Massive right-sided hemorrhagic pleural effusion due to pancreatitis; a case report

Namazi, Mohammad Reza; Mowla, Ashkan

doi:10.1186/1471-2466-4-1

Cited by 18 publications

(8 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recently, respiratory muscle MMG signals acquired using accelerometers positioned over the lower chest wall were used to non-invasively record the mechanical activation of inspiratory muscles (diaphragm and intercostal muscles) during breathing in animal models (dogs) [ 24 , 25 ], healthy subjects [ 26 ] and COPD patients [ 27 , 28 ]. This recording position is proximal to the apposition zone of the diaphragm muscle.…”

Section: Introductionmentioning

confidence: 99%

Inspiratory muscle activation increases with COPD severity as confirmed by non-invasive mechanomyographic analysis

et al. 2017

View full text Add to dashboard Cite

There is a lack of instruments for assessing respiratory muscle activation during the breathing cycle in clinical conditions. The aim of the present study was to evaluate the usefulness of the respiratory muscle mechanomyogram (MMG) for non-invasively assessing the mechanical activation of the inspiratory muscles of the lower chest wall in both patients with chronic obstructive pulmonary disease (COPD) and healthy subjects, and to investigate the relationship between inspiratory muscle activation and pulmonary function parameters. Both inspiratory mouth pressure and respiratory muscle MMG were simultaneously recorded under two different respiratory conditions, quiet breathing and incremental ventilatory effort, in 13 COPD patients and 7 healthy subjects. The mechanical activation of the inspiratory muscles was characterised by the non-linear multistate Lempel–Ziv index (MLZ) calculated over the inspiratory time of the MMG signal. Subsequently, the efficiency of the inspiratory muscle mechanical activation was expressed as the ratio between the peak inspiratory mouth pressure to the amplitude of the mechanical activation. This activation estimated using the MLZ index correlated strongly with peak inspiratory mouth pressure throughout the respiratory protocol in both COPD patients (r = 0.80, p<0.001) and healthy (r = 0.82, p<0.001). Moreover, the greater the COPD severity in patients, the greater the level of muscle activation (r = -0.68, p = 0.001, between muscle activation at incremental ventilator effort and FEV1). Furthermore, the efficiency of the mechanical activation of inspiratory muscle was lower in COPD patients than healthy subjects (7.61±2.06 vs 20.42±10.81, respectively, p = 0.0002), and decreased with increasing COPD severity (r = 0.78, p<0.001, between efficiency of the mechanical activation at incremental ventilatory effort and FEV1). These results suggest that the respiratory muscle mechanomyogram is a good reflection of inspiratory effort and can be used to estimate the efficiency of the mechanical activation of the inspiratory muscles. Both, inspiratory muscle activation and inspiratory muscle mechanical activation efficiency are strongly correlated with the pulmonary function. Therefore, the use of the respiratory muscle mechanomyogram can improve the assessment of inspiratory muscle activation in clinical conditions, contributing to a better understanding of breathing in COPD patients.

show abstract

Section: Introductionmentioning

confidence: 99%

Inspiratory muscle activation increases with COPD severity as confirmed by non-invasive mechanomyographic analysis

et al. 2017

View full text Add to dashboard Cite

show abstract

“…While sedation and various medical comorbid conditions[ 17 ] may have confounded an accurate neurological exam at times, thus leading to missed or late diagnosis of stroke, our data show significant delays in time of symptom recognition to head CT initiation in the majority of these patients (92.5%) which subsequently led to delays in appropriate treatment plans. This indicates continuing room for improving of overall systems of care for inpatients strokes.…”

