Iatrogenic Injury To Iliac Artery During L5-s1 Lumbar Spine Surgery,Medical Illustration database of the best portfolios and stock images now features General and Commercial Illustration and illustrators. 8,000+ image database includes all types of subjects and features the largest directory of medical, science, and nature illustrators and illustration on the web.
We report a case of mitral valve repair complicated by iatrogenic coronary artery lesion. This rare coronary injury caused an acute ST-elevation myocardial infarction and it was treated successfully with a percutaneous coronary intervention.
Dr. Lucian L. Leape opened medicines Pandoras box in his 1994 paper, "Error in Medicine," which appeared in the Journal of the American Medical Association (JAMA).(16) He found that Schimmel reported in 1964 that 20% of hospital patients suffered iatrogenic injury, with a 20% fatality rate. In 1981 Steel reported that 36% of hospitalized patients experienced iatrogenesis with a 25% fatality rate, and adverse drug reactions were involved in 50% of the injuries. In 1991, Bedell reported that 64% of acute heart attacks in one hospital were preventable and were mostly due to adverse drug reactions.. Leape focused on the "Harvard Medical Practice Study" published in 1991, (16a) which found a 4% iatrogenic injury rate for patients, with a 14% fatality rate, in 1984 in New York State. From the 98,609 patients injured and the 14% fatality rate, he estimated that in the entire U.S. 180,000 people die each year partly as a result of iatrogenic injury.. Why Leape chose to use the much lower figure of 4% ...
Dr. Lucian L. Leape opened medicines Pandoras box in his 1994 paper, "Error in Medicine, which appeared in the Journal of the American Medical Association (JAMA).(16) He found that Schimmel reported in 1964 that 20% of hospital patients suffered iatrogenic injury, with a 20% fatality rate. In 1981 Steel reported that 36% of hospitalized patients experienced iatrogenesis with a 25% fatality rate, and adverse drug reactions were involved in 50% of the injuries. In 1991, Bedell reported that 64% of acute heart attacks in one hospital were preventable and were mostly due to adverse drug reactions. Leape focused on the "Harvard Medical Practice Study published in 1991, (16a) which found a 4% iatrogenic injury rate for patients, with a 14% fatality rate, in 1984 in New York State. From the 98,609 patients injured and the 14% fatality rate, he estimated that in the entire U.S. 180,000 people die each year partly as a result of iatrogenic injury. Why Leape chose to use the much lower figure of 4% ...
In all of these often-presumptive prescriptions, the doctor is subjecting the patient to measurable risk of iatrogenic disease, without the certainty of benefit.". Many drugs are prescribed with no expectation of improving the underlying condition, but with the hope of symptom relief and placebo effect. Worse yet, single drugs that are indicated for single conditions can increase the likelihood of a serious adverse drug reaction to over 80% when prescribed in polypharmacy.. If you are currently taking prescription medication, or know someone that does, and would like to get a second opinion with a chiropractor in Augusta GA to find out if treatments such as chiropractic may be beneficial for you, you can schedule a complimentary consultation at Georgia Clinic of Chiropractic. Our complimentary consultations are an integral part of our patient experience here, and our goal is to make sure that you, not some other third-party company, remains in control of your healthcare.. ...
Several bronchoscopic atlases have been published in the past decade, and a new atlas must distinguish itself in some respect. This atlas goes beyond the others in its comprehensive content and in the quality of its photography. Rather than unduly emphasizing neoplasms, the atlas provides extensive coverage of normal anatomy and variation, inflammatory diseases of the airways and lung parenchyma, pneumoconioses, trauma, and even iatrogenic diseases. It is current in that bronchopulmonary diseases in AIDS are well covered. It also contains extensive correlative material (clinical findings, biopsies, physiologic data, and radiographs including bronchograms) to enhance the viewers understanding of each ...
The study probably included enough patients to support its conclusion that there is no difference in conversion rates, but it is underpowered to detect a difference in iatrogenic injury rates or mortality because those events are so infrequent. To conclude that there is no difference in iatrogenic injury or mortality rates is what is known in statistical circles as a "Type II error" or failure to reject a false null hypothesis. The two null hypotheses in this situation were that there is no difference in 1) iatrogenic injury or 2) mortality rates when surgeons are rested or not ...
