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  1. Article ; Online: Safe extubation during the COVID-19 pandemic.

    Kangas-Dick, Aaron W / Swearingen, Bruce / Wan, Elias / Chawla, Kabu / Wiesel, Ory

    Respiratory medicine

    2020  Volume 170, Page(s) 106038

    Abstract: Extubation of patients with Coronavirus Disease 2019 (COVID-19) is a high risk procedure for both patients and staff. Shortages in personal protective equipment (PPE) and the high volume of contact staff have with COVID-19 patients has generated an ... ...

    Abstract Extubation of patients with Coronavirus Disease 2019 (COVID-19) is a high risk procedure for both patients and staff. Shortages in personal protective equipment (PPE) and the high volume of contact staff have with COVID-19 patients has generated an interest in ways to reduce exposure that might be feasible especially during pandemic times and in resource limited healthcare settings. The development of portable barrier hood devices (or intubation/extubation boxes) is an area of interest for many clinicians due to the theoretical reduction in aerosolization of SARS-CoV-2, the causative virus for COVID-19. We present a review of the current literature along with recommendations concerning safe extubation during the COVID-19 pandemic. In addition, a focused summary on the use of portable barrier hood devices, during the recent surge of COVID-19 is highlighted.
    MeSH term(s) Airway Extubation/adverse effects ; Airway Extubation/instrumentation ; Airway Extubation/methods ; Betacoronavirus/isolation & purification ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Humans ; Occupational Exposure/prevention & control ; Occupational Health ; Pandemics/prevention & control ; Personal Protective Equipment/supply & distribution ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Risk Management ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-05-23
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1003348-8
    ISSN 1532-3064 ; 0954-6111
    ISSN (online) 1532-3064
    ISSN 0954-6111
    DOI 10.1016/j.rmed.2020.106038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Gastrointestinal perforation in a critically ill patient with COVID-19 pneumonia.

    Kangas-Dick, Aaron / Prien, Christopher / Rojas, Kristin / Pu, Qinghua / Hamshow, Mohammad / Wan, Elias / Chawla, Kabu / Wiesel, Ory

    SAGE open medical case reports

    2020  Volume 8, Page(s) 2050313X20940570

    Abstract: Gastrointestinal complications in critically ill patients during the COVID-19 pandemic pose a diagnostic and treatment dilemma. We present a case of a 74-year-old male who was brought to our emergency department with worsening shortness of breath, fever, ...

    Abstract Gastrointestinal complications in critically ill patients during the COVID-19 pandemic pose a diagnostic and treatment dilemma. We present a case of a 74-year-old male who was brought to our emergency department with worsening shortness of breath, fever, and dry cough and was found to have COVID-19 pneumonia. Early in his hospital course, he was admitted to the intensive care unit, and was found to have significant abdominal distension with large amounts of simple fluid on bedside ultrasound. Bedside paracentesis returned succus and enteric feeds, and a methylene blue test confirmed a likely gastrointestinal perforation. The patients' family refused surgical intervention and the patient underwent bedside drainage. This case represents several critical dilemmas clinicians faced during the recent surge of the COVID-19 pandemic.
    Keywords covid19
    Language English
    Publishing date 2020-07-16
    Publishing country England
    Document type Case Reports
    ZDB-ID 2736953-5
    ISSN 2050-313X
    ISSN 2050-313X
    DOI 10.1177/2050313X20940570
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Left ventricular perforation with catheter decompression.

    Shin-Kim, Janice / Zapolsky, Nathan / Wan, Elias / Steinberg, Eric / Heller, Michael / Jacoby, Jeanne L

    The American journal of emergency medicine

    2018  Volume 37, Issue 2, Page(s) 377.e5–377.e6

    Abstract: Thoracostomy tube placement is one of the more common procedures performed in the Emergency Department, most commonly for treatment of pneumothorax or hemothorax but occasionally for drainage of empyema or pleural effusion. Thoracostomy may be a life- ... ...

