The Medical Term Cardiac Tamponade Refers To
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Letters to the Editor
letters to the Editor Porphyria, Cardiopulmonary Bypass, and heart with additional hemorrhage into the pericardial sac (5). Peri- cardiocentesis, however, can be a temporizing measure in the se- Volatile Anesthetics verely compromised patient (4,7,8) until definitive surgical estab- lishment of a pericardial window. A pericardial window can be To the Editor: established under local anesthesia (9) via the subxiphoid or lateral We take issue with Stevens et al’s contentious statements in their thoracotomy approach (1,2,5,8,9). The subxiphoid approach is less discussion of volatile anesthetics in the patient with acute intermit- useful for trauma because limited surgical exposure may preclude tent porphyria undergoing mitral valve replacement (1). repair of cardiac wounds (2). However, a pericardial window dur- In the “pre-propofol” era, the safe and appropriate use of halo- ing awake lateral thoracotomy may be both poorly tolerated and thane and isoflurane in porphyric patients was established (2). dangerous in the distressed, moving patient (7). Recent reports of the successful use of isoflurane in porphyric A blunt trauma victim (2) recently presented for an emergent patients undergoing cardiac surgery also exist (3,4). As the authors surgical pericardial window for recurrent acute pericardial tampon- themselves allude to a report of elevated porphyrins after propofol ade. Although the patient was not hypotensive, jugular venous anesthesia in acute intermittent porphyria, favoring propofol over distention, pulsus paradoxus (1,3,7), patient distress (4), and echo- inhaled anesthetics because of the latter’s implied lack of a “safety cardiographic signs were present. As an alternative to endotracheal record” cannot be supported. -
Pericardiocentesis Versus Pericardiotomy for Malignant Pericardial Effusion: a Retrospective Comparison
MALIGNANT PERICARDIAL EFFUSION, Labbé et al. ORIGINAL ARTICLE Pericardiocentesis versus pericardiotomy for malignant pericardial effusion: a retrospective comparison C. Labbé MD,* L. Tremblay MD,* and Y. Lacasse MD MSc* ABSTRACT Background Treatment of malignant pericardial effusion remains controversial, because no randomized controlled trials have been conducted to determine the best approach, and results of retrospective studies have been inconsistent. The objective of the present study was to compare pericardiocentesis and pericardiotomy with respect to efficacy for preventing recurrence, and to determine, for those two procedures, diagnostic yields, complication rates, and effects on survival. We also aimed to identify clinical and procedural factors that could predict effusion recurrence. Methods We retrospectively assessed 61 patients who underwent a procedure for treatment of a malignant pericardial effusion at the Institut universitaire de cardiologie et de pneumologie de Québec between February 2004 and September 2013. Results Pericardiocentesis was performed in 42 patients, and pericardiotomy, in 19 patients. The effusion recurrence rate was significantly higher in patients treated with pericardiocentesis than with pericardiotomy (31.0% vs. 5.3%, p = 0.046). The diagnostic yield of the procedures was not significantly different (92.9% vs. 86.7%, p = 0.6). The overall rate of complications was similar in the two groups, as was the median overall survival (2.4 months vs. 2.6 months, p = 0.5). In univariate analyses, the procedure type was the only predictor of recurrence that approached statistical significance. Age, sex, type of cancer, presence of effusion at the time of cancer diagnosis, prior chest irradiation, tamponade upon presentation, and total volume of fluid removed did not influence the recurrence rate. -
Pericardial Injury with Cardiac Tamponade from Multiple Stab Injuries of the Trunk: Incidental Release of Cardiac Tamponade
