Marco Introzzi

https://lnkd.in/gas7DAcC                                                      Article title: Demographic, clinical characteristics and results of postoperative follow-up, in patients with valvular cardiopathy handled with ON-X mechanical valves in San Ignacio Hospital between the years 2006-2015-2019   Author(s): Giovanny Ríos D; Lina María Marroquín Arias; Juan Rafael Correa; William Rios D Journal: International Journal of Vascular Surgery and Medicine   Journal ISSN: 2455-5452 Abstract: Overall objective: To describe the demographic, morbidity and indications for valvular heart valve surgery, operated with ON-X mechanical valves at the San Ignacio Hospital between 2006-2015. Describe the experience of the Hospital, the reasons for the surgeries and the evolution of these, with special emphasis on type and level of anticoagulation and complications. #ValvularHeartDisease #ONXMechanicalProstheticValves #Functionality #Complications #Anticoagulation #DescriptiveStudy #Angiology #BiochemistryOfBloodFluids #DiseasesOfTheCirculatorySystem #DiseasesOfTheLymphaticSystem #ArterialThrombosisAndEmbolism #Vasculitides #VasospasticDisorders #VenousDiseases #VenousThrombosis #ChronicVenousInsufficiency #VaricoseVeins #LymphaticDiseases #Lymphedema #BloodVesselFormation #HighBloodPressure #BloodAndHypertension #HeartAttack #BloodVesselPathology #Vasoconstriction #VascularImaging #VascularClots #AbdominalAorticAneurysms #Peertechz #PeertechzPublications #BlockageOfBloodVessels #CarotidEndarterectomy #BypassSurgeryForLegArteries #GangreneManagement #RoboticVascularSurgery #AortoIliacDisease #AorticAneurysmSurgery #AorticOcclusionSurgery #EmergencyVascularSurgery #VascularControl #TumorEmbolisation #VaricoseVeinsTreatment #LegUlcersTreatment #VascularDiseaseTreatment #MetabolicDisorders #ArterialOcclusiveDisease #AneurysmalDisease #LymphaticDisorders #ArterialDisease #VenousDisease #PulmonaryDisease #Cardiovascular #Neurovascular #Cerebrovascular #CerebralVascularDisease #VascularDiseaseSymptoms #PeripheralVascularDiseaseSymptoms #PeripheralVascularDiseaseTreatment #CarotidVascularDisease #RenalVascularDisease #HypertensiveVascularDisease #VascularHeartDisease #CollagenVascularDiseaseSymptoms #ArterioscleroticVascularDisease #CardiovascularDiseasePrevention #CirculatoryDiseases #CoronaryVascularDisease

📃Scientific paper: Assessment of fluid status in neonatal dialysis: the need for new tools Abstract: Background Assessment of fluid status in neonatal dialysis has largely focused on traditional tools including clinical assessment, serial weights, and blood pressure (BP) measurements. However, in infants on kidney replacement therapy, the assessment of fluid overload is problematic due to errors in weight assessment, subtlety of physical exam findings, and inaccuracy of non-invasive BP measurements. Case summary In this presentation of a neonate with bilateral renal agenesis requiring kidney replacement therapy, the treating team assessed a number of variables in determining the ultrafiltration prescription for dialysis across 2 modalities (hemodialysis and continuous kidney replacement therapy). Complications Fluid overload, cardiomegaly, and worsened respiratory status occurred when attempting to assess the neonate’s fluid status by traditional markers (weights, blood pressures, physical exam findings). B-type natriuretic peptide (BNP) was obtained and was noted to correlate with the degree of fluid overload. Key management points Compared to traditional tools for assessment of fluid status in pediatric dialysis, BNP assisted the medical team in optimizing the volume status of the subject and determining optimal daily ultrafiltration goals. Due to the rapid release in response to myocardial stretch and the lack of kidney clearance of the peptide, BNP may represent an objective, timely, and reliable index of volume status in the pediatric dialysis patient. Continued on ES/IODE ➡️ https://etcse.fr/j6aD ------- If you find this interesting, feel free to follow, comment and share. We need your help to enhance our visibility, so that our platform continues to serve you.

📃Scientific paper: Assessment of fluid status in neonatal dialysis: the need for new tools Abstract: Background Assessment of fluid status in neonatal dialysis has largely focused on traditional tools including clinical assessment, serial weights, and blood pressure (BP) measurements. However, in infants on kidney replacement therapy, the assessment of fluid overload is problematic due to errors in weight assessment, subtlety of physical exam findings, and inaccuracy of non-invasive BP measurements. Case summary In this presentation of a neonate with bilateral renal agenesis requiring kidney replacement therapy, the treating team assessed a number of variables in determining the ultrafiltration prescription for dialysis across 2 modalities (hemodialysis and continuous kidney replacement therapy). Complications Fluid overload, cardiomegaly, and worsened respiratory status occurred when attempting to assess the neonate’s fluid status by traditional markers (weights, blood pressures, physical exam findings). B-type natriuretic peptide (BNP) was obtained and was noted to correlate with the degree of fluid overload. Key management points Compared to traditional tools for assessment of fluid status in pediatric dialysis, BNP assisted the medical team in optimizing the volume status of the subject and determining optimal daily ultrafiltration goals. Due to the rapid release in response to myocardial stretch and the lack of kidney clearance of the peptide, BNP may represent an objective, timely, and reliable index of volume status in the pediatric dialysis patient. Continued on ES/IODE ➡️ https://etcse.fr/j6aD ------- If you find this interesting, feel free to follow, comment and share. We need your help to enhance our visibility, so that our platform continues to serve you.

