#Case Reports in Clinical Cardiology Journal | Explore Tumblr posts and blogs

literaturepublisher23 · 10 months ago

Text

Journal of Clinical and Medical Images

Journal of Clinical and Medical Images illustrations is a peer-reviewed, high impact factor medical journal established Internationally which provides a platform to publish Clinical Images, Clinical Case Reports, Medical Case Reports, Case Series (series of 2 to 6 cases) and Clinical Videos pertaining to medical conditions.

Manuscript Submission

Authors are requested to submit their manuscript by using Online Manuscript Submission Portal:

(or) also invited to submit through the Journal E-mail Id: [email protected]

Journal of Clinical Imaging Science Literature Publishers working for the growth of the researchers, scholars and students by publishing their valuable research work and case studies.

Scope of Clinical & Medical Images Journal International journal of medical case reports, hematology images, images in hematology, journals that accept case reports, case reports in hepatology, archives of clinical and medical case reports, journal of clinical case reports impact factor, clinical case reports journal impact factor, journal of otolaryngology head and neck surgery, journals accepting clinical images, journal of dental case reports, gastroenterology journal case report, ophthalmology case report journals, case reports in nephrology and dialysis, gi case report journals, clinical imaging journal impact factor, orthopedic surgery case reports, international journal of clinical case reports, journal of medical diagnostic methods, international journal of dental case reports, eye case reports, clinical case reports international impact factor, scholars journal of medical case reports, journal of invasive cardiology case report, dental case reports journal, journal of medical imaging and case reports impact factor, journal of oral health case reports, journal of clinical images and case reports impact factor, international journal of medical and dental case reports, journal of clinical images and case reports, journal of surgical technique and case report, journal of clinical and medical images impact factor, journal of case reports and medical images, journal of case reports and images in surgery, ophthalmology case studies, clinical journal of gastroenterology and hepatology, Journal of cardiology and cardiovascular medicine, clinical images journal, clinical and medical case reports, International medical case reports journal, case report journal impact factor, clinical images, journal of cardiology cases, clinical case reports journal, surgery case reports, case reports in endocrinology, case reports in orthopedics, journal of clinical case reports, journal of cardiology case reports, journal of laryngology and otology, scholars journal of medical case reports impact factor, case reports ophthalmology, case reports in dentistry, journal of medical cases, cardiology case reports journal, case reports in orthopedic research, journal of clinical imaging science impact factor, gastroenterology case reports, international journal of clinical cardiology impact factor, ophthalmology case reports, impact factor journals of medical case reports, neuro ophthalmology case reports, case reports in hematology, international journal of medical case reports impact factor, clinical case report impact factor, case reports in otolaryngology, clinical case reports journals, endocrinology case reports.

#Journal of Clinical and Medical Images #health #news #publisher

0 notes

drrichardzelman · 1 year ago

Text

Dr. Richard Zelman - A Luminary in Cardiology and Interventional Cardiology

Dr Richard Zelman, has indelibly left his mark on the world of cardiology and interventional cardiology. As a pioneering cardiologist, he has not only launched numerous cardiac programs in Massachusetts, but he has also successfully introduced life-saving procedures to community hospitals, transforming countless lives in the process.

The breadth and depth of Dr Zelman's professional expertise are astounding. He has performed nearly two thousand minimally invasive heart valve procedures, reflecting his commitment to patient safety and improved recovery times. His proficiency extends beyond cardiology into the realm of vascular procedures, where he is lauded as one of the foremost experts in structural heart, interventional coronary, and peripheral vascular catheter procedures.

His remarkable achievements have their roots in an impressive educational background. He received his medical degree from the prestigious University of Texas Health Science Center. To further his expertise in cardiology, he completed his residency in internal medicine at the well-respected Boston Medical Center. These formative experiences laid the groundwork for his illustrious career, imbuing him with the medical acumen and refined skills that would define his extraordinary contributions to cardiology and interventional cardiology.

His commitment to advancing the field of cardiology is evident in his role as a prolific clinical researcher and Primary Investigator. His detailed and thorough research has found its way into numerous clinical journals, contributing significantly to the existing body of knowledge in cardiology and related fields.

In addition to his clinical work and research, Dr Richard Zelman is a respected educator. He has imparted his vast knowledge and experience to future generations of medical professionals through his previous roles as a clinical instructor at Harvard Medical School and as an interventional cardiologist at leading academic teaching hospitals in Boston, including Boston Medical Center and Brigham and Women's Hospital.

The launch of four cardiac catheterization laboratories and the establishment of the very first community hospital open-heart cardiac surgical programs and coronary interventional programs in Massachusetts are further testament to his contributions to the field. These efforts have widened the reach of advanced cardiac care, bringing state-of-the-art treatments to patients in community hospitals.

Perhaps one of his most significant achievements is the founding of the Cape Cod Research Institute. As a not-for-profit center, the institute promotes clinical investigation on Cape Cod and is now part of Cape Cod Healthcare. It is here that his drive and vision led to the creation of a multidisciplinary vascular service, which has served as a national model for vascular centers.

