Ventilator management of infants before extracorporeal membrane oxygenation.

Abstract:

:The aim of this project was to review the course of infants referred for consideration of extracorporeal membrane oxygenation (ECMO) to identify maximal ventilator settings that, when exceeded, did not provide clinical benefit to the patient. These settings might then be used in defining failure of conventional mechanical ventilation. We reviewed referral records and hospital charts of all infants treated for severe respiratory failure due to meconium aspiration syndrome during the 52.5 month period from March 15, 1985, to August 1, 1989. At an inspiratory pressure > 35 cm H2O, 75% (43/57) of patients eventually required ECMO, and 28% (4/14) of the infants who did not receive ECMO died. When the inspiratory pressure was > or = 40 cm H2O, 39/49 patients required ECMO, and 30% (3/10) of those not treated with ECMO died. Once the inspiratory pressure was > 45 cm H2O, 91% (29/32) of patients required ECMO, and only one third of those not treated with ECMO survived. Although the limitations for conventional therapy suggested in this paper may be helpful to clinicians, each center needs to establish guidelines for maximal conventional ventilator support. If these guidelines are clearly defined, alternative methods of therapy can be used once these criteria are achieved.

journal_name

South Med J

journal_title

Southern medical journal

authors

Edwards G,Karp WB,Davis HC,Kernaghan GG,Boedy RF,Hatley RM,Howell CG,Kanto WP Jr

doi

10.1097/00007611-199706000-00009

subject

Has Abstract

pub_date

1997-06-01 00:00:00

pages

627-32

issue

6

eissn

0038-4348

issn

1541-8243

journal_volume

90

pub_type

杂志文章
  • Predictors of endoscopic and laboratory evaluation of iron deficiency anemia in hospitalized patients.

    abstract:BACKGROUND:Many hospitalized anemic patients do not undergo appropriate evaluation. We hypothesized that specific clinical variables were likely to be important in triggering evaluation for iron deficiency anemia. METHODS:We prospectively identified 637 consecutive anemic patients without acute gastrointestinal bleedi...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181520392

    authors: Ioannou GN,Spector J,Rockey DC

    更新日期:2007-10-01 00:00:00

  • Spinal epidural hematoma causing cord compression after tissue plasminogen activator and heparin therapy.

    abstract::Bleeding is the most serious complication of thrombolytic therapy and limits its usefulness. We have reported a case of epidural hematoma, a rare occurrence after combined therapy with tissue plasminogen activator (TPA) and heparin. We emphasize that in patients treated with thrombolytic agents, any trauma may increas...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Krolick MA,Cintron GB

    更新日期:1991-05-01 00:00:00

  • Penile tourniquet syndrome caused by hair.

    abstract::We have described two circumcised children who developed a urethral fistula caused by long hairs constricting and ulcerating the penis. These cases are presented to remind physicians to examine the infant's penis when he presents with a swollen glans, abnormal urinary stream, and a parent with long hair. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197905000-00036

    authors: Toguri AG,Light RA,Warren MM

    更新日期:1979-05-01 00:00:00

  • Primary carcinoid tumor of the testis.

    abstract::We have presented a case of primary testicular carcinoid in an otherwise asymptomatic 50-year-old white man treated by right orchiectomy; a postoperative abdominal CT scan was normal. Histologically and cytologically the tumor resembled carcinoids of midgut origin. Most primary testicular carcinoid tumors are not clin...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198802000-00032

    authors: Walker AN,White CR,Erickson DJ,Powell S

    更新日期:1988-02-01 00:00:00

  • Treatment decisions in "white coat" hypertension: do we need the whole 24 hours?

    abstract::Twenty-four hour ambulatory blood pressure monitoring (24BP) is an emerging technology used to further evaluate elevated blood pressure readings obtained during office visits. We wondered whether a less costly approach than 24BP would lead clinicians to similar treatment decisions. Eleven faculty general internists se...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199006000-00003

    authors: Rucker L,Mabourakh S,Onishi R

    更新日期:1990-06-01 00:00:00

  • Long-term follow-up after leptospirosis.

