New equipment based on field gradient principle for measurement of cross sectional area of ureteral urine bolus has been developed. Inside the probe consisted of a Fr.4 ureteral catheter, there are 4 ring impedance electrodes and a bipolar ring ureteromyographic electrode. Ex vivo experiments has proved high values in reliability and reproducibility of obtained cross sectional area of urine bolus through an impedance method. Following results have been obtained through animal and clinical experiments. As urine bolus passed through the impedance electrodes, impedance represented the cross sectional area of urine bolus. The ureteral activity corresponded to the increase of urine flow changed as follows, ureteral peristaltic frequency increased, cross sectional area of urine bolus increased, length of urine bolus increased, during maximum diuresis, peristaltic activity diminished and continuous flow presented through ureteral column. It will be useful method for experimental or clinical evaluation of ureteral function.
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http://dx.doi.org/10.1540/jsmr1965.20.445 | DOI Listing |
Indian J Crit Care Med
December 2024
Department of Anesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Crit Care
December 2024
Service de Médecine Intensive-Réanimation, CHU de Montpellier, Université de Montpellier, INSERM CNRS PhyMedExp, Montpellier, France.
Background: Guidelines for diabetic ketoacidosis (DKA) management are limited, resulting in varied practices. This study assessed Intensive Care Unit (ICU) admission criteria, fluid resuscitation, insulin therapy, and metabolic management in adult patients with DKA.
Methods: An international survey of ICU clinicians consisted of 39 items that focused on management of DKA and was endorsed by the European Society of the Intensive Care Medicine.
J Crit Care
December 2024
Department of Intensive Care, Austin Hospital, Melbourne, Australia; Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Australia; Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Purpose: Furosemide is the most commonly used diuretic in intensive care units (ICU). We aimed to evaluate the physiological effects of adjunctive acetazolamide with furosemide on diuresis and the prevention of potential furosemide-induced metabolic alkalosis.
Materials And Methods: We performed a two-center, pilot, open-label, randomized trial.
J Clin Endocrinol Metab
December 2024
Division of Pediatric Endocrinology, Department of Pediatrics, UT Southwestern Medical Center, Dallas TX.
Background: Adverse Outcomes (death or ICU stays longer than 48h) in children with diabetic ketoacidosis (DKA) or hyperglycemic-hyperosmolar syndrome (HHS) can be predicted by a composite risk score based on severity of hyperglycemia and acidosis, and presence of type 2 diabetes. Because most high-risk patients nevertheless do not experience an Adverse Outcome, we tried to identify differences in management or other clinical characteristics that influenced outcomes.
Methods: In a previously defined group of 4565 admissions for DKA-HHS in 2010-2023, 109 had Adverse Outcomes.
Saudi J Anaesth
October 2024
Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Carcinoid crisis is a potentially fatal condition with severe hemodynamic instability. A 25-year-old female with metastatic pancreatic neuroendocrine tumor with recurrent carcinoid crises was posted for surgical debulking. Intraoperatively, the patient was on crisis during manipulation of the lesion by the surgeon, which was unresponsive to octreotide, infusions of phenylephrine, and norepinephrine agents.
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