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Esophageal Rupture

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282. Spontaneous Pneumomediastinum: An Extensive Workup Is Not Required. (PubMed)

Spontaneous Pneumomediastinum: An Extensive Workup Is Not Required. Spontaneous pneumomediastinum is a rare entity usually caused by alveolar rupture and air tracking along the tracheobronchial tree. Despite its benign nature, an extensive workup is often undertaken to exclude hollow viscus perforation. We sought to review our experience with this condition and examine the optimal management strategy.We conducted a retrospective review of all radiographic pneumomediastinum cases at a tertiary (...) . Computed tomography was performed in 38 patients (78%) and showed a pneumomediastinum that was not seen on chest x-ray in 9 patients. Esophagography was performed in 17 patients (35%) and was invariably negative for a leak. Thirty-eight patients (78%) were hospitalized for a mean of 1.8 ± 2.6 days. No mortality was recorded. Compared with patients who presented with pneumomediastinum secondary to esophageal perforation, spontaneous pneumomediastinum patients were younger, had a lower white cell count

2014 Journal of the American College of Surgeons

283. A Randomized Study Comparing the Efficacy and Safety of Retosiban Versus Atosiban for Women in Spontaneous Preterm Labour

those participants with data available at the specified data points were analyzed (represented by n=X in category title). NA indicates standard deviation was not calculable for a single data point. Number of Maternal Participants With AEs of Special Interest (AESI) [ Time Frame: Up to 6 weeks post-delivery ] Maternal AESI included: maternal death; chorioamnionitis and its complications (clinical chorioamnionitis, preterm premature rupture of membranes, endomyometritis, wound infection, pelvic (...) or safety (e.g., nonreassuring fetal status, intrauterine growth restriction, major congenital anomaly). Preterm premature rupture of membranes Women with any confirmed or suspected contraindication to prolongation of pregnancy, such as placental abruption, chorioamnionitis, or placenta previa Evidence of polyhydramnios (amniotic fluid index [AFI] >25 cm) or oligohydramnios (AFI <5 cm). Women with co-morbid medical or obstetric conditions that in the opinion of the investigator have the potential

2014 Clinical Trials

284. Study of Prevention of Postoperative Nausea and Vomiting Using Cesamet

Party): St. Michael's Hospital, Toronto Study Details Study Description Go to Brief Summary: Untreated, one third of patients undergoing general anesthesia will have postoperative nausea, vomiting, or both. Patients often rate postoperative nausea and vomiting (PONV) as worse than postoperative pain. PONV increases the risk of aspiration and has been associated with suture dehiscence, esophageal rupture, subcutaneous emphysema, and bilateral pneumothoraxes. PONV frequently delays discharge

2014 Clinical Trials

285. Microwave Ablation and Partial Splenic Embolization in the Management of Hypersplenism

, vomiting, post-embolization syndrome, splenic abscess, splenic rupture, pneumonia, refractory ascites, pleural effusion and gastrointestinal bleeding. To ensure a sustained and long-term increase in platelet and leucocytic counts, the splenic infarction rate needs to be greater than 50%. Thus, severe complications can ensue. Thermal ablation methods using different energy sources, such as radiofrequency (RF), microwave (MW), or laser, were developed rapidly as minimally invasive techniques (...) embolization (PSE), which was first performed by Spigos et al in 1979, has been considered first-line therapy for hypersplenism in many institutions, and has been proposed as an effective alternative to splenectomy for improving peripheral blood cell counts. However, PSE is associated with many complications, including intermittent fever, abdominal pain, nausea, vomiting, post-embolization syndrome, splenic abscess, splenic rupture, pneumonia, refractory ascites, pleural effusion and gastrointestinal

2014 Clinical Trials

286. DYsphAgia In Mechanically Ventilated ICU patientS

for Study: 18 Years and older (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Sampling Method: Probability Sample Study Population Mixed Population of adult ICU patients (aged 18+) post invasive mechanical ventilation Criteria Inclusion Criteria: all adult ICU patients post mechanical ventilation (observational analysis) Exclusion Criteria: patients prone to die / moribund patients/ or dying patients patients post oesophageal resection / with oesophageal rupture (...) Inselspital, Berne Identifier: Other Study ID Numbers: Dynamics First Posted: January 7, 2015 Last Update Posted: March 8, 2016 Last Verified: March 2016 Keywords provided by Jörg Schefold, University Hospital Inselspital, Berne: Deglutition Disorders Dysphagia Mechanical Ventilation Sepsis Additional relevant MeSH terms: Layout table for MeSH terms Deglutition Disorders Esophageal Diseases Gastrointestinal Diseases Digestive System Diseases Pharyngeal Diseases Otorhinolaryngologic

