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https://read.qxmd.com/read/30747595/first-line-diagnostic-evaluation-with-mri-of-children-suspected-of-having-acute-appendicitis
#1
Raza Mushtaq, Sarah M Desoky, Frank Morello, Dorothy Gilbertson-Dahdal, Geetha Gopalakrishnan, Aaron Leetch, Srinivasan Vedantham, Bobby Kalb, Diego R Martin, Unni K Udayasankar
Background Advances in abdominal MRI have enabled rapid, free-breathing imaging without the need for intravenous or oral contrast material. The use of MRI as the primary imaging modality for suspected appendicitis has not been previously studied. Purpose To determine the diagnostic performance of MRI as the initial imaging modality in children suspected of having acute appendicitis. Materials and Methods The study included consecutive patients 18 years of age and younger presenting with acute abdominal pain at a tertiary care institution from January 2013 through June 2016 who subsequently underwent an unenhanced MRI examination as the primary diagnostic imaging modality...
February 12, 2019: Radiology
https://read.qxmd.com/read/30740370/pure-isolated-dorsal-hamatometacarpal-dislocation-in-a-rider-a-case-report-and-review-of-literature
#2
Naoufal Elghoul, Youssef Jalal, Ayoub Bouya, Ali Zine, Abdeloihab Jaafar
Introduction: Pure isolated dislocations of the fifth carpometacarpal joint are extremely rare. To the best of our knowledge, the case, we present here, is among the extremely rare cases report of an unstable hamatometacarpal dislocation(HMD)injury successfully treated by a well-molded cast. Case Report: A 30-year-old rider fell from his horse, causing swelling of the wrist and the fifth finger was rotated with minimal active motion. The radiological assessment (X-rays and tomography) showed a pure HMD...
September 2018: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/30717046/ideal-sedation-for-stroke-thrombectomy-a-prospective-pilot-single-center-observational-study
#3
M Asif Taqi, Sajid S Suriya, Ajeet Sodhi, Syed A Quadri, Mudassir Farooqui, Atif Zafar, Martin M Mortazavi
OBJECTIVESeveral retrospective studies have supported the use of conscious sedation (CS) over general anesthesia (GA) as the preferred methods of sedation for stroke thrombectomy, but a recent randomized controlled trial showed no difference in outcomes after CS or GA. The purpose of the Ideal Sedation for Stroke Thrombectomy (ISST) study was to evaluate the difference in time and outcomes in the reperfusion of anterior circulation in ischemic stroke using GA and monitored anesthesia care (MAC).METHODSThe ISST study was a prospective, open-label registry...
February 1, 2019: Neurosurgical Focus
https://read.qxmd.com/read/30704866/necessity-of-intracranial-imaging-in-infants-and-children-with-macrocephaly
#4
Megan A Sampson, Aaron D Berg, Jody N Huber, Gokhan Olgun
BACKGROUND: Macrocephaly is frequently encountered in pediatrics and often leads to imaging. There are no recommendations from the American Academy of Pediatrics or the American College of Radiology providing imaging guidelines for macrocephaly. The goal of this study is to identify risk factors for pathologic macrocephaly and to aid the clinician in identifying patients that would benefit from imaging. METHODS: We conducted a medical record review throughout a multistate health care system, Sanford Health, from January 1, 2012 to December 31, 2016...
November 22, 2018: Pediatric Neurology
https://read.qxmd.com/read/30655252/percutaneous-ct-guided-skull-biopsy-feasibility-safety-and-diagnostic-yield
#5
A Tomasian, T J Hillen, J W Jennings
BACKGROUND AND PURPOSE: Although percutaneous musculoskeletal biopsies are routinely performed in the axial and appendicular skeleton, there are no published data on the systematic evaluation of the feasibility, safety, and diagnostic accuracy of percutaneous skull biopsy. In certain clinical encounters such as patients with primary skull tumors or patients with known cancer and isolated skull lesions suspected of calvarial metastasis or synchronous primary tumor, percutaneous skull biopsy may be considered a viable option...
January 17, 2019: AJNR. American Journal of Neuroradiology
https://read.qxmd.com/read/30649813/polyetheretherketone-peek-rods-in-lumbar-spine-degenerative-disease-mid-term-results-in-a-patient-series-involving-radiological-and-clinical-assessment
#6
Ahmet Öğrenci, Orkun Koban, Onur Yaman, Mesut Yilmaz, Sedat Dalbayrak
AIM: The aim of this study is to evaluate the satisfaction of patients operated due to degenerative lumbar spinal diseases with dynamic stabilization with Polyetheretherketone (PEEK) rod and to share their radiological and clinical results (mid-term) with Visual Analog Scale(VAS) and Oswestry Disability Index(ODI) scores. MATERIAL AND METHODS: The preoperative and postoperative low back pain, leg pain VAS and ODI scores of 172 patients who were operated for degenerative spinal diseases were evaluated...
