Base de dados : MEDLINE
Pesquisa : G11.427.695.525 [Categoria DeCS]
Referências encontradas : 3474 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 348 ir para página                         

  1 / 3474 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28449046
[Au] Autor:Riera J; Maldonado C; Mazo C; Martínez M; Baldirà J; Lagunes L; Augustin S; Roman A; Due M; Rello J; Levine DJ
[Ad] Endereço:Department of Critical Care, Vall d'Hebron University Hospital, Barcelona, Spain.
[Ti] Título:Prone positioning as a bridge to recovery from refractory hypoxaemia following lung transplantation.
[So] Source:Interact Cardiovasc Thorac Surg;25(2):292-296, 2017 08 01.
[Is] ISSN:1569-9285
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Refractory hypoxaemia is the leading cause of mortality in the postoperative period after lung transplantation. The role of prone positioning as a rescue therapy in this setting has not been assessed. We evaluated its effects in lung transplant recipients presenting refractory hypoxaemia following the surgery. METHODS: Prospectively collected data from 131 consecutive adult patients undergoing lung transplantation between January 2013 and December 2014 were evaluated. Twenty-two patients received prone position therapy. Indications, associated complications, time to initiation and duration of the manoeuvre were analysed and the effects of prone position on gas exchange were evaluated. Finally, outcomes in this cohort were compared against the rest of lung transplant recipients. RESULTS: Prone positioning was more frequently implemented within the first 72 h (68.2%) and its main indication was primary graft dysfunction. The manoeuvre was maintained during a median of 21 h. After prone position, the pressure of arterial oxygen/fraction of inspired oxygen ratio significantly increased from 81.0 mmHg [interquartile range (IQR) 71.5-104.0] to 220.0 (IQR 160.0-288.0) (P < 0.001). No complications related with the technique were reported. Patients who underwent the manoeuvre had longer hospital stay [50.0 days (IQR 36.0-67.0) vs 30.0 (IQR 23.0-56.0), P = 0.006] than the rest of the population. No differences were found comparing either 1-year mortality (9.1% vs 15.6%; P = 0.740) or 1-year graft function [forced expiratory volume in 1 second of 70.0 (IQR 53.0-83.0) vs 68.0 (IQR 53.5-80.5), P = 0.469]. CONCLUSIONS: Prone positioning is safe and significantly improves gas exchange in patients with refractory hypoxaemia after lung transplantation. It should be considered as a possible treatment in these patients.
[Mh] Termos MeSH primário: Hipóxia/reabilitação
Transplante de Pulmão/efeitos adversos
Posicionamento do Paciente/métodos
Modalidades de Fisioterapia
Disfunção Primária do Enxerto/reabilitação
Decúbito Ventral
Recuperação de Função Fisiológica
[Mh] Termos MeSH secundário: Feminino
Seguimentos
Seres Humanos
Hipóxia/etiologia
Hipóxia/fisiopatologia
Masculino
Meia-Idade
Disfunção Primária do Enxerto/complicações
Estudos Prospectivos
Síndrome do Desconforto Respiratório do Adulto/etiologia
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE
[do] DOI:10.1093/icvts/ivx073


