14,966 results match your criteria Paracentesis

Needle types used in abdominal cross-sectional interventional radiology: a survey of the Society of Abdominal Radiology emerging technology commission.

Abdom Radiol (NY) 2021 Jun 14. Epub 2021 Jun 14.

Department of Radiology, Mayo Clinic, Jacksonville, FL, USA.

Purpose: To identify commonly used needle types in cross-sectional interventional radiology (CSIR) and to review features and safety profiles of those needles.

Methods: Members of the Society of Abdominal Radiology (SAR) emerging technologies commission (ETC) on CSIR were sent a 13-question survey about what needles they use for common CSIR procedures: random and targeted solid organ biopsy, ultrasound-guided paracentesis, and ultrasound-guided thyroid fine needle aspiration (FNA). Results were compiled with descriptive statistics, and features of the most commonly used needles were reviewed. Read More

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The current state of pediatric transplant hepatology fellowships: A survey of recent graduates.

Pediatr Transplant 2021 Jun 13:e14065. Epub 2021 Jun 13.

Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Background: The number of programs offering a PTH fellowship has grown rapidly over the last 10 years. This study aimed to describe the clinical, didactic, procedural, and research experiences of recent PTH fellowship graduates. In addition, we sought to understand graduates' post-fellowship professional responsibilities and their perception about the utility of the PTH fellowship. Read More

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Spontaneous Bacterial Peritonitis Secondary to Salmonella spp. in a Patient With Decompensated Liver Cirrhosis.

Cureus 2021 Jun 3;13(6):e15432. Epub 2021 Jun 3.

Internal Medicine, University of Kansas School of Medicine, Wichita, USA.

Spontaneous bacterial peritonitis (SBP) is a common and serious complication of cirrhosis, with gram-negative bacteria being the culprit in most cases. SBP secondary to . is rare. Read More

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The reasons and countermeasures of Bladder Rupture caused by Transurethral Clot Evacuation.

Pak J Med Sci 2021 May-Jun;37(3):903-907

Jin-Chun Qi, Department of Urology, The Second Hospital of Hebei Medical University, No. 215 Heping Xi Road, Shijiazhuang, Hebei, 050000, China.

Objective: Bladder rupture caused by transurethral clot evacuation is rare in clinic, but an emergency operation is indeed needed in the patient with bladder rupture. We analyzed the reasons of bladder rupture caused by transurethral clot evacuation and provided the countermeasures to guide clinical surgeon to prevent the iatrogenic damage of bladder.

Method: We retrospectively reviewed the records of 287 patients in our hospital, who had bladder tamponade resulting from clots of blood for various reasons and underwent transurethral clot evacuation from January 2007 to January 2019. Read More

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Effect of large volume paracentesis performed just prior to transjugular intrahepatic portosystemic shunt on the anesthetic management during the procedure.

J Anaesthesiol Clin Pharmacol 2021 Jan-Mar;37(1):43-46. Epub 2021 Apr 10.

Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, Augusta, GA, United States.

Background And Aims: Patients often undergo paracentesis prior to a transjugular intrahepatic portosystemic shunt (TIPS) procedure to improve respiratory mechanics. However, the effect of large volume paracentesis (LVP) on intraoperative hemodynamics and anesthetic management when it is performed immediately before the TIPS procedure is not well documented.

Material And Methods: This is a retrospective study in patients undergoing the TIPS procedure between 2004 and 2017. Read More

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Albumin for cirrhosis-related complications.

Brian L Erstad

J Clin Pharm Ther 2021 Jun 7. Epub 2021 Jun 7.

Department of Pharmacy Practice & Science, College of Pharmacy, University of Arizona, Tucson, AZ, USA.

What Is Known And Objective: The purpose of this paper was to discuss the limitations of the studies serving as the evidence for recommendations in clinical practice guidelines concerning albumin use for cirrhosis-related complications, review relevant studies published since the guidelines and suggest directions for future investigations.

Comment: There are no recent comprehensive clinical practice guidelines concerning albumin. Instead, more recent albumin guidelines reflect areas of specialty practice such as those by American and European associations for the study of the liver and liver disease. Read More

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A Case of Stage II Ascending Colon Cancer with Cardiac Tamponade Due to Pericardial Metastasis.

