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Complications of Equine Anesthesia
Published in Michele Barletta, Jane Quandt, Rachel Reed, Equine Anesthesia and Pain Management, 2023
Other signs of air embolism include: Collapse/seizure.Anxiety.Malaise.Tachycardia.Tachypnea.Muscle fasciculations.Agitation with abnormal behavior including kicking and flank biting.Cyanosis.
Ards Treatment
Published in Stephen M. Cohn, Alan Lisbon, Stephen Heard, 50 Landmark Papers, 2021
Bruck Or, Kodela Jennifer, Kopec Scott
In 1967, Ashbaugh and colleagues described a series of 12 patients with the acute onset of tachypnea, hypoxia, and loss of lung compliance. This paper is widely regarded as the first description of acute respiratory distress syndrome (ARDS) in the literature [1]. Since this initial report, different criteria for ARDS have been proposed, ultimately resulting in the combined effort by the European Society of Critical Care Medicine, the American Thoracic Society, and the Society for Critical Care Medicine defining ARDS into mild, moderate, and severe forms based on PaO2/FiO2 ratios and the requirement of a PEEP of ≥5 mm Hg [2].
Surgical Emergencies
Published in Anthony FT Brown, Michael D Cadogan, Emergency Medicine, 2020
Anthony FT Brown, Michael D Cadogan
Tension pneumothorax This causes extreme respiratory distress, tachypnoea and hypotension. There is tracheal deviation away from the affected side, distended neck veins, loss of chest expansion on the affected side, a hyper-resonant percussion note, and diminished or absent breath sounds.Perform immediate decompression. Use a large-bore i.v. cannula inserted into the second intercostal space in the mid-clavicular line, followed by placement of an intercostal drain (see p. 471).
Apnea as an isolated finding in neonatal COVID-19
Published in Baylor University Medical Center Proceedings, 2023
Duygu Tunçel, Leyla Karadeniz Bilgin, Zeynep İnce, Asuman Çoban
COVID-19 findings in newborn babies are reported as nonspecific heat irregularity, respiratory symptoms, vomiting, feeding intolerance, and neurological findings.8–10 One case described a baby admitted to the emergency service due to failure to feed on postnatal day 4, whose mother, father, grandmother, and grandfather had COVID-19. Mechanical ventilation support was started in the neonatal intensive care unit due to the development of apnea, bradycardia, and desaturation in the baby during follow-up, and remdesivir, tocilizumab, convalescent plasma, steroid, and surfactant treatment was initiated with the diagnosis of acute respiratory distress syndrome secondary to COVID-19.3 In another case, a patient was admitted to the emergency department after failing to breathe at home on postnatal day 16. Tachypnea and hypoventilation developed during follow-up. Nasal continuous positive airway pressure support was needed upon the persistence of resistant apnea.11
Chronic immune thrombocytopenia in a child with X-linked agammaglobulinemia-an uncommon phenotype
Published in Platelets, 2022
Jing Yin, Jijun Ma, Xiaoxue Liu, Jingyue Xia, Qi Ai, Chongwei Li
A 13-day-old boy was admitted to the hospital in January 2018 with a cough that has persisted for 3 days. Tachypnea, tachycardia, and moist rales throughout the lungs were found on physical examination. The results of a full blood count revealed a white blood cell count of 8.79 × 109/L, of which 90% were neutrophils and the platelet count was 414 × 109/L. Small, scattered consolidation was observed on chest radiography and the patient was diagnosed with severe neonatal pneumonia. Regarding immunological evaluation, his immunoglobulin (Ig) G, IgA, and IgM levels were 7.49 g/L (normal 2.52–14.11 g/L), 0 g/L (normal 0.001–0.018 g/L), and 0.03 g/L (normal 0.018–0.120 g/L), respectively. The patient recovered with a combination of antibiotics and intravenous Ig (IVIG) therapy. In the subsequent 6 months, he had two episodes of mild respiratory infections that did not require hospitalization. Routine immunization with Bacillus Calmette-Guerin, oral polio vaccine, hepatitis B, and diphtheria—pertussis—tetanus vaccines were administered at one, two, three, four, and six months of age without any untoward consequences.
Can pregnancy aggravate the criticality of COVID-19 infection in obese asthmatic peripartum woman? A peripartum COVID-19 mortality case report
Published in Journal of Obstetrics and Gynaecology, 2022
Mohamed Fouad Selim, Sherif A. A. Mohamed, Manal Mohamed Ali Abdou, Mohamed Salah Haggag, Yasser Gamal, Azza S. Abd Elhaffez
On June 21 2020, she started to have increasing tachypnoea, oxygen saturation dropped to 90 − 94% on room air, so oxygen therapy via nasal prongs was given. On June 23 2020, the patient developed progressive hypoxaemia with tachypnoea that necessitated intubation and mechanical ventilation. She received lung protective strategy for COVID-19-induced acute respiratory distress syndrome (CARDS). A CT of her chest shows bilateral mosaic appearance, GGOs, and posterior lobes consolidations. On the third day of mechanical ventilation, the patient developed convulsions and bilateral pneumothorax with pneumomediastinum, as shown in her chest CT (Figure 1). She received broad spectrum antibiotics (ceftriaxone 2 grams intravenously once daily), dexamethasone (8 mg intravenously once daily), and 800 mg intravenous tocilizumab (actimera), together with medications for asthma, hypothyroidism and thromboprophylaxis (clexane 80 mg twice daily). No signs were suggestive of pulmonary embolism. Unfortunately, her ARDS was not improved. On June 29, the patient developed progressive hypotension then arrested, CPR was done but the patient did not revive and expired ten days after her Caesarean delivery.