10,589 results match your criteria Pneumonia Aspiration


[Predictive value of umbilical arterial cord pH on complications during hospitalization in neonates after cesarean section].

Authors:
J Bao J Liu Y Qu D L Mu

Beijing Da Xue Xue Bao Yi Xue Ban 2019 Feb;51(1):159-164

Department of Anesthesiology, Peking University First Hospital,Beijing 100034, China.

Objective: To analyze the predictive value of umbilical arterial cord pH on complications of hospitalized neonates after cesarean section.

Methods: This was a retrospective cohort study and carried out in Peking University First Hospital from January 1, 2017 to June 30, 2017. Neonates who were delivered by cesarean section were enrolled. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.19723/j.issn.1671-167X.2019.01.027DOI Listing
February 2019

Denture Wearing Moderates the Association between Aspiration Risk and Incident Pneumonia in Older Nursing Home Residents: A Prospective Cohort Study.

Int J Environ Res Public Health 2019 Feb 14;16(4). Epub 2019 Feb 14.

Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka 812-8582, Japan.

Aspiration is increasingly recognized as a major risk for pneumonia, but a potential link between wearing dentures and incident pneumonia with aspiration risk is unclear. The aim of this study was to investigate whether denture wearing moderates the association between aspiration risk and incident pneumonia in older adults. We used prospective cohort data of 156 residents aged >70 years from eight nursing homes in Aso, Japan. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/ijerph16040554DOI Listing
February 2019

Management of Zenker's diverticulum using flexible endoscopy.

VideoGIE 2019 Feb 30;4(2):87-90. Epub 2019 Jan 30.

Department of Surgery, St George Hospital, Sydney, New South Wales, Australia.

Background And Aims: Zenker's diverticulum is a false diverticulum through Killian's dehiscence. Symptoms include halitosis, dysphagia, regurgitation, cough, and aspiration pneumonia. Treatment options include open transcervical cricopharyngeal myotomy, trans-oral rigid endoscopic stapling, and minimally invasive endoscopic myotomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.vgie.2018.12.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6363821PMC
February 2019
2 Reads

Aspiration Pneumonia.

N Engl J Med 2019 02;380(7):651-663

From McMaster University, Hamilton, ON, Canada (L.A.M.); and Weill Cornell Medical College, New York (M.S.N.).

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1056/NEJMra1714562DOI Listing
February 2019
1 Read

[The effectiveness of the complete lateral position method in elderly patients with severe dysphagia].

Nihon Ronen Igakkai Zasshi 2019 ;56(1):59-66

Department of Surgery, Hida City Hospital.

Aim: This study aimed to clarify the effectiveness of using the complete lateral position method to treat elderly patients with severe dysphagia.

Methods: We enrolled 47 patients >65 years of age who had been diagnosed with severe dysphagia using a video endoscopic examination of swallowing at Hida City Hospital between February 1, 2015, and October 31, 2017. We collected and analyzed data pertaining to patient characteristics, the onset of aspiration pneumonia, and treatment outcomes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3143/geriatrics.56.59DOI Listing
January 2019
2 Reads

Treatment Strategies for Clozapine-Induced Sialorrhea: A Systematic Review and Meta-analysis.

CNS Drugs 2019 Feb 13. Epub 2019 Feb 13.

Metro South Addiction and Mental Health Service, Level 2 Mental Health, Woolloongabba Community Health Centre, 228 Logan Rd, Brisbane, QLD, Australia.

Background: Clozapine is the most effective medication for treatment-refractory schizophrenia. However, it has a high burden of adverse events, including common adverse events such as sialorrhea. Sialorrhea can lead to severe physical complications such as aspiration pneumonia, as well as psychological complications including embarrassment and low self-esteem. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s40263-019-00612-8
Publisher Site
http://dx.doi.org/10.1007/s40263-019-00612-8DOI Listing
February 2019
6 Reads

Neonatal vocal fold motion impairment after complex aortic arch reconstruction: What should parents expect after diagnosis?

Int J Pediatr Otorhinolaryngol 2019 Feb 5;120:40-43. Epub 2019 Feb 5.

University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States.

Objectives: To study the incidence, sequelae, follow up, and recovery rate of vocal fold motion impairment (VFMI) after complex aortic arch reconstruction in neonates.

Study Design: Retrospective case control study.

Methods: We retrospectively evaluated 105 neonates who underwent complex aortic arch reconstruction from 2014 to 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijporl.2019.02.006DOI Listing
February 2019
1 Read

Prognostic values of the Berlin definition criteria, blood lactate level, and fibroproliferative changes on high-resolution computed tomography in ARDS patients.

BMC Pulm Med 2019 Feb 11;19(1):37. Epub 2019 Feb 11.

Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, 160-8582, Japan.

Background: In the Berlin definition, acute respiratory distress syndrome (ARDS) is stratified into three stages according to oxygenation severity at the onset. The relevance between ARDS severity and prognosis varies among published reports and has not been verified, especially in Asian patients.

Methods: In this study, we examined the associations between the Berlin definition criteria and prognosis and clinical parameters, including high-resolution computed tomography (HRCT) scores of fibroproliferative changes of the lungs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12890-019-0803-0DOI Listing
February 2019

Self-expandable metal stent for dysphagia caused by mediastinal masses in patients with lung cancer.

Arab J Gastroenterol 2019 Feb 4. Epub 2019 Feb 4.

Endoscopy Unit, Department of Gastroenterology and Hepatology, University Hospital Centre Zagreb, Croatia.

Background And Study Aims: We intended to evaluate the role of self-expandable metal stents (SEMS) for palliation of malignant dysphagia in patients with lung cancer.

Patients And Methods: During the period between May 2015 and September 2017, 42 SEMS have been placed for malignant dysphagia in patients with lung cancer. Stents have been placed under combined fluoroscopic and endoscopic guidance. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ajg.2019.01.004DOI Listing
February 2019
1 Read

Oesophageal obstruction due to trichobezoars in two cats.

JFMS Open Rep 2019 Jan-Jun;5(1):2055116918823581. Epub 2019 Jan 14.

Animal Referral Hospital, Homebush, NSW, Australia.

Case Series Summary: This case series describes two cats diagnosed with oesophageal obstruction due to trichobezoars. Both cases presented for acute dyspnoea, with thoracic radiographs revealing changes consistent with oesophageal foreign material causing ventral displacement of the trachea. Endoscopic removal was unsuccessful and both cases required surgical intervention. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2055116918823581DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350137PMC
January 2019
1 Read

A stimulus for eating. The use of neuromuscular transcutaneous electrical stimulation in patients affected by severe dysphagia after subacute stroke: A pilot randomized controlled trial.

NeuroRehabilitation 2019 Jan 29. Epub 2019 Jan 29.

Clinical Laboratory of Experimental Neurorehabilitation, I.R.C.C.S. Santa Lucia Foundation, Rome, Italy.

Background: Oropharyngeal dysphagia is a common problem in subacute stroke patients leading to aspiration pneumonia and malnutrition. Non-invasive neuromuscular electrical stimulation (NMES) coupled with traditional therapy could be best treatment option for patients with post-stroke dysphagia, however results are still inconclusive and more studies are requested.

Objective: The aim of the study was to investigate the effect of laryngopharyngeal neuromuscular electrical stimulation on dysphagia caused by stroke. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3233/NRE-182526DOI Listing
January 2019
1 Read

A comprehensive review of swallowing difficulties and dysphagia associated with antipsychotics in adults.

Expert Rev Clin Pharmacol 2019 Mar 8;12(3):219-234. Epub 2019 Feb 8.

b Mental Health Research Center at Eastern State Hospital , University of Kentucky , Lexington , KY , USA.

Introduction: This is a comprehensive review of antipsychotic (AP)-induced dysphagia and its complications: choking and pneumonia. Areas covered: Four PubMed searches were completed in 2018. The limited literature includes: 1) 45 case reports of AP-induced dysphagia with pharmacological mechanisms, 2) a systematic review of APs as a risk factor for dysphagia, 3) reviews suggesting adult patients with intellectual disability (ID) and dementia are prone to dysphagia (APs are a risk factor among multiple others), 4) studies of the increased risk of choking in patients with mental illness (APs are a contributing factor), 5) naturalistic pneumonia studies suggesting that pneumonia may contribute to AP-increased death in dementia, and 6) naturalistic studies suggesting that pneumonia may be a major cause of morbidity and mortality in clozapine patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17512433.2019.1577134DOI Listing
March 2019
1 Read

Bolus Airway Invasion Observed During Videofluoroscopy in Healthy, Non-dysphagic Community-Dwelling Adults.

Ann Otol Rhinol Laryngol 2019 Jan 30:3489419826141. Epub 2019 Jan 30.

4 School of Communication, Northwestern University, Evanston, Illinois, USA.

Objectives:: Typical aging may result in subclinical swallowing alterations (presbyphagia), which can place an individual at risk for dysphagia-related conditions, such as aspiration pneumonia, secondary to loss of functional reserve and rising incidence of age-related diseases associated with dysphagia. The purpose of this study was to investigate occurrence of airway invasion among healthy, nondysphagic community-dwelling adults. Further, we tested for differences of airway invasion across age categories and between sexes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0003489419826141DOI Listing
January 2019
1 Read

Esophageal intramural pseudodiverticulosis complicated with severe stricture requiring surgical resection.