Am J Case Rep 2021 Jun 7;22:e932239. Epub 2021 Jun 7.

Department of Surgery, National Hospital Organization Higashihiroshima Medical Center, Hiroshima, Japan.

BACKGROUND Malignant tumors, such as lung and breast cancers, can metastasize to the heart. However, cardiac metastasis rarely occurs in colorectal cancer. Cardiac metastasis cases are typically asymptomatic and rarely cause cardiac tamponade. Read More

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The Effect of Acute Rises in Intraocular Pressure after Intravitreal Bevacizumab Injection on the Peripapillary Retinal Nerve Fiber Layer Thickness and the Role of Anterior Chamber Paracentesis.

J Curr Ophthalmol 2021 Jan-Mar;33(1):12-16. Epub 2021 Mar 26.

Department of Ophthalmology, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Purpose: To evaluate acute changes in intraocular pressure (IOP) and their short-term effects on the peripapillary retinal nerve fiber layer (RNFL) thickness after intravitreal bevacizumab (IVB) injection.

Methods: Fifty-eight eyes of 37 patients with treatment-naïve diabetic macular edema or exudative age-related macular degeneration were included in the study. Patients were divided into two groups, and the participants of each group received 3 monthly injections of IVB. Read More

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A novel technique for 27-gauge forceps assisted transcleral refixation of dislocated CZ70BD intraocular lens.

Retina 2021 May 28. Epub 2021 May 28.

Hong Kong Eye Hospital, Kowloon, 147K, Argyle Street, Mongkok, Kowloon, Hong Kong Department of Ophthalmology &Visual Sciences, The Chinese University of Hong Kong.

Purpose: To report a novel technique for refixation of dislocated CZ70BD intraocular lens (IOL).

Methods: Posterior vitrectomy is performed with 23 or 25-gauge pars plana vitrectomy system with chandelier illumination. One needle of a double-arm 9-O prolene needle is passed through the sclera 1. Read More

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Impact of Palliative Care Services on Treatment and Resource Utilization for Hepatorenal Syndrome in the United States.

Medicines (Basel) 2021 May 12;8(5). Epub 2021 May 12.

Department of Medicine, Mayo Clinic, Division of Nephrology and Hypertension, Rochester, MN 55905, USA.

This study aimed to determine the rates of inpatient palliative care service use and assess the impact of palliative care service use on in-hospital treatments and resource utilization in hospital admissions for hepatorenal syndrome. Using the National Inpatient Sample, hospital admissions with a primary diagnosis of hepatorenal syndrome were identified from 2003 through 2014. The primary outcome of interest was the temporal trend and predictors of inpatient palliative care service use. Read More

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Penetration of Isavuconazole in Ascites Fluid of Critically Ill Patients.

J Fungi (Basel) 2021 May 11;7(5). Epub 2021 May 11.

Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar der Technischen Universität München, Ismaningerstrasse 22, 81675 Munich, Germany.

Fungal peritonitis is a life-threatening condition which is not only difficult to diagnose, but also to treat. Following recent guidelines, echinocandins and azoles are the recommended antimycotics for the management of intra-abdominal spp. infections, with a favor for echinocandins in critically ill patients. Read More

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Postprocedural Endophthalmitis or Postprocedural Intraocular Inflammation: A Diagnostic Conundrum.

Case Rep Ophthalmol 2021 May-Aug;12(2):418-424. Epub 2021 May 11.

Department of Ophthalmology, Sultan Qaboos University Hospital, Al Khoudh, Oman.

We experienced an atypical endophthalmitis occurring post consecutively performed in-office procedures; an intravitreal injection (IVI) of ranibizumab followed by an anterior chamber (AC) paracentesis performed twice in an eye with neovascular glaucoma (NVG). A 52-year-old diabetic male who was asymptomatic developed signs of endophthalmitis and decreased vision without pain in his left eye a few days post-IVI and AC paracentesis. The condition worsened after an initial vitreous tap and injection of antibiotics. Read More

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Abdominal paracentesis drainage attenuates intestinal mucosal barrier damage through macrophage polarization in severe acute pancreatitis.

