p s c l o a Pulmonary hypertension, whether caused by idiopathic pulmonary arterial hypertension or as a complication of an increasingly recognized number of primary disease states, is associated with significant mortality and morbidity (1,2). Diagnosing pulmonary hypertension, however, may be challenging (3). Symptoms can be nonspecific and may be attributed to the underlying disease, and unli...

The relationships between pulmonary hypertension multiple myeloma, monoclonal protein and finally drug treatment of plasma cell diseases are complex and not fully elucidated. Pulmonary hypertension has been reported as a rare complication of multiple myeloma (MM), more frequently in patients with POEMS syndrome. More recently pulmonary hypertension has been described during thalidomide treatmen...

Introduction : Diagnosis of peripheral pulmonary nodules is confusing; therefore, an accurate and safe lung biopsy can prevent unnecessary invasive diagnostic procedures. This study soughtto study the diagnostic yield, sensitivity, specificity, and negative and positive predictive values (NPV and PPV) of radial probe endobronchial ultrasound (EBUS)-guided biopsy for peripheral pulmonary lesions...

conclusions it is better to remove the unused devices safely to prevent and decrease their possible complications. case presentation a 50-years-old woman, with a history of breast cancer, had a permcath emplacement in right subclavian vein for a course of chemotherapy. the treatment for cancer seemed to be successful and the permcath had remained in its position without complication, for a coup...

CONTEXT We previously found that length of stay in the intensive care unit (ICU) after abdominal aortic surgery increased when fewer ICU nurses were available per patient. We hypothesized that having fewer nurses increases the risk for medical complications. OBJECTIVE To evaluate the association between nurse-to-patient ratio in the ICU and risk for medical and surgical complications after ab...

Since the first report of successful "late" embolectomy for recurrent pulmonary embolism,' a number of patients have been described with significant pulmonary hypertension where clinical improvement associated with lowering of pulmonary artery pressure has followed removal of extensive, well-organised thrombo-embolic material from major pulmonary vessels.2 The following case history illustrates...