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Extracorporeal membrane oxygenation for catecholaminergic polymorphic ventricular tachycardia: a case report and literature review.
BMC Pediatr
January 2025
Department of PICU, Children's Medical Center, the First Hospital of Jilin University, 1 Xinmin Street, Changchun, Jilin Province, China.
Background: Catecholaminergic polymorphic ventricular tachycardia (CPVT) is an inherited ion channelopathy characterized by a structurally normal heart sensitive to catecholamines. It primarily presents as Bidirectional ventricular tachycardia (BiVT) and is a significant cause of sudden cardiac death in children.
Case Presentation: We report our experience with central Extracorporeal Membrane Oxygenation (ECMO) therapy in a 4-year-old boy with CPVT.
Dengue and SARS-CoV-2 co-circulation and overlapping infections in hospitalized patients.
Front Cell Infect Microbiol
November 2024
Laboratório de Pesquisa em Virologia, Departamento de Doenças Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, Brazil.
Since its emergence in 2019, coronavirus disease (COVID-19) has spread worldwide and consumed public health resources. However, the world still has to address the burdens of other infectious diseases that continue to thrive. Countries in the tropics and neotropics, including Brazil, are affected by annual, cyclic dengue epidemics.
View Article and Find Full Text PDFPredictors of donation after circulatory death lung utilization and allograft survival.
J Heart Lung Transplant
November 2024
Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina; Duke Clinical Research Institute, Durham, North Carolina.
Background: Understanding donor factors associated with successful lung transplantation (LTx) following donation after circulatory death (DCD) is important in optimizing donor management. In this study, we examined critical care and ventilatory factors associated with DCD LTx and allograft survival using a unique detailed donor management database.
Methods: The Donor Management Goals national registry was queried for DCD donors between January 2016 and July 2023.
Contribution of intrapulmonary shunt to the pathogenesis of profound hypoxaemia in viral infection: a mechanistic discussion with an illustrative case.
J Intensive Care Soc
November 2024
Whittington Hospital Intensive Care Unit, Department of Intensive Care, London, UK.
Article Synopsis
- Anastomoses between pulmonary arteries and veins, which are common in adults, can lead to blood bypassing alveoli, causing hypoxaemia, especially in conditions like COVID-19 and influenza A.
- A case of severe hypoxaemia linked to influenza A was poorly responsive to oxygen treatment and worsened with CPAP, indicating a significant intrapulmonary shunt contributing to the issue.
- Understanding these shunts in viral infections can improve respiratory treatment strategies and help identify new therapeutic approaches to prevent the need for intubation.
Rationale and development of a prehospital goal-directed bundle of care to prevent rearrest after return of spontaneous circulation.
J Am Coll Emerg Physicians Open
December 2024
In patients with out-of-hospital cardiac arrest (OHCA) who attain return of spontaneous circulation (ROSC), rearrest while in the prehospital setting represents a significant barrier to survival. To date, there are limited data to guide prehospital emergency medical services (EMS) management immediately following successful resuscitation resulting in ROSC and prior to handoff in the emergency department. Post-ROSC care encompasses a multifaceted approach including hemodynamic optimization, airway management, oxygenation, and ventilation.
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