Pub Date : 2019-01-01DOI: 10.21767/2471-8505.100125
U. S. Ekpenyong, C. Bond, D. Matheson
Background and aim: Evidence in the literature indicates that maternal health care by a skilled birth attendant is one of the key strategies for maternal survival. However, the rate of maternity care utilization and reduction of maternal death is very low in Nigeria. This study was designed to explored factors influencing women utilization of maternal and prenatal care in Nigeria. Hence, the need to understand factors that serves as barriers to accessing maternal and prenatal care in Nigeria using the Socio-ecological Model (SEM). Methods: A mixed method was employed for this study. Data collection used questionnaires and in-depth interviews. Questionnaires were distributed to 330 respondents of which 318 of them were retrieved and qualitative in-depth interviews were conducted for 6 participants. The study was conducted in one of the tertiary health facilities in Nigeria, amongst mothers aged 15-45 years. Statistical Package for Social Sciences (SPSS) was used in analyzing the quantitative data whilst a qualitative content analysis was done for the qualitative data. Results: The study established that education, income level, costs associated with seeking care, distance and time taken to travel were significantly associated with maternity health care services utilization. The study concludes that; costs of treatment, distance and time, income level, staff attitude and women’s autonomy were critical in determining women utilization of maternity care services.
{"title":"Challenges of Maternal and Prenatal Care in Nigeria","authors":"U. S. Ekpenyong, C. Bond, D. Matheson","doi":"10.21767/2471-8505.100125","DOIUrl":"https://doi.org/10.21767/2471-8505.100125","url":null,"abstract":"Background and aim: Evidence in the literature indicates that maternal health care by a skilled birth attendant is one of the key strategies for maternal survival. However, the rate of maternity care utilization and reduction of maternal death is very low in Nigeria. This study was designed to explored factors influencing women utilization of maternal and prenatal care in Nigeria. Hence, the need to understand factors that serves as barriers to accessing maternal and prenatal care in Nigeria using the Socio-ecological Model (SEM). Methods: A mixed method was employed for this study. Data collection used questionnaires and in-depth interviews. Questionnaires were distributed to 330 respondents of which 318 of them were retrieved and qualitative in-depth interviews were conducted for 6 participants. The study was conducted in one of the tertiary health facilities in Nigeria, amongst mothers aged 15-45 years. Statistical Package for Social Sciences (SPSS) was used in analyzing the quantitative data whilst a qualitative content analysis was done for the qualitative data. Results: The study established that education, income level, costs associated with seeking care, distance and time taken to travel were significantly associated with maternity health care services utilization. The study concludes that; costs of treatment, distance and time, income level, staff attitude and women’s autonomy were critical in determining women utilization of maternity care services.","PeriodicalId":91546,"journal":{"name":"Journal of intensive and critical care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73489937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.21767/2471-8505.100126
A. Sonmezler, Aakir ozgür Keaykek
{"title":"Associated Microorganisms in Clinical Specimens from Neurology Intensive Care Unit of A Tertiary Care Hospital In Adana, Turkey","authors":"A. Sonmezler, Aakir ozgür Keaykek","doi":"10.21767/2471-8505.100126","DOIUrl":"https://doi.org/10.21767/2471-8505.100126","url":null,"abstract":"","PeriodicalId":91546,"journal":{"name":"Journal of intensive and critical care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73910506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.21767/2471-8505.100121
H. Solğun, Isa Ozyilmaz
Substance use, including cannabis, has been documented among women during pregnancy, particularly during the 1st trimester. Recreational drugs well known to induce Myocardial Infarction (MI) include cannabis, cocaine, amphetamines and ecstasy even in new born. Their effects on the cardiovascular system are predominantly related to stimulation of the sympathetic nervous system; thus they are known to cause MI secondary to coronary vasospasm. Here we showed that transient coronary vasospasm in a new born due to maternal cannabis use during pregnancy. Smoking cannabis is known to be a rare cause of MI. Cannabis use during pregnancy can induce transient coronary vasospasm and ischemia in new born. These patients should be followed closely in intensive care unit. If necessary a coronary angiography should design to evaluate coronary arteries.