His commitment to his patients is exemplified in numerous instances of life-saving procedures. For instance, consider the case of a Dennis woman who was saved through a rare, cutting-edge cardiac procedure. As reported in Cape Cod Times in 2017, the woman was suffering from severe mitral regurgitation, a condition where the heart's mitral valve doesn't close tightly. It was Dr Richard Zelman MD who stepped in and recommended a MitraClip procedure, a minimally invasive procedure that clips portions of the mitral valve together to reduce the backflow of blood. The woman's successful recovery stands as a testament to his innovative approach to interventional cardiology.

Moreover, his work extends far beyond the confines of the operating room. He is known for his compassionate care, taking the time to explain complex procedures to his patients and their families in simple, understandable terms. He goes above and beyond to ensure his patients are educated about their health conditions and treatment options, fostering a relationship of trust and respect.

Dr Richard Zelman’s patient-centric approach to healthcare is a defining aspect of his praxis. He firmly believes in a comprehensive approach to patient care, one that extends beyond diagnosis and treatment. His practice philosophy is built on the foundation of empathy, respect, and a keen understanding of his patients' unique experiences. Open communication is a cornerstone of his approach, and he is known for his ability to explain complex medical concepts in ways that are easily understood by patients and their families. His compassionate demeanor helps to alleviate the anxiety often experienced by patients undergoing cardiovascular treatment, fostering a comforting environment of trust and mutual respect. This all-encompassing dedication to patient care not only improves outcomes but also bolsters patient satisfaction, further reinforcing his reputation as a remarkable presence in the field of cardiology.

His outstanding work and commitment to his field have rightly earned him recognition. He has been named one of America’s Top Doctors by Castle Connolly Medical, Ltd., a distinction that underscores his standing as a leading figure in American medicine. Moreover, his superior outcomes have seen him recognized more than any other interventional cardiologist by the Commonwealth of Massachusetts.

His dedication to his profession is perhaps best illustrated by his involvement in the Atlantic C-Port Trial sponsored by Johns Hopkins. This initiative resulted in the availability of life-saving interventional procedures at community hospitals across the nation, and its impact was significant enough to be featured on an episode of Dateline NBC.

Dr Richard Zelman has undoubtedly left an indelible mark on the field of Cardiology, with his pioneering work in procedures, research, and education. His work continues to resonate in the medical community, inspiring and saving lives every day. His determination, knowledge, and passion for his work make him an invaluable asset in the field of Cardiovascular Medicine. His contributions to medicine are an inspiration to all, and we are privileged to bear witness to his remarkable career.

Dr Richard Zelman's contributions to cardiology are immense and far-reaching. His pioneering work in launching cardiac programs, conducting groundbreaking research, and implementing innovative cardiac procedures have made him a beacon in the field. His commitment to patient care, education, and research serves as a shining example for future generations of medical professionals.

#dr richard zelman

0 notes

literaturepublisher10 · 1 year ago

Text

Journal of Clinical and Medical Case Reports

Journal of Clinical and Medical Case Reports publishes clinical case reports, medical case series, medical case studies, medical case reports and clinical images for publication that fall under the scope of all clinical and medical studies. Journal of Clinical and Medical Case Reports mainly focuses on symptoms, signs, diagnosis, treatment, and follow-up of patient disease in different areas of the journal in diagnostic case report and treatment.

Journal Homepage: https://www.literaturepublishers.org/

Journal of Clinical and Medical Case Reports is a peer-reviewed open access high impact factor indexed Journal that publishes highly cited research work conducted as case reports in the medical field on various types of diseases, covering their respective clinical journal case reports, medical journal case report, clinical reports, medical case reports, clinical images, clinical case reports, journal of medical case reports and diagnosis issues.

Scope and Keywords: Journal of Clinical and Medical Case Reports, Open Journal of Clinical and Medical Case Reports, Journal of Medical Case Reports, Clinical and Medical Case Reports, Journal of Clinical Images and Medical Case Reports, Journal of Clinical Studies & Medical Case Reports, Journal of Clinical and Medical Case Studies, International Journal of Clinical and Medical Cases, Journal of Clinical Medicine, Clinical Case Reports, International Medical Case Reports Journal, Archives of Clinical and Medical Case Reports, Case Reports - A journal for medical case reports, International Journal of Clinical Case Reports and Reviews, Japanese Journal of Clinical and Medical Case Reports etc.

Journal of Clinical and Medical Case Reports Journal publishes only high quality articles from all over the world. Journal of Clinical and Medical Case Reports follows double blinded peer review process. All Editors are active and Editorial Board Members belonging to reputed institutions from abroad. They are senior faculty members, doctors, scientist and research fellows etc. Journal regularly releasing issues with good number of articles in the form of clinical images and case reports.

Scope of Clinical and Medical Case Reports Journal Authors can also find this journal in their scope on the basis these keywords: medical case reports journals, journal of medical case reports, clinical image, cardiology case reports, case reports cardiology, case reports in cardiology, case reports pediatrics, pediatrics case reports, ent journal, case reports hematology, hematology case reports, journal of otolaryngology head and neck surgery, orthopaedics & traumatology, case reports gastroenterology, case reports in gastroenterology, gastroenterology case report, clinical case report journal, International journal of surgery case reports, case images, dermatology case reports, case report in ophthalmology, case report ophthalmology, case reports in surgery, clinical image journal, journal of surgical case reports, ophthalmology case report, journal of clinical imaging science, literature publishers, cardiology case report journals, journal of traumatology, case reports in nephrology, case reports nephrology, nephrology case reports, clinical images in medicine, journal of pediatric surgery case reports, medical image analysis journals, journal of medical case reports impact factor, otolaryngology case reports, clinical case reports impact factor, case reports otolaryngology, surgical case reports, journal of orthopedic case reports, case reports in neurological medicine, best case report journals, journal of otology and laryngology and, clinical imaging impact factor etc.