Clin J Gastroenterol 2019 Jan 29. Epub 2019 Jan 29.

Department of Gastroenterology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan.

Esophageal intramural pseudodiverticulosis (EIPD) is an uncommon benign disorder leading to esophageal strictures. The etiology remains unknown; however, anti-fungal treatments or endoscopic balloon dilation can improve early esophageal strictures and these rarely require surgical treatment. We report a case of a 46-year-old male with a 6 cm-long esophageal stricture due to EIPD, which did not improve following treatment with an anti-fungal agent, eventually causing aspiration pneumonia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12328-019-00940-8DOI Listing
January 2019
1 Read

Respiratory Morbidity Following Foreign Body Aspiration Among South Indian Children: A Descriptive Study.

Cureus 2018 Nov 23;10(11):e3629. Epub 2018 Nov 23.

Paediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

Aim Our work aimed to study the clinical features and radiological signs of foreign body aspiration in South Indian children. Materials and methods We conducted this prospective cross-sectional study for one year in the Department of Paediatrics, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Pondicherry, India in 56 cases. Our study included children younger than 14 years attending our hospital with a history of foreign body aspiration with or without respiratory distress, suspected cases of foreign body aspiration showing evidence of unilateral hyperinflation with or without evidence of collapse of the opposite lungs on chest X-ray (posterior-anterior view), and unexplained cough associated with X-ray evidence of unilateral hyperinflation or bronchiectasis. Read More

View Article

Download full-text PDF

Source
https://www.cureus.com/articles/15961-respiratory-morbidity-
Publisher Site
http://dx.doi.org/10.7759/cureus.3629DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347440PMC
November 2018
5 Reads

Relationship Between Laryngeal Sensation, Length of Intubation, and Aspiration in Patients with Acute Respiratory Failure.

Dysphagia 2019 Jan 29. Epub 2019 Jan 29.

Department of Otolaryngology, Boston University School of Medicine, Boston, MA, USA.

Dysphagia is common in hospitalized patients post-extubation and associated with poor outcomes. Laryngeal sensation is critical for airway protection and safe swallowing. However, current understanding of the relationship between laryngeal sensation and aspiration in post-extubation populations is limited. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00455-019-09980-1DOI Listing
January 2019
3 Reads
1.602 Impact Factor

[A Case of Advanced Esophageal Cancer Successfully Treated with Neoadjuvant Chemotherapy Containing 5-FU, Docetaxel. and Nedaplatin Combination Therapy].

Gan To Kagaku Ryoho 2018 Dec;45(13):1812-1814

Dept. of Surgery, Faculty of Medicine, Kindai University.

A 71-year-old man with a history of hypertension, diabetes mellitus, and cerebral infarction was admitted to our hospital with dysphagia. Gastroduodenoscopy, thoracoabdominal CT, and PET-CT findings showed type 2 advanced esophageal cancer( squamous cell carcinoma)with upper mediastinal and cervical lymph node(LN)metastasis: cT3N2M1(LYM #104L), cStage Ⅳ. Two courses of neoadjuvant UDONchemotherapy containing 5-FU(640mg/m / 2, days 1-5), docetaxel(28mg/m2, days 1 and 15), and nedaplatin(72mg/m2, day 1)were administered every 4 weeks. Read More

View Article

Download full-text PDF

Source
December 2018
1 Read

Cerebral and cardiac congenital malformations in neonatal West Indian manatees (Trichechus manatus).

J Comp Pathol 2019 Jan 30;166:29-34. Epub 2018 Nov 30.

Laboratory of Wildlife Comparative Pathology, Department of Pathology, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, Brazil.

Strandings of live new-born West Indian manatees (WIMs; Trichechus manatus) are one of the main challenges for the conservation of this species in Brazil, particularly in the northeastern states. Congenital malformations (CMs) are rare in sirenians. We identified CMs in two of 19 stranded WIMs that were rescued, rehabilitated and subjected to complete pathological examinations in Ceará and Rio Grande do Norte States between 1992 and 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcpa.2018.10.173DOI Listing
January 2019
2 Reads

Triangulating stapling vs functional end-to-end stapling for cervical esophagogastric anastomosis after esophagectomy for thoracic esophageal cancer: study protocol for a randomized controlled trial.

Trials 2019 Jan 28;20(1):83. Epub 2019 Jan 28.

Second Department of Surgery, School of Medicine, Wakayama Medical University, 811-1, Kimiidera, Wakayama, 641-8510, Japan.

Background: Several studies have reported that the triangulating stapling method decreases the incidence of anastomotic stricture after esophagectomy. Our previous randomized controlled trial, however, could not confirm the superiority of the triangulating stapling (TS) method over the circular stapling (CS) method in terms of postoperative anastomotic stricture rate. Recently, the functional end-to-end stapling (FEES) method for cervical anastomosis after esophagectomy was developed, and lower anastomotic stricture rates with FEES have been reported than for our previously experienced anastomotic methods. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13063-019-3201-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350379PMC
January 2019
1 Read

A phase 3, multicenter, prospective, single-blinded, noninferiority, randomized controlled trial on the performance of a novel esophageal stent with an anti-reflux valve (with video).

Gastrointest Endosc 2019 Jan 23. Epub 2019 Jan 23.

University of Utah School of Medicine, Salt Lake City, UT.

Background And Aims: Self-expanding metal stents (SEMSs) when deployed across the gastroesophageal junction (GEJ) can lead to reflux with risks of aspiration. A SEMS with a tricuspid anti-reflux valve (SEMS-V) was designed to address this issue. The aim of this study was to evaluate the efficacy and safety of this stent. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.gie.2019.01.013DOI Listing
January 2019
2 Reads
5.369 Impact Factor

Clinical Approaches to Assess Post-extubation Dysphagia (PED) in the Critically Ill.

Dysphagia 2019 Jan 25. Epub 2019 Jan 25.

Department of Intensive Care Medicine, Inselspital, University Hospital of Bern, University of Bern, Freiburgstrasse 18, 3010, Bern, Switzerland.

Swallowing disorders and respective consequences (including aspiration-induced pneumonia) are often observed in extubated ICU patients with data indicating that a large number of patients are affected. We recently demonstrated in a large-scale analysis that the incidence of post-extubation dysphagia (PED) is 12.4% in a general ICU population and about 18% in emergency admissions to the ICU. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00455-019-09977-wDOI Listing
January 2019
2 Reads

The effect of repetitive transcranial magnetic stimulation combined with traditional dysphagia therapy on poststroke dysphagia: a pilot double-blinded randomized-controlled trial.

Int J Rehabil Res 2019 Jan 22. Epub 2019 Jan 22.

Physiotherapy, School of Rehabilitation.

Dysphagia following stroke is common and can lead to severe complications such as aspiration pneumonia, but there is inconclusive evidence on how poststroke dysphagia should be treated. This study aimed to investigate the effects of repetitive transcranial magnetic stimulation (rTMS) combined with the traditional dysphagia therapy on the swallowing function in patients with poststroke dysphagia. In this pilot double-blind randomized clinical trial, 18 patients with poststroke dysphagia were allocated randomly to three groups: (i) traditional dysphagia therapy, (ii) rTMS, and (iii) combined intervention. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MRR.0000000000000336DOI Listing
January 2019
1 Read

Aspiration pneumonia and pneumonitis: a spectrum of infectious/noninfectious diseases affecting the lung.

Curr Opin Infect Dis 2019 Jan 22. Epub 2019 Jan 22.

Section of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Murray.

Purpose Of Review: Our purpose is to describe aspiration pneumonia/pneumonitis as a spectrum of infectious/noninfectious diseases affecting the lung. We summarize diagnosis, risk factors, treatment, and strategies for prevention of aspiration.

Recent Findings: Aspiration is present in normal individuals, and disease manifestation depends on the chemical characteristics, frequency, and volume of inoculum. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/QCO.0000000000000524DOI Listing
January 2019
2 Reads

Percutaneous endoscopic gastrostomy for enteral nutrition: a 5-year clinical experience with 324 patients.

Minerva Gastroenterol Dietol 2019 Mar;65(1):20-29

Department of Gastroenterology and Hepatology, Hiroshima Kyoritsu Hospital, Hiroshima, Japan.

Background: Percutaneous endoscopic gastrostomy (PEG) is considered the route of choice for long-term enteral nutrition. In this study, we evaluated the short term outcomes of PEG and aimed to identify the risk factors for in-hospital mortality as well as adverse events such as aspiration pneumonia.

Methods: Three hundred and twenty-four patients who received PEG for enteral nutrition between January 2007 and December 2011 were included in this study. Read More

View Article

Download full-text PDF

Source
https://www.minervamedica.it/index2.php?show=R08Y2019N01A002
Publisher Site
http://dx.doi.org/10.23736/S1121-421X.18.02535-7DOI Listing
March 2019
5 Reads

Incidence of and risk factors for major complications or death in dogs undergoing cytoreductive surgery for treatment of suspected primary intracranial masses.

J Am Vet Med Assoc 2018 Dec;253(12):1594-1603

OBJECTIVE To determine incidence of and risk factors for major complications occurring in dogs within 30 days after cytoreductive surgery performed by a single pair of surgeons for treatment of suspected primary intracranial masses. DESIGN Retrospective cohort study. ANIMALS 160 client-owned dogs that underwent cytoreductive surgery for treatment of suspected primary intracranial masses between January 2009 and December 2015 at a veterinary teaching hospital. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2460/javma.253.12.1594DOI Listing
December 2018
1 Read

Incidental non-neoplastic parenchymal findings in patients undergoing lung resection for mass lesions.

Hum Pathol 2019 Jan 15. Epub 2019 Jan 15.

Department of Pathology, 75 Francis Street, Brigham and Women's Hospital, Boston, MA, 02115. Electronic address:

The prevalence of incidental non-neoplastic lung disease in patients undergoing resection for mass lesions is unknown. We determined the prevalence and characteristics of parenchymal findings in patients with lung nodules, aiming to increase awareness of findings that could potentially impact patient management. 397 patients with benign or malignant mass lesions with available pre-surgical chest computed tomography scans resected between January 2001 and July 2015 were included. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.humpath.2019.01.002DOI Listing
January 2019
5 Reads

Bronchoalveolar lavage hemosiderosis in dogs and cats with respiratory disease.

Vet Clin Pathol 2019 Jan 18. Epub 2019 Jan 18.

Department of Pathobiology, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.

Background: Hemosiderophages can be found in bronchoalveolar lavage samples and have been reported in association with a wide range of respiratory and cardiovascular disorders in cats and humans.

Objectives: This study aimed to retrospectively evaluate the presence of hemosiderin in canine and feline bronchoalveolar lavage (BAL) samples. It also aimed to examine the association of BAL hemosiderin with signalment, clinical signs, and historical disease prior to BAL, with prior transthoracic fine-needle aspiration (FNA), with bronchoalveolar lavage duration, and with cytologic interpretation. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/vcp.12698
Publisher Site
http://dx.doi.org/10.1111/vcp.12698DOI Listing
January 2019
4 Reads

Swallowing impairment in neurologic disorders: the role of videofluorographic swallowing study.

Pol J Radiol 2018 13;83:e394-e400. Epub 2018 Aug 13.

Section of Radiological Sciences, DIBMIMEF, University Hospital Policlinico, University of Palermo, Palermo, Italy.

Patients with neurologic diseases almost inevitably develop various degrees of swallowing disorders during their life. Dysphagia is one of the main negative prognostic factors in this class of patients, leading to severe morbidity (i.e. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5114/pjr.2018.79203DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334091PMC
August 2018
2 Reads

Intraoperative Use of Nondepolarizing Neuromuscular Blocking Agents During Cardiac Surgery and Postoperative Pulmonary Complications: A Prospective Randomized Trial.

J Cardiothorac Vasc Anesth 2018 Nov 28. Epub 2018 Nov 28.

Department of Anesthesia and Critical Care, University of Chicago Medicine, Chicago, IL.

Objective: Nondepolarizing neuromuscular blocking agents (NMBAs) are associated with perioperative complications in noncardiac surgery; however, little is known about their effect on cardiac surgery. This study assessed the effect of neuromuscular blockade (NMB) on the incidence of postoperative pulmonary complications (PPCs) after cardiac surgery and operating conditions.

Design: Prospective, randomized clinical trial with blinded outcomes assessment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1053/j.jvca.2018.11.043DOI Listing
November 2018
2 Reads

Neuromyelitis optica: an elusive cause of dysphagia.

BMJ Case Rep 2019 Jan 14;12(1). Epub 2019 Jan 14.

Department of Neurology, East Kent Hospitals University NHS Foundation Trust, Canterbury, UK.

Neuromyelitis optica spectrum disorder (NMOSD) is a rare neurological condition infrequently associated with dysphagia on initial presentation. We describe the case of a 54-year-old woman who presented multiple times to healthcare professionals with severe vomiting, followed by sudden profound dysphagia. Her diagnosis was elusive, initially attributed to achalasia cardia and subsequently to stroke. Read More

View Article

Download full-text PDF

Source
http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22704
Publisher Site
http://dx.doi.org/10.1136/bcr-2018-227041DOI Listing
January 2019
9 Reads

Use veno-venous extra corporeal membrane oxygenation in elderly patients with post-cardiotomy hypoxia: the changing paradigm of respiratory support in adult respiratory distress syndrome.

J Cardiothorac Surg 2019 Jan 14;14(1):10. Epub 2019 Jan 14.

Department of Cardiothoracic Surgery, Royal Papworth Hospital, Cambridge, CB23 3RE, UK.

Background: Veno-venous extracorporeal membrane oxygenation (VV-ECMO) support for ARDS treatment after cardiac surgery has progressed remarkably in the last 20 years. However, one of the limitations of a successful recover is age, being a powerful predictor of mortality.

Case Presentation: In this case report we discuss a 78-year-old man who underwent aortic valve and aortic root replacement. Read More

View Article

Download full-text PDF

Source
https://cardiothoracicsurgery.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s13019-019-0833-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332628PMC
January 2019
5 Reads

A case report of intramyocardial bridge on right coronary artery.

Medwave 2018 Dec 12;18(8):e7379. Epub 2018 Dec 12.

Facultad de Medicina, Universidad Nacional de San Agustín, Arequipa, Perú.

Intramyocardial bridges are a coronary circulation anomaly. They usually occur on the path of the anterior descending artery and are classified as superficial or deep. During a routine autopsy, we found—and report—an intramyocardial bridge in large part of the right coronary artery pathway, including the sinoatrial and posterior descending branch. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5867/medwave.2018.08.7379DOI Listing
December 2018
1 Read

Risk scores for predicting dysphagia in critically ill patients after cardiac surgery.

BMC Anesthesiol 2019 Jan 10;19(1). Epub 2019 Jan 10.

Department of Cardiac Care Unit, The Heart Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.

Background: This study aimed at developing and validating a scoring model to stratify critically ill patients after cardiac surgery based on risk for dysphagia, a common but often neglected complication.

Methods: Data were prospectively collected and analyzed from January 2016 to June 2017 from 395 consecutive post cardiac surgery patients at the cardiac care unit (CCU) at a single center; 103 (26.1%) developed dysphagia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12871-019-0680-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329180PMC
January 2019
2 Reads

Gastrointestinal Bleeding in Patients With Acute Respiratory Distress Syndrome: A National Database Analysis.

J Clin Med Res 2019 Jan 3;11(1):42-48. Epub 2018 Dec 3.

Department of Pulmonary & Critical Care, Staten Island University Hospital, Northwell Health, NY, USA.

Background: The goal of our study was to determine the impact of gastrointestinal bleeding (GIB) on in-hospital outcomes among acute respiratory distress syndrome (ARDS) patients, and subsequently determine the potential risk factors for the development of GIB.

Methods: ARDS patients with and without GIB were identified using the National Inpatient Sample (2002 - 2012). Linear regression analysis was used to assess impact of GIB on in-hospital mortality, length of stay and total charges. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.14740/jocmr3660DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306132PMC
January 2019
1 Read

Clinical features and prognosis of canine megaesophagus in Japan.

J Vet Med Sci 2019 Jan 10. Epub 2019 Jan 10.

Department of Veterinary Internal Medicine, Graduate School of Agricultural and Life Sciences, The University of Tokyo.

Megaesophagus (ME) is a common esophageal disease in dogs and the prognosis is generally poor, especially with aspiration pneumonia (AP). We retrospectively investigated the clinical features and prognosis of canine ME in Japan. Twenty-eight dogs were included in this study, with the Miniature Dachshund breed being significantly overrepresented (odds ratio: 4. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1292/jvms.18-0493DOI Listing
January 2019
1 Read

Community-Acquired Pneumonia with Negative Chest Radiography Findings: Clinical and Radiological Features.

Respiration 2019 Jan 9:1-10. Epub 2019 Jan 9.

Department of Internal Medicine, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, Daegu, Republic of Korea.

Background: Data regarding community-acquired pneumonia (CAP) identified on chest computed tomography (CT) but not on chest radiography (CR) are limited.

Objectives: The present study aimed to investigate the clinical and radiological features of these patients.

Methods: We retrospectively compared the clinical characteristics, etiological agents, treatment outcomes, and CT findings between CAP patients with negative CR and positive CT findings (negative CR group) and those with positive CR as well as CT findings (control group). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000495068DOI Listing
January 2019
6 Reads

An Artificial Cough Maneuver to Remove Secretions From Below the Endotracheal Tube Cuff.

Respir Care 2019 Jan 8. Epub 2019 Jan 8.

Dipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Università degli Studi di Milano, Milan, Italy.

Background: Endotracheal suctioning is mandatory to prevent complications caused by the retention of tracheal secretions. Endotracheal suctioning is often performed late, when patients show signs of respiratory and hemodynamic alterations. We conceived a prototype device that, when synchronized with the ventilator, automatically removes secretions collected below the endotracheal tube (ETT) cuff, thus avoiding endotracheal suctioning. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06076DOI Listing
January 2019
3 Reads

Klebsiella pneumoniae carbapenemase (KPC)-producing Klebsiella pneumoniae ST258 isolated from a Japanese patient without a history of foreign travel - a new public health concern in Japan: a case report.

BMC Infect Dis 2019 Jan 7;19(1):20. Epub 2019 Jan 7.

Department of Infectious Diseases, Tokyo Metropolitan Health and Hospitals Corporation Ebara Hospital, 4-5-10 Higashi-Yukigaya Ota-ku, Tokyo, 145-0065, Japan.

Background: Thus far, studies on Klebsiella pneumoniae carbapenemase (KPC)-producing organisms have only been reported in those with a history of foreign travel, and a specific Japanese KPC-producing isolate has not yet been reported.

Case Presentation: We describe a Japanese patient, with no history of travel to foreign countries, admitted due to aspiration pneumonia, and a KPC-producing isolate detected in his sputum. Fortunately, his pneumonia resolved. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12879-018-3649-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6322324PMC
January 2019
4 Reads

Hyoscine for clozapine-induced hypersalivation: a double-blind, randomized, placebo-controlled cross-over trial.

Int Clin Psychopharmacol 2019 Mar;34(2):101-107

National Psychosis Unit, Bethlem Royal Hospital, South London and Maudsley NHS Foundation Trust, London.

Clozapine is the only evidence-based antipsychotic for treatment-resistant schizophrenia. However, it has considerable side effects, limiting its usability and reducing patients' adherence. One of the most common and distressing side effects is hypersalivation, which can be debilitating, stigmatizing and potentially dangerous through its association with aspiration pneumonia. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00004850-900000000-9953
Publisher Site
http://dx.doi.org/10.1097/YIC.0000000000000251DOI Listing
March 2019
3 Reads

Clinical Importance of Peak Cough Flow in Dysphagia Evaluation of Patients Diagnosed With Ischemic Stroke.

Ann Rehabil Med 2018 Dec 28;42(6):798-803. Epub 2018 Dec 28.

Department of Physical Medicine and Rehabilitation, Kosin University College of Medicine, Busan, Korea.

Objective: To investigate the relationship between peak cough flow (PCF), pulmonary function tests (PFT), and severity of dysphagia in patients with ischemic stroke.

Methods: This study included patients diagnosed with ischemic stroke, who underwent videofluoroscopic swallowing study (VFSS), PCF and PFT from March 2016 to February 2017. The dysphagia severity was assessed using the videofluoroscopic dysphagia scale (VDS). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5535/arm.2018.42.6.798DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325319PMC
December 2018
1 Read

Development of a Non-invasive Device for Swallow Screening in Patients at Risk of Oropharyngeal Dysphagia: Results from a Prospective Exploratory Study.

Dysphagia 2019 Jan 5. Epub 2019 Jan 5.

Medical Devices, Nestlé Health Science, Lausanne, Switzerland.

Oropharyngeal dysphagia is prevalent in several at-risk populations, including post-stroke patients, patients in intensive care and the elderly. Dysphagia contributes to longer hospital stays and poor outcomes, including pneumonia. Early identification of dysphagia is recommended as part of the evaluation of at-risk patients, but available bedside screening tools perform inconsistently. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s00455-018-09974-5
Publisher Site
http://dx.doi.org/10.1007/s00455-018-09974-5DOI Listing
January 2019
6 Reads

Pulmonary physiotherapy and aerobic exercise programs can improve cognitive functions and functional ability.

Ideggyogy Sz 2018 Nov;71(11-12):423-430

Clinic of Psychiatry, Health Sciences University, İstanbul Training and Research Hospital, İstanbul, Turkey.

Background And Purpose: The increasing prevalence of dementia over the previous decades has been accompanied by numerous social and economic problems. The importance of exercise in the prevention of dementia coupled with the impact of aspiration pneumonia on the mortality and morbidity of dementia patients cannot be overstated. This study investigates the effects of pulmonary rehabilitation combined with aerobic stretching exercises on the cognitive function, life quality, effort capacity, and level of depression in patients with mild cognitive impairment (MCI) in the early stages of dementia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.18071/isz.71.0423DOI Listing
November 2018
1 Read

Extracorporeal Membrane Oxygenation in Extreme Obesity: A Case Report and Review of the Literature.

Heart Surg Forum 2018 Nov 30;21(6):E485-E488. Epub 2018 Nov 30.

Department of Surgery, Summa Akron City Hospital, Akron, OH, USA.

The use of extracorporeal membrane oxygenation (ECMO) in the treatment of acute respiratory distress syndrome (ARDS) has been described as early as 1972 [Hill 1972]. Though a subsequent randomized trial showed no survival benefit over conventional mechanical ventilation [Zapol 1979], protective ventilation strategies and evolving extracorporeal technology improvements have led to a resurgence in the use of ECMO for patients with ARDS. The most recent randomized clinical trial, Conventional Ventilation or ECMO for Severe Adult Respiratory Failure (CESAR), showed a significant mortality reduction in ARDS patients who were treated with ECMO [Peek 2009]. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1532/hsf.2057DOI Listing
November 2018
1 Read

Intensive Care Unit Readmission in Patients With Primary Brain Injury and Tracheostomy.

