Detection of Residual Pulmonary Vascular Obstruction by Ventilation-Perfusion Lung Scan Late After a First Pulmonary Embolism.

The long-term impact of persistent pulmonary vascular obstruction after pulmonary embolism (PE) remains unknown. Based on ventilation-perfusion lung scan performed at discharge and 3 months after a first PE, we aimed to investigate the prognostic value on 5-year adverse events of (1) residual pulmonary vascular obstruction (RPVO) at discharge (DIS-RPVO), (2) RPVO at 3 months (3M-RPVO), and (3) relative change in RPVO between the 2 scans (RC-RPVO). We performed a prospective, multicenter cohort study from January 2007 to December 2009 including patients who survived at least 3 months after a PE.

[Specific body care techniques in children].

Body care in the child is not limited to an essential act of somatic survival. It involves introducing attentive observation and in particular behavioural and affective interaction, in order to support the child's psychological balance. There are several care techniques which can be used to implement body mediation.

Management of unsuccessful thrombolysis in acute massive pulmonary embolism.

Background: The management of patients with acute massive pulmonary embolism (PE) who do not respond to fibrinolytic therapy remains unclear. We aimed to compare rescue surgical embolectomy and repeat thrombolysis in patients who did not respond to thrombolysis.

Methods: We conducted a prospective single-center registry of PE patients who underwent thrombolytic therapy.