Section: Discussionmentioning

confidence: 86%

Strokes occurring in the hospital: Symptom recognition and eligibility for treatment in the intensive care units versus hospital wards

et al. 2020

Self Cite

View full text Add to dashboard Cite

BACKGROUND: Studies have shown that 4%–17% of acute ischemic strokes (AISs) occur in patients hospitalized for another reason; scanty data are available about the care delivery and outcome of this patient population. MATERIALS AND METHODS: All consecutive inhospital AISs over a 10-year period at our comprehensive stroke center were included in the study. We compared the meantime from last known neurologically intact to symptom detection and also eligibility for acute treatment of patients based on their physical location in the hospital with respect to the level of care when they were found to have the stroke symptoms. RESULTS: Fifty-three patients suffered inhospital AIS during this period (28 in intensive care units/emergency department [ICUs/ED] vs. 25 in regular floors). Only in four patients (7.5%), initial brain imaging was done within 25 min from symptom recognition (as recommended by the American Heart Association/American Society of Anesthesiologists guidelines). Forty-two (79%) underwent brain imaging within 6 h of symptom recognition; of them, 11 (26%) received intravenous thrombolysis (IVT) within the first 4.5 h of symptom onset and 7 (17%) underwent endovascular treatment (EVT). The mean (±standard deviation) time in minutes from last known neurologically intact to symptom detection for floor patients was significantly longer compared to the ICU/ED patients (194 [±149] vs. 74 [±45], P = 0.0003). Patients admitted to the ICU/ED had more chance of being recognized earlier and being eligible for IVT or/and EVT compared to the patients admitted to the regular floors (44% vs. 25%, P = 0.14); however, the difference did not reach statistical significance. CONCLUSIONS: ICU/ED patients had a significantly shorter time to stroke symptom detection from last known neurologically intact when compared to the regular floor patients. Furthermore, they had a trend toward a higher likelihood of being eligible for acute treatment compared to the regular floors, although the result did not reach statistical significance.

show abstract

“…La présence d’un épanchement hémorragique suggère le plus souvent l’un des trois diagnostics suivant: pathologie maligne, traumatisme, embolie pulmonaire, moins fréquemment une pneumonie, une tuberculose, un trouble hématologique ou une endométriose. Des aspects étiologiques inhabituels des pleurésies hémorragiques sont mentionnés par des publications de plus en plus nombreuses [ 3 , 4 ]. Les atteintes thoraciques dans le myélome multiple sont présentes dans 46% des cas, cependant la survenue d'un épanchement pleural au cours de l'évolution est rare, retrouvé dans 6% des cas d'une série de 985 cas de myélome, de Kintzer et al .…”

Section: Discussionunclassified

Cause rare de pleurésie hémorragique: descellement d’une vis d’ostéosynthèse

Fdil¹,

Achachi²,

Raoufi³

et al. 2020

Pan Afr Med J

View full text Add to dashboard Cite

L’apparition de pleurésie hémorragique chez un malade myélomateux est en rapport le plus souvent avec une cause non spécifique de la maladie. La localisation myélomateuse pleurale est rare mais elle doit être éliminée. Nous rapportant le cas d’une cause rare de pleurésie hémorragique sur descellement de vis d’ostéosynthèse chez une patiente de 55 ans, suivie pour myélome multiples depuis 2012. Un diagnostic retenu sur l’aspect hémorragique du liquide pleural, les données de la tomodensitométrie (TDM) thoracique qui a mis en évidence le descellement d’une vis à gauche sur le matériel d’ostéosynthèse avec embout situé en pré vertébral au niveau de l’épanchement pleural, et sur le bilan étiologique qui est revenu négatif.

show abstract

Massive right-sided hemorrhagic pleural effusion due to pancreatitis; a case report

Cited by 18 publications

References 6 publications

Inspiratory muscle activation increases with COPD severity as confirmed by non-invasive mechanomyographic analysis

Inspiratory muscle activation increases with COPD severity as confirmed by non-invasive mechanomyographic analysis

Strokes occurring in the hospital: Symptom recognition and eligibility for treatment in the intensive care units versus hospital wards

Cause rare de pleurésie hémorragique: descellement d’une vis d’ostéosynthèse

Contact Info

Product

Resources

About