Publications by authors named "T Onimus"
Article Synopsis
- Nonoperative treatment for serious injuries caused by harmful substances can be effective and usually doesn't require surgery, leading to low death rates.
- However, keeping damaged tissue can raise the chance of narrowing in the esophagus.
- The study looked at 184 patients and found that voluntary ingestion of the harmful substance, high injury scores, and serious throat issues were key risk factors for developing esophageal narrowing after ingestion.
Objective : The hemodynamic parameters used to accurately predict fluid responsiveness (FR) in spontaneously breathing patients (SB) require specific material and expertise. Measurements of the central venous pressure (CVP) are relatively simple and, importantly, are feasible in many critically ill patients. We analyzed the accuracy of respiration-related variations in CVP (vCVP) to predict FR in SB patients and examined the optimization of its measurement using a standardized, deep inspiratory maneuver.
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- The study investigated the collapsibility index of the inferior vena cava (cIVC) as a predictor for fluid responsiveness in spontaneously breathing patients with sepsis-related circulatory failure, focusing on different measurement sites and breathing techniques.
- Out of 81 patients, over half (51%) were identified as fluid responders, and measuring the inferior vena cava 4 cm below the right atrium provided the most accurate predictions for fluid responsiveness.
- The use of a standardized breathing maneuver significantly enhanced the predictive power of cIVC measurements, with improved sensitivity and specificity compared to non-standardized measurements.
Introduction: Serious caustic burns of the stomach that present with no clinico-biological severity criteria (CBSC) can be treated conservatively. However, even if there are no CBSC at admission, 20% of patients still require delayed emergency surgery for peritonitis due to gastric perforation thus showing the limitations of this strategy in the diagnosis of irreversible gastric necrosis lesions. The aim of this study was to identify reliable computed tomography (CT) signs of irreversible gastric necrosis in patients with stage 3 endoscopic lesions.
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