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Accidental vascular catheter removal (AVCR) by patients with cognitive impairment can result in loss of access for infusion therapy, significant blood loss, air embolism with large bore catheters, and withholding life-sustaining dialysis treatment. Chest-to-back (CTB) tunneling of central venous catheters is a technique described in the Rapid Assessment of Vascular Access Exit Site and Tunneling Options (RAVESTO) for patients at risk for AVCR. In this retrospective review, data was collected for all venous access devices inserted using CTB tunneling in patients requiring medium to long term intravenous access for infusion or hemodialysis, who had a history of self-removing medical devices due to an alteration in mental status, or patients with severely impaired skin integrity.
View Article and Find Full Text PDFSecondary congenital nephrotic syndrome complicated by acute mesenteric ischemia: A case report.
Clin Nephrol Case Stud
March 2025
Department of Pediatric Rheumatology and Nephrology, and.
Thromboembolic events are among the most serious, yet rare complications of nephrotic syndrome. While peripheral venous thrombosis and pulmonary embolism are the most common, superior mesenteric artery thrombosis is a rare but life-threatening occurrence. We present a case of severe cytomegalovirus (CMV) infection complicated by congenital nephrotic syndrome, leading to mesenteric ischemia.
View Article and Find Full Text PDFVitrectomy Combined With Gas Tamponade for the Treatment of Morning Glory Syndrome With Rhegmatogenous Retinal Detachment: A Case Report.
Cureus
February 2025
Department of Ophthalmology, Xinjiang 474 Hospital, Xinjiang, CHN.
We report a case of a 26-year-old male patient who was diagnosed with morning glory syndrome (MGS) in his right eye through a series of specialist examinations. At the time of consultation, the patient had already experienced retinal detachment in his right eye. The fundus of the right eye showed a 360° grayish-white elevation of the entire retina, with an enlarged optic disc approximately 4-5 times the normal size, featuring a central funnel-like deep depression.
View Article and Find Full Text PDFCT and MR Imaging in Colorectal Carcinoma: A Tool for Diagnosis, Staging, Response Evaluation, and Follow-Up.
South Asian J Cancer
October 2024
Clinical Services and Specialist Surgery, The Christie NHS Foundation Trust, Manchester, United Kingdom.
The present review highlights the role of computed tomography (CT), CT colonography (CTC), and magnetic resonance imaging (MRI) in the diagnosis, staging, response evaluation, and follow-up of colorectal cancer. For a CT scan, prior bowel preparation is required. This is done to enhance imaging of the colon with the use of oral or rectal contrast agents.
View Article and Find Full Text PDFA Bibliometric Analysis of Sitting Position and Air Embolism in Neurosurgery: Top 100 Most Cited Articles.
World Neurosurg
March 2025
Department of Neurological Surgery, University of Wisconsin-Madison, Madison, WI, USA.
Background: The selection of a neurosurgical sitting position (SP) with regard to complication avoidance is a much-debated topic in neurosurgery and anesthesiology. In this bibliometric analysis, we examined the 100 most cited neurosurgical and anesthesiology SP articles focused on posterior fossa surgery.
Methods: The Scopus database was searched on January 25, 2025 for key words: "neurosurgery" OR "neurological surgery" OR "anesthesiology" AND variations of "sitting" including: "semisitting", "seated", "half sitting", "halfseated", "upright" and "lounging", and for "air embolism".
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