    abstract::Human leptospirosis is an infectious disease that is a substantial problem in the Third World, but it can occur in developed countries as well. Survivors of the acute disease are considered to recover without sequelae, though little literature exists on long-term follow-up among these patients. Eleven patients, at an ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199004000-00011

    authors: Shpilberg O,Shaked Y,Maier MK,Samra D,Samra Y

    更新日期:1990-04-01 00:00:00

  • Exercise and the aging foot.

    abstract::Overall physical fitness has become increasingly popular in the 1990s, especially in the geriatric community. More runners, bikers, swimmers, and aerobic advocates over the age of 55 are requiring medical attention for foot complaints, as the feet are a necessary tool for almost any athletic activity. This paper discu...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Gordon GM,Cuttic MM

    更新日期:1994-05-01 00:00:00

  • Psychotic mania associated with mefloquine in a bipolar patient.

    abstract::A 63-year-old male patient with a history of bipolar I disorder presented to the emergency department in an acutely psychotic state. The patient had just returned from vacation in a malarial high-risk area and, as a result, had taken five weekly doses of mefloquine for prophylaxis. The patient's bipolar disorder was b...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e318167a9e2

    authors: Brumbaugh M,Price P,Fagan N,Hsieh H

    更新日期:2008-05-01 00:00:00

  • Interhospital transfers, the COBRA Law (1985), and the use of a public assistance health plan.

    abstract::Public outcry regarding unsafe interhospital patient transfers led to the passage of the COBRA Law of 1985. Since its implementation in 1986, the law has been sharply criticized for its sporadic enforcement, narrow focus, and lack of care provisions for the poor. We reviewed retrospectively the charts of all emergency...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199311000-00004

    authors: Kerr HD,Byrd JC,Stuart RW,Whitcomb J

    更新日期:1993-11-01 00:00:00

  • Seizure after overdose of tramadol.

    abstract::Tramadol (Ultram) is a new analgesic agent with a dual mechanism of action that includes weak agonistic effects at the mu-opioid receptor as well as inhibition of neurotransmitter (serotonin, norepinephrine) re-uptake. Although it has proven to be a safe and effective agent for the control of pain, adverse effects can...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199708000-00010

    authors: Tobias JD

    更新日期:1997-08-01 00:00:00

  • Effectiveness of repeated treatment with botulinum toxin type A across different conditions.

    abstract::This review assessed the overall effectiveness of repeated treatments with botulinum toxin type A (BoNTA) across different conditions, as documented in the published literature. Forty-four original research articles reporting on 16 different conditions were identified that included data on the duration or efficacy of ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/01.smj.0000220888.88722.ab

    authors: Gordon MF,Barron R

    更新日期:2006-08-01 00:00:00

  • Arsenic exposures in Mississippi: a review of cases.

    abstract::Arsenic poisonings occur in Mississippi despite public education campaigns to prevent poisonings in the home. We reviewed 44 Mississippi cases of arsenic exposures occurring from January 1986 to May 1990. We compared the epidemiologic differences between unintentional and intentional poisonings. Cases were found and c...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199104000-00012

    authors: Park MJ,Currier M

    更新日期:1991-04-01 00:00:00

  • Scleroderma: developments from Osler to the present.

    abstract::The clinical entity of progressive systemic sclerosis (PSS, or scleroderma) has remained unchanged since Osler's first description in 1892. Several related or overlap syndromes have now been recognized, which may afford some insight into etiologic events in the development of PSS. As yet, the cause of PSS remains elus...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198006000-00027

    authors: Cunningham PH,Andrews BS,Davis JS 4th

    更新日期:1980-06-01 00:00:00

  • Cardiovascular Health Status in Baby Boomers with Diabetes Mellitus.