  2 / 3474 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28459126
[Au] Autor:Hu S; Zhuo L; Zhang X; Yang S
[Ad] Endereço:Department of Anatomy, Zunyi Medical College, Zunyi, Guizhou, China.
[Ti] Título:Localization of nerve entry points as targets to block spasticity of the deep posterior compartment muscles of the leg.
[So] Source:Clin Anat;30(7):855-860, 2017 Oct.
[Is] ISSN:1098-2353
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To identify the optimal body surface puncture locations and the depths of nerve entry points (NEPs) in the deep posterior compartment muscles of the leg, 60 lower limbs of thirty adult cadavers were dissected in prone position. A curved line on the skin surface joining the lateral to the medial epicondyles of the femur was taken as a horizontal reference line (H). Another curved line joining the lateral epicondyle of the femur to the lateral malleolus was designated the longitudinal reference line (L). Following dissection, the NEPs were labeled with barium sulfate and then subjected to spiral computed tomography scanning. The projection point of the NEP on the posterior skin surface of the leg was designated P, and the projection in the opposite direction across the transverse plane was designated P'. The intersections of P on H and L were identified as P and P , and their positions and the depth of the NEP on PP' were measured using the Syngo system and expressed as percentages of H, L, and PP'. The P points of the tibial posterior, flexor hallucis longus and flexor digitorum longus muscles were located at 38.10, 46.20, and 55.21% of H, respectively. The P points were located at 25.35, 41.30, and 45.39% of L, respectively. The depths of the NEPs were 49.11, 54.64, and 55.95% of PP', respectively. The accurate location of these NEPs should improve the efficacy and efficiency of chemical neurolysis for treating spasticity of the deep posterior compartment muscles of the leg. Clin. Anat. 30:855-860, 2017. © 2017 Wiley Periodicals, Inc.
[Mh] Termos MeSH primário: Perna (Membro)/inervação
Espasticidade Muscular/terapia
Músculo Esquelético/inervação
Bloqueio Nervoso
Nervos Periféricos/anatomia & histologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Pontos de Referência Anatômicos
Cadáver
Dissecação
Feminino
Seres Humanos
Masculino
Meia-Idade
Nervos Periféricos/diagnóstico por imagem
Decúbito Ventral
Tomografia Computadorizada Espiral
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1002/ca.22893


  3 / 3474 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29228251
[Au] Autor:Turner DC; Samuels BC; Huisingh C; Girkin CA; Downs JC
[Ad] Endereço:Department of Vision Sciences, School of Optometry, University of Alabama at Birmingham, Birmingham, Alabama, United States.
[Ti] Título:The Magnitude and Time Course of IOP Change in Response to Body Position Change in Nonhuman Primates Measured Using Continuous IOP Telemetry.
[So] Source:Invest Ophthalmol Vis Sci;58(14):6232-6240, 2017 Dec 01.
[Is] ISSN:1552-5783
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Purpose: To study the effect and time course of body position changes on IOP in nonhuman primates. Methods: We recorded continuous bilateral IOP measurements with a wireless telemetry implant in three rhesus macaques in seven different body positions. IOP measurements were acquired in the seated-upright, standing, prone, supine, right and left lateral decubitus positions (LDPs), and head-down inverted positions. Continuous IOP was recorded for 90 seconds in each position before returning to a supine reference position until IOP stabilized; measurements were averaged after IOP stabilized at each position. Results: Head-down inversion increased IOP an average of 8.9 mm Hg, compared to the supine reference. In the LDP, IOP decreased an average of 0.5 mm Hg in the nondependent eye (i.e., the higher eye), while the fellow dependent (i.e., lower) eye increased an average of 0.5 mm Hg, compared to supine reference. Standing and seated positions decreased IOP 1.5 and 2.2 mm Hg, respectively, compared with supine reference. IOP changes occurred within 4 to 15 seconds of a body position change, and timing was affected by the speed at which body position was changed. Compared to the IOP in the supine position, the IOP in the inverted, prone, and seated positions was significantly different (P = 0.0313 for all). The IOP in the standing position was not statistically different from the IOP in the supine position (P = 0.094). In addition, the IOP was significantly different between the nondependent eye and the dependent eye in the LDPs compared to the supine position (P = 0.0313). Conclusions: Body position has a significant effect on IOP and those changes persist over time.
[Mh] Termos MeSH primário: Pressão Intraocular/fisiologia
Decúbito Ventral/fisiologia
Próteses e Implantes
Telemetria/instrumentação
Tonometria Ocular/métodos
[Mh] Termos MeSH secundário: Animais
Modelos Animais de Doenças
Desenho de Equipamento
Glaucoma/diagnóstico
Glaucoma/fisiopatologia
Macaca mulatta
Masculino
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE
[do] DOI:10.1167/iovs.17-22858