Medical Case Report Journal scope also includes medical advancements with an aim towards special techniques that are implementing in all aspects of the human anatomy journal. The body image journal is running with a strong desire to provide knowledge on recent scientific research and advances in the field of Clinical and Medical Studies. The aim of the clinical imaging journal is to collect an article in the Journal of Clinical and Medical Case Reports across all clinical imaging science, medical imaging science and clinical fields, thereby integrating international medical case reports and clinical knowledge.

We feel honored to associate with and invite scientists and researchers to submit their original research/ medical case report journal/ body imaging journal/ clinical imaging journal/ clinical imaging science in International journal of clinical and medical images and case reports work for publication in literature publishers: journal of clinical and medical case studies and reports. This journal considers articles in the form of a research article, review article, short communication, opinion, Image, Case reports and commentary.

Journal of Clinical and Medical Case Reports covers all the areas of Medical Science Journal that includes: case reports in oncology, oncology case reports journal, case reports in cardiology, journal of cardiology case reports, international journal of surgery case reports, case reports in surgery, journal of surgery case reports, general surgery case report, surgical case reports journal, surgery case reports journal, journal of dermatological case reports, case reports in dermatology, case reports in endocrinology, case reports endocrinology, case reports in gastroenterology, gastroenterology case report journals, case reports in hematology, case reports in nephrology, orthopedic surgery case reports, journal of orthopedic case reports, case reports in pediatrics, journal of pediatric surgery case reports, case reports in microbiology, clinical microbiology case reports, case reports in genetics, case reports in toxicity, case reports in neuroscience, case reports in ophthalmology, case reports in andrology and gynecology, case reports in dentistry, case reports in odontology, case reports in otolaryngology, case reports in ENT, case report in head and neck surgery etc.

Journal of Clinical and Medical Case Reports encourages authors and scientists all over the world to submit their work related to various diseases, clinical trials, radiology, surgery, basic research, epidemiology, and palliative care. At a time when the research on drug delivery is taking place at a tremendous phase.

Manuscript Submission

Authors are requested to submit their manuscript by using Online Manuscript Submission Portal:

(or) also invited to submit through the Journal E-mail Id: [email protected]

#Journal of Clinical and Medical Case Reports #health #news #publishers

0 notes

literaturepublishersjournal · 1 year ago

Text

Journal of Clinical Images

Journal of Clinical Images accepting articles in the form of clinical images, medical images, clinical images journal, medical images journal, clinical image journal submission. Journal of Clinical Images accepted by Clinical Images and Case Reports Journal with the aim of publishing the clinical images that are related to all the fields of Medicine. The purpose of this journal is to spread the knowledge of novel discoveries and interventions in various fields of science & medicine. The clinical images of fields like surgery, cardiology, dermatology, orthopaedics etc. are included in this journal.

Journal Homepage: https://www.literaturepublishers.org/

Journal of Clinical Images is a peer-reviewed high impact factor journal which has got immense scholarly significance. This journal is being dedicated to the clinical images, medical images, clinical imaging from various areas of medicine. All the latest updates and changes are being included in this clinical image journal. The editorial review process before publishing the clinical journal of clinical images is very strict. All authors are encouraged to submit the clinical images online or by email. The peer review work can be submitted through a set online submission system. The submitted manuscripts are peer reviewed and then checked by various panels of the editors.

Manuscript Submission

Authors may submit their manuscripts through the journal's online submission portal: https://www.literaturepublishers.org/submit.html

(or) Send an e-mail attachment to the Editorial Office E-mail Id: [email protected]

#Journal of Clinical Images

0 notes

dhcovid19 · 1 year ago

Text

COVID & Cardiovascular Issues

2023-08-31 | UK scientists find link between proteins related to blood clots and long Covid | (Nature Medicine) 2023-08-21 | COVID-19 may trigger new-onset high blood pressure | (Hypertension) 2023-08-09 | Long Covid May Affect Organs Like The Heart And Kidneys After Lungs Recover, New Research Says | (Science Translational Medicine) 2023-04-26 | Study suggests mild COVID-19 can have harmful effects on cardiovascular health | (Journal of Clinical Medicine) 2023-04-19 | Severe COVID-19 infection can lead to life-threatening heart rhythm disorder; Here’s why | conference presentation 2023-03-20 | Ovarian Vein Thrombosis: A Sequela of COVID-Associated Coagulopathy | (Cureus) 2023-03-10 | How Does COVID-19 Affect the Heart? (Current Cardiology Reports) 2023-01-25 | Could getting Covid raise cholesterol? Two recent studies show a link between Covid and higher cholesterol levels in the following year | (The Lancet - Diabetes & Endocrinology & The Lancet - Infectious Diseases) 2022-10-26 | Even a mild case of COVID can put you at higher risk for blood clots and death, according to a new study | (Heart) 2022-10-24 | COVID-19 Surges Linked to Spike in Heart Attacks | (Journal of Medical Virology) --- Current Preprint Items https://www.biorxiv.org/content/10.1101/2023.08.14.553245v1