A 46 year old man with type 2 diabetes mellitus and hypercholesterolaemia presented with an acute inferior ST elevation myocardial infarction, treated with streptokinase. He had persistent ST elevation and was transferred for emergency angiography which documented two severe right coronary artery (RCA) stenoses (panel A). Using a 6 French JR4 guide catheter, the proximal lesion was treated with a 3.5 × 32 mm BSC Liberte stent, post-dilated with a 4.0 × 20 mm balloon (panel B). Positioning of the second 2.75 × 12 mm stent at the crux required deep guide catheter engagement. Angiography … ...
Pseudoaneurysms of the lumbar arteries are infrequent, and are most often found incidentally after trauma to the lumbar spine. More rarely, they are an iatrogenic complication from diagnostic or therapeutic procedures, particularly of the kidney. The
believe the significance of the use of the word is If we have a word describing medical problems resulting from medical treatment, there must be a frightening number of iatrogenic complications. Someone who writes about word usage recently remarked about the increasing number of obits listing cause of death as complications resulting from cancer treatment. The Vietnamization of medical care: we had to kill the patient in order to save him. Betsy In a message dated 1/12/01 9:50:25 AM, [email protected] writes ...
Traumatic injuries to the brain, cranial nerves, spinal cord, autonomic nervous system, or neuromuscular system, including iatrogenic injuries induced by surgical procedures ...
The ACC/AHA do not currently rec-ommend EBCT and other imaging procedures, such as magnetic resonance imaging BOARD REVIEWangiography, in asymptomatic patients. The indications for correction and fusionfirst require correcting the deformity followed by instrumentation and fusionto maintain correction generic apcalis sx 20 mg with visa. Oxygen costsshould not be used as a lone outcome measure; other functional measures ofgait improvement have to be considered as well. The prevention of iatrogenic illness resulting from the inappropriate pre-scribing of drugs begins with an understanding of the rational use of medications inelderly patients. In other words, they exhibit reection and refraction phenomena when inter-posed obstacles are big in comparison to the wavelength of the incident ultrasoundradiationOn the other hand, interference and diffraction phenomena occur when the dimen-sions of obstacles or openings are similar to the wavelengthUltrasound also has quite different properties linked to ...
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Looking for online definition of iatrogenic transmission in the Medical Dictionary? iatrogenic transmission explanation free. What is iatrogenic transmission? Meaning of iatrogenic transmission medical term. What does iatrogenic transmission mean?
A 57-year-old woman presented in 2007 with a multiple-year history of severe intermittent diarrhea with fecal incontinence. Initial laboratory evaluation for infectious, inflammatory, and malabsorptive conditions was negative. Colonoscopy with mucosal biopsy was performed, leading to a diagnosis of lymphocytic colitis.. A treatment attempt with standard-dose mesalamine was unsuccessful, but treatment with budesonide restored her digestive health. She was maintained on 9 mg daily, but efforts to lower the dose were unsuccessful. In 2010 she underwent a laparoscopic adjustable gastric band placement and lost approximately 13.5 kg in weight. In 2013 she started gaining weight, noticed easy bruising of her forearms, and developed muscle cramps, lightheadedness, and fatigue. In September 2014 it was thought that she might have iatrogenic Cushings syndrome, and budesonide was decreased to 3 mg daily. This resulted in prompt recurrence of 30-40 Bristol type 6-7 stool evacuations per week with several ...
2016) The Journal of Infectious Diseases 214, 353-360.. BACKGROUND: ?The HIV-1 pandemic was ignited in Léopoldville (Kinshasa), Belgian Congo. Factors that jumpstarted its early expansion remain unclear. Non-lethal Hepatitis C and human T-cell lymphotropic viruses can be used to investigate past iatrogenic transmission. METHODS: ?We undertook a cross-sectional study of elderly inhabitants of Kinshasa, with serological assays, amplification and sequencing. Risk factors were assessed through logistic regression. Phylogenetic methods reconstructed the genetic history of HCV. RESULTS: ?217/839 (25.9%) participants were HCV-seropositive; 26 (3.1%) were HTLV-1-seropositive. Amplification products were obtained from 118 HCV-seropositives; subtypes 4k (n=47) and 4r (n=38) were most common. Independent risk factors for HCV subtype 4r were intramuscular tuberculosis therapy, intravenous injections at Hospital A, intravenous injections before 1960 and injections at a colonial-era venereology clinic. ...