  4 / 3474 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28459336
[Au] Autor:Fan E; Del Sorbo L; Goligher EC; Hodgson CL; Munshi L; Walkey AJ; Adhikari NKJ; Amato MBP; Branson R; Brower RG; Ferguson ND; Gajic O; Gattinoni L; Hess D; Mancebo J; Meade MO; McAuley DF; Pesenti A; Ranieri VM; Rubenfeld GD; Rubin E; Seckel M; Slutsky AS; Talmor D; Thompson BT; Wunsch H; Uleryk E; Brozek J; Brochard LJ; American Thoracic Society, European Society of Intensive Care Medicine, and Society of Critical Care Medicine
[Ti] Título:An Official American Thoracic Society/European Society of Intensive Care Medicine/Society of Critical Care Medicine Clinical Practice Guideline: Mechanical Ventilation in Adult Patients with Acute Respiratory Distress Syndrome.
[So] Source:Am J Respir Crit Care Med;195(9):1253-1263, 2017 May 01.
[Is] ISSN:1535-4970
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This document provides evidence-based clinical practice guidelines on the use of mechanical ventilation in adult patients with acute respiratory distress syndrome (ARDS). METHODS: A multidisciplinary panel conducted systematic reviews and metaanalyses of the relevant research and applied Grading of Recommendations, Assessment, Development, and Evaluation methodology for clinical recommendations. RESULTS: For all patients with ARDS, the recommendation is strong for mechanical ventilation using lower tidal volumes (4-8 ml/kg predicted body weight) and lower inspiratory pressures (plateau pressure < 30 cm H O) (moderate confidence in effect estimates). For patients with severe ARDS, the recommendation is strong for prone positioning for more than 12 h/d (moderate confidence in effect estimates). For patients with moderate or severe ARDS, the recommendation is strong against routine use of high-frequency oscillatory ventilation (high confidence in effect estimates) and conditional for higher positive end-expiratory pressure (moderate confidence in effect estimates) and recruitment maneuvers (low confidence in effect estimates). Additional evidence is necessary to make a definitive recommendation for or against the use of extracorporeal membrane oxygenation in patients with severe ARDS. CONCLUSIONS: The panel formulated and provided the rationale for recommendations on selected ventilatory interventions for adult patients with ARDS. Clinicians managing patients with ARDS should personalize decisions for their patients, particularly regarding the conditional recommendations in this guideline.
[Mh] Termos MeSH primário: Respiração Artificial/normas
Síndrome do Desconforto Respiratório do Adulto/terapia
[Mh] Termos MeSH secundário: Adulto
Oscilação da Parede Torácica/normas
Oxigenação por Membrana Extracorpórea/normas
Seres Humanos
Respiração com Pressão Positiva/métodos
Respiração com Pressão Positiva/normas
Decúbito Ventral
Respiração Artificial/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; PRACTICE GUIDELINE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171212
[Lr] Data última revisão:
171212
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1164/rccm.201703-0548ST


  5 / 3474 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28910340
[Au] Autor:Kowalczyk M; Sawulski S; Dabrowski W; Grzycka-Kowalczyk L; Kotlinska-Hasiec E; Wronska-Sewruk A; Florek A; Rutyna R
[Ad] Endereço:1st Department of Anaesthesiology and Intensive Care, Medical University of Lublin, Lublin, Poland.
[Ti] Título:Successful 1:1 proportion ventilation with a unique device for independent lung ventilation using a double-lumen tube without complications in the supine and lateral decubitus positions. A pilot study.
[So] Source:PLoS One;12(9):e0184537, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Adequate blood oxygenation and ventilation/perfusion matching should be main goal of anaesthetic and intensive care management. At present, one of the methods of improving gas exchange restricted by ventilation/perfusion mismatching is independent ventilation with two ventilators. Recently, however, a unique device has been developed, enabling ventilation of independent lungs in 1:1, 2:1, 3:1, and 5:1 proportions. The main goal of the study was to evaluate the device's utility, precision and impact on pulmonary mechanics. Secondly- to measure the gas distribution in supine and lateral decubitus position. MATERIALS AND METHODS: 69 patients who underwent elective thoracic surgery were eligible for the study. During general anaesthesia, after double lumen tube intubation, the aforementioned control system was placed between the anaesthetic machine and the patient. In the supine and lateral decubitus (left/right) positions, measurements of conventional and independent (1:1 proportion) ventilation were performed separately for each lung, including the following: tidal volume, peak pressure and dynamic compliance. RESULTS: Our results show that conventional ventilation using Robertshaw tube in the supine position directs 47% of the tidal volume to the left lung and 53% to the right lung. Furthermore, in the left lateral position, 44% is directed to the dependent lung and 56% to the non-dependent lung. In the right lateral position, 49% is directed to the dependent lung and 51% to the non-dependent lung. The control system positively affected non-dependent and dependent lung ventilation by delivering equal tidal volumes into both lungs with no adverse effects, regardless of patient's position. CONCLUSIONS: We report that gas distribution is uneven during conventional ventilation using Robertshaw tube in the supine and lateral decubitus positions. However, this recently released control system enables precise and safe independent ventilation in the supine and the left and right lateral decubitus positions.
[Mh] Termos MeSH primário: Oxigênio/sangue
Ventilação Pulmonar/fisiologia
Respiração Artificial/instrumentação
Procedimentos Cirúrgicos Torácicos/métodos
[Mh] Termos MeSH secundário: Adulto
Procedimentos Cirúrgicos Eletivos/instrumentação
Procedimentos Cirúrgicos Eletivos/métodos
Feminino
Seres Humanos
Intubação Intratraqueal
Masculino
Meia-Idade
Projetos Piloto
Decúbito Ventral
Decúbito Dorsal
Procedimentos Cirúrgicos Torácicos/instrumentação
Volume de Ventilação Pulmonar
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
S88TT14065 (Oxygen)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170915
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0184537