#covid-19 #cardiovascular

0 notes

cambridge-publishers · 1 year ago

Text

Open-Access Journal of Heart Case Reports

The journal is committed to providing a platform for disseminating vital research findings and case reports concerning various cardiac conditions and their management strategies. With its rigorous peer-review process, the journal ensures that only high-quality studies are published, contributing significantly to advancing knowledge and understanding in the field. Moreover, being an open-access publication, it enables healthcare professionals across the globe to access and benefit from this valuable information without any financial barriers.

The Peer-Reviewed Journal of Heart Case Reports is a prestigious medical publication that focuses on showcasing and analyzing unique cases related to heart conditions. It provides valuable insights into rare or challenging cases, highlighting clinical approaches, new treatments, and potential research avenues.

Open-Access Journal of Heart Case Reports

The Open-Access Journal of Heart Case Reports is a prestigious publication that focuses on advancing the field of cardiology and providing valuable insights into heart-related medical conditions. With its commitment to open access, this journal ensures that its high-quality content is accessible to researchers, practitioners, and other stakeholders worldwide.

The journal publishes a wide range of case reports detailing exceptional clinical cases, novel diagnostic approaches, innovative treatment strategies, or unique surgical techniques related to cardiovascular diseases. These case reports are rigorously reviewed by experts in the field, guaranteeing the accuracy and credibility of the information presented. By disseminating detailed and well-documented case studies, the Open-Access Journal of Heart Case Reports empowers healthcare professionals with vital knowledge that can help improve patient care outcomes. This journal plays a crucial role in bridging gaps in research by facilitating the exchange of ideas among cardiologists and fostering collaboration between various healthcare institutions globally.

The journal focuses on publishing case reports related to various heart conditions, providing valuable insights into rare or unique cases, diagnostic approaches, treatment strategies, and patient outcomes. The journal aims to contribute to the improvement of cardiac care and patient outcomes worldwide.

The collaboration with Cambridge City Publishers further adds credibility and trustworthiness to the journal's content. Ultimately, the Journal of Heart Case Reports serves as an invaluable resource for cardiologists, researchers, and medical practitioners seeking evidence-based insights into complex cardiovascular conditions.

Manuscript Submission

Authors are requested Journal of Heart Case Reports to submit their manuscript by using Online Manuscript Submission Portal: https://www.cardiologycasereportsjournal.org/journal/Heart-Journal:-Case-Reports.html

(or) also invited to submit through the Journal E-mail Id: [email protected]

#JournalofHeartCaseReports #HeartCaseReportsJournal

0 notes

casereportsjournal · 2 years ago

Text

Cardiovascular Journal accepting images in Cardiovascular Journal, imaging in Cardiovascular Journal, case reports in Cardiovascular Journal, videos in Cardiovascular Journal, research articles in Cardiovascular Journal accepting Cardiovascular case reports for publication.

#Cardiovascular Journal #Cardiology Journal #Journal of Cardiology #Clinical Cardiology Case Reports Journal #Case Reports in Clinical Cardiology Journal #Clinical Cardiology Journal

0 notes

cambridgepublishers · 2 years ago

Text

#Cardiovascular Journal #Cardiology Journal #Journal of Cardiology #Clinical Cardiology Case Reports Journal #Case Reports in Clinical Cardiology Journal #Clinical Cardiology Journal

0 notes

jcrmhscasereports · 2 years ago

Text

Massive volume overload with severe pulmonary edema during hysteroscopy: a case report by F.Fiedler in Journal of Clinical Case Reports Medical Images and Health Sciences

INTRODUCTION

One of the most serious problems of therapeutic hysteroscopic procedures nowadays depending on a distending media in use, remains a fluid overload with concomitant electrolyte imbalance. This rare but very life threatening condition remains of great concern and requires interdisciplinary management from experts of different fields such as anesthesiology, intensive care, cardiology and nephrology.

The irrigating media plays an essential role during hysteroscopic operations because it distends a uterine cavity and so provides a necessary visibility. There are gasous and liquid types of media. The Carbon dioxide is obsolete because it provides insufficient visibility and can lead to severe complications such as embolism or systemic accumulation due to its high solubility.

The liquid ones vary according to their osmolality, viscosity and electrolyte content, respectively an overload can cause different kinds of pathological settings.

Depending on the type of current (monopolar vs. bipolar) the irriganting fluid may or may not content electrolytes. The electrolyte-free, low-viscosity fluids, such as Mannitol/ Sorbitol mixture, Glycin 1,5%, Glucose 5%, Sorbitol 3% are standard media in monopolar surgery. The excessive absorption can lead to a hypoosmolal hyperhydratation (also known as transurethral resection syndrome of prostate in urology patients) resulting in severe overload and dilutional hyponatriaemia, which can be a cause of different neurological clinical sequelae such as grand-mal-seizures and cerebral edema up to a brainstem herniation.

