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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Pulmonary Embolism I: Introduction01:29

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Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
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Pulmonary Embolism III: Nursing Management01:27

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A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
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Flail Chest-II01:26

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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1. Clinical Evaluation:
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Venous Thrombosis III: Interprofessional Care01:29

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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Updated: Jul 11, 2025

Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model
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在儿科创伤时进行栓塞.

Eric D Cyphers1, Michael R Acord2,3, Marian Gaballah4

  • 1Division of Interventional Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, USA. cypherse@chop.edu.

Pediatric radiology
|November 14, 2023
PubMed
概括
此摘要是机器生成的。

动脉栓塞是一种可行的治疗方法,用于控制儿科创伤出血,实现100%的技术成功,但20%的临床失败率. 进一步标准化可能会改善儿童创伤患者管理的结果.

关键词:
血栓形成的过程中发生了栓塞.干预性 干预性 干预性儿科 儿科 儿科创伤是一个创伤.

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科学领域:

  • 干预性放射学 干预性放射学
  • 儿童创伤外科手术
  • 血管外科 血管外科

背景情况:

  • 与成人病例相比,使用跨动脉栓塞治疗的儿科创伤管理很少被记录.
  • 关于小儿创伤患者动脉栓塞的疗效和安全性的文献有限.

研究的目的:

  • 评估一级创伤中心在使用动脉栓塞治疗儿科创伤方面的单一中心经验.
  • 分析结果,包括技术和临床成功率,不良事件和输血要求.

主要方法:

  • 20名儿科创伤患者 (4.5个月至17岁) 的回顾性审查,在19年内接受了动脉栓塞.
  • 收集的数据包括人口统计,输血需求,成像,程序细节和结果.
  • 技术上的成功被定义为血管学分辨率或经验性栓塞;临床上的成功被定义为没有进一步的干预.

主要成果:

  • 实现了100%的技术成功 (20/20) 和80%的临床成功 (16/20).
  • 15/20患者需要输血 (平均64毫升/公斤).
  • 20% (4/20) 经历了持续的出血,死亡率为15% (3/20) 和一个严重的不良事件 (动脉伪动脉瘤).

结论:

  • 动脉栓塞是一种可行的,尽管具有挑战性的选择,用于控制儿科创伤中的出血.
  • 20%的临床失败率凸显了复杂性和需要改进标准化的需要.
  • 标准化前栓塞评估和技术可能会提高儿科创伤栓塞的结果.