  6 / 3474 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28827382
[Au] Autor:Colson ER; Geller NL; Heeren T; Corwin MJ
[Ad] Endereço:Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut; eve.colson@yale.edu.
[Ti] Título:Factors Associated With Choice of Infant Sleep Position.
[So] Source:Pediatrics;140(3), 2017 Sep.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND OBJECTIVES: The American Academy of Pediatrics recommends infants be placed supine for sleep. Our objectives in this study were to, in a nationally representative sample, examine (1) prevalence of maternal intention regarding infant sleeping position and of actual practice and (2) factors associated with their choices. METHODS: We recruited mothers from 32 US hospitals, oversampling African American and Hispanic mothers, in a nationally representative sample of mothers of infants aged 2 to 6 months. Survey questions assessed choice of usual infant sleeping position, all sleeping positions, intention for sleep position, as well as actual practice. Multivariable logistic regression analyses controlled for demographic, receipt of doctor advice, and theory of planned behavior variables (attitudes, subjective norms, and perceived control). RESULTS: Of the 3297 mothers, 77.3% reported they usually placed their infants in the supine position for sleep, but fewer than half reported that they exclusively did so. Only 43.7% of mothers reported that they both intended to and then actually placed their infants exclusively supine. African American mothers and those who did not complete high school were more likely to intend to use the prone position. Theory of planned behavior factors (attitudes, subjective norms, and perceived control) and doctor advice were associated with maternal choice. CONCLUSIONS: Not all mothers place their infants exclusively supine for sleep. Many mothers intend to place their infants supine yet often do not do so in actual practice. Factors potentially amenable to intervention including attitudes, subjective norms, and doctor advice are associated with intention and practice.
[Mh] Termos MeSH primário: Comportamento de Escolha
Comportamento Materno
Decúbito Dorsal
[Mh] Termos MeSH secundário: Adulto
Afroamericanos/psicologia
Escolaridade
Feminino
Conhecimentos, Atitudes e Prática em Saúde
Inquéritos Epidemiológicos
Hispano-Americanos/psicologia
Seres Humanos
Lactente
Intenção
Comportamento Materno/etnologia
Decúbito Ventral
Morte Súbita do Lactente/prevenção & controle
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171111
[Lr] Data última revisão:
171111
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170823
[St] Status:MEDLINE


  7 / 3474 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28827378
[Au] Autor:Goodstein MH; Ostfeld BM
[Ad] Endereço:WellSpan York Hospital, York, Pennsylvania; and mgoodstein@wellspan.org.
[Ti] Título:Improvements in Infant Sleep Position: We Can Do Better!
[So] Source:Pediatrics;140(3), 2017 09.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Sono
Morte Súbita do Lactente
[Mh] Termos MeSH secundário: Seres Humanos
Lactente
Cuidado do Lactente
Postura
Decúbito Ventral
Decúbito Dorsal
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170823
[St] Status:MEDLINE


