Guidewire-associated complications that occur during the process of central venous catheterization include its kinking, looping, knotting and breakage. The removal of a looped or knotted guidewire is problematic because it can cause vessel damage, major hemorrhage, or embolization of a fractured guidewire. We report a case of guidewire kinking and its successful removal under fluoroscopic guida...

Candida lipolytica has infrequently been identified as a cause of infection and is associated mostly with vascular catheter-related fungaemia. Patients reported in the literature have been successfully treated with catheter removal or amphotericin B treatment. We report 2 infants with C. lipolytica fungaemia unresponsive to catheter removal and amphotericin B therapy and treated successfully wi...

OBJECTIVES To compare Telfa with the Rapid Rhino Riemann nasal pack for use following endoscopic sinus surgery. DESIGN Prospective, randomized, double-blind, paired trial. SETTING Tertiary otolaryngology hospital. PARTICIPANTS Forty-five adult patients undergoing bilateral endoscopic sinus surgery for either chronic rhinosinusitis or nasal polyps. MAIN OUTCOME MEASURES A visual analogue...

proximity of the vagus nerve to a patent ductus arteriosus (pda) can cause traction or entrapment of vagus nerve during surgical closure of the in rare occasions. this can lead to a life threatening postoperative bradycardia. herein, we report a case of bradycardia caused by unexpected irritation of the vagal trunk by the end of operation. the patient was managed by re-opening the chest, lung r...

PURPOSE To evaluate the causes of retinal detachment after silicone oil removal, to define possible risk factors and the anatomical and functional prognosis of this complication. METHODS 112 eyes that underwent silicone oil removal were included. The group of eyes with retinal detachment after oil removal (18/112 eyes, 16.1%) was compared with the group with no postoperative retinal detachmen...

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background: today, treated wastewater recycling and reuse has been considered for agricultural irrigation. this can potentially cause health and environmental hazards. since accessing the engelberg index for sewage is a necessity, this study was undertaken on integrated stabilization ponds (isp) of isfahan east wastewater treatment plant, isfahan, iran. methods: this cross-section study was con...

Central venous catheterization by Seldinger's technique uses a guidewire which may cause complications such as kinking, knotting and fracture. Fractured guidewire may lead to severe outcomes such as embolization, and removal of it may also cause problems such as vessel damage. We experienced a case of right internal jugular venous catheterization complicated by guidewire fracture entrapped in t...