eISSN: 2508-8033 Treatment Progression in Trauma pISSN: 2508-5298 Pericardial Injury With Cardiac Tamponade From Multiple Stab Injuries of the Trunk: Incidental Release of Cardiac Tamponade Pil Young Jung1, Kwan Wook Kim2 1Department of Surgery, Yonsei university Wonju college of medicine, Wonju Severance Christian Hospital 2Trauma center, Department of Thoracic and Cardiovascular Surgery, CHA University, CHA Bundang Medical Center Traumatic hemopericardium with cardiac tamponade is a rare but life-threatening condition. We report the successful treatment of hemopericardium with cardiac tamponade caused by multiple stab injuries of the trunk. (Trauma Image Proced 2019(1):22-24) Key Words: Hemopericardium, Cardiac tamponade CASE tion of the left internal mammary vessels, which was the cause of hemopericardium (Fig. 3.). The epicardium of From a regional local hospital, a 34-year-old man the right ventricle, the greater omentum, and the spleen who had schizophrenia was transferred to our institution were injured; the diaphragmatic injury may have served with multiple stab injuries of the trunk, sustained in a as a pericardial window of injury into the abdomen suicide attempt (Fig. 1.). At admission, the patient’s vital cavity. We performed ligation of the left internal signs were unstable; cardiac arrest occurred, and return mammary vessels, splenectomy, omentectomy, and of spontaneous circulation was achieved after one cycle primary repair of the diaphragm. The patient recovered of cardiopulmonary resuscitation. The extended focused and was discharged without any complication 24 days assessment sonography in trauma revealed positive signs after admission (Fig. 4.). in the pericardium and splenorenal space. Computed tomographic scans taken at the previous hospital showed DISCUSSION hemopericardium and hemoperitoneum (Fig. -
Appendix A: Surgical Procedure Terms and Definitions
Appendix A: Surgical Procedure Terms and Definitions Anomalous Systemic Venous Connection Anomalous Systemic Venous Connection Repair Repair includes a range of surgical approaches, including, among others: ligation of anomalous vessels, reimplantation of anomalous vessels (with or without use of a conduit), or redirection of anomalous systemic venous flow through directly to the pulmonary circulation (bidirectional Glenn to redirect LSVC or RSVC to left or right pulmonary artery, respectively). Aortic Aneurysm Aortic aneurysm repair Aortic aneurysm repair by any technique. Aortic Dissection Aortic Dissection repair Aortic dissection repair by any technique. Aortic Root Replacement Aortic Root Replacement, Bioprosthetic Replacement of the aortic root (that portion of the aorta attached to the heart; it gives rise to the coronary arteries) with a bioprosthesis (e.g., porcine) in a conduit, often composite. Aortic Root Replacement, Mechanical Replacement of the aortic root (that portion of the aorta attached to the heart; it gives rise to the coronary arteries) with a mechanical prosthesis in a composite conduit. Aortic Root Replacement, Homograft Replacement of the aortic root (that portion of the aorta attached to the heart; it gives rise to the coronary arteries) with a homograft Aortic Root Replacement, Valve sparing Replacement of the aortic root (that portion of the aorta attached to the heart; it gives rise to the coronary arteries) without replacing the aortic valve (using a tube graft). Aortic Valve Disease Ross Procedure Replacement of the aortic valve with a pulmonary autograft and replacement of the pulmonary valve with a homograft conduit. Konno Procedure (with and without aortic valve replacement) Relief of left ventricular outflow tract obstruction associated with aortic annular hypoplasia, aortic valvar stenosis and/or aortic valvar insufficiency via Konno aortoventriculoplasty. -
ICD-9-CM Procedures (FY10)
2 PREFACE This sixth edition of the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) is being published by the United States Government in recognition of its responsibility to promulgate this classification throughout the United States for morbidity coding. The International Classification of Diseases, 9th Revision, published by the World Health Organization (WHO) is the foundation of the ICD-9-CM and continues to be the classification employed in cause-of-death coding in the United States. The ICD-9-CM is completely comparable with the ICD-9. The WHO Collaborating Center for Classification of Diseases in North America serves as liaison between the international obligations for comparable classifications and the national health data needs of the United States. The