  8 / 3474 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28796046
[Au] Autor:Fei H; Li WS; Sun ZR; Jiang S; Chen ZQ
[Ad] Endereço:Department of Orthopaedics, Peking University Third Hospital, Beijing, China.
[Ti] Título:Effect of patient position on the lordosis and scoliosis of patients with degenerative lumbar scoliosis.
[So] Source:Medicine (Baltimore);96(32):e7648, 2017 Aug.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study aimed to analyze the effect of patient positions on the lordosis and scoliosis of patients with degenerative lumbar scoliosis (DLS).Seventy-seven patients with DLS were retrospectively analyzed. We measured lordosis and Cobb's angle on preoperative upright x-rays and magnetic resonance imagings in supine position. The lordosis and scoliosis of surgical segments in intraoperative prone position were measured on intraoperative radiographs of 20 patients to compare with that in standing position. Paired t tests were performed to investigate the parameters of the sample.From standing to supine position the whole lordosis increased (29.2 ±â€Š15.7 degree vs. 34.9 ±â€Š11.2 degree), and the whole scoliosis decreased (24.3 ±â€Š11.8 degree vs. 19.0 ±â€Š10.5 degree); 53 of 77 (68.8%) cases had increased lordosis, and 67 of 77 (87%) cases had decreased scoliosis. The lordosis of surgical segments in standing position had no difference with that in intraoprerative prone position. But in changing from supine/standing position to intraoprerative prone position, the scoliosis of surgical segments decreased (14.7 ±â€Š9.4 degree vs. 11.4 ±â€Š7.0 degree; 19.0 ±â€Š11.8 degree vs. 11.4 ±â€Š7.0 degree, respectively), and 18 of 20 (90%) cases had decreased scoliosis in intraoperative prone position than that in standing position.Compared with standing position in DLS patients, supine position increased lordosis and reduced scoliosis, and intraoperative prone position reduced scoliosis significantly. When evaluating the severity of DLS and making preoperative surgical plans, lumbar lordosis in supine position should also be evaluated in addition to upright x-ray, and the effects of different positions should be taken into consideration to reduce deviation.
[Mh] Termos MeSH primário: Lordose/diagnóstico por imagem
Vértebras Lombares/diagnóstico por imagem
Postura
Escoliose/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Decúbito Ventral
Estudos Retrospectivos
Índice de Gravidade de Doença
Decúbito Dorsal
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170827
[Lr] Data última revisão:
170827
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170811
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007648


  9 / 3474 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo SciELO Brasil
[PMID]:28783266
[Au] Autor:Kumar S; Keshavamurthy R; Karthikeyan VS; Mallya A
[Ad] Endereço:Department of Urology, Institute of Nephrourology, Bangalore, India.
[Ti] Título:Complications after prone PCNL in pediatric, adult and geriatric patients - a single center experience over 7 years.
[So] Source:Int Braz J Urol;43(4):704-712, 2017 Jul-Aug.
[Is] ISSN:1677-6119
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: CROES-Clavien system (CCS) for grading complications in percutaneous nephrolithotomy (PCNL) is a step towards standardization of outcomes. We categorized complications based on CCS and predicted risk factors across the entire cohort and individually for pediatric (P: ≤18 years), adult (A: 19-65 years) and geriatric (G: ≥65 years) subgroups to assess the risk factors in each subset. We assessed association of complications with length of hospitalization (LOH) and operation time (OT). MATERIALS AND METHODS: Retrospective record review of unilateral PCNL performed between January 2009-September 2015 at a tertiary care center in India, performing around 150 PCNL per year. RESULTS: Out of 922 (P=61; A=794; G=67) PCNL, 259 (28.09%) complications occurred with CCS I, II, III and IV constituting 152 (16.49%), 72 (7.81%), 31 (3.36%) and 4 (0.43%) respectively and its distribution was similar across the subsets and majority (224; 24.3%) were minor (CCS-1, 2). Placement of a nephrostomy (47.4%; 18/38) in Group P, supracostal access, ≥2 punctures, higher GSS, nephrostomy, staghorn stones, ≥2 stones, stone size in Group A and hydronephrosis and prolonged OT in Group G were significantly associated with complications. On logistic regression, need of nephrostomy (adj. OR - 4.549), OT (adj. OR - 1.364) and supracostal access (adj. OR - 1.471) significantly contributed to complications in the study population. LOH was found to be significantly associated with complications (p<0.001). CONCLUSIONS: Contrary to the belief that extremes of ages are associated with complications of prone PCNL, we found age does not alter the incidence or grade of complications and LOH.
[Mh] Termos MeSH primário: Cálculos Renais/cirurgia
Nefrostomia Percutânea/efeitos adversos
Complicações Pós-Operatórias
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Idoso
Criança
Feminino
Seres Humanos
Tempo de Internação
Masculino
Meia-Idade
Nefrostomia Percutânea/estatística & dados numéricos
Duração da Cirurgia
Posicionamento do Paciente
Decúbito Ventral
Estudos Retrospectivos
Fatores de Risco
Índice de Gravidade de Doença
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170808
[St] Status:MEDLINE