The isotonic solutions such as NaCl 0,9% or Ringer-Lactat on the other hand, are golden standard in bipolar hysteroscopic procedures and its systemic absorption can cause an isoosmolal hyperhydratation associated with hyperchloremic acidosis and pulmonary edema up to acute respiratory distress syndrome.

In this case report we will describe a particular clinical setting of excessive fluid overload with severe pulmonary edema in a 38-years-old female after a hysteroscopy and resectoscopy.

PATIENT’S MEDICAL HISTORY

38-years-old black woman, 55kg, presented herself for a hypermenorrhea caused by multiple submucous and intramural myomas. Due to longlasting, intense bleedings she developed iron-deficiency-anemia with hemoglobin level of 8,8g/dl. The anemia has been treated with iron infusions, vitamin-B12 and folic acid. However she was well adapted and didn’t show tachycardia or any kind of anemia- related symptoms.

Further on she suffered from infertility most likely caused by Uterus myomatosus, which had been previously treated by hysteroscopic and laparoscopic myomectomy.

Further preoperative assessment revealed an occasional smoker but otherwise healthy patient and routine laboratory analysis were unremarkable except for earlier mentioned anemia. The previous general anaesthesias were uneventful and she was classified as ASA II- patient. The premedication consisted of 7,5mg Midazolam p.o.

THE PROCEDURE AND INTRAOPERATIVE SETTING

After the general anesthesia has been inducted, consisting of 200mg Propofol, 0,2mg Fentanyl and 6mg Cisatracurium, patient was intubated uneventfully. A single-shot-antibiotic with 2g Cefazolin was administered before surgical start. Further anaesthesia was maintained with Sevoflurane (endexpiratory concentration 1,2 vol%) during low-flow-volume-controlled-ventilation.

The hysteroscopy was performed with a physiological saline solution as a distending medium administered by Karl Storz Hamou Endomat pump in hysteroscopy modul within preselected pressure- (max.150mmHg) and flow- range (max.400ml/min). The resectoscope had an active suction channel and myomectomy was facilitated with bipolar current.

After a resection time of 35 minutes the operating procedure became complicated due to big intracavitary myomas, consequently a larger amount of distending media was required to keep the visibility during the hysteroscopy. The efflux of the irrigating fluid wasn’t monitored because of the high amount lost in the sterile drapes.

In the meantime the patient developed mild tachycardia with descrete ST-depressions, that disappeared after deepening the anaesthesia. Further on she developed high respiratory pressures and the accurate examination of the patient lying in Trendelenburg position and in a dark operating theatre revealed swollen face that was missinterpreted as Quincke-edema and immediately treated with 4mg Dimetinden, 50mg Ranitidin and 500mg Prednisone.

The immediate termination of the procedure revealed a general swelling of a patient especially in abdominal and facial region. The uterus perforation was denied by the gynaecologist but due to threatening abdominal compartment syndrome an urgent laparoscopy was preformed, which revealed 2,5l of intraabdominal fluid. At that point the gynaecologist declared 9l deficit between the in- and outflow of the irrigating fluid.

Meanwhile the ventilation was severly impeded by massive pulmonary edema and 1,5l clear fluid was suctioned from the endotrachal tube. The oxygen saturation dropped to 53% and the inspiratory peak pressure reached up to 60 mmHg. The diuresis was stimulated by 80mg furosemid.

Under full mechanical ventilation support with high positive endexpiratory pressure and analgosedation we transferred the patient to the ICU.

ICU-MANAGEMENT

By the admission to the ICU the arterial blood gas analysis revealed

pH 6,95

pO2 92,2 mmHg

pCO2 58 mmHg

SO2 87%

HCO3 12,7 mmHg

BE -17,8 mmHg

Hb 6,5 g/dl

K+ 2,9mmol/l

Na+ 142 mmol/l

Lactat acid 4,27 mmol/l

The combined (hyperchloremic and respiratory) acidosis reached it’s peak later, when HCO3 dropped to 6,9 mmHg and was treated aggressively by 200mg HCO3 8,4%. The potassium substitution was administered via central venous line.

Noradrenaline was used to stabilize the circulation and the volume therapy was monitored with invasive hemodynamic monitoring (PICCOR), which revealed hypovolemia (GEDI 444 ml/m2) and pulmonary edema (ELWI 13 ml/kg) despite sufficient systemic vascular resistance (SVRI 3949 dyn*s*cm-5*m2) and good pump function (Cardiac Index 3,34 l/min/m2).

The 30,6 C° body temperature was treated with an active warming system for the next 18h until the normal temperature was reached.

The intraabdominal pressure was measured by bladder pressure monitoring (14 mmHg).

The oxygenation increased with forced diuresis and positive endexpiratory pressure ventilation (12 cmH2O).

Figure 1: Chest X-ray reveals pulmonary edema after ICU admission

After 24h of fully controlled mechanical ventilation and 6800ml of diuresis the sedation medication was terminated and the patient extubated uneventfully. No further ventilation support or vasoactive medication was required. The patient recovered in the matter of 72 hours and was discharged from the hospital on the day 7 with a mild arterial hypertension, that was treated by Hydrochlorthiazide 25mg a day.

DISCUSSION

The isoosmolar hyperhydratation due to massive absorption of irrigating fluid, also known as Operative Hysteroscopy Intravascular Absorption Syndrome (OHIA) is a life threatening complication of the bipolar resectoscopic procedures.

