From 1998 to 2006, we prospectively enrolled 132 consecutive patients (86 men; age, 49±17 years) ...
Gurvitch R - - 2010
Although short- and medium-term outcomes after transcatheter aortic valve implantation are encouraging, long-term data on valve function and clinical outcomes are limited. Consecutive high-risk patients who had been declined as surgical candidates because of comorbidities but who underwent successful transcatheter aortic valve implantation with a balloon-expandable valve between January 2005 ...
Stulak John M - - 2010
BACKGROUND: Proposed advantages to the Ross procedure included presumed increased freedom from reoperation and simpler reoperation for pulmonary conduit replacement if needed. It is increasingly apparent, however, that reoperations are frequent after the Ross procedure and that when required, they may be more complex than previously thought. METHODS AND RESULTS: ...
Ruttmann Elfriede - - 2010
Although minimally invasive aortic valve replacement (MIAVR) through an anterolateral mini-thoracotomy has been shown to reduce surgical trauma, the technique is utilized only at a few selected heart surgery centers. The study aim was to demonstrate the implementation of a MIAVR program at the Innsbruck Medical University, Austria. Between October ...
Hermans Hadewich - - 2010
Triple valve surgery remains a challenge, although with an improved survival rate compared to historical data. Aws assessment was made as to whether the type of valve surgery, underlying valve lesion and pathology were independent predictors of outcome. The patient characteristics were also described according to the type of surgery ...
Pasic Miralem - - 2010
OBJECTIVES: The aim of this study was to evaluate the outcome of transapical aortic valve implantation in a single center with expanded procedural experience and to compare it with predicted risk for conventional aortic valve surgery. BACKGROUND: Transapical aortic valve implantation is a new approach for high-risk patients with severe ...
Cheung Ling Ling - - 2011
We report on an intravenous drug user who presented with methicillin-sensitive Staphylococcus aureus bacteremia and endocarditis of a prosthetic tricuspid valve, with a 4-cm vegetation refractory to standard antibiotic treatment. The patient responded to intravenous daptomycin therapy clinically and microbiologically, despite an absence of surgical intervention.
Newton Sophie - - 2010
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was 'in patients undergoing a surgery for endocarditis is a biological valve or mechanical valve superior for achieving long-term low rates of reinfection?' Altogether more than 41 papers were found using the reported ...
Drews Thorsten - - 2011
Objective: Transcatheter aortic valve implantation is a new method for the treatment of very-high-risk patients with aortic valve stenosis. Particularly in patients who have had previous cardiac surgery, the operative risk can be reduced. Nevertheless, this new procedure has some potential risks in these patients, due to the increased danger ...
Coeytaux Remy R - - 2010
Surgical aortic valve replacement (SAVR) is the only treatment known to improve symptoms and survival in patients with severe, symptomatic aortic stenosis. Perioperative mortality, however, is high among many patients for whom SAVR may be indicated. Percutaneous heart valve replacement (PHVR) is an emerging, catheter-based technology that allows for implantation ...
Krotin Mirjana - - 2010
INTRODUCTION: The Björk-Shiley Delrin (BSD) tilting disc heart valve was first clinically used in 1969. A triple BSD valve replacement has not been quite common, because of high postoperative risk and complications, but there have been several cases with different postoperative course. The first implantation of artificial valve in Yugoslavia ...
Sarralde J Aurelio - - 2010
BACKGROUND: We examined predictors of reoperation and late mortality in patients undergoing tricuspid valve repair for rheumatic disease. METHODS: Between 1997 and 2007, 299 consecutive patients (mean age 50.8 + or - 13.7 years) underwent surgical repair of the tricuspid valve for multivalvular organic rheumatic disease. A total of 184 ...
Masson Jean-Bernard - - 2010
BACKGROUND: Coronary artery disease (CAD) negatively impacts prognosis of patients undergoing surgical aortic valve replacement and revascularization is generally recommended at the time of surgery. Implications of CAD and preprocedural revascularization in the setting of transcatheter aortic valve implantation (TAVI) are not known. METHOD: Patients who underwent successful TAVI from ...
Shih Terry - - 2010
BACKGROUND: Pulmonary allografts are commonly used in the reconstruction of the right ventricular outflow tract. However, in pediatric patients, allografts that are small enough are often unavailable. To downsize larger, more readily available conduits, one leaflet can be excised, forming a bicuspid valve. The aim of this study was to ...
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