It has been reported that the causes of horizontal duodenal perforation are trauma or iatrogenic injury due to ERCP mainly. Duodenal injury is present, on average, in 3.7-5% of abdominal injuries and may be due to either blunt trauma of the abdomen or penetrating injuries [6]. Though incidence of iatrogenic injuries during upper gastrointestinal endoscopy alone is extremely rare, it is significantly higher in ERCP, estimated to be between 0.4 and 1% [5, 7].. Chest and erect abdominal radiography and ultrasonography are not of diagnostic value, and the modality of choice is CT scan with both oral and intravenous contrast media [2, 3]. Factors like anatomical location of the injury, type and extent of injury, associated injuries to other structures and organs, and time of surgery determine the type of surgical options and their outcome [8]. The American Association for the Surgery of Trauma has suggested the Organ Injury Scale [9], but the grading may not always dictate the management [1]. ...
Introduction: Bile duct injury (BDI) after cholecystectomy remains a serious complication with major implications for patient outcome. For most major BDIs, the recommended method of repair is a hepaticojejunostomy (HJ). We conducted a retrospective review from 5 Danish hepatobiliary centres aiming to examine the perioperative and the long-term outcome after reconstructive HJ ...
|p||p||bold|The aim of the study|/bold| was to present the experience of our centre in endovascular treatment for subclavian artery injuries.|/p||p||bold|Material and methods.|/bold| In the years 2000-2005, seven patients (five men and two women, aged 28 to 69 years) with traumatic injuries to their subclavian arteries were treated in the Department of General and Vascular Surgery and Department of Radiology. Four patients were diagnosed with post-traumatic aneurysms including one iatrogenic aneurysm following fixation of a fractured clavicle; one patient experienced post-traumatic injury to subclavian artery; one with iatrogenic perforation of subclavian artery with bleeding into pleural cavity; and the last one with another iatrogenic injury resulting from attempts to place a central access line following surgical, restoration of patency within subclavian and axillary arteries. All patients underwent endovascular treatment with the use of self-expanding peripheral stentgrafts
Iatrogenic illness covers the concept of harm having been done by the healer. Harm could come from many quarters including mistakes in diagnosis or treatment, professional negligence, adverse reactions to drugs, infections acquired during surgery or in the ward, and mis-presciption. Undoubtedly, all these things happen and quite regularly too. But, the charge by quacks, when discussing iatrogenic illness on their web sites, is that medical greed and their addictions to using toxic drugs kill hundreds of thousands of people unnecessarily. The conspiracy of Big Pharma wants to keep us ill and sell us more toxic and harmful drugs.. Often figures are presented that are used to show that iatrogenic death is the third or fourth leading cause of death in the western world. A typical example is given here where figures for adverse drug reactions cause 106,000 deaths per year in the USA.. On this basis, doctors look like mass murderers. Their pursuit of profit and the monopoly of health care is ...
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Results TTE at 1 month showed persistent iASD in 57% (1M-iASD). Mean LA pressure after clip was significantly higher in patients with 1M-iASD than patients without 1M-iASD (17±6 mm Hg vs 15±5 mm Hg, p=0.01). Among patients with 1M-iASD, 24 patients (35%) had persistent iASD at 12 months (12M-iASD). Mean LA pressure after clip was significantly higher in patients with 12M-iASD than patients without 12M-iASD (19±6 mm Hg vs 16±6 mm Hg, p=0.04). Patients with 12M-iASD did not significantly differ from patients without 12M-iASD in terms of right heart enlargement, estimated systolic pulmonary artery pressure, New York Heart Association functional class and brain natriuretic peptide at 12 months. Logistic regression analysis, however, showed that mean LA pressure after clip was significantly associated with persistent iASD at 12 months in patients with 1M-iASD even after adjustment for cardiac index after clip and the prevalence of mitral regurgitation ≥3+ at 12 months (OR 1.10 per 1 mm Hg, 95% ...
Målet med denne undersøgelse er at demonstrere fortrinsret placering transseptale punktering under en cryoballoon kateter ablation...