Exp Biol Med (Maywood) 2021 May 30:15353702211015144. Epub 2021 May 30.

College of Medicine, Southwest Jiaotong University, Chengdu 610031, China.

Abdominal paracentesis drainage (APD), as an effective treatment of severe acute pancreatitis (SAP) in clinical settings, can ameliorate intestinal barrier damage and the overall severity of SAP. However, the mechanism underlying therapeutic effects of APD on damaged intestinal mucosal barrier during SAP is still unclear. Here, SAP was induced by injecting 5% Na-taurocholate retrograde into the biliopancreatic duct of rats to confirm the benefits of APD on enteral injury of SAP and further explore the possible mechanism. Read More

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Level of MFAP4 in ascites independently predicts 1-year transplant-free survival in patients with cirrhosis.

JHEP Rep 2021 Jun 29;3(3):100287. Epub 2021 Mar 29.

Department of Gastroenterology and Hepatology, Odense University Hospital, Odense, Denmark.

Background & Aims: Prognostic models of cirrhosis underestimate disease severity for patients with cirrhosis and ascites. Microfibrillar-associated protein 4 (MFAP4) is an extracellular matrix protein linked to hepatic neoangiogenesis and fibrogenesis. We investigated ascites MFAP4 as a predictor of transplant-free survival in patients with cirrhosis and ascites. Read More

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Er:YAG laser-assisted filtration surgery: initial results in rabbits.

BMC Ophthalmol 2021 May 20;21(1):226. Epub 2021 May 20.

Sam Rothberg Glaucoma Center, Goldschleger Eye Institute, Sheba Medical Center, Tel-Hashomer, Israel, affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.

Background: Glaucoma is a leading cause of global blindness, especially preventable blindness. The increased prevalence of glaucoma has led to a growing demand for newer, safer, more rapid, and simpler treatments for the reduction of intraocular pressure (IOP). In this study, we evaluated the safety and feasibility of performing filtration glaucoma surgery with an Ab-Interno Er:YAG laser in rabbits. Read More

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Controlled underdilation using novel VIATORR® controlled expansion stents improves survival after transjugular intrahepatic portosystemic shunt implantation.

JHEP Rep 2021 Jun 3;3(3):100264. Epub 2021 Mar 3.

Department of Internal Medicine I, University of Frankfurt, Frankfurt, Germany.

Background & Aims: Smaller 8-mm diameter transjugular intrahepatic portosystemic shunts (TIPS) appear to be more beneficial than larger 10-mm TIPS stent-grafts, but lack the ability for secondary dilation in cases of clinical ineffectiveness. Underdilated VIATORR® TIPS stent grafts (VTS) expand passively, whereas novel VIATORR Controlled Expansion (VCX) stent grafts do not. This study evaluated the impact on survival of underdilated VCX compared with VTS in patients with decompensated cirrhosis. Read More

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Preferred practice pattern and observed outcome of deep anterior lamellar keratoplasty - A survey of Indian corneal surgeons.

Indian J Ophthalmol 2021 06;69(6):1553-1558

Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Purpose: This study aimed to assess the preferred surgical technique and outcome of deep anterior lamellar keratoplasty (DALK) among corneal surgeons in India.

Methods: An online questionnaire-based cross-sectional survey was conducted among members of the Cornea Society of India (CSI) with experience of performing >10 DALK procedure. The responses pertaining to their surgical experience, preferred technique, complications, and outcome of DALK were collected and analyzed. Read More

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quantitative analysis of anterior chamber white blood cell mixture composition using spectroscopic optical coherence tomography.

Biomed Opt Express 2021 Apr 17;12(4):2134-2148. Epub 2021 Mar 17.

Department of Biomedical Engineering, Duke University, Durham, NC 27708, USA.

