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- A 50s Native American male with a history of alcohol use disorder and seizures presented with weakness and falls, and was admitted for pneumonia, sepsis, and altered mental status.
- On day 23 of hospitalization, he experienced a sudden feeling of food stuck in his chest, leading to an MRI that confirmed osmotic demyelination syndrome (ODS) in the central pons.
- His condition was attributed to malnutrition, alcohol issues, low protein levels, and vitamin B6 deficiency, despite maintaining normal sodium levels; he ultimately passed away after 68 days due to complications from myelinolysis.
Retrograde Aortic Valve Migration During Transcatheter Aortic Valve Replacement for Aortic Regurgitation: A Case Report Highlighting the Importance of Prompt Venoarterial Extracorporeal Membrane Oxygenation (VA-ECMO) Initiation.
Cureus
June 2024
Anesthesiology, Kindai University Faculty of Medicine, Osaka, JPN.
Surgical aortic valve replacement (SAVR) is the recommended curative treatment for pure native aortic regurgitation (AR). However, some patients are not suitable for SAVR due to comorbidities or frailty. Transcatheter aortic valve replacement (TAVR) has been reported to offer a better prognosis than medical therapy in AR patients; thus, the use of TAVR for AR may increase in the future.
View Article and Find Full Text PDFDevelopment of a Decision Aid for Family Surrogate Decision Makers of Critically Ill Patients Requiring Renal Replacement Therapy in ICU: A User-Centered Design for Rapid Prototyping.
Chin Med Sci J
June 2024
Department of Outpatient, First Affiliated Hospital of Army Medical University, Chongqing 400038, China.
Objectives Renal replacement therapy (RRT) is increasingly adopted for critically ill patients diagnosed with acute kidney injury, but the optimal time for initiation remains unclear and prognosis is uncertain, leading to medical complexity, ethical conflicts, and decision dilemmas in intensive care unit (ICU) settings. This study aimed to develop a decision aid (DA) for the family surrogate of critically ill patients to support their engagement in shared decision-making process with clinicians. Methods Development of DA employed a systematic process with user-centered design (UCD) principle, which included: (i) competitive analysis: searched, screened, and assessed the existing DAs to gather insights for design strategies, developmental techniques, and functionalities; (ii) user needs assessment: interviewed family surrogates in our hospital to explore target user group's decision-making experience and identify their unmet needs; (iii) evidence syntheses: integrate latest clinical evidence and pertinent information to inform the content development of DA.
View Article and Find Full Text PDF"What choice do you have knowing your child can't breathe?!": Adaptation to Parenthood for Children Who Have Received a Tracheostomy.
SAGE Open Nurs
April 2024
Department of Nursing and Health Sciences, University of South-Eastern Norway, Campus Vestfold, Norway.
Introduction: A growing number of parents are navigating parenthood influenced by medical complexity and technological dependency as the group of children with long-term tracheostomy grows. However, little is known regarding the parental experiences of parenthood for this heterogeneous group of children now surviving through infancy and intensive care.
Objective: This study aimed to analyze how parents of children who have received a tracheostomy adapted to parenthood.
Severe post-pyloric injury after button battery ingestion: Systematic literature review and case report.
Arch Pediatr
October 2023
Centre Antipoison de Lille (Lille Poison Control Center), Lille University Hospital, Lille 59000, France.
Article Synopsis
- The study emphasizes that while button batteries (BB) in the esophagus are recognized as emergencies, complications from BB in the intestines are not as well understood, highlighting the need for more research in this area.
- A notable case involved a 7-month-old infant who ingested a button battery, leading to a blockage in the small intestine, which was exacerbated by his previous intestinal surgeries.
- The literature review identified 12 severe cases of intestinal injury related to BB ingestion, suggesting that patients with a history of intestinal issues should undergo prompt endoscopic procedures to prevent serious complications like perforation or prolonged hospital stays.
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