There are three different manners the distending fluid can be absorbed:

the fluid instillation in peritoneal cavity via fallopian tubes causing a high amount of free abdominal fluid, which can lead up to an abdominal compartment syndrome

the absorption via endo- and myometrium causing a massive subcutan fluid overload

the intravascular absorption due to exceed of the venous vascular pressure of endometrium by an irrigating fluid pressure causing expansion of plasma volume and consequently intravascular fluid overload.

This case report shows a massive absorption of distending fluid mostly throughout the endometrium causing generalized and later on pulmonary edema and throughout fallopian tubes causing acute abdomen. The delayed diagnosis of this complication was due to unreported imbalance between the irrigating fluid instilled (12 litres) and the volume recovered (3 litres) from the patient. Other conditions that impeded the early diagnosis were darkened operating theatre because of the hysteroscopy and Trendelenburg position of the patient, fully covered in warm sheets in order to prevent hypothermia.

The threatening abdominal compartment was promptly treated by an urgent laparoscopy and the patient responded very well to a complex symptom-orientated intensive care therapy. A mild arterial hypertension is a residual symptom of a massive NaCl-absorption and respectively delayed sodium and water excretion and is expected to disappear within days.

The top priority is the prevention of the excessive absorption and once this complication occurred, its rapid, correct diagnosis as well as early-goal-therapy is essential. The fundamental knowledge of different distending media and its possible complications must be considered by the gynecologist and anesthesiologist. Once the distending medium has been determined, certain strategy must be applied in order to avoid the massive fluid overload. The exact amount of administered and removed irrigating fluid must be accurately monitored, which can be impeded be different factors such as spilling the media on the floor or in sterile sheets, not exact amount of media in the bag (varies up to 5%), difficult estimation of not-used fluid in the bag. The irrigation pressure limit should be lower then the mean arterial pressure whenever possible and complicated operative procedures that take longer time such as myomectomy require splitting in two sessions.

As soon as the difference of instilled and recovered amount reaches the limit, that should be set a priori or a patient starts showing symptoms, the measurement of electrolytes, osmolality and arterial blood gasses should be preformed and the procedure terminated as soon as possible.

For more information: https://jmedcasereportsimages.org/about-us/

For more submission : https://jmedcasereportsimages.org/

#hysteroscopic #therapeutic #electrolyte imbalance #Carbon dioxide #monopolar vs. bipolar #urology #hypoosmolal #hyperchloremic #myomatosus #occasional #Hamou Endomat #F.Fiedler #jcrmhs

0 notes

libramonthlyhoroscope1 · 2 years ago

Text

Dream with a broken heart

Dreaming with a broken heart: the importance of Takotsubo cardiomyopathy as a perioperative etiology of anesthetic-related cardiopulmonary dysfunction.

Medical literature often refers to rare disorders as zebras , but in the recent paper by Varutti et al.regarding a rare etiology of perioperative hemodynamic dysfunction, the disease name, Takotsubo, is translated from the Japanese as “Octopus Trap”. This maritime nomenclature is not due to the disease’s rare incidence within perioperative settings, but is a description of the shape the heart conforms to, with resulting cardiopulmonary instability. Not only is the inclusion of Takotsubo cardiomyopathy within the anesthesiologists’ differential diagnosis important, but also the addition of a novel potential etiology for this disease represents an important contribution to the medical literature.

Dream with a broken heart

Maintaining an extensive differential diagnosis list is even more important when the patient presenting with symptoms is considered low-risk by history, but is scheduled to undergo a non-cardiac procedure. The determination as to the risk profile of a patient for perioperative cardiac events during scheduled noncardiac surgery can be made using the guidelines published by the Journal of The American College of Cardiology, with the most recent update having been published in December 2014. Given the preoperative history and test results of the patient described in the current report, the anesthesiologist who referred to the guidelines would have had decreased suspicion for the eventual postoperative course of this patient.

The postoperative course observed in the setting of ECG changes and increased plasma levels of troponin I point to a potential acute coronary syndrome. Takotsubo cardiomyopathy has been estimated to represent 1–2% of patients with suspected acute coronary syndrome in the cardiology literature. The most common symptom is chest pain, observed in 70–90% of patients, with dyspnea and pulmonary edema seen less commonly . Stress, whether psychological or emotional, typically occurs in conjunction with the symptoms, leading to the alternative description of the disease as “broken-heart syndrome”. Other potential etiologies have focused on sudden and massive catecholamine release leading to coronary artery spasm, tachycardia, ST segment depression and hypertension (the “catecholamine heart” syndrome).

While many potential pathophysiological mechanisms have been described, no definitive pathophysiological mechanism has yet been determined. Proposed mechanisms include multi-vessel epicardial coronary spasm, coronary endothelial dysfunction, catecholamine cardiotoxicity, and neurogenic stunned myocardium. The lack of definitive mechanism combined with masquerading symptoms can make the diagnosis within the perioperative period challenging. Perioperative Takotsubo cardiomyopathy has been described in the preoperative, intraoperative, and postoperative periods, associated with both emotional and iatrogenic catecholamine surges with surgery or the anticipation thereof.