  10 / 3474 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28767569
[Au] Autor:Lee SH; Chung I; Choi DS; Shin IW; Kim S; Kang S; Kim JY; Chung YK; Sohn JT
[Ad] Endereço:aDepartment of Anesthesiology and Pain Medicine, Gyeongsang National University School of Medicine, Gyeongsang National University Hospital bDepartment of Ophthalmology, Gyeongsang National University School of Medicine, Gyeongsang National University Hospital cDepartment of Radiology & Gyeongnam Cerebrovascular Center, Gyeongsang National University Hospital dInstitute of Health Sciences, Gyeongsang National University, Jinju-si, Gyeongsangnam-do, Republic of Korea.
[Ti] Título:Visual loss due to optic nerve infarction and central retinal artery occlusion after spine surgery in the prone position: A case report.
[So] Source:Medicine (Baltimore);96(31):e7379, 2017 Aug.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Visual loss after spine surgery in the prone position is a serious complication. Several cases of central retinal artery occlusion with ophthalmoplegia after spine surgery have been reported in patients with ophthalmic arteries fed by the internal carotid artery (ICA) in a normal manner. PATIENT CONCERNS: A 74-year-old man developed visual loss after undergoing a spinal decompression and fusion operation in the prone position that lasted approximately 5 hours. DIAGNOSES: We detected an extremely rare case of visual loss due to optic nerve infarction and central retinal artery occlusion through fundoscopic examination, fluorescein angiogram, brain magnetic resonance imaging, and magnetic resonance angiography. The patient's visual loss may have been caused by compromised retrograde collateral circulation of the ophthalmic artery from branches of the external carotid artery in the presence of proximal ICA occlusion after a spinal operation in the prone position. INTERVENTIONS: To recover movement of the left extraocular muscles, the patient received intravenous injections of methylprednisolone for 3 days and then oral prednisolone for 6 days. OUTCOMES: Twenty days after the treatment, the motion of the left extraocular muscles was significantly improved. However, recovery from the left visual loss did not occur until 4 months after the operation. LESSONS: In high-risk patients with retrograde collateral circulation of the ophthalmic artery from the external carotid artery due to proximal ICA occlusion, various measures, including the use of a head fixator to provide a position completely free of direct compression of the head and face, should be considered to decrease the risk of postoperative visual loss.
[Mh] Termos MeSH primário: Descompressão Cirúrgica
Neuropatia Óptica Isquêmica/etiologia
Complicações Pós-Operatórias
Fusão Vertebral
Transtornos da Visão/etiologia
[Mh] Termos MeSH secundário: Idoso
Seres Humanos
Masculino
Transtornos da Motilidade Ocular/diagnóstico por imagem
Transtornos da Motilidade Ocular/tratamento farmacológico
Transtornos da Motilidade Ocular/etiologia
Neuropatia Óptica Isquêmica/diagnóstico por imagem
Neuropatia Óptica Isquêmica/tratamento farmacológico
Posicionamento do Paciente
Complicações Pós-Operatórias/diagnóstico por imagem
Complicações Pós-Operatórias/tratamento farmacológico
Decúbito Ventral
Transtornos da Visão/diagnóstico por imagem
Transtornos da Visão/tratamento farmacológico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170803
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007379



página 1 de 348 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde