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Air Embolism During Hemodialysis Treatment
Blood vessels are made to carry blood - liquid. A small amount of air in a vessel is not usually a big deal as it will be absorbed into the blood. Larger volumes of air (10 mL or larger) can be significant to block blood flow in that vessel. That is bad in the brain (stroke) and really bad in the heart because ...Read more
In 65 y/o female with asthma and previous cardiac arrest W/ROSC during Pulm. Embolectomy W/ CPB. Which is safest method for pericardial window?
Complicated question: You ask a VERY complicated question about a complex medical history. The 1st thing to ascertain: "why do you need a pericardial window?" Normally, they are for recurrent cardiac effusions; despite the dramatic surgery & event, effusions aren't typical after cardiac arrest. 2nd, need to know why pulm embolism developed. TTYD or use HealthTap Prime to find answers/specialists. Not enough space here. ...Read more
Depends...: In severe pulmonary embolism, the oxygen level in the body may decrease to levels that require supplemental oxygen. Most of these patients would be hospitalized for their treatment and once the clot resolves, oxygen level should return to baseline levels. ...Read moreSee 2 more doctor answers
Depends: Surgical treatment is usually reserved for massive pulmonary embolism (pe) or in chronic pe cases. In most instances DVT and pe are treated with clot dissolving drugs (thrombolysis) and blood thinners (anticoagulation). Sometimes DVT is treated "invasively" by an interventional radiologist to help direct the therapy to the clot directly. ...Read moreSee 1 more doctor answer
Indefinitely: If you are able to continue bagging with reasonable volumes you could continue for an indefinite amount of time. ...Read more
Can i restart peritoneal dialysis after having removed the catheter due to peritonitis, as i've blood clotting, deep vein issues with heamodialysis ?
Complicated: The answer to this is complicated. In electrophysiologists who are well trained catheter ablation to create pulmonary vein isolation is reasonably successful if that is the focus of your af. There are procedural risks (cardiac damage, arrhythmia, stroke, pulmonary vein stenosis and others) and the success is not always permanent (af can come back even if there was initial success.). ...Read more
Can be deadly: The size of the clot dictates how dangerous it is. Very very tiny emboli may not have much clinical consequence, unless it happens frequently. A large embolus that blocks large amounts of flow to the lung can cause symptoms including shortness of breath and even cardiac arrest. Unexpected shortness of breath should always be considered an emergency and evaluated by a doctor right away! ...Read more
Bagging: If performed properly, there is no time limit. ...Read more
Hyperbaric vs oxygen: No, it is not. Oxygen with a mask or nasal cannula supplied by a tank is not delivered under pressure. Hyperbaric chambers deliver oxygen under pressure so that the level of oxygen in the body tissues exceeds those values that oxygen is delivered via sea level. ...Read moreSee 1 more doctor answer
Acute PE: Treatment of a pulmonary embolus essentially depends on the clinical symptoms at the time of diagnosis. The symptoms can be many and varied. Treatment options:. Blood thinners , thrombolytic s, ivc filter or embolectomy( surgical removal of blood clots). First priority is to stabilize patient if needed. The decision tree will be based on what is deemed most effective for the patient ...Read moreSee 3 more doctor answers
What is the clinical difference between hypovolemic shock and amniotic fluid embolism during c section?
Similar but differen: Hypovolemic shock is blood and fluid loss usually from bleeding causing severe low BP and cardiac arrest from loss of perfusion. Amniotic fluid embolism leads to low BP from allergic vasodilation and then bleeding from dic (disseminated intravascular coagulation) which results in hypovolemic shock and cardiac arrest. The mechanisms are similar but different. ...Read more
Usually a blood clot that migrates from one area of the body to another. Most commonly a clot from a leg vein to the lung . It can also pertain to a clot, or atheromatous material that moves from one segment to another, such as cholesterol material in a carotid lesion moving into the ...Read more
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