ICD-9-CM is recommended for use in all clinical settings but is required for reporting diagnoses and diseases to all U.S. Public Health Service and the Centers for Medicare & Medicaid Services (formerly the Health Care Financing Administration) programs. Guidance in the use of this classification can be found in the section "Guidance in the Use of ICD-9-CM." ICD-9-CM extensions, interpretations, modifications, addenda, or errata other than those approved by the U.S. Public Health Service and the Centers for Medicare & Medicaid Services are not to be considered official and should not be utilized. Continuous maintenance of the ICD-9- CM is the responsibility of the Federal Government. However, because the ICD-9-CM represents the best in contemporary thinking of clinicians, nosologists, epidemiologists, and statisticians from both public and private sectors, no future modifications will be considered without extensive advice from the appropriate representatives of all major users. -
Icd-9-Cm (2010)
ICD-9-CM (2010) PROCEDURE CODE LONG DESCRIPTION SHORT DESCRIPTION 0001 Therapeutic ultrasound of vessels of head and neck Ther ult head & neck ves 0002 Therapeutic ultrasound of heart Ther ultrasound of heart 0003 Therapeutic ultrasound of peripheral vascular vessels Ther ult peripheral ves 0009 Other therapeutic ultrasound Other therapeutic ultsnd 0010 Implantation of chemotherapeutic agent Implant chemothera agent 0011 Infusion of drotrecogin alfa (activated) Infus drotrecogin alfa 0012 Administration of inhaled nitric oxide Adm inhal nitric oxide 0013 Injection or infusion of nesiritide Inject/infus nesiritide 0014 Injection or infusion of oxazolidinone class of antibiotics Injection oxazolidinone 0015 High-dose infusion interleukin-2 [IL-2] High-dose infusion IL-2 0016 Pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance Pressurized treat graft 0017 Infusion of vasopressor agent Infusion of vasopressor 0018 Infusion of immunosuppressive antibody therapy Infus immunosup antibody 0019 Disruption of blood brain barrier via infusion [BBBD] BBBD via infusion 0021 Intravascular imaging of extracranial cerebral vessels IVUS extracran cereb ves 0022 Intravascular imaging of intrathoracic vessels IVUS intrathoracic ves 0023 Intravascular imaging of peripheral vessels IVUS peripheral vessels 0024 Intravascular imaging of coronary vessels IVUS coronary vessels 0025 Intravascular imaging of renal vessels IVUS renal vessels 0028 Intravascular imaging, other specified vessel(s) Intravascul imaging NEC 0029 Intravascular -
ICD-9-CM Coordination and Maintenance Committee Meeting September 28-29, 2006 Diagnosis Agenda
ICD-9-CM Coordination and Maintenance Committee Meeting September 28-29, 2006 Diagnosis Agenda Welcome and announcements Donna Pickett, MPH, RHIA Co-Chair, ICD-9-CM Coordination and Maintenance Committee ICD-9-CM TIMELINE .................................................................................................... 2 Hearing loss, speech, language, and swallowing disorders ........................................... 8 Kyle C. Dennis, Ph.D., CCC-A, FAAA and Dee Adams Nikjeh,Ph.D., CCC-SLP American Speech-Language-Hearing Association Urinary risks factors for bladder cancer ...................................................................... 13 Louis S. Liou, M.D., Ph.D., Abbott Chronic Total Occlusion of Artery of Extremities....................................................... 15 Matt Selmon, M.D., Cordis Osteonecrosis of jaw ....................................................................................................... 17 Vincent DiFabio,M.D., American Association of Oral and Maxillofacial Surgeons Intraoperative Floppy Iris Syndrome ........................................................................... 18 Priscilla Arnold, M.D., American Society of Cataract and Refractive Surgery Septic embolism............................................................................................................... 19 Parvovirus B19 ................................................................................................................ 21 Avian Influenza (Bird Flu)............................................................................................ -
Xellia Pharmaceuticals, Aps Advisory Committee Background Document