    abstract:OBJECTIVES:The objective of this study was to assess the cardiovascular health status of baby boomers with diabetes mellitus (DM) in comparison to the same-age population with DM 10 years previously. METHODS:The study was conducted in baby boomers with DM using data from the National Health and Nutrition Examination S...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000473

    authors: King DE,Xiang J,Kulshreshtha A

    更新日期:2016-06-01 00:00:00

  • Chronic back pain: does elective surgery benefit patients with evidence of psychologic disturbance?

    abstract::Thirty-five patients with chronic low back pain responded to a follow-up survey 18 months after being discharged from the hospital. All patients had objective (MMPI) evidence of psychologic disturbance during hospitalization. Seven patients subsequently obtained additional elective back surgery; the remaining 28 did n...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Gentry WD

    更新日期:1982-10-01 00:00:00

  • Diagnosis of the syndrome of inappropriate secretion of antidiuretic hormone.

    abstract:BACKGROUND:Hyponatremia is a frequent condition in elderly patients. In diagnostic workup, a 24-hour urine sample is used to measure urinary osmolality and urinary sodium concentration necessary to confirm the diagnosis of the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). This study was undertake...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e31819b0e06

    authors: Holm EA,Bie P,Ottesen M,Ødum L,Jespersen B

    更新日期:2009-04-01 00:00:00

  • Pneumococcal endocarditis in infants.

    abstract::A case of pneumococcal endocarditis in an infant is reported together with a review of seven cases previously described in the literature. The prominent presenting symptoms of this usually fatal disease consisted of tachycardia, tachypnea, and cardiomegaly. A new murmur was heard in six of the eight patients. Fever wa...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197904000-00021

    authors: Tolaymat A,Rhatigan RM,Levin S

    更新日期:1979-04-01 00:00:00

  • Pigmented villonodular synovitis of the knee in a 9-year-old child.

    abstract::This report describes a 9-year-old girl with pigmented villonodular synovitis of the right knee. She presented with a chronic bloody effusion of the knee. The diagnosis of pigmented villonodular synovitis was suggested by the findings on magnetic resonance imaging and confirmed at the time of arthroscopic synovectomy....

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000104842.97001.88

    authors: Saulsbury FT

    更新日期:2004-01-01 00:00:00

  • Deceptive liver histology delays diagnosis of cardiac ascites.

    abstract::Cardiac ascites is a rare condition. Diagnosis is aided by liver histology, which characteristically shows diffuse hepatic congestion affecting the centrilobular region. In our case of refractory ascites due to constrictive pericarditis, diagnosis was delayed because centribular hepatic congestion was absent histologi...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199211000-00023

    authors: Kirsch M,Fleshler B

    更新日期:1992-11-01 00:00:00

  • Erratum: National Estimates of Noncanine Bite and Sting Injuries Treated in US Hospital Emergency Departments, 2011-2015: Erratum.

    abstract::[This corrects the article on p. 232 in vol. 113.]. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,已发布勘误

    doi:10.14423/SMJ.0000000000001121

    authors: Available N

    更新日期:2020-07-01 00:00:00

  • Colonization of central venous catheters.

    abstract::We studied etiologic factors important in colonization of 179 central venous catheters (CVCs) in patients randomized into group 1 (who received daily topical applications of povidone-iodine) or group 2 (who received only dry dressing changes). Colonization rates of CVC tips were similar between group 1 (18/84 or 21%) ...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007611-198404000-00012

    authors: Prager RL,Silva J Jr

    更新日期:1984-04-01 00:00:00

  • Evaluation of state-provided postexposure prophylaxis against rabies in Florida.

    abstract:BACKGROUND:One key component of human rabies prevention is the use of postexposure prophylaxis (PEP). No information is routinely available to evaluate the appropriateness of this intervention. METHODS:A survey queried county health departments regarding rabies PEP administered during July through September in 1997 an...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Conti L,Wiersma S,Hopkins R

    更新日期:2002-02-01 00:00:00

  • Evaluation and management of shoulder pain in primary care clinics.