{"title":"Transient Coronary Vasospasm in a Newborn Due to Maternal Cannabis Use during Pregnancy","authors":"H. Solğun, Isa Ozyilmaz","doi":"10.21767/2471-8505.100121","DOIUrl":"https://doi.org/10.21767/2471-8505.100121","url":null,"abstract":"Substance use, including cannabis, has been documented among women during pregnancy, particularly during the 1st trimester. Recreational drugs well known to induce Myocardial Infarction (MI) include cannabis, cocaine, amphetamines and ecstasy even in new born. Their effects on the cardiovascular system are predominantly related to stimulation of the sympathetic nervous system; thus they are known to cause MI secondary to coronary vasospasm. Here we showed that transient coronary vasospasm in a new born due to maternal cannabis use during pregnancy. Smoking cannabis is known to be a rare cause of MI. Cannabis use during pregnancy can induce transient coronary vasospasm and ischemia in new born. These patients should be followed closely in intensive care unit. If necessary a coronary angiography should design to evaluate coronary arteries.","PeriodicalId":91546,"journal":{"name":"Journal of intensive and critical care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91463962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.21767/2471-8505.100127
A. Sönmezler, Åakir Özgür KeÅkek
Objective: The aim of this study was to investigate the frequency of dysphagia in acute ischemic stroke and relation with Glasgow Coma Score (GCS). Methods: The data of 54 patients with acute ischemic stroke were retrospectively analyzed. Glasgow Coma Scores were recorded. Modified Massey Bedside Swallow Screen (MBSS) was used for the diagnosis of dysphagia. For statistical evaluation MedCalc 15.8 software program (MedCalcBelgium) was used. Results: Fifty-four patients (n: 54) with acute ischemic stroke who were admitted to the study were followed up in our hospital Neurology Intensive Care Unit (NICU). Fortynine of the patients were alive, transferred to our service, then discharged. Twenty-six patients had dysphagia (48.1%) while 28 patients did not have dysphagia (51.9%). Glasgow Coma Scores were lower in patients with dysphagia (r=-0.628, p<0.0001. Moreover, survival was inversely correlated with dysphagia (r=-0.331, p= 0.014). Conclusions: Swallowing disorders can be associated with adverse clinical outcomes in patients with acute ischemic stroke in intensive care unit. It is also associated with survival and GCS. Dysphagia is common in ICU patients and should be carefully diagnosed since it can be an independent predictor of death.
{"title":"Dysphagia in Patients with Acute Ischemic Stroke in a Tertiary Care Hospital","authors":"A. Sönmezler, Åakir Özgür KeÅkek","doi":"10.21767/2471-8505.100127","DOIUrl":"https://doi.org/10.21767/2471-8505.100127","url":null,"abstract":"Objective: The aim of this study was to investigate the frequency of dysphagia in acute ischemic stroke and relation with Glasgow Coma Score (GCS). Methods: The data of 54 patients with acute ischemic stroke were retrospectively analyzed. Glasgow Coma Scores were recorded. Modified Massey Bedside Swallow Screen (MBSS) was used for the diagnosis of dysphagia. For statistical evaluation MedCalc 15.8 software program (MedCalcBelgium) was used. Results: Fifty-four patients (n: 54) with acute ischemic stroke who were admitted to the study were followed up in our hospital Neurology Intensive Care Unit (NICU). Fortynine of the patients were alive, transferred to our service, then discharged. Twenty-six patients had dysphagia (48.1%) while 28 patients did not have dysphagia (51.9%). Glasgow Coma Scores were lower in patients with dysphagia (r=-0.628, p<0.0001. Moreover, survival was inversely correlated with dysphagia (r=-0.331, p= 0.014). Conclusions: Swallowing disorders can be associated with adverse clinical outcomes in patients with acute ischemic stroke in intensive care unit. It is also associated with survival and GCS. Dysphagia is common in ICU patients and should be carefully diagnosed since it can be an independent predictor of death.","PeriodicalId":91546,"journal":{"name":"Journal of intensive and critical care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76927826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.21767/2471-8505.100124
Sam, ika Saparamadu Aadn, Joanne Lee, Lui Tt, Choong-Weng Lam
This report describes a case of positive hepatitis B Surface Antigen (HBsAg) following immunization with hepatitis B (HepB) vaccine, which was administered as indicated by negative anti-HBs screen performed prior to initiation of hemodialysis (HD). Variations in HBsAg seropositivity following HepB vaccination reported in the literature has been attributed to the type of HepB vaccine administered, vaccine dose, method of immunoassay used for testing and pharmacokinetics. Clinical implications, complications and the duration of HBsAg seropositivity of this case further affirms current evidence on hepatitis B Surface (HBs) antigenemia following vaccination.
