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Neurogenic Shock

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161. Unintended Consequences for Patients with Spinal Cord Injury

about this page, enter your email address: Enter Email Address Submit Button Unintended Consequences for Patients with Spinal Cord Injury Posted on December 11, 2018 by CDC's Safe Healthcare Blog Matt Davis, MD Matt Davis, MD, Clinical Medical Director SCI Service Line, TIRR Memorial Hermann The story would have been shocking, if I had not seen the precursors many times before. My patient was paralyzed by a bulging disc in her spine. In an effort to achieve “High Reliability” and reach the goal (...) diseases. Hospitals are forced to disclose aggregated CAUDI cases for disease conditions such as SCI which they may encounter less than once per year in a specific acute trauma unit. For the individual hospital, the resources required to appropriately manage patients with SCI related neurogenic bladder do not rise to the level of significance necessary to drive universal competency. However, for the individual with SCI removal of the catheter often spells acute renal insufficiency and occasionally

2018 CDC Safe Healthcare blog

162. Gastrointestinal Complications (PDQ®): Health Professional Version

to manage chronic neurogenic and anatomic colonic dysmotility resulting in chronic constipation or fecal incontinence.[ ] Several studies have found greater efficacy with TAI than with conventional management strategies for neurogenic bowel dysfunction;[ - ] however, no studies have shown either safety or efficacy in people with constipation related directly to a tumor or caused by treatment for cancer or side-effect management (e.g., opioid-induced constipation). Complications, although rare (...) in the currently indicated populations, include bowel perforation.[ , ] Colon cancer, history of any colorectal surgery, and pelvic radiation are considered relative or absolute contraindications to using TAI.[ ] At this time, for patients with cancer or a history of cancer, the evidence does not support the use of TAI for management of chronic constipation or fecal incontinence for conditions other than neurogenic dysfunction. Medical Agents for Constipation Bulk producers Bulk producers are natural

2015 PDQ - NCI's Comprehensive Cancer Database

163. Vasopressin Deficiency in Hemorrhagic Shock

Identifier: Other Study ID Numbers: 2009-0528-H A-13969.2 ( Other Grant/Funding Number: DoD ) First Posted: April 20, 2010 Last Update Posted: January 17, 2018 Last Verified: March 2012 Additional relevant MeSH terms: Layout table for MeSH terms Shock, Hemorrhagic Diabetes Insipidus, Neurogenic Hemorrhage Pathologic Processes Shock Diabetes Insipidus Kidney Diseases Urologic Diseases Pituitary Diseases Endocrine System Diseases Vasopressins Arginine Vasopressin Hemostatics Coagulants Vasoconstrictor (...) Vasopressin Deficiency in Hemorrhagic Shock Vasopressin Deficiency in Hemorrhagic Shock - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Vasopressin Deficiency in Hemorrhagic Shock The safety and scientific

2010 Clinical Trials

164. Diagnosis and pharmacological management of Parkinson’s disease

to be exercised in determining the amount of information imparted at diagnosis, steering between too little - “I was shocked in maybe 12 minutes of his total time seeing me, he diagnosed me with an illness and gave me no hope and told me to take some medicine, period. And then he dismissed me” 10 - and too much “knowing all the facts would probably have finished me off”. 11 It is important that clinicians make patients feel well supported. They should also make sure that patients are aware of the potential

2010 SIGN

165. Complications of colonoscopy

, and shock. 11 In a study that used the Clinical Outcomes Re- search Initiative (CORI) database, cardiopulmonary com- plications occurred in 0.9% of procedures and made up 67% of the unplanned events during or after endoscopic procedures with sedation. 12 Transient hypoxemia oc- curred in 230 per 100,000 colonoscopies, but prolonged hypoxemia was reported in only 0.78 per 100,000 colono- scopies. Hypotension occurred in 480 per 100,000 colono- scopies. CORI data may underestimate acute complica- tions (...) , and neurogenic bowel in pa- tients refractory to other interventions and considered poor surgical candidates. 88 Series of percutaneous endo- scopic colostomy report major complications in 5% to 12% (mostly peritonitis), with a 3% to 7% rate of procedure- related mortality. 103-105 Minor complications, such as site infection, buried bumper, and abdominal wall bleeding, exceeded 30% in the only prospective series. 103 Most re- ports describe an all-cause in-hospital mortality rate ex- ceeding 25%, re?ecting

2011 American Society for Gastrointestinal Endoscopy

166. Acute Low Back Pain

and clinical examination findings or other test results suggesting other serious conditions affecting the spine such as suggesting cauda equina syndrome, spinal fracture, infection, tumor, or other mass lesions or defects. 2) Patients limited by radiating low back pain for more than 2 weeks with physiologic evidence of nerve root compromise and symptoms/disability severe enough to consider injection or surgical intervention. 3) A history of neurogenic claudication and other findings in elderly patients (...) applied by a therapist, these increase cost substantially. Shock absorbing shoe inserts may be of benefit to persons whose work involves long periods of standing on hard surfaces. Lumbar corsets or belts have no supportive effect, and most literature suggests that they are ineffective. Traction has no clear benefit. Activity limitations. Strong evidence shows that bed rest is not an effective treatment option for acute LBP. Maintaining usual activities has been shown to improve recovery. It may