Das Ziel dieser Studie ist die bevorzugte Lage der transseptale Punktion während einer Kryoballon Ablationsvorgangs zur Behandlung von ...
Ureteral herniation is a rare anatomic entity. In 1975, Pollack et al. reported that there had been 120 reports of ureteral hernias at the time of their case series publication [9]. While the exact case number is unknown, recent publications have documented fewer than 200 cases [10, 11]. These herniations, have been described in several anatomic regions including inguinal, femoral, sciatic, obturator, and thoracic regions. Out of these listed, inguinal ureteral hernias are the most common, occurring approximately 42-64% of the time, and have the greatest risk of inadvertent injury due to the herniorrhaphies associated with that area [9, 12]. Conversely, literature review revealed fewer than 10 documented thoracic ureteral herniation cases and none were from sequelae to iatrogenic injuries. This subset likely represents the rarest form of ureteral herniations.. Thoracic ureteral hernias were first documented by Swithinbank in 1958 [3]. This case involved a right-sided diaphragmatic ureteral ...
We had few data on adverse events arising from general practice consultations from which to estimate sample sizes. To date, the seminal study on the incidence of adverse events is the Harvard medical practice study.24 In this study 30 000 randomly selected case records of inpatients admitted to acute hospitals were reviewed to develop population estimates of iatrogenic injuries according to the age and sex of the patient and the specialty of the doctor. Adverse events occurred in 3.7% of admissions. This study, however, was of hospital patients and took place in a different healthcare system. James and Pyrgos found an error rate of 3.6% when nurse practitioners in a British accident and emergency department were compared with middle grade doctors, although this was principally the result of overinvestigation.25 If a rate of 3.7% were to be replicated in primary care outside normal working hours 37 calls per 1000 would result in some kind of adverse event. Anecdotally, this seems to be a high ...
Dramatically depicts the limited articular range of motion in the rotation of the head and neck secondary to an incorrectly performed anterior spinal fusion surgery (iatrogenic injury). A fusion plate is shown from C5 to C6 with fusion bone masses in place at C5-6 and C6-7. Above and below the fusion sites are reddened areas illustrating the additional stress to the facet joints on either side of the bony fusion mass.
According to its broadest definition, a therapeutic procedure is any medical or surgical procedure that is performed in order to repair, remove or otherwise heal any previously determined health concern. Common therapeutic procedures include a broad spectrum of interventions from immunizations and chemotherapy, to psychotherapy and the prescription of drugs and medicines. Surgical therapeutic procedures are performed once a specific health issue has been diagnosed and a physical procedure is deemed necessary. The general rule is to attempt other therapeutic interventions when possible. Surgery is however, the only cure for a variety of health problems. Therefore it is sometimes chosen as a therapeutic procedure, rather than a purely medical approach. In some cases, it can only treat the symptoms or the ramifications of a condition.
Diagnostic and Therapeutic Procedures Diagnostic and therapeutic cardiovascular s are central to the evaluation and management of patients with cardiovascular disease. Consistent with the other sections,
Global Hospitals possess highly developed, world-class endoscopy equipments to ensuring best treatment to its patients.This diagnostic tool allows the treatment using therapeutic procedures
In pharyngeal pouch surgery, the relatively new technique of endoscopic stapling diverticulotomy has a number of advantages over more traditional surgical treatments, such as Dohlmans procedure and open pouch excision, and now seems to be the procedure of choice. However, a number of iatrogenic perforations and deaths have been reported with this procedure. We present three cases of iatrogenic perforations occurring during endoscopic stapling of a pharyngeal pouch by different surgeons in our unit, and review the management, causes and prevention of this potentially life-threatening complication ...
TY - JOUR. T1 - Spotlight on esophageal perforation. T2 - A multinational study using the Pittsburgh esophageal perforation severity scoring system. AU - Schweigert, Michael. AU - Santos Sousa, Hugo. AU - Solymosi, N.. AU - Yankulov, Aleksandar. AU - Fernández, Marta Jiménez. AU - Beattie, Rory. AU - Dubecz, Attila. AU - Rabl, Charlotte. AU - Law, Simon. AU - Tong, Daniel. AU - Petrov, Danail. AU - Schäbitz, Annemaria. AU - Stadlhuber, Rudolf J.. AU - Gumpp, Julia. AU - Ofner, Dietmar. AU - McGuigan, Jim. AU - Costa-Maia, José. AU - Witzigmann, Helmut. AU - Stein, Hubert J.. PY - 2016/4/1. Y1 - 2016/4/1. N2 - Objective The Pittsburgh group has suggested a perforation severity score (PSS) for better decision making in the management of esophageal perforation. Our study aim was to determine whether the PSS can be used to stratify patients with esophageal perforation into distinct subgroups with differential outcomes in an independent study population. Methods In a retrospective study cases of ...