{"title":"Engerix-B Vaccine Induced Transient Hepatitis B Surface Antigenemia: A Case Report and Review of the Literature","authors":"Sam, ika Saparamadu Aadn, Joanne Lee, Lui Tt, Choong-Weng Lam","doi":"10.21767/2471-8505.100124","DOIUrl":"https://doi.org/10.21767/2471-8505.100124","url":null,"abstract":"This report describes a case of positive hepatitis B Surface Antigen (HBsAg) following immunization with hepatitis B (HepB) vaccine, which was administered as indicated by negative anti-HBs screen performed prior to initiation of hemodialysis (HD). Variations in HBsAg seropositivity following HepB vaccination reported in the literature has been attributed to the type of HepB vaccine administered, vaccine dose, method of immunoassay used for testing and pharmacokinetics. Clinical implications, complications and the duration of HBsAg seropositivity of this case further affirms current evidence on hepatitis B Surface (HBs) antigenemia following vaccination.","PeriodicalId":91546,"journal":{"name":"Journal of intensive and critical care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78548903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.21767/2471-8505.100122
A. Sönmezler, Åakir Özgür KeÅkek
Objective: The aim of this study was to investigate the relationship between the mortality and serum phosphorus levels in patients with acute ischemic stroke. Methods: The data of 86 patients admitted to the study were analysed retrospectively. Results: A total of 86 patients (n:86) with acute ischemic stroke who were followed up in our hospital Neurology Intensive Care Unit (NICU). Fifty of 86 patients were survived and transferred to our service, then discharged. The number of patients who died was 36. The mean level of serum phosphorus of patients who died (2.77 ± 0.39) was significantly lower than that of the living patients (3.14 ± 0.20) (p<0.001). Conclusions: This study supports that low serum phosphorus level is associated with mortality in patients with acute ischemic stroke.
{"title":"Low Serum Phosphorus Levels and Acute Ischemic Stroke","authors":"A. Sönmezler, Åakir Özgür KeÅkek","doi":"10.21767/2471-8505.100122","DOIUrl":"https://doi.org/10.21767/2471-8505.100122","url":null,"abstract":"Objective: The aim of this study was to investigate the relationship between the mortality and serum phosphorus levels in patients with acute ischemic stroke. Methods: The data of 86 patients admitted to the study were analysed retrospectively. Results: A total of 86 patients (n:86) with acute ischemic stroke who were followed up in our hospital Neurology Intensive Care Unit (NICU). Fifty of 86 patients were survived and transferred to our service, then discharged. The number of patients who died was 36. The mean level of serum phosphorus of patients who died (2.77 ± 0.39) was significantly lower than that of the living patients (3.14 ± 0.20) (p<0.001). Conclusions: This study supports that low serum phosphorus level is associated with mortality in patients with acute ischemic stroke.","PeriodicalId":91546,"journal":{"name":"Journal of intensive and critical care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79878149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.21767/2471-8505.100123
Mona Abdel Ghany Leilah, K. NahedAttia, Eel, A. Shebl, H. Mansour
Abstract Background: Fluid and electrolyte disturbances are the most frequently reported problems in intensive care units (ICUs). These disturbances are associated with high morbidity and mortality rate among critically ill patients. Early detection and management of fluid and electrolyte imbalance can improve patients' outcome, decrease the length of intensive care stay and reduce the cost of health care services. Purpose: To develop nursing standard for maintaining fluid and electrolyte balance for critically ill patients in ICUs of Mansoura University Emergency Hospital. Method: The study has a descriptive exploratory design. The study included a convenience sample of 40 critical care nurses who were involved in providing direct care for critically ill patients in the study setting. Additionally, 15 experts from the field of critical care were recruited in the study to evaluate the validity of data collection tools. Results: The majority of the studied nurses had got somewhat a satisfactory practice level for fluid and electrolyte assessment and management in the study setting. No significant correlation was found between nurses' practices scores and their socio demographic characteristics. Most items of the proposed nursing standard for maintaining fluid and electrolyte balance for critically ill patients were agreed upon by the expert group. Conclusion: Nursing practice for maintaining fluid and electrolyte balance for critically ill patient in the studied setting was somewhat acceptable. The developed nursing standard can be used as a base for enhancing nursing practice and consequently improve patient outcome. Further research is needed to evaluate the effectiveness of the developed nursing standard in maintaining fluid and electrolyte balance for critically ill patients in ICUs.