BACITRACIN for Injection (bacitracin) Advisory Committee Background Document Staphylococcal pneumonia and empyema in infants Xellia Pharmaceuticals, ApS Advisory Committee Background Document Meeting of the Antimicrobial Drugs Advisory Committee (AMDAC) on Safety and Efficacy of Bacitracin for Intramuscular Injection BACITRACIN for Injection (bacitracin) AVAILABLE FOR PUBLIC DISCLOSURE WITHOUT REDACTION Issue/Report Date: 28 March 2019 Approved date: 27 March 2019 Page 1 of 52 BACITRACIN for Injection (bacitracin) Advisory Committee Background Document Staphylococcal pneumonia and empyema in infants Table of Contents 1 EXECUTIVE SUMMARY ............................................................................................................5 2 Introduction .....................................................................................................................................7 3 Clinical data on effectiveness of bacitracin for injection ................................................................8 3.1 Approved Indication: Staphylococcal Pneumonia and Empyema in Infants ........................... 8 3.1.1 Supporting data on the treatment of lung infections in adults ........................................... 9 3.1.2 Data on intrapleural administration in infants and children with empyema ...................... 9 3.2 Alternate uses for Bacitracin for injection .............................................................................. 10 3.2.1 Surgical Site Infection (SSI) Prophylaxis ....................................................................... -
Pneumopericardium and Pneumomediastinum Complicating Endotracheal Intubation D
Postgraduate Medical Journal (April 1979) 55, 273-275 Postgrad Med J: first published as 10.1136/pgmj.55.642.273 on 1 April 1979. Downloaded from Pneumopericardium and pneumomediastinum complicating endotracheal intubation D. O'NEILL D. N. K. SYMON M.B., Ch.B., M.R.C.P. B.Sc., M.B., Ch.B., M.R.C.P. Department of Cardiology, Western Infirmary, Glasgow GIl 6NT Summary was promptly inserted by the house physician. This Pneumopericardium and pneumomediastinum have type of tube has a total length of 30 cm with mark- been described as complications of endotracheal ings at 22, 24 and 26 cm. It was not trimmed before intubation and assisted ventilation in neonates and insertion. Copious secretions were aspirated and children. Here the occurrence of these complications intermittent positive pressure ventilation commenced in an adult is described and the possible mechanism using an Ambu bag. It was then noticed that the discussed. left lung was not being inflated and the tube was partially withdrawn. Ventilation with the Ambu bag Introduction was continued for 30 minutes until spontaneous The use of the endotracheal tube during surgery ventilation returned. During this period gastric has become the most widely used and acceptable lavage was carried out after an oro-gastric tube had method of providing an airway and of assisting in been passed without difficulty. Protected by copyright. the ventilation of the patient. Although some On admission to the intensive care unit he was complications do arise, the beneficial aspects of the noted to have a loud pericardial friction rub audible procedure have far outweighed the limitations due to over the entire praecordium. -
Instructions and Data Element Definitions Form DOH-2254A
NEW YORK STATE DEPARTMENT OF HEALTH DIVISION OF QUALITY AND PATIENT SAFETY CARDIAC SERVICES PROGRAM 2014 Discharges Cardiac Surgery Report, Adult (Age 18 and Over) Instructions and Data Element Definitions Form DOH-2254a CARDIAC SERVICES PROGRAM CONTACTS: One University Place, Suite 218 Rensselaer, NY 12144-3455 Phone: (518) 402-1016 Fax: (518) 402-6992 Kimberly S. Cozzens, MA, Cardiac Initiatives Research Manager, [email protected] Rosemary Lombardo, MS, CSRS Coordinator, [email protected] Table of Contents Topic Page Revision Highlights and Coding Clarifications…………………..…………… 6 When to Complete an Adult CSRS Form ……………………………………. 6 Guidance on Selecting Appropriate Procedure Codes ………………….... 8 CSRS Data Reporting Policies ……………………………………….………. 10 ITEM-BY-ITEM INSTRUCTIONS PFI Number ………………………………………………………………... 12 Sequence Number ………………………………………………………... 