Anterior uveitis is the most common form of intraocular inflammation, and one of its main signs is the presence of white blood cells (WBCs) in the anterior chamber (AC). Clinically, the true composition of cells can currently only be obtained using AC paracentesis, an invasive procedure to obtain AC fluid requiring needle insertion into the AC. We previously developed a spectroscopic optical coherence tomography (SOCT) analysis method to differentiate between populations of RBCs and subtypes of WBCs, including granulocytes, lymphocytes and monocytes, both and in ACs of excised porcine eyes. Read More

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Branch Retinal Artery Occlusion after Percutaneous Coronary Intervention.

Case Rep Cardiol 2021 27;2021:9985568. Epub 2021 Apr 27.

Department of Clinical and Experimental Medicine, University of Messina, Via C. Valeria, 98125 Messina, Italy.

We report a case of branch retinal artery occlusion (BRAO) that occurred after percutaneous coronary intervention (PCI). A 59-year-old man with no other previous diseases presented visual acuity deterioration in the left eye 24 hours after PCI. Fundus examination revealed ischemia at the temporal branch of the retinal artery associated with inner layer edema. Read More

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Recurrent and Treatment-Unresponsive Spontaneous Bacterial Peritonitis Worsens survival in Decompensated Liver Cirrhosis.

J Clin Exp Hepatol 2021 May-Jun;11(3):334-342. Epub 2020 Sep 6.

Hepatology and Liver Transplantation Unit, Azienda Sanitaria Universitaria Integrata, Udine, Italy.

Background: Spontaneous bacterial peritonitis (SBP) remains a major complication of cirrhosis. However, the incidence and the real impact of SBP in determining patient survival rates remain unclear. This study aims to evaluate the incidence and risk factors for SBP development and the role of SBP in predicting transplant-free survival. Read More

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September 2020

Fatal Streptococcus pseudoporcinus disseminated infection in decompensated liver cirrhosis: a case report.

J Med Case Rep 2021 May 16;15(1):240. Epub 2021 May 16.

2nd Department of Internal Medicine and Research Laboratory, Medical School, National and Kapodistrian University of Athens, "Hippokration" General Hospital, Athens, Greece.

Background: Streptococcus pseudoporcinus (S. pseudoporcinus) was first identified in 2006. It cross-reacts with Lancefield group B antigen agglutination reagents and has been misidentified as S. Read More

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Coronavirus disease 2019 (COVID-19)-associated constrictive pericarditis.

BMJ Case Rep 2021 May 11;14(5). Epub 2021 May 11.

Division of Cardiology and Department of Radiology, George Washington University School of Medicine, Washington, DC, USA.

This report documents a rare case of COVID-19-associated constrictive pericarditis (CP) in the setting of a recent COVID-19 infection. A 55-year-old man with a history of hypertension and gout presented with acute hypoxic respiratory failure and was diagnosed with COVID-19 pneumonia with progression to acute respiratory distress syndrome. His hospital course was complicated by a large pericardial effusion; an emergent bedside transthoracic echocardiography was concerning for cardiac tamponade, so pericardiocentesis was performed. Read More

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Fulminant methicillin-sensitive infection: from pinprick to multiorgan failure.

BMJ Case Rep 2021 May 11;14(5). Epub 2021 May 11.

Intensive Care Unit, Aventura Hospital and Medical Center, Aventura, Florida, USA.

A woman in her 60s with diabetes presented to our institution with altered mental status. Preceding symptoms included headaches, nausea and vomiting. One month prior to presentation, she cut her left thumb and developed a pustule, which she occasionally manipulated with a non-sterile needle. Read More

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Case report: A CSF pseudocyst.

Am J Emerg Med 2021 Apr 17. Epub 2021 Apr 17.

Department of Emergency Medicine, Cook County Health and Hospitals System, Chicago, IL, United States of America. Electronic address:

A 51-year-old female with prior history of ventriculoperitoneal shunt presented with worsening abdominal distension. Her abdomen was diffusely tender and firm with a slight fluid wave. CT imaging with IV contrast was notable for a large cystic lesion in the abdominal cavity with the differential of CSF pseudocyst versus ovarian mass. Read More

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Pharmacokinetics and Antifungal Activity of Echinocandins in Ascites Fluid of Critically Ill Patients.

Antimicrob Agents Chemother 2021 Jun 17;65(7):e0256520. Epub 2021 Jun 17.