2011 University of Michigan Health System

168. The Contradictory Effects of Neuronal Hyperexcitation on Adult Hippocampal Neurogenesis Full Text available with Trip Pro

and progenitor cells to intrinsically sense neuronal excitatory activity. In vivo, this property has remained elusive although recently the direct response of neural stem cells to GABA in the hippocampus via GABAA receptors has evidenced a mechanism for a direct talk between neurons and neural stem cells. As it is pro-neurogenic, the effect of excitatory neuronal activity has been generally considered beneficial. But what happens in situations of neuronal hyperactivity in which neurogenesis can (...) be dramatically boosted? In animal models, electroconvulsive shock markedly increases neurogenesis. On the contrary, in epilepsy rodent models, seizures induce the generation of misplaced neurons with abnormal morphological and electrophysiological properties, namely aberrant neurogenesis. We will herein discuss what is known about the mechanisms of influence of neurons on neural stem cells, as well as the severe effects of neuronal hyperexcitation on hippocampal neurogenesis.

2016 Frontiers in neuroscience

169. Milrinone in Enterovirus 71 Brain Stem Encephalitis Full Text available with Trip Pro

Milrinone in Enterovirus 71 Brain Stem Encephalitis Enterovirus 71 (EV71) was implicated in a widespread outbreak of hand-foot-and-mouth disease (HFMD) across the Asia Pacific area since 1997 and has also been reported sporadically in patients with brain stem encephalitis. Neurogenic shock with pulmonary edema (PE) is a fatal complication of EV71 infection. Among inotropic agents, milrinone is selected as a therapeutic agent for EV71- induced PE due to its immunopathogenesis. Milrinone

2016 Frontiers in pharmacology

170. Prospective Randomized Clinical Trial for Effect of Stellate Ganglion Block in Medically Refractory Ventricular Tachycardia

for eligibility information Ages Eligible for Study: 20 Years to 85 Years (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Patients agreement of consent AF patient age 20-85 Patient are diagnosed Refractory Ventricular tachycardia Patients who have generated Refractory Ventricular tachycardia despite of defibrillation and drug therapy Patients with ICD have generated ICD shock or anti-tachycardia pacing despite of defibrillation and drug therapy (...) Exclusion Criteria: Patients who do not agree with study inclusion Patients who do not taken stellate ganglion block due to unstable hemodynamic status Patients have experienced major hemorrhagic complication Patients of the DNR status Patients with malignancy tumor, major neurogenic disease or gastrointestinal disease Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact

2016 Clinical Trials

171. A Study to Evaluate the Safety and Tolerability of Valproic Acid in Trauma Patients(Part 2)

septic, cardiogenic, or neurogenic shock or mechanical reasons such as tension pneumothorax or cardiac temponade. Subjects with inadequate venous access. Subject with a hemoglobin level of less than 8g/dL. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer to this study by its ClinicalTrials.gov identifier (NCT number (...) subjects. ID: VPA-C-002 The second part of the study will also be to determine the safety and tolerability of single ascending doses of valproic acid administered as IV in trauma subjects with hemorrhagic shock. Condition or disease Intervention/treatment Phase Shock,Hemorrhagic Trauma Drug: Valproic Acid Drug: Isotonic saline solution Phase 1 Detailed Description: THIS IS THE SECOND PART OF A 2-PART STUDY. Part 1 of the study will be a single center study intended to assess the safety and tolerability

2016 Clinical Trials

172. Combination Effect of Nefopam With Propacetamol for Postoperative Pain After Thyroidectomy

: for postop. 24hrs. ] Patients satisfaction score ( 0- dissatisfaction, 1- a little dissatisfaction, 2- average, 3- a little satisfaction, 4- satisfaction) Chronic pain and neurogenic pain [ Time Frame: three month after the surgery. ] Neuropathic pain diagnostic questionnaire(DN 4) : The DN4 questionnaire consists of a total of 10 items grouped in 4 sections. The first seven items are related to the quality of pain (burning, painful cold, electric shocks) and its association to abnormal sensations

2015 Clinical Trials

173. Effectiveness of Radial Extracorporeal Shockwave Therapy on Tennis Elbow

Party): Chang Gung Memorial Hospital Study Details Study Description Go to Brief Summary: Background: Tennis elbow, also known as lateral epicondylitis, is the inflammatory status of insertion site of common extensor tendon to humerus. It is usually related to overuse of local muscle. Radial extracorporeal shock wave therapy (rESWT) is a non-invasive physical treatment. It applies shockwave energy to the lesion site, enhancing the growth of microvascularity, inducing tissue repair, and thus (...) Epicondylosis Lateral Epicondylitis Tennis Elbow Procedure: Radial extracorporeal shock wave therapy (rESWT) Procedure: sham shockwave therapy Procedure: Physical therapy Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 30 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single (Participant) Primary Purpose: Treatment Official Title: Effectiveness of Radial Extracorporeal Shockwave