12 I. Patient Information Patient Name ……………………………………………………………… 12 Medical Record Number …………………………………………………. 12 Social Security Number ………………………………………………….. 12 Date of Birth ………………………….………………………….………… 12 Sex ………………………….………………………….…………………… 13 Ethnicity ………………………….………………………….……………... 13 Race ………………………….…………………………………………….. 13 Residence Code ………………………….……………………………….. 14 Hospital Admission Date ………………………….……………………… 14 Primary Payer ………………………….………………………………….. 14 Medicaid ………………………….………………………….…………….. 15 PFI of Transferring Hospital ………………………….………………….. 15 II. Procedural Information Hospital That Performed Diagnostic Cath ………………………….…… 16 Date of Surgery ………………………….………………………………… -
NATIONAL QUALITY FORUM National Voluntary Consensus Standards for Pediatric Cardiac Surgery Measures
NATIONAL QUALITY FORUM National Voluntary Consensus Standards for Pediatric Cardiac Surgery Measures Measure Number: PCS‐001‐09 Measure Title: Participation in a national database for pediatric and congenital heart surgery Description: Participation in at least one multi‐center, standardized data collection and feedback program that provides benchmarking of the physician’s data relative to national and regional programs and uses process and outcome measures. Participation is defined as submission of all congenital and pediatric operations performed to the database. Numerator Statement: Whether or not there is participation in at least one multi‐center data collection and feedback program. Denominator Statement: N/A Level of Analysis: Group of clinicians, Facility, Integrated delivery system, health plan, community/population Data Source: Electronic Health/Medical Record, Electronic Clinical Database (The Society of Thoracic Surgeons Congenital Heart Surgery Database), Electronic Clinical Registry (The Society of Thoracic Surgeons Congenital Heart Surgery Database), Electronic Claims, Paper Medical Record Measure Developer: Society of Thoracic Surgeons Type of Endorsement: Recommended for Time‐Limited Endorsement (Steering Committee Vote, Yes‐9, No‐0, Abstain‐0) Attachments: “STS Attachment: STS Procedure Code Definitions” Meas# / Title/ Steering Committee Evaluation and Recommendation (Owner) PCS-001-09 Recommendation: Time-Limited Endorsement Yes-9; No-0; Abstain-0 Participatio n in a Final Measure Evaluation Ratings: I: Y-9; N-0 S: H-4; M-4; L-1 U: H-9; M-0; L-0 national F: H-7; M-2; L-0 database for Discussion: pediatric I: The Steering Committee agreed that this measure is important to measure and report. and By reporting through a database, it is possible to identify potential quality issues and congenital provide benchmarks. -
IAO International Archives of Otorhinolaryngology
International Archives of IAO Otorhinolaryngology ProfOrganizing. Ricardo Committee F erreira Bento Virtual Congress of theHe Otorhinolaryngologyaring & Balanc Foundatione 2017 PreProf.sident Dr. Richard Louis Voegels DrProf.. RDr.obinson Ricardo Ferreira Koji Bento Tsu ji President of Scientific Comission Dra. Ana Carolina Fonseca General Secretary 2020 OFFICIAL PROGRAM ABSTRACTS CCALLALL FFOROR PPAPERSAPERS YYouou areare invitedinvited to to submit submi tthe th efull ful articlesl article presenteds presente atd at VirVirtualth Congress Congress of Otorhinolaryngology of Otorhinolaryngology Foundation Foundation free free of of cost to thethe InternationalInternational ArchiArchivesves ofof OtorhinolaryngologyOtorhinolaryngology.. IAO is an international peer-reviewed journal focusing on disorders of the ear, nose, mouth, pharynx, larynx, cervical region, upper airway system, audiology and communication disorders. Published quarterly, the journal covers the entire spectrum of otorhinolaryngology – from prevention, to diagnosis, treatment and rehabilitation. ISSN 1809–9777 International Archives of IAO Otorhinolaryngology Editor in Chief Issue 3 • Volume 24 • July – August – September 2020 Why publish in IAO? Geraldo Pereira Jotz Co-Editor Aline Gomes Bittencourt • Rigorous Peer-Review by Leading Specialists. • International Editorial Board. • Continuous Publication: Speeding up the Publication of Articles. • Web-based Manuscript Submission. • Complete Free Online Access to all Published Articles via Thieme E-Journals at www.thieme-connect.com/products