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Doctor insights on: Peep Complications

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How long does anesthesia complications associated with C-section complications last?

Need more info: Do you currently have a complication? Although complications are rare, there are many possibilities. A headache from the placement of the epidural; a reaction to one of the meds used-and there are varying reactions/side effects. Numbness in the legs from positioning or from a nerve that was injured during the anesthetic. And then there are the complications from the surgery. ...Read more

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Airway dilation, what's the chance of needing a trach? now has leak around her breathing tube. 24wk 6 day preemie girl. 1lb 6.2oz @birth 3lb 9.4 oz

Airway dilation, what's the chance of needing a trach? now has leak around her breathing tube. 24wk 6 day preemie girl. 1lb 6.2oz @birth 3lb 9.4 oz

Air leak: Some degree of air leak is OK so long as there is adequate ventilation. It is preferable not to do a tracheostomy because very small size of baby . The neonatologist can elect to change to bigger size tube if ventilation becomes ineffective. ...Read more

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Is autism resulting from complications during delivery?

Is autism resulting from complications during delivery?

Not likely: Although the causes for autism are still being discovered and likely involve a combination of factors, complications during delivery/birth, while being a risk factor for many other problems, do not seem to be a major contributor or risk for autism specifically. ...Read more

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34 weeks pregnant today. Measuring "low amniotic fluid". Baby is measuring 5 pounds, likelihood of complications of delivered now? Induction? C-sec?

34 weeks pregnant today. Measuring "low amniotic fluid". Baby is measuring 5 pounds, likelihood of complications of delivered now? Induction? C-sec?

Depends: Depends on how low the AFI (amniotic fluid index) is and how compliant you are with NSTs. You should be resting on your left side, getting NSTs and maybe even biophysical profiles. If a smoker, stop immediately. Your fluid may rebound if you follow this plan. At 34 weeks there is about 5% chance of long term newborn complications and the c section risk depends again on how low the fluid is. ...Read more

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Stage 4 nsclc adenocarcinoma metatasized 0 months now coughing and spitting up blood, requiring immediate blood transfusion. Why?

Stage 4 nsclc adenocarcinoma metatasized 0 months now coughing and spitting up blood, requiring immediate blood transfusion. Why?

Progression of dz: I am very concerned with the symptoms. That indicates perhaps now the disease has progressed more-especially with presence of significant anemia. There is a possibility that now the cancer has gone to the bone marrow and supress normal blood production. The cancer in the lung may have gotten bigger that's explaining presence of cough/spitting blood. Need treatment ( chemo and radiation th) d/w md. ...Read more

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Tell me about atelectasis & anesthesia. 7yo bpder/ trach with atelectasis in both bases has scopes on weds. Needs anesthesia. Higher risks?

Tell me about atelectasis & anesthesia. 7yo bpder/ trach with atelectasis in both bases has scopes on weds. Needs anesthesia. Higher risks?

See below: Atelectasis is the partial collapse of some of the lung alveoli (air sacs) usually in the base of the lung. Under anesthesia these lungs will most likely be fully inflated by mechanical ventilation. There is minimal increased risk during anesthesia in a child with bpd. I would suggest discussing your concerns with the anesthesiologist doing the case. Would encourage use of nebulizer before case. ...Read more

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Mortality rate with mechanical ventilation?

Mortality rate with mechanical ventilation?

Varies: Why the patient has to be ventilated, other medical or surgical issues the patient has, and how much support the patient needs are somewhat predictive of survival. Most patients with respiratory failure recover. ...Read more

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Chances of successful pregnancy after 2 miscarriages and neonatal death?

Chances of successful pregnancy after 2 miscarriages and neonatal death?

Depends: The chances of a successful pregnancy would depend on the reasons for the miscarriages and the neonatal death. Miscarriages are relatively common, but when a women has multiple miscarriages, that can indicate and underlying medical/genetic condition that may make it more difficult to have a normal pregnancy. ...Read more

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Do diabetes complications increase during puberty?