2015 Clinical Trials

174. Evaluation of Safety, Pharmacokinetics and Efficacy of Ceftazidime and Avibactam (CAZ-AVI ) Compared With Cefepime in Children From 3 Months to Less Than 18 Years of Age With Complicated Urinary Tract Infections (cUTIs)

considered to have complicated UTI as indicated by 2 of the previous qualifying signs/symptoms in (a) plus at least 1 complicating factor from the following: Recurrent UTI (2 or more within 12 months period) Obstructive uropathy that is scheduled to be surgically relieved during IV study therapy and before the EOT Functional or anatomical abnormality of the urogenital tract, including anatomic malformations or neurogenic bladder Vesicoureteral reflux Use of intermittent bladder catheterisation (...) in administering the study therapy to the patient) Patient is considered unlikely to survive the 6 to 8 week study period or have a rapidly progressive illness, including septic shock that is associated with a high risk of mortality At the time of randomisation, patient is known to have a cUTI caused by pathogens resistant to the antimicrobials planned to be used in the study Presence of any of the following clinically significant laboratory abnormalities: Haematocrit <25% or haemoglobin <8 g/dL (<80 g/L, <4.9

2015 Clinical Trials

175. Efficacy and Safety of Acupuncture for Degenerative Lumbar Spinal Stenosis

(KI3) acupoints will be used. For bilateral Dachangshu (BL 25), the needle will be inserted vertically at approximately 40-70 mm until participants got a electric shock feeling downward to calves, then the needle should be elevated up 2 mm, without rotating or lifting. For other four acupoints (BL23, BL40, BL57, KI3), they will be inserted 10 to 15 mm in depth with three times light amplitude rotation and lift to induce a sensation of soreness. The manipulations will be performed 3 times in total (...) extension. (Using NRS questionnaire to measure pain symptoms, and pain measured by NRS ≥ 4.) Roland-Morris score of at least 7. Mild-moderate-severe lumbar central canal spinal stenosis identified by MRI or CT scan. Lower extremity symptoms consistent with neurogenic claudication. Age 50 to 80 years old. Signed the consent and take part in this trial of his/her willing. Exclusion Criteria: Congenital stenosis of vertebral canal, serious indications of DLSS (such as segmental muscular atrophy, bowel

2015 Clinical Trials

176. Iatrogenic urological triggers of autonomic dysreflexia: a systematic review. Full Text available with Trip Pro

, including original articles, previous practice guidelines, case reports and literature reviews. Studies that did not report AD or blood pressure (BP) assessments during urological procedures were excluded.Forty studies were included for analysis and categorized into four groups: (1) urodynamics and cystometry; (2) cystoscopy and transurethral litholapaxy; (3) extracorporeal shock-wave lithotripsy (ESWL); and (4) other procedures. During urodynamics, the incidence of AD ranged from 36.7% to 77.8 (...) %. The symptomatic rate ranged from 50% to 65%, with AD symptoms seen predominantly in cervical SCI patients. The studies imply no consensus regarding the relationship between AD, neurogenic detrusor overactivity and detrusor sphincter dyssynergia. Without anesthesia, the majority of individuals develop AD during cystoscopy, transurethral litholapaxy and ESWL. The effectiveness of different anesthesia methods relies on blocking the nociceptive signals from the lower urinary tract (LUT) below the level

2015 Spinal cord

177. Gastrointestinal Complications

fissures or abscesses, which are portals of entry for infection. Also, the stoma of a patient with neutropenia should not be manipulated unnecessarily. Transanal irrigation (TAI) is a recently described therapeutic modality intended to manage chronic neurogenic and anatomic colonic dysmotility resulting in chronic constipation or fecal incontinence.[ ] Several studies have found greater efficacy with TAI than with conventional management strategies for neurogenic bowel dysfunction;[ - ] however (...) , the evidence does not support the use of TAI for management of chronic constipation or fecal incontinence for conditions other than neurogenic dysfunction. Medical Agents for Constipation Bulk producers Bulk producers are natural or semisynthetic polysaccharide and cellulose. They work with the body’s natural processes to hold water in the intestinal tract, soften the stool, and increase the frequency of the passage of stool. Bulk producers are not recommended for use in a regimen to counteract the bowel

2012 PDQ - NCI's Comprehensive Cancer Database

179. Thoracic Aortic Disease: Guidelines For the Diagnosis and Management of Patients With

e64 8.1.5.3. HEART FAILURE AND SHOCK...e64 8.1.5.4. PERICARDIAL EFFUSION AND TAMPONADE e64 8.1.6. Syncope .e64 8.1.7. Neurologic Complications .e65 8.1.8. Pulmonary Complications .e65 8.1.9. Gastrointestinal Complications .e65 8.1.10. Blood Pressure and Heart Rate Considerations .e65 8.1.11. Age and Sex Considerations .e65 8.2. Intramural Hematoma .e66 8.3. Penetrating Atherosclerotic Ulcer .e67 8.4. Pseudoaneurysms of the Thoracic Aorta .e67 8.5. Traumatic Rupture of the Thoracic Aorta.e67 8.6

2010 American College of Cardiology

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