September 13, 2018: Turkish Neurosurgery
https://read.qxmd.com/read/30604705/bronchoscopic-lung-cryobiopsy-an-indian-association-for-bronchology-position-statement
#7
Sahajal Dhooria, Ritesh Agarwal, Inderpaul Singh Sehgal, Ashutosh Nath Aggarwal, Rajiv Goyal, Randeep Guleria, Pratibha Singhal, Shirish P Shah, Krishna B Gupta, Suresh Koolwal, Jayachandra Akkaraju, Shankar Annapoorni, Amanjit Bal, Avdhesh Bansal, Digambar Behera, Prashant N Chhajed, Amit Dhamija, Raja Dhar, Mandeep Garg, Bharat Gopal, Kedar R Hibare, Prince James, Aditya Jindal, Surinder K Jindal, Ajmal Khan, Nevin Kishore, Parvaiz A Koul, Arvind Kumar, Raj Kumar, Ajay Lall, Karan Madan, Amit Mandal, Ravindra M Mehta, Anant Mohan, Vivek Nangia, Alok Nath, Sandeep Nayar, Dharmesh Patel, Vallandaramam Pattabhiraman, Narasimhan Raghupati, Pralay K Sarkar, Virendra Singh, Mahadevan Sivaramakrishnan, Arjun Srinivasan, Rajesh Swarnakar, Deepak Talwar, Balamugesh Thangakunam
Background: Bronchoscopic lung cryobiopsy (BLC) is a novel technique for obtaining lung tissue for the diagnosis of diffuse parenchymal lung diseases. The procedure is performed using several different variations of technique, resulting in an inconsistent diagnostic yield and a variable risk of complications. There is an unmet need for standardization of the technical aspects of BLC. Methodology: This is a position statement framed by a group comprising experts from the fields of pulmonary medicine, thoracic surgery, pathology, and radiology under the aegis of the Indian Association for Bronchology...
January 2019: Lung India: Official Organ of Indian Chest Society
https://read.qxmd.com/read/30527482/availability-of-common-pediatric-radiology-studies-are-rural-patients-at-a-disadvantage
#8
Jorge A Whitley, Shruthie Gnaneswaran, Molly Thach, Amy C Taylor, Paul A Merguerian, Kathleen Kieran
BACKGROUND: Many families wish to have radiologic tests performed locally, especially when obtaining these tests in specialized pediatric centers would require long-distance travel with associated costs and inconveniences. The differential availability of specialized and common pediatric uroradiographic tests in rural and urban areas has not been described. We undertook this study to describe the availability of common radiographic tests ordered by pediatric urologists, and to identify disparities in the availability of radiographic tests between urban and rural locations...
February 2019: Journal of Surgical Research
https://read.qxmd.com/read/30390374/general-anesthesia-sedation-requirement-influences-the-way-mri-brain-scans-are-ordered-in-a-tertiary-pediatric-hospital
#9
Min Yi Sum, Kathy Low, Phua Hwee Tang
BACKGROUND: MRI guidelines have been created to help clinicians order scans appropriately. Some scans in children are carried out under general anesthesia (GA) / sedation. PURPOSE: To evaluate if the requirement for GA/sedation influences the way MRI brain scans are ordered. STUDY TYPE: Retrospective. POPULATION: Children with MRI brain scans in 2015 to 2017. FIELD STRENGTH: 3T, 1.5T. ASSESSMENT: Institutional Review Board approval for waiver of consent was obtained...
November 3, 2018: Journal of Magnetic Resonance Imaging: JMRI
https://read.qxmd.com/read/30343464/acute-hemiparesis-and-status-epilepticus-following-endoscopic-esophageal-balloon-dilation-is-it-really-a-stroke
#10
Nicholas Di Mascio, Padraic MacMathuna, Sean Murphy, Eoin Carl Kavanagh
A 68-year-old gentleman was referred for elective upper gastrointestinal endoscopy on a background of dysphagia and esophageal candidiasis. A benign peptic stricture was noted, managed with balloon dilation without apparent immediate complication. At completion, however, the patient became confused and agitated, with no improvement despite the reversal of sedation. Two hours later, with all investigations for suspected complications including perforation, negative, he developed acute left-sided hemiparesis...
October 20, 2018: Clinical Journal of Gastroenterology
https://read.qxmd.com/read/30325117/comparison-between-high-flow-nasal-oxygen-cannula-and-conventional-oxygen-therapy-after-extubation-in-pediatric-intensive-care-unit
#11
Başak Akyıldız, Sedat Öztürk, Nazan Ülgen-Tekerek, Selim Doğanay, Süreyya Burcu Görkem
Akyıldız B, Öztürk S, Ülgen-Tekerek N, Doğanay S, Görkem SB. Comparison between high-flow nasal oxygen cannula and conventional oxygen therapy after extubation in pediatric intensive care unit. Turk J Pediatr 2018; 60: 126-133. The aim of this study was to compare the efficiency, safety, and outcomes of the high-flow nasal oxygen cannula (HFNC) and conventional oxygen therapy (COT) after extubation in children. A randomized controlled trial was conducted in a 13 bed pediatric intensive care unit. One-hundred children who underwent extubation were eligible for the study...
2018: Turkish Journal of Pediatrics
https://read.qxmd.com/read/30315440/neurotoxicity-of-anesthesia-in-children-prevention-and-treatment
#12
REVIEW
Amy E Vinson, Constance S Houck
PURPOSE OF REVIEW: The purpose of this review is to summarize the current evidence regarding the impact of the exposure to anesthetic and sedative agents on neurodevelopment during the period of rapid brain growth in the first 3 years of life. Though much of the definitive data demonstrating anesthesia-induced neurotoxicity has come from studies in young animals, the focus of this review is on emerging human data. RECENT FINDINGS: In 2016, the first prospective trials investigating the neurodevelopmental impact of early anesthetic exposure (GAS and PANDA studies) were published, both showing no significant impact on IQ from a single brief anesthetic...
October 13, 2018: Current Treatment Options in Neurology
https://read.qxmd.com/read/30295410/randomized-and-controlled-study-comparing-patient-controlled-and-radiologist-controlled-intra-procedural-conscious-sedation-using-midazolam-and-fentanyl-for-patients-undergoing-insertion-of-a-central-venous-line
#13
Warren Clements, David Sneddon, Helen Kavnoudias, Tim Joseph, Gerard S Goh, Jim Koukounaras, Thomas Snow
INTRODUCTION: Interventional Radiology procedures can provoke anxiety and may be painful. Current practice, Radiologist Controlled Sedation (RCS), involves titrating aliquots of midazolam and fentanyl to patient response but underdosing and overdosing may occur. This study tests a new method of titrating sedation/analgesia during the procedure, Patient Controlled Sedation (PCS), in which a combination of fentanyl and midazolam are administered using a patient-controlled analgesia pump...
October 8, 2018: Journal of Medical Imaging and Radiation Oncology
https://read.qxmd.com/read/30276091/readmissions-after-outpatient-transforaminal-decompression-for-lumbar-foraminal-and-lateral-recess-stenosis
#14
Kai-Uwe Lewandrowski
Background: The objective of this study was to analyze readmission rates after outpatient transforaminal endoscopic decompression surgery for lumbar foraminal and lateral recess stenosis done in an ambulatory surgery center. Endoscopic lumbar spinal surgery is gaining popularity for the treatment of lumbar disc herniations. Recent advances in surgical techniques allow for percutaneous endoscopically assisted bony decompression for neurogenic claudication symptoms due to spinal stenosis...
June 2018: International Journal of Spine Surgery
https://read.qxmd.com/read/30188259/factors-that-may-contribute-to-poor-outcome-despite-good-reperfusion-after-acute-endovascular-stroke-therapy
#15
Alejandro A Rabinstein, Gregory W Albers, Waleed Brinjikji, Sebastian Koch
Endovascular therapy with mechanical thrombectomy is a formidable treatment for severe acute ischemic stroke caused by occlusion of a proximal intracranial artery. Its strong beneficial effect is explained by the high rates of very good and excellent reperfusion achieved with current endovascular techniques. However, there is a sizable proportion of patients who do not experience clinical improvement despite successful recanalization of the occluded artery and reperfusion of the ischemic territory. Factors such as baseline reserve, collateral flow, anesthesia and systemic factors have been identified as potential culprits for lack of improvement in the setting of timely and successful revascularization...
September 6, 2018: International Journal of Stroke: Official Journal of the International Stroke Society
https://read.qxmd.com/read/30159593/gauging-potential-risk-for-patients-in-pediatric-radiology-by-review-of-over-2-000-incident-reports
#16
Elizabeth J Snyder, Wei Zhang, Kimberly Chua Jasmin, Sam Thankachan, Lane F Donnelly
BACKGROUND: Incident reporting can be used to inform imaging departments about adverse events and near misses. OBJECTIVE: To study incident reports submitted during a 5-year period at a large pediatric imaging system to evaluate which imaging modalities and other factors were associated with a greater rate of filed incident reports. MATERIALS AND METHODS: All incident reports filed between 2013 and 2017 were reviewed and categorized by modality, patient type (inpatient, outpatient or emergency center) and use of sedation/anesthesia...
December 2018: Pediatric Radiology
https://read.qxmd.com/read/30119164/methodology-of-a-new-inflammatory-arthritis-registry-treasure
#17
MULTICENTER STUDY
Umut Kalyoncu, Etem Koray Taşcılar, Ali İhsan Ertenli, Hüseyin Ediz Dalkılıç, Cemal Bes, Orhan Küçükşahin, Timuçin Kaşifoğlu, Nilüfer Alpay Kanıtez, Hakan Emmungil, Gezmis Kimyon, Nazife Şule Yaşar Bilge, Servet Akar, Mehmet Pamir Atagündüz, Süleyman Serdar Koca, Aşkın Ateş, Veli Yazısız, Ender Terzioğlu, Emine Duygu Ersözlü, Müge Aydın Tufan, Muhammet Çınar, Rıdvan Mercan, Ali Şahin, Şükran Erten, Yavuz Pehlivan, Sedat Yılmaz, Ayşe Bahar Keleşoğlu Dinçer, Önay Gerçik, Belkıs Nihan Coşkun, Burcu Yağız, Sema Kaymaz Tahra, Aysun Aksoy, Ömer Karadağ, Levent Kılıç, Sedat Kiraz
Background/aim: The TReasure registry, created in 2017, is an observational multicenter cohort that includes inflammatory arthritis patients. This article reviews the methodology and objectives of the TReasure registry established to collect data from rheumatoid arthritis (RA) and spondyloarthritis (SpA) patients. Methodology: Fifteen rheumatology centers in Turkey will contribute data to the TReasure database. The actual proprietor of the database is the Hacettepe Rheumatology Association (HRD) and Hacettepe Financial Enterprises...
August 16, 2018: Turkish Journal of Medical Sciences
https://read.qxmd.com/read/30115675/feasibility-safety-and-periprocedural-complications-associated-with-endovascular-treatment-of-ruptured-intracranial-aneurysms-according-to-the-depth-of-anesthesia
#18
J Song, C-Y Lee, H-W Kim
BACKGROUND AND PURPOSE: The aim of the present study was to report the feasibility, safety, and periprocedural complications associated with EVT of ruptured intracranial aneurysms according to the depth of anesthesia. In most centers, endovascular treatment of intracranial aneurysm is performed under general anesthesia. MATERIALS AND METHODS: Between March 2011 and December 2016, a total of 183 consecutive patients with 183 aneurysms were treated endovascularly at the authors' center...
September 2018: AJNR. American Journal of Neuroradiology
https://read.qxmd.com/read/30066171/pain-in-percutaneous-liver-core-needle-biopsy-a-randomized-trial-comparing-the-intercostal-and-subcostal-approaches
#19
Masoud Pezeshki Rad, Bita Abbasi, Negar Morovatdar, Masoomeh Sadeghi, Khaled Hashemi
PURPOSE: Effective pain control during and after percutaneous core needle liver biopsy is important with regard to ethical considerations and patient comfort. In this randomized double-blind study, we compared post-biopsy pain in the patients undergoing liver core-needle biopsy using either subcostal or intercostal approaches. METHODS: All patients referred for ultrasound-guided CNLB between July 2017 and January 2018 to our interventional radiology department were randomized into two groups...
July 31, 2018: Abdominal Radiology
https://read.qxmd.com/read/30064956/characteristics-of-reported-adverse-events-during-moderate-procedural-sedation-an-update
#20
Mark R Jones, Sergey Karamnov, Richard D Urman
BACKGROUND: Many interventional procedures are performed under moderate procedural sedation (MPS). It is important to understand the nature of and factors contributing to adverse events (AEs). Little data exist examining reportable AEs during MPS across specialties. A study was conducted to investigate adverse events during MPS and to compare associated patient and provider characteristics. METHODS: In a retrospective review, 83 MPS cases in which safety incidents were reported (out of approximately 20,000 annual cases during a 12-year period at a tertiary medical center) were analyzed...
July 27, 2018: Joint Commission Journal on Quality and Patient Safety
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