2014 Clinical Trials

287. Do Pharyngeal Packs During Orthognathic Surgery Reduce Postoperative Nausea and Vomiting

Detailed Description: Post-operative nausea and vomiting (PONV) is one of the most frequent and distressing complications of anesthesia. Patients often rate that PONV is worse than postoperative pain. PONV alone is one of the leading causes for delayed discharge and unpleasant experiments. Although PONV is not always life-threatening, persistent cases can result in dehydration, esophageal rupture, aspiration and potential death. The massive ingested blood and the additional issue of an altered diet

2014 Clinical Trials

288. Pleuritic Chest Pain in a Young Female: A Reminder for Acute Health Care Providers (PubMed)

Pleuritic Chest Pain in a Young Female: A Reminder for Acute Health Care Providers Chest pain is one of the most common reasons for emergency department visits. Emergency medicine doctors should focus their initial assessment on patients' stability. History, physical examination, and ancillary testing should exclude serious causes such as acute coronary syndrome, acute aortic syndromes, pulmonary embolism, pneumothorax, esophageal perforation, and rupture as well as pericardial tamponade. Young

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2014 Case Reports in Emergency Medicine

289. Sellick Interest in Rapid Sequence Induction

excluded) by comparing the incidence of lung aspiration whether this maneuver is applied or sham, in a noninferiority trial. Primary endpoint: Incidence of lung aspiration Secondary endpoints: Cormack and Lehane Grade , frequency of difficult intubation, frequency of impossible intubation, effect of releasing the Sellick maneuver on these three criteria, frequency of aspiration pneumonia within 24 hours, frequency of complications due to the Sellick maneuver (esophageal rupture and cricoid cartilage (...) by the association of a lung aspiration recorded in the operating room during the induction of anesthesia and the presence of a non-existent preoperative radiological infiltrate Incidence of oesophageal rupture [ Time Frame: day 28 ] This complication is extremely rare and clinically very telling. No further review is planned to diagnose it Incidence of cricoid cartilage fracture [ Time Frame: day 28 ] This complication is extremely rare and clinically very telling. No further review is planned to diagnose

2014 Clinical Trials

290. Angina Bullosa Hemorrhagica: Report of 11 Cases (PubMed)

Angina Bullosa Hemorrhagica: Report of 11 Cases Angina bullosa hemorrhagica is a rare and benign disorder, usually localized in the subepithelial layer of the oral, pharyngeal and esophageal mucosa. The lesions are characterized by their sudden onset. They appear as a painless, tense, dark red and blood-filled blister in the mouth that rapidly expand and rupture spontaneously in 24-48 hours. The underlying etiopathology remains ill defined, although it may be a multifactorial phenomenon

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2014 Dermatology Reports

291. Hepatic osteodystrophy (PubMed)

, limitation of drugs such as loop diuretics, corticosteroids, cholestyramine. Bisphosphonates have been proposed for the therapy of osteoporosis in patients with liver disease, particularly after liver transplantation. The possible side effects of oral administration of bisphosphonates, such as the occurrence of esophageal ulcerations, are of particular concern in patients with liver cirrhosis and portal hypertension, due to the risk of gastrointestinal hemorrhage from ruptured esophageal varices

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2014 Clinical Cases in Mineral and Bone Metabolism

292. Nonsurgical resolution of caudal mediastinal paraesophageal abscess in a cat (PubMed)

on esophagram. On esophageal endoscopy, there were no esophageal abnormalities. CT findings with a fluid filled mass with rim enhancement indicated a caudal mediastinal paraesophageal abscess. The patient was treated with oral antibiotics, because the owner declined percutaneous drainage and surgery. The patient was admitted on emergency with severe respiratory distress; and ruptured abscess and deteriorated pleuropneumonia were suspected. With intensive hospitalization care and additional antibiotic

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2014 The Journal of Veterinary Medical Science

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