{"title":"Developing Nursing Standards for Maintaining Fluid and Electrolyte Balance for Critically Ill Patients in Intensive Care Units","authors":"Mona Abdel Ghany Leilah, K. NahedAttia, Eel, A. Shebl, H. Mansour","doi":"10.21767/2471-8505.100123","DOIUrl":"https://doi.org/10.21767/2471-8505.100123","url":null,"abstract":"Abstract Background: Fluid and electrolyte disturbances are the most frequently reported problems in intensive care units (ICUs). These disturbances are associated with high morbidity and mortality rate among critically ill patients. Early detection and management of fluid and electrolyte imbalance can improve patients' outcome, decrease the length of intensive care stay and reduce the cost of health care services. Purpose: To develop nursing standard for maintaining fluid and electrolyte balance for critically ill patients in ICUs of Mansoura University Emergency Hospital. Method: The study has a descriptive exploratory design. The study included a convenience sample of 40 critical care nurses who were involved in providing direct care for critically ill patients in the study setting. Additionally, 15 experts from the field of critical care were recruited in the study to evaluate the validity of data collection tools. Results: The majority of the studied nurses had got somewhat a satisfactory practice level for fluid and electrolyte assessment and management in the study setting. No significant correlation was found between nurses' practices scores and their socio demographic characteristics. Most items of the proposed nursing standard for maintaining fluid and electrolyte balance for critically ill patients were agreed upon by the expert group. Conclusion: Nursing practice for maintaining fluid and electrolyte balance for critically ill patient in the studied setting was somewhat acceptable. The developed nursing standard can be used as a base for enhancing nursing practice and consequently improve patient outcome. Further research is needed to evaluate the effectiveness of the developed nursing standard in maintaining fluid and electrolyte balance for critically ill patients in ICUs.","PeriodicalId":91546,"journal":{"name":"Journal of intensive and critical care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80953099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.21767/2471-8505.100120
D. Rashwan, S. Rashwan, W. Hassan, Doaa Moaz Sayem
Aims: Is to evaluate the difference between the level of serum cholesterol and triglyceride in septic and non-septic patients and to find a correlation between the level of cholesterol and triglyceride and Acute Physiology and Chronic Health Evaluation Score and quick Sequential Organ Failure Assessment score. Materials and Methods: 95 patients admitted to the SICU, septic patients (group S, n=50) or non-septic patients (NS, n=45). Main outcome measures: length of ICU stay, 28-day mortality, days on mechanical ventilation, (APACHE II) scores, (qSOFA) scores, serum cholesterol, and triglyceride on days 0 and on 1st, 3rd, 7th,10th and 14th day. Result: Cholesterol level (mg/dL) Day 0: It was statistically significant lower in septic group (S) compared to the non-septic group (NS); it was 119.4 ± 29.33 versus 131.2 ± 35.37 (p value=0.037). Day 1: It was statistically significantly lower in the septic group (S): 103.6 ± 29.19 than the non-septic group (NS):123.56 ± 36.50 (p value E0.001). Day 3: It was statistically significantly lower in the septic group (S) 80.7 ± 26.87 than in the non-septic group (NS) 124.84 ± 32.4 (p value <0.001). Triglyceride level (mg/dL): Day 1: Was statistically significantly higher in the septic group (S): 151.5 ± 54.79, than the non-septic group (NS): 112.14 ± 33.02, (p value <0.001). Day 3: It was statistically significant higher in the septic group (S):185.1 ± 43.1 than the non-septic group (NS): 113.5 ± 39.56), (p value <0.001). Conclusion: Cholesterol levels decreased markedly and triglyceride levels increased in patients with sepsis compared to non-septic patients, in the septic patients there was increasing in length of ICU stay, higher qSOFA, and APACHE II scores.
