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Pulmonary Thromboendarterectomy
In thoracic surgery, a pulmonary thromboendarterectomy (PTE), also referred to as pulmonary endarterectomy (PEA), is an operation that removes organized clotted blood (thrombus) from the pulmonary arteries, which supply blood to the lungs. Indication Surgery is indicated in patients with pulmonary artery emboli that are surgically accessible. Thrombi are usually the cause of recurrent/chronic pulmonary emboli and therefore of chronic thromboembolic pulmonary hypertension (CTEPH). PTE is the only definitive treatment option available for CTEPH.Chronic thromboembolic pulmonary hypertension. Fedullo P, Kerr KM, Kim NH, Auger WR Am J Respir Crit Care Med. 2011;183(12):1605. Due to the nature of the procedure, patients with significant hemodynamic or ventilation complications or impairments may be unable to undergo PTE. Description of the surgery A PTE has significant risk; mortality for the operation is typically 5%, but less in centers with high volume and experience. Individuals ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Extracorporeal Circulation
An extracorporeal procedure is a medical procedure which is performed outside the body. Extracorporeal devices are the artificial organs that remain outside the body while treating a patient. Extracorporeal devices are useful in hemodialysis and cardiac surgery. Circulatory procedures A procedure in which blood is taken from a patient's circulation to have a process applied to it before it is returned to the circulation. All of the apparatuses carrying the blood outside the body are collectively termed the extracorporeal circuit. * Intra-surgical cell salvage (aspiration, washing and Autotransfusion) * Apheresis ** Plasmapheresis vs cytapheresis ** centrifugal apheresis vs filtration apheresis vs adsorption ** cascade apheresis * Hemoadsorption/Hemoperfusion * Plasma Adsorption * Aquapheresis * Hemodialysis * Hemofiltration * Hemodiafiltration * Renal replacement therapy ** Continuous Renal Replacement Therapy (CRRT) * Extracorporeal carbon dioxide removal * Extracorporeal ca ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Deep Hypothermic Circulatory Arrest
Deep hypothermic circulatory arrest (DHCA) is a surgical technique in which the temperature of the body falls significantly (between 20 °C (68 °F) to 25 °C (77 °F)) and blood circulation is stopped for up to one hour. It is used when blood circulation to the brain must be stopped because of delicate surgery within the brain, or because of surgery on large blood vessels that lead to or from the brain. DHCA is used to provide a better visual field during surgery due to the cessation of blood flow. DHCA is a form of carefully managed clinical death in which heartbeat and all brain activity cease. When blood circulation stops at normal body temperature (37 °C), permanent damage occurs in only a few minutes. More damage occurs after circulation is restored. Reducing body temperature extends the time interval that such stoppage can be survived. At a brain temperature of 14 °C, blood circulation can be safely stopped for 30 to 40 minutes. There is an in ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Pulmonary Thrombectomy
A pulmonary thrombectomy is an emergency surgical procedure used to remove blood clots from the pulmonary arteries. Mechanical thrombectomies can be surgical (surgical thrombectomy) or percutaneous (percutaneous thrombectomy). Surgical thrombectomies were once popular but were abandoned because of poor long-term outcomes. Recently, in selected patients, they have gone through a resurgence with the revision of the surgical technique. Relation to PTE Pulmonary thrombectomies and pulmonary thromboendarterectomies (PTEs) are both operations that remove thrombus. Aside from this similarity they differ in many ways. *PTEs are done on a nonemergency basis while pulmonary thrombectomies are typically done as an emergency procedure. *PTEs typically are done using hypothermia and full cardiac arrest. *PTEs are done for chronic pulmonary embolism, thrombectomies for severe acute pulmonary embolism. *PTEs are generally considered a very effective treatment, surgical thrombectomies are an ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Stuart W
Stuart may refer to: People *Stuart (name), a given name and surname (and list of people with the name) * Clan Stuart of Bute, a Scottish clan *House of Stuart, a royal house of Scotland and England Places Australia Generally *Stuart Highway, connecting South Australia and the Northern Territory Northern Territory *Stuart, the former name for Alice Springs (changed 1933) * Stuart Park, an inner city suburb of Darwin * Central Mount Stuart, a mountain peak Queensland * Stuart, Queensland, a suburb of Townsville * Mount Stuart, Queensland, a suburb of Townsville * Mount Stuart (Queensland), a mountain South Australia * Stuart, South Australia, a locality in the Mid Murray Council *Electoral district of Stuart, a state electoral district *Hundred of Stuart, a cadastral unit Canada * Stuart Channel, a strait in the Gulf of Georgia region of British Columbia United Kingdom * Castle Stuart United States *Stuart, Florida *Stuart, Iowa *Stuart, Nebraska * Stuart, Oklaho ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
UCSD Medical Center
The University of California, San Diego (UC San Diego in communications material, formerly and colloquially UCSD) is a public land-grant research university in San Diego, California, United States. Established in 1960 near the pre-existing Scripps Institution of Oceanography in La Jolla, UC San Diego is the southernmost of the ten campuses of the University of California. It offers over 200 undergraduate and graduate degree programs, enrolling 33,096 undergraduate and 9,872 graduate students, with the second largest student housing capacity in the nation. The university occupies near the Pacific coast. UC San Diego consists of 12 undergraduate, graduate, and professional schools as well as 8 undergraduate residential colleges. The university operates 19 organized research units as well as 8 School of Medicine research units, 6 research centers at Scripps Institution of Oceanography, and 2 multi-campus initiatives. UC San Diego is also closely affiliated with several regional ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Right Ventricular Hypertrophy
Right ventricular hypertrophy (RVH) is a condition defined by an abnormal enlargement of the cardiac muscle surrounding the right ventricle. The right ventricle is one of the four chambers of the heart. It is located towards the right lower chamber of the heart and it receives deoxygenated blood from the right upper chamber (right atrium) and pumps blood into the lungs. Since RVH is an enlargement of muscle it arises when the muscle is required to work harder. Therefore, the main causes of RVH are pathologies of systems related to the right ventricle such as the pulmonary artery, the tricuspid valve or the airways. RVH can be benign and have little impact on day-to-day life or it can lead to conditions such as heart failure, which has a poor prognosis. Signs and symptoms Symptoms Although presentations vary, individuals with right ventricular hypertrophy can experience symptoms that are associated with pulmonary hypertension, heart failure and/or a reduced cardiac output. These i ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Volumetric Flow
In physics and engineering, in particular fluid dynamics, the volumetric flow rate (also known as volume flow rate, or volume velocity) is the volume of fluid which passes per unit time; usually it is represented by the symbol (sometimes \dot V). Its SI unit is cubic metres per second (m3/s). It contrasts with ''mass flow rate'', which is the other main type of fluid flow rate. In most contexts a mention of "rate of fluid flow" is likely to refer to the volumetric rate. In hydrometry, the volumetric flow rate is known as '' discharge''. The volumetric flow rate across a unit area is called '' volumetric flux'', as defined by Darcy's law and represented by the symbol . Conversely, the integration of a volumetric flux over a given area gives the volumetric flow rate. Units The SI unit is cubic metres per second (m3/s). Another unit used is standard cubic centimetres per minute (SCCM). In US customary units and imperial units, volumetric flow rate is often expressed as ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Pulmonary Vascular Resistance
Vascular resistance is the resistance that must be overcome for blood to flow through the circulatory system. The resistance offered by the systemic circulation is known as the systemic vascular resistance or may sometimes be called by another term total peripheral resistance, while the resistance caused by the pulmonary circulation is known as the pulmonary vascular resistance. Vasoconstriction (i.e., decrease in the diameter of arteries and arterioles) increases resistance, whereas vasodilation (increase in diameter) decreases resistance. Blood flow and cardiac output are related to blood pressure and inversely related to vascular resistance. Measurement The measurement of vascular resistance is challenging in most situations. The standard method is by the use of a Pulmonary artery catheter. This is common in ICU settings but impractical is most other settings. Units for measuring Units for measuring vascular resistance are dyn·s·cm−5, pascal seconds per cubic metre (Pa ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Quality Of Life
Quality of life (QOL) is defined by the World Health Organization as "an individual's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns". Standard indicators of the quality of life include wealth, employment, the environment, physical and mental health, education, recreation and leisure time, social belonging, religious beliefs, safety, security and freedom. QOL has a wide range of contexts, including the fields of international development, healthcare, politics and employment. Health related QOL (HRQOL) is an evaluation of QOL and its relationship with health. Engaged theory One approach, called the engaged theory, outlined in the journal of ''Applied Research in the Quality of Life'', posits four domains in assessing quality of life: ecology, economics, politics and culture. In the domain of culture, for example, it includes the following subd ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Shortness Of Breath
Shortness of breath (SOB), known as dyspnea (in AmE) or dyspnoea (in BrE), is an uncomfortable feeling of not being able to breathe well enough. The American Thoracic Society defines it as "a subjective experience of breathing discomfort that consists of qualitatively distinct sensations that vary in intensity", and recommends evaluating dyspnea by assessing the intensity of its distinct sensations, the degree of distress and discomfort involved, and its burden or impact on the patient's activities of daily living. Distinct sensations include effort/work to breathe, chest tightness or pain, and "air hunger" (the feeling of not enough oxygen). The tripod position is often assumed to be a sign. Dyspnea is a normal symptom of heavy physical exertion but becomes disease, pathological if it occurs in unexpected situations, when resting or during light exertion. In 85% of cases it is due to asthma, pneumonia, cardiac ischemia, reflux/LPR, cardiac ischemia, COVID-19, interstitial lung di ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Bidirectional Positive Airway Pressure
Positive airway pressure (PAP) is a mode of respiratory ventilation used in the treatment of sleep apnea. PAP ventilation is also commonly used for those who are critically ill in hospital with respiratory failure, in newborn infants (neonates), and for the prevention and treatment of atelectasis in patients with difficulty taking deep breaths. In these patients, PAP ventilation can prevent the need for tracheal intubation, or allow earlier extubation. Sometimes patients with neuromuscular diseases use this variety of ventilation as well. CPAP is an acronym for "continuous positive airway pressure", which was developed by Dr. George Gregory and colleagues in the neonatal intensive care unit at the University of California, San Francisco. A variation of the PAP system was developed by Professor Colin Sullivan at Royal Prince Alfred Hospital in Sydney, Australia, in 1981. The main difference between BPAP and CPAP machines is that BPAP machines have two pressure settings: the pres ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
