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Lung parenchymal and pleural findings on computed tomography after out-of-hospital cardiac arrest.
Resuscitation
December 2024
Department of Emergency Medicine, Harborview Medical Center, University of Washington, Seattle, WA, United States; Division of Pulmonary, Critical Care, and Sleep Medicine, Harborview Medical Center, University of Washington, Seattle, WA, United States. Electronic address:
Introduction: Lung injury and the acute respiratory distress syndrome (ARDS) are common after out-of-hospital cardiac arrest (OHCA), but the imaging characteristics of lung parenchymal and pleural abnormalities in these patients have not been well-characterized. We aimed to describe the incidence of lung parenchymal and pleural findings among patients who had return of spontaneous circulation (ROSC) and who underwent computed tomography (CT) of the chest after OHCA.
Methods: This was a retrospective cohort study conducted at two academic hospitals from 2014 to 2019.
Neonatal Airway Management and Outcomes Following Fetoscopic Endoluminal Tracheal Occlusion (FETO): A Single-Center Descriptive Analysis.
J Surg Res
December 2024
Division of Pediatric Surgery, Department of Surgery, Texas Children's Hospital and Baylor, College of Medicine, Houston, Texas; Texas Children's Fetal Center, Baylor College of Medicine, Houston, Texas. Electronic address:
Article Synopsis
- Congenital diaphragmatic hernia is a serious condition that can lead to issues like underdeveloped lungs and high blood pressure, but a procedure called fetoscopic endoluminal tracheal occlusion (FETO) has shown to improve patient survival despite some complications like tracheomegaly (enlarged trachea).
- A study analyzed 34 patients who underwent FETO, finding that tracheomegaly was present in 24 of them, with most needing intubation right after birth, some requiring a transition to cuffed endotracheal tubes (ETTs) due to concerns like air leaks.
- The findings suggest that larger or cuffed ETTs may be more beneficial for
Principles of a controlled imaging environment for neonatal brain MRI: Strategies for optimal image quality and safety.
Neuroradiol J
November 2024
Department of Radiodiagnosis, All India Institute of Medical Sciences, India.
Article Synopsis
- MRI is essential for assessing the neonatal brain, but achieving high-quality images requires a carefully controlled environment.
- Key factors for this environment include thorough planning, having trained professionals on site, and monitoring vital signs to manage potential issues effectively.
- Maintaining optimal immobility during the MRI process is vital, as it leads to better image quality, which is crucial for accurate diagnoses and timely treatment of brain abnormalities in newborns.
Cardiac MRI Pectoralis Muscle Thickness as a Measure of Sarcopenia: Prognostic Significance, Interreader Agreement, and Physiologic Correlation.
Radiol Cardiothorac Imaging
December 2024
From the Joint Department of Medical Imaging, University Medical Imaging Toronto, Toronto General Hospital, University Health Network (UHN), 1 PMB-298, 585 University Ave, Toronto, ON, Canada M5G 2N2 (M.D.I., J.F.M., P.T., R.M.W., M.M., R.H., K.H.); Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada (M.D.I., J.F.M., P.T., R.M.W., M.M., K.H.); Division of Cardiology, Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network (UHN), University of Toronto, Toronto, Ontario, Canada (W.H.L., N.d.S., Y.M., P.T., R.M.W.); and Toronto General Hospital Research Institute, University Health Network (UHN), University of Toronto, Toronto, Ontario, Canada (Y.M., P.T., R.M.W., K.H.).
Purpose To evaluate pectoralis muscle thickness at routine cardiac MRI as a marker of sarcopenia, including prognostic significance for major adverse cardiac events (MACE), interobserver agreement, and correlation with physiologic parameters. Materials and Methods This retrospective cohort study included adult patients undergoing cardiac MRI for assessment of suspected cardiomyopathy between October 2018 and February 2020. Measurements of maximum pectoralis major thickness were performed by two experienced radiologists using axial images at the level of the carina.
View Article and Find Full Text PDFComplication frequency of mechanical chest compression devices: A single-center, blinded study using retrospective data.
Resusc Plus
December 2024
Division of Acute and Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Hokkaido University Faculty of Medicine, Sapporo, Japan.
Article Synopsis
- Mechanical chest compression devices, like LUCAS, are becoming more common for cardiac arrest treatment, but recent evidence requires updates to understand their effectiveness.
- A study evaluated adult patients with out-of-hospital cardiac arrest, comparing those receiving manual CPR to those using LUCAS, focusing on complications from chest compressions.
- While overall complication rates were similar, the LUCAS group experienced more cases of hemothorax, and various factors like female sex and longer CPR duration were linked to complications; further research is needed to assess LUCAS's overall benefits.
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