    abstract::Shoulder pain is a frequent clinical problem facing primary care physicians. Despite its common occurrence, many clinicians are unfamiliar with the diagnosis and treatment of many common shoulder ailments. Because therapy for most shoulder disorders can be made at the initial consultation, a good history and physical ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/SMJ.0b013e3181f5e85f

    authors: House J,Mooradian A

    更新日期:2010-11-01 00:00:00

  • Occupational lead intoxication: report of four cases.

    abstract::We discuss the cases of four immigrant workers in whom lead intoxication developed via inhalation while they were cutting steel beams removed from a dismantled bridge. They all had toxic lead levels with symptoms and received chelation therapy; the therapy was followed by a decrease in blood lead levels. Rebound incre...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199407000-00003

    authors: Grimsley EW,Adams-Mount L

    更新日期:1994-07-01 00:00:00

  • Are All Teaching Activities Valued the Same? Their Relative Worth Is in the Eye of the Beholder.

    abstract:OBJECTIVES:The pressures for generating revenue from clinical activities dissuade clinician-educators from teaching; taking the steps to develop an educational value system is a way to recognize and perhaps support education. We compared the perceived educational value of diverse pedagogical activities during clinical ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000850

    authors: Heudebert GR,Estrada CA

    更新日期:2018-08-01 00:00:00

  • Frequency of β-Blocker Use Following Exacerbations of COPD in Patients with Compelling Indication for Use.

    abstract:OBJECTIVE:To assess the current use of β-blockers in patients with compelling indications for use, following the acute exacerbation of chronic obstructive pulmonary disease (COPD). METHODS:We performed a multicenter retrospective observational study using data from all of the patients admitted to five institutions for...

    journal_title:Southern medical journal

    pub_type: 杂志文章,多中心研究

    doi:10.14423/SMJ.0000000000001038

    authors: Pinner N,Oliver W,Veasey T,Starr J,Eudaley S,Hutchison A,Wargo K

    更新日期:2019-11-01 00:00:00

  • The red eye revisited: ophthalmia nodosa due to tarantula hairs.

    abstract::We present the case of a 17-year-old girl who came to our center with a red irritated eye from exposure to tarantula hairs. An ophthalmology literature search revealed six reported cases. There have been no reports of these cases in the general medical and pediatric literature. Due to the increasing popularity of tara...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199806000-00011

    authors: Belyea DA,Tuman DC,Ward TP,Babonis TR

    更新日期:1998-06-01 00:00:00

  • Asacol®-induced neutropenia resolution without the use of granulocyte colony-stimulating factor.

    abstract::We report a case of neutropenia and gram-negative septicemia in a 73-year-old male with ulcerative colitis. During the hospital course, medications were adjusted according to rare accounts of drug-induced neutropenia. While the substitution of propafenone for another antiarrhythmic brought about no change in the patie...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181f46647

    authors: Fowler BT,Gupta T,Bilal M

    更新日期:2010-11-01 00:00:00

  • Angioedema associated with angiotensin II receptor antagonist losartan.

    abstract::Angioedema has not been associated with losartan therapy in hemodialysis patients, as it has been with angiotensin converting enzyme (ACE) inhibitors. We report the case of a hemodialysis patient who previously had angioedema after therapy with ACE inhibitors and again had angioedema while taking losartan. We suggest ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199705000-00020

    authors: Sharma PK,Yium JJ

    更新日期:1997-05-01 00:00:00

  • Optimal enzyme test combination for diagnosis of acute myocardial infarction.

    abstract::One hundred consecutive patients admitted to our cardiology service with the suspected diagnosis of acute myocardial infarction were evaluated with serical enzyme and isoenzyme determinations in an attempt to develop the medically and financially optimal combination of enzyme tests. In patients with onset of chest pai...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197812000-00004

    authors: Gann D,Cabello B,DiBella J,Rywlin AM,Samet P

    更新日期:1978-12-01 00:00:00