Arch Dis Child January 2011 Vol 96 No 1 An 8-year-old boy with cystic fi brosis was planned for a course of home intravenous antibiotics. A peripherally inserted central catheter (PICC) was inserted from his left wrist on the third attempt. By the third day, he had developed a swollen red forearm. Clinically, a small non-tender nodule was palpable 1 cm proximal to a healthy insertion site. The ...

Umbilical and supraumbilical catheter insertion is a common procedure performed in the NICU. It is a safe and usually easy procedure devoid of serious mishaps, morbidity and mortality. Complications such as hemorrhage, infection, hernia, evisceration, omphalitis, portal vein thrombosis and portal hypertension may occur after umbilical catheter insertion. Other uncommon and rare complications re...

Embolectomy has long been the gold standard for treating limbs acutely threatened by arterial occlusion. Delayed embolectomy has not been investigated adequately due to the belief that accompanying mortality and morbidity render the case futile. Following our previous experience with late arterial repair for leg or knee salvage I we applied the same principle to limbs threatened with prolo...

Radical nephrectomy with inferior vena cava (IVC) thrombectomy remains the most effective therapeutic option in patients with renal cell carcinoma and IVC tumor thrombus. Cephalic extension of the thrombus is closely related to perioperative morbidity. We purposed to design a safe and successful surgical strategy through a review of our surgical experience and treatment results in 35 patients (...

embolectomy has long been the gold standard for treating limbs acutely threatened by arterial occlusion. delayed embolectomy has not been investigated adequately due to the belief that accompanying mortality and morbidity render the case futile. following our previous experience with late arterial repair for leg or knee salvage i we applied the same principle to limbs threatened with prolonged ...

Abstract Aim Lower limb reconstruction free flap failure rate is 8.5% and contributed to by venous thrombosis congestion. Mapping of flaps the recipient site identify pathology not standard often only found intraoperatively leading changes in reconstructive plans. There are no guidelines on preoperative assessment. We aimed review available evidence delineate impact imaging has outcomes Method ...

We describe the case of a 52-year-old man with end-stage emphysema who underwent a right-sided lung transplantation. During preoperative monitoring an apparently non-functioning Swan-Ganz catheter could not be removed through the insertion site - right internal jugular vein. Another Swan-Ganz catheter was successfully installed through the left internal jugular vein, pulmonary artery pressures ...

CASE DESCRIPTION 2 cats were examined because of congestive heart failure secondary to heartworm infection. CLINICAL FINDINGS One cat had severe abdominal distention and the other had dyspnea secondary to chylothorax. Both had loud right-sided heart murmurs, precordial thrills, and jugular distension. Thoracic radiography revealed cardiomegaly and enlarged caudal pulmonary arteries. Echocardi...

Study objective: To characterize the physiologic response to, and safety of, intravenacaval membrane oxygenation and carbon dioxide removal. Design: Interventional before-after study. Setting: University teaching hospital ICU. Patients: Twenty-two patients with severe acute respiratory distress syndrome (ARDS). Interventions: Implantation of a hollow-fiber membrane oxygenator (IVOX; CardioPulmo...