Publications by authors named "A J Tatooles"
Turner syndrome is a rare chromosomal abnormality in women that is caused by a partial or complete loss of one X chromosome and is often associated with a spectrum of congenital cardiac abnormalities, including cardiac shunts. A 27-year-old woman with Turner syndrome was also found to have right ventricular dilation, partial anomalous pulmonary venous return, and possible atrial septal defect. She was scheduled for elective surgical repair.
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- The study aimed to evaluate short-term hemodynamic changes in heart failure patients with cardiogenic shock after the use of intra-aortic balloon pump (IABP), focusing on the role of pulmonary artery pulsatility index (PAPi) in assessing right ventricular performance.
- Conducted at a single center with 67 patients, the research highlighted significant changes in central venous pressure and mean pulmonary artery pressure in patients with low PAPi (<2.0) after 72 hours of IABP support, while patients with higher PAPi showed improved cardiac index.
- Results indicated the necessity for increased diuretic and inotropic support in patients with low PAPi, reflecting their more severe condition compared to those with higher PAPi levels.
Objective: To determine the characteristics and outcomes of patients requiring prolonged (>90 days) venovenous extracorporeal membrane oxygenation (VV ECMO) support for refractory Coronavirus disease 2019 (COVID-19)-associated respiratory failure.
Methods: A retrospective, observational analysis of consecutive patients requiring VV ECMO for COVID-19-associated respiratory failure was performed at a single institution between March 2020 and January 2022. Data were collected from the medical records.
Cessation of continuous analgesia and sedation in patients with acute respiratory distress syndrome (ARDS) receiving venovenous (VV) extracorporeal membrane oxygenation (ECMO) facilitates early extubation, family, patient and provider engagement, and mobility. Outcomes associated with an awake ECMO strategy have not been well described in the literature. The purpose of this study was to evaluate outcomes in patients receiving this strategy.
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