{"title":"Prognostic Value of Serum Cholesterol and Triglyceride in Septic and Non-septic Patients: Randomized Double-blinded Study","authors":"D. Rashwan, S. Rashwan, W. Hassan, Doaa Moaz Sayem","doi":"10.21767/2471-8505.100120","DOIUrl":"https://doi.org/10.21767/2471-8505.100120","url":null,"abstract":"Aims: Is to evaluate the difference between the level of serum cholesterol and triglyceride in septic and non-septic patients and to find a correlation between the level of cholesterol and triglyceride and Acute Physiology and Chronic Health Evaluation Score and quick Sequential Organ Failure Assessment score. Materials and Methods: 95 patients admitted to the SICU, septic patients (group S, n=50) or non-septic patients (NS, n=45). Main outcome measures: length of ICU stay, 28-day mortality, days on mechanical ventilation, (APACHE II) scores, (qSOFA) scores, serum cholesterol, and triglyceride on days 0 and on 1st, 3rd, 7th,10th and 14th day. Result: Cholesterol level (mg/dL) Day 0: It was statistically significant lower in septic group (S) compared to the non-septic group (NS); it was 119.4 ± 29.33 versus 131.2 ± 35.37 (p value=0.037). Day 1: It was statistically significantly lower in the septic group (S): 103.6 ± 29.19 than the non-septic group (NS):123.56 ± 36.50 (p value E0.001). Day 3: It was statistically significantly lower in the septic group (S) 80.7 ± 26.87 than in the non-septic group (NS) 124.84 ± 32.4 (p value <0.001). Triglyceride level (mg/dL): Day 1: Was statistically significantly higher in the septic group (S): 151.5 ± 54.79, than the non-septic group (NS): 112.14 ± 33.02, (p value <0.001). Day 3: It was statistically significant higher in the septic group (S):185.1 ± 43.1 than the non-septic group (NS): 113.5 ± 39.56), (p value <0.001). Conclusion: Cholesterol levels decreased markedly and triglyceride levels increased in patients with sepsis compared to non-septic patients, in the septic patients there was increasing in length of ICU stay, higher qSOFA, and APACHE II scores.","PeriodicalId":91546,"journal":{"name":"Journal of intensive and critical care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83110968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-02-01DOI: 10.21767/2471-8505.100106
L. Tollinche, Jacob C. Jackson, Melvin La, D. Desiderio, Cindy B. Yeoh
We report a case in which a radial arterial line was placed prior to induction of general anaesthesia in a 76 year old male with prostate cancer and multiple co-morbidities who presented for thoracoscopic resection of a right lower lobe carcinoid lung tumor. The patient’s intra-operative course was complicated by acute blood loss requiring conversion to an open procedure. A subsequent injury to the superior vena cava resulted in the need for immediate re-exploration at the conclusion of surgery. While the arterial line was still indicated in this patient’s postoperative course in the ICU, malfunction on post-operative day one resulted in removal of the catheter. The catheter was secured by stay sutures and during the attempt to cut these sutures, the arterial catheter was inadvertently severed and a fragment remained within the patient’s radial artery. Surgical intervention was required to remove the retained catheter and the patient recovered without evidence of residual injury or deficit to the artery and extremity. Literature review reveals only one other case report of a retained catheter in a radial artery caused by accidental transection during removal. We review indications for arterial line placement, complications, as well as methods for securing arterial catheters.
