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  1. Artikel ; Online: A model for delivery of extracorporeal life support in a stand-alone veterans affairs medical center.

    Seadler, Benjamin D / Melamed, Joshua / Sow, Mami / Rogers, Austin L / Syed, Ali / Linsky, Paul L / Ubert, H Adam / Schena, Stefano / Durham, Lucian A / Almassi, G Hossein

    Artificial organs

    2024  Band 48, Heft 6, Seite(n) 675–682

    Abstract: Introduction: For the Veterans Health Administration (VHA) to continue to perform complex cardiothoracic surgery, there must be an established pathway for providing urgent/emergent extracorporeal life support (ECLS). Partnership with a nearby tertiary ... ...

    Abstract Introduction: For the Veterans Health Administration (VHA) to continue to perform complex cardiothoracic surgery, there must be an established pathway for providing urgent/emergent extracorporeal life support (ECLS). Partnership with a nearby tertiary care center with such expertise may be the most resource-efficient way to provide ECLS services to patients in post-cardiotomy cardiogenic shock or respiratory failure. The goal of this project was to assess the efficiency, safety, and outcomes of surgical patients who required transfer for perioperative ECLS from a single stand-alone Veterans Affairs Medical Center (VAMC) to a separate ECLS center.
    Methods: Cohort consisted of all cardiothoracic surgery patients who experienced cardiogenic shock or refractory respiratory failure at the local VAMC requiring urgent or emergent institution of ECLS between 2019 and 2022. The primary outcomes are the safety and timeliness of transport.
    Results: Mean time from the initial shock call to arrival at the ECLS center was 2.8 h. There were no complications during transfer. Six patients (86%) survived to decannulation.
    Conclusion: These results suggest that complex cardiothoracic surgery can be performed within the VHA system and when there is an indication for ECLS, those services can be safely and effectively provided at an affiliated, properly equipped center.
    Mesh-Begriff(e) Humans ; Extracorporeal Membrane Oxygenation/methods ; United States ; Shock, Cardiogenic/therapy ; Male ; Middle Aged ; United States Department of Veterans Affairs ; Hospitals, Veterans ; Aged ; Female ; Respiratory Insufficiency/therapy ; Cardiac Surgical Procedures/methods ; Retrospective Studies ; Patient Transfer
    Sprache Englisch
    Erscheinungsdatum 2024-02-06
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Case Reports
    ZDB-ID 441812-8
    ISSN 1525-1594 ; 0160-564X
    ISSN (online) 1525-1594
    ISSN 0160-564X
    DOI 10.1111/aor.14722
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1463: Hefte anzeigen Standort:
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  2. Artikel: Solid pseudopapillary tumor of the pancreas.

    Schlarb, Haley C / Schlarb, Alexander C / Ubert, H Adam / Schlarb, Christopher A

    The West Virginia medical journal

    2015  Band 111, Heft 2, Seite(n) 22–24

    Abstract: Solid pseudopapillary tumor is a rare tumor accounting for 1-2% of exocrine neoplasms involving the pancreas. This typically benign tumor is predominately found in young females of non-Caucasian descent between the second and fourth decades of life. ... ...

    Abstract Solid pseudopapillary tumor is a rare tumor accounting for 1-2% of exocrine neoplasms involving the pancreas. This typically benign tumor is predominately found in young females of non-Caucasian descent between the second and fourth decades of life. Despite the reported increasing incidence of this neoplasm, many physicians are unfamiliar with this tumor, which may lead to uncertainty of diagnosis and treatment. While further delineating the clinical and imaging features of this tumor, we present two cases with review of the literature.
    Mesh-Begriff(e) Adult ; Carcinoma, Papillary/pathology ; Carcinoma, Papillary/surgery ; Female ; Humans ; Pancreatic Neoplasms/pathology ; Pancreatic Neoplasms/surgery ; Rare Diseases/pathology ; Rare Diseases/surgery ; Young Adult
    Sprache Englisch
    Erscheinungsdatum 2015-03
    Erscheinungsland United States
    Dokumenttyp Case Reports ; Journal Article
    ZDB-ID 431705-1
    ISSN 0043-3284
    ISSN 0043-3284
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Verfügbar in ZB MED Köln/Königswinter

    Zs.B 221: Hefte anzeigen Standort:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

    Über subito bestellen

    Dieser Service ist kostenpflichtig (siehe Lieferbedingungen von subito). Bestellungen, die einen Artikel nebst Supplementary Material umfassen, werden grundsätzlich wie mehrfache Bestellungen bearbeitet. Gebühren fallen in diesen Fällen für jede einzelne Bestellung an.

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