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[How I treat…the cardiogenic acute pulmonary oedema].

Rev Med Liege

December 2024

Service des Urgences, CHC Mont Légia, Liège, Belgique.

In the context of Acute Pulmonary Edema (APE), the old school moto was LMNOP, for "Lasix-Morphine-Nitrates-Oxygen-Positive Pressure". However, this mnemonic, while not entirely inaccurate, deserves revision or at least a slight reinterpretation. APE remains a well-known condition in emergency departments, with a high mortality rate.

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Article Synopsis
  • The study examines the effectiveness and safety of funnel-shaped synthetic mesh in preventing parastomal hernias among patients undergoing surgery for rectal adenocarcinoma.
  • Conducted as a randomized trial across multiple hospitals in Finland and Sweden, it involved 143 patients, with a focus on comparing outcomes between those receiving the mesh and those who did not.
  • Results revealed a significant reduction in the incidence of parastomal hernias at 12 months: 10% in the mesh group versus 37% in the control group, indicating the mesh's potential benefit in hernia prevention.
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Background: Post-dural puncture headache (PDPH) is a frequent complication following lumbar puncture, epidural analgesia, or neuraxial anesthesia. The International Classification of Headache Disorders, third edition categorizes PDPH as a self-limiting condition; however, emerging evidence, including our findings, suggests that PDPH can have a prolonged course, challenging this traditional view.

Objectives: To elucidate the diagnostic characteristics and treatment outcomes of persistent PDPH (pPDPH), offering insights into its demographic profiles and diagnostic features.

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Article Synopsis
  • A 3D-printed simulator for thoracoscopic surgery was created to help train young pediatric surgeons on esophageal atresia with tracheoesophageal fistula (EA-TEF) procedures, using preoperative imaging of a patient as a guide.
  • The simulator underwent multiple prototypes and incorporated both reusable and replaceable parts, made from various printing materials, to mimic real surgical conditions.
  • In evaluations, the simulator received high ratings for its relevance and value, suggesting it could be an effective training tool for young surgeons with minor improvements needed.
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