In a case report published online Jan. 19 in Pediatrics, iatrogenic Cushings syndrome (CS) is described in a 9-year-old girl who received topical ocular glucocorticoid (GC) treatment for bilateral iridocyclitis.
Venous air embolism (VAE), a subset of gas embolism, is an entity with the potential for severe morbidity and mortality. Venous air embolism is a predominantly iatrogenic complication that occurs when atmospheric gas is introduced into the systemic venous system.
The need for mechanical ventilation (MV) secondary to sepsis is the leading cause of admission to the intensive care unit, often necessitating sedation for patient safety and comfort. Recently, we have learned that these sedative medications contribute to iatrogenic injury, such as prolonging ventilator time and ICU length of stay and exacerbating acute brain dysfunction. This acute brain dysfunction, manifested as delirium and coma, occurs in 50%-70% of MV septic patients and is a significant contributor not only to death but also to functional and cognitive decline, which can persist for years after recovery of lung and other organ function, levying significant costs to patients and society. Despite advances in the management of acute respiratory failure and sepsis, few clinical trials have examined the effects that supportive therapies, like sedation, may have on both short- and long-term outcomes in this vulnerable population. The gamma-aminobutyric acid (GABA)-ergic benzodiazepines, in ...
BACKGROUND:Facial nerve (FN) monitoring has been accepted as a standard of care in craniofacial, middle ear, and skull-based surgeries as a means of reducing iatrogenic injury, localizing the FN, and predicting postoperative neurologic function. Past studies have also shown that FN electromyographic
The need for mechanical ventilation (MV) secondary to sepsis is the leading cause of admission to the intensive care unit, often necessitating sedation for patient safety and comfort. Recently, we have learned that these sedative medications contribute to iatrogenic injury, such as prolonging ventilator time and ICU length of stay and exacerbating acute brain dysfunction. This acute brain dysfunction, manifested as delirium and coma, occurs in 50%-70% of MV septic patients and is a significant contributor not only to death but also to functional and cognitive decline, which can persist for years after recovery of lung and other organ function, levying significant costs to patients and society. Despite advances in the management of acute respiratory failure and sepsis, few clinical trials have examined the effects that supportive therapies, like sedation, may have on both short- and long-term outcomes in this vulnerable population. The gamma-aminobutyric acid (GABA)-ergic benzodiazepines, in ...
Management of delayed presenting esophageal perforations has long been a topic of debate. Most authors consider definitive surgery being the management of choice. Management, however, differs in pediatric patients in consideration with better healing of younger tissues. We extensively review the role of aggressive non-operative management in pediatric esophageal perforations, especially with delayed presentation and exemplify with case of a young boy with esophageal perforation and esophago-cutaneous fistula. We also lay down the protocol to manage such patients based on our institutional recommendations.
In an effort to reduce the risks of a possible iatrogenic transmission of bovine spongiform encephalitis (BSE) through the use of bovine-derived medicinal products, we patented in the USA in 1999 a polysaccharide from brown algae, endowed with interesting pharmacological activities: (a) concentration-dependent inhibition of thromboplastin or cephalin-kaolin-induced thrombin generation from platelets, (b) concentration-dependent inhibition of thrombin-induced platelet aggregation, (c) thrombin has hypotensive effect, which was blunted and zeroed by our fucansulfate in a dose-dependent way, (d) when aortae are stimulated with thrombin, they become stickier for polymorphonucleated leukocytes (PMNs); our fucansulfate decreased concentration-dependently, PMNs sticking to autologous rabbit aortae, (e) dose-dependent inhibition of thrombin-induced thrombosis. All the above data suggest that our fucansulfate could be a heparin substitute endowed with antithrombotic and anti-inflammatory activities, devoid or
There can be many causes of obesity. Factors that can cause obesity include genetic, behavioral, environmental which includes food allergies and toxins, various health conditions such as Diabetes, Hypothyroidism, Stress Induced High Cortisol, Cushings Disease, PCOS, Hypothalamic Defects, Growth Hormone Deficiency, Immobility, Sarcopenia (Muscle Loss), and also iatrogenic causes from medications such as antidepressants, antipsychotics, steroids, contraceptives and others. Imbalances in the gut microbiome are also being linked as a cause of obesity. It is very important to identify or rule out any underlying causes of obesity. Based on the Centers for Disease Control and Preventions National Center for Health Statistics, more than two-thirds of Americans are either overweight or obese. 3(1108) In the past 20 years, obesity has increased 50% in adults and doubled in children. This is primarily caused by diet and lifestyle factors and not by genetic polymorphisms. However, there can be monogenic ...