    Abstract Thoracostomy tube placement is one of the more common procedures performed in the Emergency Department, most commonly for treatment of pneumothorax or hemothorax but occasionally for drainage of empyema or pleural effusion. Thoracostomy may be a life-saving procedure with a wide range of complication rates reported, ranging from 19.4-37%, most commonly extrathoracic placement. Most recent meta-analyses showed a relatively stable complication rate of 19% over the past three decades with the vast majority being benign in nature. We present a case with the rare complication of thoracostomy in which of a small-caliber thoracostomy tube was placed in the left ventricle. Although thoracotomy was performed to remove the catheter, the patient remained virtually asymptomatic and had an uneventful course.
    MeSH term(s) Adult ; Chest Tubes/adverse effects ; Device Removal ; Emergency Service, Hospital ; Heart Ventricles/diagnostic imaging ; Heart Ventricles/injuries ; Heart Ventricles/surgery ; Humans ; Male ; Pneumothorax/diagnostic imaging ; Pneumothorax/etiology ; Pneumothorax/therapy ; Radiography ; Thoracostomy/adverse effects ; Thoracostomy/instrumentation ; Thoracotomy ; Tomography, X-Ray Computed ; Wounds, Stab/complications ; Wounds, Stab/diagnostic imaging ; Wounds, Stab/therapy
    Language English
    Publishing date 2018-10-26
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2018.10.055
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Safe extubation during the COVID-19 pandemic

    Kangas-Dick, Aaron W / Swearingen, Bruce / Wan, Elias / Chawla, Kabu / Wiesel, Ory

    Respir Med

    Abstract: Extubation of patients with Coronavirus Disease 2019 (COVID-19) is a high risk procedure for both patients and staff. Shortages in personal protective equipment (PPE) and the high volume of contact staff have with COVID-19 patients has generated an ... ...

    Abstract Extubation of patients with Coronavirus Disease 2019 (COVID-19) is a high risk procedure for both patients and staff. Shortages in personal protective equipment (PPE) and the high volume of contact staff have with COVID-19 patients has generated an interest in ways to reduce exposure that might be feasible especially during pandemic times and in resource limited healthcare settings. The development of portable barrier hood devices (or intubation/extubation boxes) is an area of interest for many clinicians due to the theoretical reduction in aerosolization of SARS-CoV-2, the causative virus for COVID-19. We present a review of the current literature along with recommendations concerning safe extubation during the COVID-19 pandemic. In addition, a focused summary on the use of portable barrier hood devices, during the recent surge of COVID-19 is highlighted.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #343597
    Database COVID19

    Kategorien

  5. Article ; Online: Safe extubation during the COVID-19 pandemic

    Kangas-Dick, Aaron W. / Swearingen, Bruce / Wan, Elias / Chawla, Kabu / Wiesel, Ory

    Respiratory Medicine

    2020  Volume 170, Page(s) 106038

    Keywords Pulmonary and Respiratory Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 1003348-8
    ISSN 1532-3064 ; 0954-6111
    ISSN (online) 1532-3064
    ISSN 0954-6111
    DOI 10.1016/j.rmed.2020.106038
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Platypnea-orthodeoxia syndrome: a simple clinical observation that heralds critical but treatable disease.

    Wan, Elias E / Zapolsky, Nathan / Nembhard, Nicole / Rose, Jeremy / Heller, Michael / Hsu, Christina

    The American journal of emergency medicine

    2016  Volume 34, Issue 10, Page(s) 2053.e3–2053.e4

    MeSH term(s) Dyspnea/diagnosis ; Dyspnea/etiology ; Dyspnea/therapy ; Emergency Service, Hospital ; Female ; Foramen Ovale, Patent/complications ; Humans ; Hypoxia/diagnosis ; Hypoxia/etiology ; Hypoxia/therapy ; Liver Cirrhosis/complications ; Middle Aged ; Posture ; Syndrome
    Language English
    Publishing date 2016-10
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2016.03.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Bowel in the pericardium: Spontaneous herniation mimicking acute aortic dissection.