Am J Crit Care 2019 Jan;28(1):56-63

Vinciya Pandian is an assistant professor in the Department of Acute and Chronic Care, Johns Hopkins School of Nursing, Baltimore, Maryland, and in the Outcomes After Critical Illness and Surgery (OACIS) Research Group, Johns Hopkins University, Baltimore, Maryland. Mohit Datta is an assistant professor in the Department of Surgery, Palmetto Health USC, University of South Carolina, Columbia, South Carolina. Sajan Nakka is research assistant and Patricia M. Davidson is a dean and professor in the Department of Acute and Chronic Care, Johns Hopkins School of Nursing. Devi S. Tammineedi is a research assistant in the Department of Anesthesia and Critical Care Medicine, Johns Hopkins School of Medicine. Paul A. Nyquist is an associate professor in the departments of neurology, anesthesia/critical care medicine, neurosurgery, and general internal medicine, Johns Hopkins School of Medicine.

Background: Readmission for ventilator support in tracheostomy patients with primary brain injury is often attributed to failure of airway protection and aspiration pneumonia. Data regarding the incidence of intensive care unit readmissions and associated factors in these patients are limited.

Objectives: To determine the factors associated with intensive care unit readmission among tracheostomy patients with primary brain injury, as compared with tracheostomy patients without primary brain injury. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/ajcc2019883DOI Listing
January 2019
1 Read

Deglutition and respiratory patterns during sleep in the aged with OSAS.

Laryngoscope Investig Otolaryngol 2018 Dec 15;3(6):500-506. Epub 2018 Nov 15.

Department of Otolaryngology-Head and Neck Surgery Kurume University School of Medicine Kurume Japan.

Objective: Clearance of the pharynx by deglutition, which removes matter that could be aspirated, is important in protecting the airways and lungs against aspiration. The deglutition and respiratory phase patterns during sleep in the aged with obstructive sleep apnea syndrome (OSAS) were investigated.

Study Design: Retrospective study with case groups. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/lio2.213DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302710PMC
December 2018
2 Reads

Different clinical predictors of aspiration pneumonia in dysphagic stroke patients related to stroke lesion: A STROBE-complaint retrospective study.

Medicine (Baltimore) 2018 Dec;97(52):e13968

Department of Rehabilitation Medicine, Daegu Fatima Hospital, Daegu, Republic of Korea.

Although stroke is one of the most common causes of dysphagia, no studies have investigated the radionuclide salivagram as a predictor of aspiration pneumonia in patients with stroke. In addition, few researches on the risk factors of aspiration pneumonia in patients with subacute and chronic stroke undergoing rehabilitation in the rehabilitation unit have been rarely conducted. In this study, therefore, we investigated whether a radionuclide salivagram could predict aspiration pneumonia, and tried to find other clinical factors that may be helpful in predicting aspiration pneumonia in stroke patients undergoing rehabilitation in the rehabilitation department. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000013968DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314729PMC
December 2018
2 Reads

Videofluoroscopy, CT angiography, and ultrasonography of congenital esophageal stenosis in a Labrador retriever.

Vet Radiol Ultrasound 2018 Dec 27. Epub 2018 Dec 27.

School of Veterinary Science, Massey University, Palmerston North, New Zealand.

A 7-week-old Labrador retriever presented for further investigation into acute onset regurgitation, following weaning from liquid to solid food. A videofluoroscopic swallow study demonstrated a severe, focal esophageal dilation in the mid-cervical region, with marked luminal narrowing distally. Computed tomography with angiography revealed esophageal stenosis, extending from C4-T2, secondary to circumferential esophageal wall thickening. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/vru.12705DOI Listing
December 2018
1 Read

Endovascular Trapping of a Large Cervical Carotid Pseudoaneurysm in Marfan Syndrome Presenting with Progressive Respiratory Distress.

World Neurosurg 2018 Dec 24. Epub 2018 Dec 24.

Neurosurgical Service, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA; Department of Neurosurgery, The National Neuroscience Institute, King Fahad Medical City, Riyadh, Saudi Arabia.

Background: Isolated cervical pseudoaneurysms of the internal carotid artery (ICA) in patients with Marfan syndrome are extremely rare.

Case Description: A 73-year-old female with Marfan syndrome and history of multiple aortic aneurysms presented to an outside hospital with dysphagia, a mass in her neck, dizziness, nausea, and vomiting. A computed tomography angiogram (CTA) showed bilateral cervical ICA pseudoaneurysms, more significant on the right side. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S18788750183287
Publisher Site
http://dx.doi.org/10.1016/j.wneu.2018.12.050DOI Listing
December 2018
6 Reads
2.417 Impact Factor