Caring for elderly patients with dementia: nursing interventions Laura L Joosse,1 Debra Palmer,1 Norma M Lang21University of Wisconsin-Milwaukee, College of Nursing, Milwaukee, WI, USA; 2University of Wisconsin-Milwaukee, College of Nursing, Knowledge Based Nursing Research Initiative, Milwaukee, WI, USAAbstract: Elderly patients suffering from chronic cognitive decline/dementia are susceptible to poor quality of care which further erodes their quality of life. Seemingly benign events can create cascade iatrogenesis in those whose compensatory ability is compromised by impairments in multiple domains. Under recognition, misrecognition, or failure to intervene and manage this vulnerable population leads to suboptimal care. This places them at risk for cognitive decline, functional decline, and challenging behaviors, creating financial and emotional burdens for not only the patients but also family, staff, and organizations that are attempting to provide care. Identifying, managing, and therapeutically
Increasingly health is defined by a bunch of arbitrary numbers. High cholesterol? Thats not normal take a pill. Low iron? Here take this iron supplement. In Ivan Illichs book, Limits to Medicine- Medical Nemesis, Illich makes the reader fully aware of his disdain of medical check ups -. " The medicalisation of prevention thus becomes another major symptom of social iatrogenesis. It tends to transform personal responsibility for my future into my management by some agency.". Instead of heavily reliant systems on numbers and markers. Should we not look to improve qualitative and quantitative pairings to get a better picture of health and improve outcomes? The last ten weeks of my life have been wrapped up in a post graduate diploma in endocrinology. Getting a better picture of how clinicians tackle complex areas has been a rewarding but at the same time frustrating area of study.. Sometimes the questioning has been a down the lines of - This patient has this endocrine feature, what are the ...
Increasingly health is defined by a bunch of arbitrary numbers. High cholesterol? Thats not normal take a pill. Low iron? Here take this iron supplement. In Ivan Illichs book, Limits to Medicine- Medical Nemesis, Illich makes the reader fully aware of his disdain of medical check ups -. " The medicalisation of prevention thus becomes another major symptom of social iatrogenesis. It tends to transform personal responsibility for my future into my management by some agency.". Instead of heavily reliant systems on numbers and markers. Should we not look to improve qualitative and quantitative pairings to get a better picture of health and improve outcomes? The last ten weeks of my life have been wrapped up in a post graduate diploma in endocrinology. Getting a better picture of how clinicians tackle complex areas has been a rewarding but at the same time frustrating area of study.. Sometimes the questioning has been a down the lines of - This patient has this endocrine feature, what are the ...
TY - JOUR. T1 - Ultrasound-guided percutaneous thrombin injection for post-catheterization pseudoaneurysm. AU - Kuma, Sosei. AU - Morisaki, Koichi. AU - Kodama, Akio. AU - Guntani, Atsushi. AU - Fukunaga, Ryota. AU - Soga, Yoshimitsu. AU - Shirai, Shinichi. AU - Ishida, Masaru. AU - Okazaki, Jin. AU - Mii, Shinsuke. PY - 2015/5/11. Y1 - 2015/5/11. N2 - Background: The efficacy and safety of ultrasound-guided thrombin injection (UGTI) for the treatment of postcatheterization femoral and brachial artery pseudoaneurysms (PSA) is unclear in Japan. Methods and Results: A retrospective study of 32 consecutive patients undergoing percutaneous UGTI of postcatheterization PSA between February 2011 and February 2014 was performed. There were 23 femoral PSA and 9 brachial PSA treated with UGTI. The prevalence of CAD and smoking history were higher in the brachial PSA patients, but there were no statistically significant differences in other patient demographic factors or in the preprocedural antiplatelet ...