Do diabetes complications increase during puberty?

Sometimes: Sometimes during puberty kids become less compliant with testing their blood sugars and taking their prescribed medications / insulin. So, simply being a teenager can increase complications by decreasing compliance with medical management. ...Read more

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Advanced pan can. No more chemo, 3 months. Bile duct blocked. drainage tube. Home care nurse. High fever. IV antibiotics. Life expectancy?

Advanced pan can. No more chemo, 3 months. Bile duct blocked. drainage tube. Home care nurse. High fever. IV antibiotics. Life expectancy?

Hard to say: Each patient and each cancer has its own characteristics and it is not possible to predict the life expectancy with accuracy. You may consult this site for general information on the topic. http://www.pancreatic.org/site/c.htJYJ8MPIwE/b.5050503/k.40C9/Pancreatic_Cancer_Facts.htm ...Read more

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Could vaginal probiotics during the antepartum period and intrapartum antibiotics at l&d prevent chorioamnionitis and subsequent complications?

Could vaginal probiotics during the antepartum period and intrapartum antibiotics at l&d prevent chorioamnionitis and subsequent complications?

Chorioamnionitis: In general, vaginal probiotics and antibiotics during labor can reduce the risk of chorioamnionitis. If there is a concern based on precious pregnancy outcomes, this questions should be discussed with the treating obstetrician. ...Read more

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How long does bleeding complication associated with C-section complications last?

How long does bleeding complication associated with C-section complications last?

Up to 6 weeks: One can have bleeding on and off for up to 6 weeks after delivery, vaginal or cesarean. However, it should not be increasing with time. If the bleeding is heavy, you should call your doctor. ...Read more

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How rare are fatal complications for mothers when delivering a baby? Examples including amniotic embolism.

How rare are fatal complications for mothers when delivering a baby? Examples including amniotic embolism.

Maternal death: 37 F asks: How rare are fatal complications for mothers when delivering a baby? Examples including amniotic embolism. ANS: rare but this depends on age, ethnicity, social class, access to prenatal care and past history of preg complications. So share you question with your Drs and discuss with them. Let us know what they say. ...Read more

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2 episodes of sudden bright red blood drain through the drain tube 3 weeks post renal transplant. Creatinine, CT normal. Possible leak sources ?

2 episodes of sudden bright red blood drain through the drain tube 3 weeks post renal transplant. Creatinine, CT  normal. Possible leak sources ?

Many sources: It could be serious bleeding from the connection of the blood vessels or it could be minor muscle or soft tissue bleeding. Make sure your coordinator and surgeon assess you. ...Read more

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Stage 4 nsclc adenocarcinoma metatasized 10 months now coughing and spitting up blood, requiring immediate blood transfusion. Why?

Stage 4 nsclc adenocarcinoma metatasized 10 months now coughing and spitting up blood, requiring immediate blood transfusion. Why?

Natural course of dz: I am very concerned with the symptoms. That indicates perhaps now the disease has progressed more-especially with presence of significant anemia. There is a possibility that now the cancer has gone to the bone marrow and supress normal blood production. The cancer in the lung may have gotten bigger that's explaining presence of cough/spitting blood. Need treatment ( chemo and radiation th) d/w md. ...Read more

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Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Depends : Very low blood pressure sometimes hurts kidney function. The need for dialysis in the acute hospital setting is determined by complications of poor kidney function. Your physician can help explain this in the context of the specific patient. ...Read more

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Risks of kidney transplant and plasma exchange?

Risks of kidney transplant and plasma exchange?

Not very harmful: If someone spoke to you about plasma exchange, then the issue is the presence of anti-donor antibodies in the recipient. The procedure removes the plasma containing the antibodies. The procedure is used either at the time (or just before) the transplant to prevent rejection in sensitized patients. Or, after the transplant if antibody mediated rejection has occurred. ...Read more