📃Scientific paper: Assessment of fluid status in neonatal dialysis: the need for new tools Abstract: Background Assessment of fluid status in neonatal dialysis has largely focused on traditional tools including clinical assessment, serial weights, and blood pressure (BP) measurements. However, in infants on kidney replacement therapy, the assessment of fluid overload is problematic due to errors in weight assessment, subtlety of physical exam findings, and inaccuracy of non-invasive BP measurements. Case summary In this presentation of a neonate with bilateral renal agenesis requiring kidney replacement therapy, the treating team assessed a number of variables in determining the ultrafiltration prescription for dialysis across 2 modalities (hemodialysis and continuous kidney replacement therapy). Complications Fluid overload, cardiomegaly, and worsened respiratory status occurred when attempting to assess the neonate’s fluid status by traditional markers (weights, blood pressures, physical exam findings). B-type natriuretic peptide (BNP) was obtained and was noted to correlate with the degree of fluid overload. Key management points Compared to traditional tools for assessment of fluid status in pediatric dialysis, BNP assisted the medical team in optimizing the volume status of the subject and determining optimal daily ultrafiltration goals. Due to the rapid release in response to myocardial stretch and the lack of kidney clearance of the peptide, BNP may represent an objective, timely, and reliable index of volume status in the pediatric dialysis patient. Continued on ES/IODE ➡️ https://etcse.fr/j6aD ------- If you find this interesting, feel free to follow, comment and share. We need your help to enhance our visibility, so that our platform continues to serve you.

https://lnkd.in/g2ey7MfS Article title: Clinical features and outcome of prosthetic pulmonary valve infective endocarditis Author(s): Daniel Pastor*#; Juan Carlos Castillo*; Rafael González; José López-Aguilera; Dolores Mesa; Manuel Anguita; Manuel Pan Journal: Journal of Cardiovascular Medicine and Cardiology Journal ISSN: 2455-2976 Abstract: Background: Infective endocarditis is a serious complication in patients with prostheses in the right ventricle outflow tract. The aim of our study is to assess clinical features in these patients. Methods: We have analyzed all cases of prosthetic pulmonary valve infective endocarditis (PPVIE) and compared them to the rest of the patients with IE. Since the year 2000, 375 cases of IE have been diagnosed in our center and nine patients had a PPVIE.: 3 patients with Melody percutaneous prostheses, 5 with a homograft (3 after a Rastelli procedure, 2 a Ross procedure), and 1 patient with a heterograft (Contegra conduit). #Endocarditis #PulmonaryValve #Prostheses #CoronaryArteryDiseases #ValvularHeartDisease #Electrophysiology #CardiacElectrophysiology #Echocardiography #InterventionalCardiology #ClinicalCardiology #NuclearCardiology #AcuteCoronarySyndromes #ArrhythmiaEP #CVImaging #CVDPrevention #CardiacArrhythmias #Peertechz #PeertechzPublications #OpenAccess #ScientificJournals #PeerReviewedJournals #OpenAccessPublishers #CardiacPhysiology #CardiacRegeneration #CardiacRehabilitation #Cardiomyopathies #CardiovascularDrugs #CardiovascularTherapy #CardiovascularAnatomy #CongenitalHeartDefects 

JIM│ Hygrometry behavior during high-flow nasal oxygen therapy and non-invasive mechanical ventilation: A narrative review of bench to clinical studies Link: https://buff.ly/3Kn5Ho8 Sanjay Singhal, Mohan Gurjar, Jun Duan, Salvatore Notaro, Antonio M. Esquinas #AcuteRespiratoryFailure #Hygrometry #Non-invasiveMechanicalVentilation #HighFlowNasalOxygen #Oxygenation #HeatedHumidifier During the daily activity of a healthy individual, Inspired gas is warmed and humidified by the upper respiratory tract to a core temperature of 370C and 100% relative humidity corresponding to an absolute humidity level of 44 mg H2O/L before reaching alveoli for optimized gas exchange and airway mucosal function. However, patients with acute respiratory failure tend to breathe through the mouth, which is a less efficient route than nasal breathing for adding heat and moisture to the inspired gas. Moreover, these patients require the support of Non-invasive ventilation (NIV) or high-flow nasal oxygen (HFNO). Without humidification, patients may have severe consequences in the form of life-threatening airway obstruction due to inspissated secretions and difficult intubation after NIV failure. Therefore, humidifying the inspired gas in NIV is essential. Although HFNO uses a heated humidifier, we cannot always assume stable humidification as humidification during HFNO/NIV is influenced by multiple factors such as the airflow (less than 30mg/L at flow rate of 60-100L/min), temperature, device design, ventilator parameters, mask design, air leaks, and the type of humidifier, and factors related to the patient’s condition, such as the respiratory rate, mouth breathing and oxygen requirement (>50% mandates the use of Heated humidification). This article reviews the available studies addressing all these factors affecting humidification. The findings of these studies may not be extrapolated to the specific and variable conditions of critically ill patients; therefore, a large study is required for various clinical scenarios.