Esophageal perforation usually is the result of iatrogenic injury caused by instrumentation (e.g., esophagoscopy, bougienage, and achalasia dilation)1-3 (Table 48-1). The most common site for perforation of the normal esophagus is at its most proximal location, immediately above the cricopharyngeus muscle and below the inferior pharyngeal constrictor (Killians triangle). Injury at this location is most often caused by attempted forceful intubation of the esophagus for endoscopy (rigid or flexible) in a patient who is not sufficiently anesthetized. Other common sites of perforation include those in which the esophagus is normally narrowed (the distal esophagus), pathologically narrowed, or anatomically abnormal. Occasionally, intramural perforation can occur when the mucosa is sheared off the muscularis during endoscopy or bougienage. These conditions are not perforations in the truest sense, but present in a similar fashion and must be differentiated from frank perforation. Spontaneous ...
OBJECTIVE: This study was conducted to determine how the words chiropractic and chiropractor have been used in publications in relation to the reporting of complications from cervical spinal manipulation therapy (SMT).. STUDY DESIGN: The study method was to collect recent publications relating to spinal manipulation iatrogenesis which mentioned the words chiropractic and/or chiropractor and then determine the actual professional training of the practitioner involved.. METHOD: The training of the practitioner in each report was determined by one of three means: surveying previous publications, surveying subsequent publications and/or by writing to the author(s) of ten recent publications which had used the words chiropractic and/or chiropractor. RESULTS: This study reveals that the words chiropractic and chiropractor commonly appear in the literature to describe SMT, or practitioner of SMT, in association with iatrogenic complications, regardless of the presence or absence of professional ...
Acute neonatal limb ischaemia (NLI) is most frequently an iatrogenic complication, however, may also occur in utero due to thromboembolism. There is no widely accepted protocol for treatment of NLI and limited evidence to guide management. Thrombolysis and surgical management have been attempted, though both are associated with significant morbidities. Milrinone is a phosphodiesterase-3 inhibitor used for its vasodilatory effects on the systemic and pulmonary vasculature. There is also emerging evidence for benefit of milrinone in ameliorating ischaemia-reperfusion injury. The authors present a case report of a term infant with spontaneous perinatal acute limb ischaemia secondary to near-completely occlusive thrombosis of the right subclavian artery. The infant was successfully managed conservatively with milrinone without requirement for thrombolysis or surgical intervention. Milrinone represents a novel treatment option for neonates with acute limb ischaemia and consideration of a trial of ...
INTRODUCTION: In thyroid and parathyroid surgery iatrogenic injury of the parathyroid glands or the recurrent laryngeal nerve (RLN) is a possible complication that needs to be prevented. The visible contrast between thyroid and parathyroid tissue is delicate to observe. The aim of this pilot study was to collect in vivo spectral reflectance-signatures of critical tissue types encountered during thyroid and parathyroid surgery, and to assess the presence of useful spectral distinctive features that might be applied for future devices enabling intraoperative tissue-specific image contrast enhancement. METHODS: Wide-band spectra (350-1830nm, 1nm resolution) were collected in vivo during thyroid and parathyroid surgery. Subjected to tissue type accessibility, on average 2 tissue types per patient were measured. For each tissue type, 5 spectra were recorded per site, covering 1-2 sites per tissue type. Mean tissue spectra were calculated for all measured tissue types. After visually comparing these ...
Spinal Fusion Surgery - Limited Range of Motion Due to Iatrogenic Injury. Accurately depicts limited extension of the head and neck secondary to an incorrectly performed anterior spinal fusion procedure. A single view of the head and neck bones is shown in a partially extended position. A fusion plate is shown from C5 to C6 with fusion masses in place at C5-6 and C6-7, around which are reddened areas illustrating the stress to the facet joints.
Traumatic neuromas may occur from acute or chronic injury to a nerve. Clinical presentation The patient presents with a focal area of pain and tenderness to palpation. There should be a history of injury (including iatrogenic injury, i.e. surge...