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In the DC and PCI cohorts, patients were divided into preinitiative and postinitiative groups. In patients in the two groups, the success of radiation reduction strategies was determined by comparing the total air kerma, fluoroscopy- and acquisition-mode air kerma. K a,r in the DC cohort showed a significant decline in K a,r in the postinitiative group in comparison to the preinitiative group. K a,r in the PCI cohort, was 1265 mGy, which was considerably less than the corresponding figures in the preinitiative group. Following the introduction of radiation reduction steps, both matched and unmatched DC and PCI cohorts showed a significant decline in fluoroscopy- and acquisition-based air kerma rates, as well as the air kerma product in the preinitiative group.
Source link: https://europepmc.org/article/MED/36073017
Background The embolization of the parenchymal tract is a significant step forward to any other transhepatic or transplenic percutaneous portal vein catheterization procedure since potential venous bleeding is difficult to control and may necessitate surgical intervention. One-hundred-sixty-one patients underwent 220 percutaneous transhepatic or transplenic portal vein catheterization procedures, according to one-hundred-sixty-one patients. The main signs were pancreatic islet transplantation, portal anastomotic stenosis after liver transplantation, and portal vein thrombosis recanalization. In 105 cases, metallic micro-coils in 54 cases, and cyanoacrylic glue in 44 cases, the parenchymal tract was not embolized; in 44 cases, the parenchymal tract was not embolized; in 17 cases, the parenchymal tract was not embolized. After liver tract embolization with glue, we found 12 intrahepatic portal branch thromboses not related to the embolization process, but only one case of non-target embolisation was reported after liver tract embolisation with glue, without medical consequences. Embolisation of the parenchymal tract after percutaneous portal vein catheterization is safe and effective.
Source link: https://europepmc.org/article/MED/36063253
Methods This observational study involved 145 medical students of 5th and 6th years of clerkship at Taipei Veterans General Hospital between October 2020 and December 2021. Conclusions The pre-intervention score of 5th and 6th year medical students in endotracheal intubation and central venous catheterization procedures made no difference. The self-assessed effectiveness in the smart glasses group was higher than that of the control group's. Moreover, 6th-year medical students in the smart glasses group demonstrated greater satisfaction with the training device, instructor's teaching, and the conference than those in the control group. Conclusions and Conclusions Smart glasses are a useful simulation device for endotracheal intubation and central venous catheterization procedures training in medical students. Simulation training of procedural skills with smart glasses in 5-year medical students can be modified to increase student satisfaction.
Source link: https://europepmc.org/article/MED/36052556
Introduction: Right heart catheterization use in cardiogenic artery catheterization has been shown to reduce mortality in recent studies. Due to the lack of available data, the optimal timing of RHC in those patients is uncertain. Patients with cardiac arrest or with a history of ventricular assist devices or heart transplantation were refused admission to the hospital. Complex samples multivariable logistic, cox, and linear regression models were used to determine the connection between RHC timing in the index admission and hospital outcomes, as well as all-cause 30-day readmissions. RHC was more likely to occur in large teaching hospitals than in conventional teaching hospitals. Patients in the early RHC group had a reduced incidence of AKI, higher rate of MCS use, shorter LOS, lower hospital charges, and lower readmission rates than those in the late RHC group. However with increased mortality, a subgroup review of patients who did not have MCS during the index admission revealed similar outcomes, but with greater mortality.
Source link: https://europepmc.org/article/MED/36058343
Through general anesthesia or sedation, pediatric cardiac catheterization can be used to create unconsciousness and immobilization. This report was designed to compare the occurrence of severe complications in pediatric diagnostic cardiac catheterization for ventricular septal defect between general anesthesia and sedation in similar academic environments. We retrospectively identified pediatric patients with ventricular septal defect diagnosis during diagnostic cardiac catheterization between July 2010 and March 2019. Using the Japanese Diagnosis Procedure Combination website, we retrospectively identified pediatric patients who underwent diagnostic cardiac catheterization for ventricular septal defect between July 2010 and March 2019. The proportion of patients with severe complications in the general anesthesia group was significantly higher after adjustment, relative to the sedation group.
Source link: https://europepmc.org/article/MED/36079095
Background In clinical practice, the deep femoral artery's bifurcation is unusual, and patients with this condition are less likely to receive venoarterial extracorporeal membrane oxygenation therapy. Hence, the method by which V-A ECMO is introduced in patients with vascular variation is highly critical. Following the review, the perfusion cannula was inserted in the left superficial femoral artery toward the heart, and the distal catheter was installed in the left SFA toward the distal end. Conclusion Common femoral artery examination must be carried out before V-A ECMO for patients with high bifurcation of the DFA.
Source link: https://europepmc.org/article/MED/36045383
CCC has adopted 3DRA as a mainstay, but there has not been systematic examination of the CCC's approach to and reasons related to HQ 3DRA. The difference between the IQ 3DRA and more dilute contrast solution [60% vs. 100% vs. 1. 62 mL/kg, p = 0. 005], but not with a comparison sample conducted on univariable results. Compared to patient weight [OR 0. 97 95% CI, p = 0. 018], total injection volume [OR 1. 04 p = 0. 011], and percent comparison solution [OR 0. 97, p = 0. 022]. These findings resulted in the development of scatter plots and a new 3DRA Nomogram for estimating the likelihood of HQ 3DRA. In CCC, this is the first attempt to develop evidence-based comparison dose charts and nomogram for 3DRA.
Source link: https://europepmc.org/article/MED/36029321
On chest radiograph, the carina is a good indicator of right internal jugular vein catheterization in infants. We found that a vertebral body is at the same level as carina, and that it may be as radiographic milestones for infants with right internal jugular vein catheterization. We investigated the post-operative chest radiographs of those who underwent right internal vein catheterization and figured out the carina and vertebral bodies' positional relationship and determined the carina and vertebral bodies' location. We measured the vertical distance of the central venous catheter tip from the carina's carina tip. The distance between CVC's tip and the carina was 10 mm and the carina was 6. 3%, with the catheter tip being more than 22 mm lower than the carina. It therefore has the ability to determine right internal jugular vein catheterization in infants on chest radiographs, and it could serve as a radiographic landmark.
Source link: https://europepmc.org/article/MED/36028521
The only FDA-approved slow-release buprenorphine formulation for use in mice and rats has recently become available. To this end, we compared the plasma buprenorphine concentrations and pharmacokinetic parameters of SRB and XRB mice after surgical catheterization. We hypothesized that mice treated before surgery with SRB or XRB would have circulating buprenorphine concentrations that exceeded the therapeutic threshold for as long as 72 hours after surgery. Following administration, both SRB and XRB maintained circulating buprenorphine concentrations above the therapeutic threshold of 1. 0 ng/mL for 72 hours. Plasma buprenorphine concentrations at 6, 24, and 48 h were much higher with XRB than SRB, as measured by XRB's higher dose. These findings point to the use of either SRB or XRB for the relief of postoperative pain in mice.
Source link: https://europepmc.org/article/MED/36008090
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