{"title":"Case Report: Transection of Radial Arterial Catheter Requiring Surgical Intervention","authors":"L. Tollinche, Jacob C. Jackson, Melvin La, D. Desiderio, Cindy B. Yeoh","doi":"10.21767/2471-8505.100106","DOIUrl":"https://doi.org/10.21767/2471-8505.100106","url":null,"abstract":"We report a case in which a radial arterial line was placed prior to induction of general anaesthesia in a 76 year old male with prostate cancer and multiple co-morbidities who presented for thoracoscopic resection of a right lower lobe carcinoid lung tumor. The patient’s intra-operative course was complicated by acute blood loss requiring conversion to an open procedure. A subsequent injury to the superior vena cava resulted in the need for immediate re-exploration at the conclusion of surgery. While the arterial line was still indicated in this patient’s postoperative course in the ICU, malfunction on post-operative day one resulted in removal of the catheter. The catheter was secured by stay sutures and during the attempt to cut these sutures, the arterial catheter was inadvertently severed and a fragment remained within the patient’s radial artery. Surgical intervention was required to remove the retained catheter and the patient recovered without evidence of residual injury or deficit to the artery and extremity. Literature review reveals only one other case report of a retained catheter in a radial artery caused by accidental transection during removal. We review indications for arterial line placement, complications, as well as methods for securing arterial catheters.","PeriodicalId":91546,"journal":{"name":"Journal of intensive and critical care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84705770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luis Tollinche, Jacob Jackson, Melvin La, Dawn Desiderio, Cindy Yeoh
We report a case in which a radial arterial line was placed prior to induction of general anaesthesia in a 76 year old male with prostate cancer and multiple co-morbidities who presented for thoracoscopic resection of a right lower lobe carcinoid lung tumor. The patient's intra-operative course was complicated by acute blood loss requiring conversion to an open procedure. A subsequent injury to the superior vena cava resulted in the need for immediate re-exploration at the conclusion of surgery. While the arterial line was still indicated in this patient's postoperative course in the ICU, malfunction on post-operative day one resulted in removal of the catheter. The catheter was secured by stay sutures and during the attempt to cut these sutures, the arterial catheter was inadvertently severed and a fragment remained within the patient's radial artery. Surgical intervention was required to remove the retained catheter and the patient recovered without evidence of residual injury or deficit to the artery and extremity. Literature review reveals only one other case report of a retained catheter in a radial artery caused by accidental transection during removal. We review indications for arterial line placement, complications, as well as methods for securing arterial catheters.
{"title":"Case Report: Transection of Radial Arterial Catheter Requiring Surgical Intervention.","authors":"Luis Tollinche, Jacob Jackson, Melvin La, Dawn Desiderio, Cindy Yeoh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report a case in which a radial arterial line was placed prior to induction of general anaesthesia in a 76 year old male with prostate cancer and multiple co-morbidities who presented for thoracoscopic resection of a right lower lobe carcinoid lung tumor. The patient's intra-operative course was complicated by acute blood loss requiring conversion to an open procedure. A subsequent injury to the superior vena cava resulted in the need for immediate re-exploration at the conclusion of surgery. While the arterial line was still indicated in this patient's postoperative course in the ICU, malfunction on post-operative day one resulted in removal of the catheter. The catheter was secured by stay sutures and during the attempt to cut these sutures, the arterial catheter was inadvertently severed and a fragment remained within the patient's radial artery. Surgical intervention was required to remove the retained catheter and the patient recovered without evidence of residual injury or deficit to the artery and extremity. Literature review reveals only one other case report of a retained catheter in a radial artery caused by accidental transection during removal. We review indications for arterial line placement, complications, as well as methods for securing arterial catheters.</p>","PeriodicalId":91546,"journal":{"name":"Journal of intensive and critical care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/29/f4/nihms939213.PMC5954833.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36115481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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