The excellence and clinical utility of this case report stem from several facets of the presentation. The entire arc of the patient’s course, ranging from hemodynamic stability intraoperatively to deterioration postoperatively, is presented with completeness and attention to detail. A thorough overview of the diagnostic and treatment methodologies in the literature are described. In this report, the authors describe a favorable approach to clinical management – stabilization of cardiopulmonary status followed by immediate interrogation via cardiac echocardiography and coronary angiography, which has been described as the “best single tool” for diagnosis of Takotsubo cardiomyopathy. The proposed triggering mechanisms of intraoperative fluid overload and hypertensive crisis are novel within the literature. Alternative explanations, such as the effect of pneumoperitoneum on blood catecholamine levels, are presented for the reader’s consideration.

In conclusion, the report meets one of the seminal criteria proposed in a recent Anesthesia & Analgesia editorial by Hessel and London as to what is needed in the medical literature to help answer unresolved questions regarding rare case reports: the manuscript proposes a previously undescribed potential etiology of this rare, yet well-established perioperative syndrome.

0 notes

literaturepublisher23 · 10 months ago

Text

Journal of Clinical Images

Clinical Image Journal: Journal of Clinical Images accepting articles in the form of images, image case, clinical images journal, image of journal, clinical image illustrations journal, clinical research image journal, clinical research imaging journal etc. Journal paves a great platform to access the recent developments of the clinical and medical world and is employed for publishing the varied case reports & clinical images that pertains to many clinical and medical conditions. Clinical Image Journal: Journal of Clinical Images is an international peer reviewed open access journal focused on publishing the most complete, reliable source of research information, current developments, and clinically interesting, trainees and researchers in all surgical subspecialties, as well as clinicians in related fields. Clinical Image Journal: Journal of Clinical Images is internationally peer reviewed and provides major understanding of diagnosis of many diseases, their management and their therapeutic strategies that aims in improving health outcomes globally. Case reports and clinical images are required altogether areas of medicine and involves research using the human volunteers who are intended to contribute to the clinical and medical knowledge.

Journal Homepage: https://www.literaturepublishers.org/

Manuscript Submission

Authors are requested to submit their manuscript by using Online Manuscript Submission Portal:

(or) also invited to submit through the Journal E-mail Id: [email protected]

The mission of Clinical Image Journal: Journal of Clinical Images is to publish, in a timely manner, the very best clinical research around the world with special attention to the impact of medical imaging on patient care. Clinical Image Journal: Journal of Clinical Images publications cover all imaging modalities, radiology issues related to patients, policy and practice improvements, and clinically-oriented imaging physics and informatics. Clinical Image Journal: Journal of Clinical Images is a valuable resource for practicing radiologists, radiologists-in-training and other clinicians with an interest in imaging.

Papers are carefully peer-reviewed and selected by our experienced subject editors who are leading experts spanning the range of imaging sub-specialties, which include: Body Imaging- Breast Imaging- Cardiothoracic Imaging- Imaging Physics and Informatics- Molecular Imaging and Nuclear Medicine- Musculoskeletal and Emergency Imaging- Neuroradiology- Practice, Policy & Education- Pediatric Imaging- Vascular and Interventional Radiology.

Clinical Image Journal: Journal of Clinical Images Scope Case reports / Clinical Images can be prospective or retrospective and examine the effects of an intervention in more than one patient. All case reports and clinical Images submitted need to comply with the relevant reporting criteria. It is dedicated to publishing Medical Case Reports, Clinical Images, Case Series and Clinical Videos. The following classifications and topics related to it will be considered for publication in the Journal but not limited to the following fields.

Neurology Image Journal, Oncology Image Journal, Dentistry Image Journal, Surgery Image Journal, Cardiology Image Journal, Nutrition and Dietetics Image Journal, Ophthalmology Image Journal, Gastroenterology Image Journal, Internal Medicine Image Journal, Nephrology Image Journal, Palliative Care Image Journal, Physiotherapy Image Journal, Radiation Oncology Image Journal, Sleep Disorders Image Journal & Sleep Studies Image Journal, Anesthesiology Image Journal, Emergency Medicine Image Journal and Critical, Forensic Image Journal and Legal Medicine Image Journal, Infectious Disease Image Journal, Infertility Case reports, Neurological Surgery Image Journal, Obstetrics Image Journal and Gynecology Image Journal, Otolaryngology Image Journal, Pharmacology Image Journal and Therapeutics Image Journal, Physical Medicine Image Journal & Rehabilitation Image Journal, Radiology Image Journal, Dermatology Image Journal, Endocrinology Image Journal, Diabetes Image Journal & Metabolism Image Journal, Orthopedics Image Journal & Rheumatology Image Journal, Pathology- Anatomic & Clinical Image Journal, Pulmonary Image Journal Disease, Preventive Medicine Image Journal, Respiratory Medicine Image Journal, Urology Image Journal, Oral Medicine Image Journal, ENT Image Journal, Geriatric Medicine Image Journal, Maxillofacial Surgery Image Journal, Neonatology Image Journal, Nuclear Medicine Image Journal, Pain Management Image Journal, Pediatrics Image Journal, Psychiatry Image Journal, Sexual Health Image Journal, Vascular Medicine Image Journal, Family Medicine Image Journal and Public Health Image Journal, Allergy Image Journal & Immunology Image Journal, Diabetology Image Journal, Hematology Image Journal.

