Carltonkarlsson1642

The chest drainage unit described here was easily implemented in the clinic and clearly confirmed true air leakage in all patients with air leakage after lung surgery. It allowed safe and appropriate timing for chest tube removal with no need for reinsertion in a broad cohort of patients referred for thoracic surgery.

The chest drainage unit described here was easily implemented in the clinic and clearly confirmed true air leakage in all patients with air leakage after lung surgery. It allowed safe and appropriate timing for chest tube removal with no need for reinsertion in a broad cohort of patients referred for thoracic surgery.

The use of transcatheter aortic valve implantation (TAVI) has expanded as an alternative to aortic valve replacement, and more than 500,000 patients have been treated worldwide since April, 2002. The aim of this study was to compare complications and morbidity/mortality associated with different TAVI approaches as alternatives to a surgical-femoral approach.

From January 2007 to January 2015, 2,863 patients underwent TAVI surgery in 36 United Kingdom TAVI centers. Primary outcomes were complications according to VARC-2 criteria. The secondary outcome was long-term survival.

The enrolled patients were distributed as follows 1,150 in the surgical-femoral (SF) group, 1,216 in the trans-apical (TA) group, 207 in the direct-aortic (DA) group, and 290 in the subclavian (SC) group. There were no differences in the rates of acute myocardial infarction, emergency valve-in-valve, cardiac tamponade, or TIA among the groups. The rates of stroke and renal replacement therapy, as well as in-hospital stay, in-hospitald DA, and thus may represent the safest non-femoral access if use of the femoral approach is precluded.

Epigastric hernias may lead to discomfort and pain. The mainstay of treatment is surgical repair with mesh reinforcement. The primary aim of this study was to compare the recurrence rates of laparoscopic epigastric hernia repair (LEHR) and conventional open epigastric hernia repair (OEHR) with mesh reinforcement. Secondary aims were to evaluate perioperative outcomes and quality of life.

Ninety-nine patients (58% female) from two non-academic hospitals were retrospectively reviewed. The Short-Form 36 Health Survey questionnaire and Carolina Comfort Scale were used to assess quality of life and complaints related to mesh implantation.

Forty-two (42%) patients underwent LEHR and 57 (58%) underwent OEHR. The mean follow-up at the outpatient clinic was 7.1 months in the LEHR group and 8.1 months in the OEHR group. The mean follow-up by telephone contact was 67.8 months in the OEHR group and 58.1 months in the LEHR group. The risk of recurrence appeared to be slightly lower for LEHR (2%) compared to OEHR (7%), but this difference was not significant (p=0.298). The median surgical duration was 54 minutes in the LEHR group and 28 minutes in the OEHR group (p<0.001). piperacillin The median hospitalization time was 1 day in the LEHR group and 0.5 days in the OEHR group (p<0.001).

Laparoscopic hernia repair tended to be associated with a lower risk of recurrence, but this difference was not statistically significant. Although the surgical duration was longer for the LEHR group, the postoperative outcomes were similar between groups, making laparoscopic repair a feasible alternative to the open approach for epigastric hernias.

Laparoscopic hernia repair tended to be associated with a lower risk of recurrence, but this difference was not statistically significant. Although the surgical duration was longer for the LEHR group, the postoperative outcomes were similar between groups, making laparoscopic repair a feasible alternative to the open approach for epigastric hernias.

 This study aimed to compare the risk of recurrent spontaneous preterm birth (sPTB), as well as cerclage efficacy, between groups stratified by phenotype of the index sPTB.

 This is a retrospective cohort study of women with a history of sPTB. Included were women with a history of singleton sPTB who received progesterone in a subsequent pregnancy. Multifetal gestations and abdominal cerclage were excluded. Exposure groups were based upon the presenting symptom that preceded their first sPTB and included painless cervical dilation (PCD), preterm premature rupture of membranes (PPROM), and painful dilation (preterm labor [PTL]). Primary outcome was delivery <34 weeks in a subsequent pregnancy. Secondary outcomes included delivery <28 and <37 weeks. Rates were compared using the Chi-square test. Multivariable Poisson regression was used to adjust for confounders.

 A total of 723 women were included. A total of 114 (16%) presented with PCD, 305 (42%) with PPROM, and 304 (42%) with PTL in their firsated with recurrent PTB.. · Painless dilation is associated with recurrent PTB..

· Phenotype is critical to understanding PTB.. · Phenotype is associated with recurrent PTB.. · Painless dilation is associated with recurrent PTB..

 Semiquantitative lung ultrasound improves the timeliness of surfactant replacement, but its financial consequences are unknown. We aim to investigate if the ultrasound-guided surfactant administration influences the general costs of surfactant therapy for preterm neonates affected by respiratory distress syndrome.

 This is a pharmacoeconomic, retrospective, and before-and-after study investigating the impact of ultrasound-guided surfactant replacement (echography-guided Surfactant THERapy [ESTHER]) on pharmaceutical expenditure within the ESTHER initiative. Data extracted from the institutional official database hosted by the hospital administration for financial management were used for the analysis. We analyzed the number of surfactant administrations in neonates of gestational age ≤32

weeks, and the number of surfactant vials used from January 1

2014 to June 30, 2014 (i.e., during the period of standard surfactant administration policy) and from July 1, 2016 to December 31, 2018 (that is during ESdoes not change the global surfactant utilization..Parental presence is believed to improve outcomes for infants hospitalized in the neonatal intensive care unit (NICU). As a result, NICU policies and procedures have evolved to support parental presence, and a growing number of studies examine the role of parental presence in the NICU. However, the measurement of parental presence is not standardized, complicating assessment of its impact on child and parent outcomes across studies. We reviewed 29 studies that presented 27 distinct methods of quantifying parental presence in the NICU and reported associations of presence with patient demographics, parental engagement in the NICU, and outcomes for both infants and parents. This overview provides a foundation for standardizing and improving routine measurement of parental presence in the NICU. KEY POINTS · NICUs encourage visiting ill newborns.. · Measurement of presence is not standardized.. · A uniform method to assess presence is needed..