Clinical Pharmacokinetics Unit, Division of Medical Intensive Care and Emergency Medicine, Department of Internal Medicine I, Medical University of Innsbruck, Innsbruck, Austria.

The pharmacokinetics and antifungal activity of the echinocandins anidulafungin (AFG), micafungin (MFG), and caspofungin (CAS) were assessed in ascites fluid and plasma of critically ill adults treated for suspected or proven invasive candidiasis. Ascites fluid was obtained from ascites drains or during paracentesis. The antifungal activity of the echinocandins in ascites fluid was assessed by incubation of Candida albicans and Candida glabrata at concentrations of 0. Read More

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Long-term albumin infusion in decompensated cirrhosis: A review of current literature.

World J Hepatol 2021 Apr;13(4):421-432

Department ofGastroenterology and Hepatology, Changi General Hospital, Singapore 529889, Singapore.

Decompensated cirrhosis is characterized by chronic inflammation and severe portal hypertension leading to systemic circulatory dysfunction. Albumin infusion has been widely used in decompensated cirrhosis in patients with spontaneous bacterial peritonitis, large-volume paracentesis and hepatorenal syndrome. Emerging data suggest long-term albumin infusion has both oncotic and non-oncotic properties which may improve the clinical outcomes in decompensated cirrhosis patients. Read More

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Double versus single suture stenting to manage hypertensive spikes after glaucoma drainage device implantation.

Eur J Ophthalmol 2021 May 2:11206721211014386. Epub 2021 May 2.

Department of Neurosciences, Biomedicine and Movement, University Eye Clinic, University of Verona, AOUI - Borgo Roma Hospital, Verona, Veneto, Italy.

Purpose: To evaluate the safety and efficacy of double compared to single intraluminal suture stenting in reducing early postoperative hypertensive spikes (HS) and hypotony after Baerveldt glaucoma implant surgery.

Methods: For this retrospective study, we reviewed the medical charts of 60 patients (60 eyes) who underwent Baerveldt drainage device surgery between 2017 and 2019. Two groups were formed according to whether a single suture stent was placed within the tube (5-0 polypropylene, 30 eyes, group 1) or a double suture (5-0 and 6-0 polypropylene, 30 eyes, group 2). Read More

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Optimal Paracentesis Volume for Terminally Ill Cancer Patients With Ascites.

J Pain Symptom Manage 2021 Apr 29. Epub 2021 Apr 29.

Division of Biostatistics, Tohoku University Graduate School of Medicine, Miyagi, Japan.

Context: Patients with malignant ascites often suffer from distressing symptoms, especially in their end-of-life stage. Although paracentesis is the most common treatment modality to alleviate such symptoms, the optimal volume of paracentesis is not known.

Objectives: To explore the efficacy and safety of paracentesis by the drainage volume for terminally ill cancer patients with malignant ascites. Read More

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Analgesic efficacy of virtual reality for acute pain in amniocentesis: A randomized controlled trial.

Eur J Obstet Gynecol Reprod Biol 2021 Jun 21;261:134-138. Epub 2021 Apr 21.

Department of Obstetrics and Gynecology, The Yitzhak Shamir Medical Center (formerly Assaf Harofeh Medical Center), affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Background: To evaluate the efficacy of virtual reality (VR) as a distraction technique in the management of acute pain and anxiety during amniocentesis.

Study Design: A randomized controlled trial was conducted between September 2020 and October 2020 involving 60 women undergoing mid-trimester amniocentesis. Thirty women were assigned randomly to the VR intervention (immersive video content as a distraction method) group and 30 to the standard care group using a predetermined randomization code. Read More

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[Malignant pleural effusion].

Ugeskr Laeger 2021 04;183(17)

Malignant pleural effusion (MPE) is a common condition, often associated with a high level of symptoms. In this review, several palliative treatments for symptomatic MPE are summarised, including repeated thoracentesis, pleurodesis and insertion of indwelling pleural catheters. Choice of treatment depends on patient symptoms, life expectancy, pleural fluid production, expected effect of oncological treatment, whether trapped lung is suspected or not, and patient preferences. Read More

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