#Journal of Clinical Images #health #news #publisher

0 notes

literaturepublisher · 3 years ago

Photo

Journal of Clinical and Medical Case Reports is a peer-reviewed open access high impact factor indexed journal that publishes case reports on various diseases in the medical field, their respective clinical journal case reports, and highly cited research work as medical journal case cover. Reports, clinical reports, medical case reports, clinical images and diagnostic problems.

#international journal of clinical case reports #journal of clinical studies & medical case reports #case reports in oncology #oncology case reports journal #case reports in cardiology #journal of cardiology case reports

0 notes

literaturepublisher10 · 1 year ago

Text

Journal of Clinical and Medical Images

Clinical Images and Case Reports Journal (CICRJ) is a peer-reviewed, high impact factor journal established Internationally which provides a platform to publish Clinical Images, Clinical Case Reports, Medical Case Reports, Case Series (series of 2 to 6 cases) and Clinical Videos pertaining to medical conditions.

Journal Homepage: https://www.literaturepublishers.org/

Journal of Clinical Imaging Science Literature Publishers working for the growth of the researchers, scholars and students by publishing their valuable research work and case studies.

Scope of Clinical & Medical Images Journal International journal of medical case reports, hematology images, images in hematology, journals that accept case reports, case reports in hepatology, archives of clinical and medical case reports, journal of clinical case reports impact factor, clinical case reports journal impact factor, journal of otolaryngology head and neck surgery, journals accepting clinical images, journal of dental case reports, gastroenterology journal case report, ophthalmology case report journals, case reports in nephrology and dialysis, gi case report journals, clinical imaging journal impact factor, orthopedic surgery case reports, international journal of clinical case reports, journal of medical diagnostic methods, international journal of dental case reports, eye case reports, clinical case reports international impact factor, scholars journal of medical case reports, journal of invasive cardiology case report, dental case reports journal, journal of medical imaging and case reports impact factor, journal of oral health case reports, journal of clinical images and case reports impact factor, international journal of medical and dental case reports, journal of clinical images and case reports, journal of surgical technique and case report, journal of clinical and medical images impact factor, journal of case reports and medical images, journal of case reports and images in surgery, ophthalmology case studies, clinical journal of gastroenterology and hepatology, journal of cardiology and cardiovascular medicine, clinical images journal, clinical and medical case reports, international medical case reports journal, case report journal impact factor, clinical images, journal of cardiology cases, clinical case reports journal, surgery case reports, case reports in endocrinology, case reports in orthopedics, journal of clinical case reports, journal of cardiology case reports, journal of laryngology and otology, scholars journal of medical case reports impact factor, case reports ophthalmology, case reports in dentistry, journal of medical cases, cardiology case reports journal, case reports in orthopedic research, journal of clinical imaging science impact factor, gastroenterology case reports, international journal of clinical cardiology impact factor, ophthalmology case reports, impact factor journals of medical case reports, neuro ophthalmology case reports, case reports in hematology, international journal of medical case reports impact factor, clinical case report impact factor, case reports in otolaryngology, clinical case reports journals, endocrinology case reports.

The mission of Clinical Image Journal is to publish, in a timely manner, the very best Clinical and Medical Images from all over the world with special attention to the impact of medical imaging on patient care. The journal's publications cover all imaging modalities, health issues related to patients. The International Journal of biomedical imaging is valuable for medical image analysis journal resources for practicing in medical science journals and other clinicians with an interest in imaging journals. Papers are carefully peer-reviewed and selected by our experienced subject editors who are leading experts spanning the range of imaging sub-specialties.

Clinical and Medical Images is being published by Literature Publishers with the aim of publishing the Clinical Images and International journal of clinical & medical images that are related to all the areas of clinical science and Medicine. The purpose of this journal is to spread the knowledge of novel discoveries, journal of medical imaging and interventions in various fields of health science & medicine.

Clinical and Medical Images is a peer-reviewed International Journal that has got immense scholarly significance and responsible to do medical image analysis. This journal is being dedicated to clinical images from various areas of medicine. All the latest updates are being included in this journal.

Clinical Images and Case Reports Journal committed to publishing high-quality articles in the vast field of Clinical and Medical Imaging science with special attention to the impact of medical imaging on patient care. The journal aims to present imaging science and relevant clinical information in an understandable and useful format.

The objective of this health science journal is to serve the associated scientific community and the relevant readers with the latest scientific information and aid in further development and understanding of the subject in Image Journal/ Clinical Image Journal or Medical Image Journal.

Medical image analysis and International Journal of Clinical & Medical Images/ Journal of Medical Imaging in medical and clinical case report journal offer an open access platform to share their research and reviews journal outcome on drug delivery approaches, formulations, technologies, and systems that would deliver medicines in the body to safely achieve the desired therapeutic effect.

Manuscript Submission

Authors are requested to submit their manuscript by using Online Manuscript Submission Portal:

https://www.literaturepublishers.org/submit.html

(or) also invited to submit through the Journal E-mail Id: [email protected]

#Journal of Clinical and Medical Images #health #news #publishers

0 notes