    Frank, Daniel S / Heller, Michael / Sedor, Jennifer / Kedia, Namita / Shulman, Adina / Wan, Elias E

    The American journal of emergency medicine

    2016  Volume 34, Issue 10, Page(s) 2053.e1–2053.e2

    MeSH term(s) Aged, 80 and over ; Aneurysm, Dissecting/diagnosis ; Aortic Aneurysm/diagnosis ; Colonic Diseases/diagnostic imaging ; Colonic Diseases/surgery ; Diagnosis, Differential ; Emergency Service, Hospital ; Female ; Hernia, Diaphragmatic/diagnostic imaging ; Herniorrhaphy ; Humans ; Pericardium/diagnostic imaging ; Tomography, X-Ray Computed
    Language English
    Publishing date 2016-10
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2016.03.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  8. Article ; Online: Gastrointestinal perforation in a critically ill patient with COVID-19 pneumonia

    Kangas-Dick, Aaron / Prien, Christopher / Rojas, Kristin / Pu, Qinghua / Hamshow, Mohammad / Wan, Elias / Chawla, Kabu / Wiesel, Ory

    SAGE Open Medical Case Reports

    2020  Volume 8, Page(s) 2050313X2094057

    Abstract: Gastrointestinal complications in critically ill patients during the COVID-19 pandemic pose a diagnostic and treatment dilemma. We present a case of a 74-year-old male who was brought to our emergency department with worsening shortness of breath, fever, ...

    Abstract Gastrointestinal complications in critically ill patients during the COVID-19 pandemic pose a diagnostic and treatment dilemma. We present a case of a 74-year-old male who was brought to our emergency department with worsening shortness of breath, fever, and dry cough and was found to have COVID-19 pneumonia. Early in his hospital course, he was admitted to the intensive care unit, and was found to have significant abdominal distension with large amounts of simple fluid on bedside ultrasound. Bedside paracentesis returned succus and enteric feeds, and a methylene blue test confirmed a likely gastrointestinal perforation. The patients’ family refused surgical intervention and the patient underwent bedside drainage. This case represents several critical dilemmas clinicians faced during the recent surge of the COVID-19 pandemic.
    Keywords covid19
    Language English
    Publisher SAGE Publications
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2736953-5
    ISSN 2050-313X
    ISSN 2050-313X
    DOI 10.1177/2050313x20940570
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    More links

    Kategorien

  9. Article: Gastrointestinal perforation in a critically ill patient with COVID-19 pneumonia

    Kangas-Dick, Aaron / Prien, Christopher / Rojas, Kristin / Pu, Qinghua / Hamshow, Mohammad / Wan, Elias / Chawla, Kabu / Wiesel, Ory

    SAGE Open Med. Case Reports

    Abstract: Gastrointestinal complications in critically ill patients during the COVID-19 pandemic pose a diagnostic and treatment dilemma. We present a case of a 74-year-old male who was brought to our emergency department with worsening shortness of breath, fever, ...

    Abstract Gastrointestinal complications in critically ill patients during the COVID-19 pandemic pose a diagnostic and treatment dilemma. We present a case of a 74-year-old male who was brought to our emergency department with worsening shortness of breath, fever, and dry cough and was found to have COVID-19 pneumonia. Early in his hospital course, he was admitted to the intensive care unit, and was found to have significant abdominal distension with large amounts of simple fluid on bedside ultrasound. Bedside paracentesis returned succus and enteric feeds, and a methylene blue test confirmed a likely gastrointestinal perforation. The patients’ family refused surgical intervention and the patient underwent bedside drainage. This case represents several critical dilemmas clinicians faced during the recent surge of the COVID-19 pandemic.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #667754
    Database COVID19

    Kategorien

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