Chest
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Lung Ventilation/Perfusion Scan With SPECT-CT on Two Patients With Congenital Thoracic Malformation.
Congenital Disorder Case Report PostersSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Poland syndrome was first describe by Alfred Poland in 1941, as the presence of syndactyly and the partial or complete absence of ipsilateral chest muscle, although is more common to find absence on its sternocostal portion, with or without absence of the minor pectoral. Pectus excavatum is a congenital deformity of the anterior wall of the thorax, in which the costal cartilages grow abnormally. In previous studies the quantitative evaluation of the lung volume has been reported with scintigraphy with the SPECT-CT technique with 99m Tc macroaggregates formulation, having as a goal to determine the favorable changes of the surgical reconstruction by Thoracoscopy assisted NUSS procedure on patients with pectus excavatum. After the bibliographic review, there were no reports found for the lung function evaluation by the SPECT-CT technique on any thoracic malformation. ⋯ Is expected to provide, beside the morphological evaluation by conventional imaging tests, a functional technique with nuclear medicine by the lung ventilation/ perfusion scan with SPECT-CT technique to determine the lung function and changes of the secondary lung parenchymal to congenital alterations of the thoracic cage, keep monitoring and reevaluate the lung function after surgical treatment.Reference #1: Pearl, Pediatric Radiology Poland Syndrome 1971;101:619-62 2. Pinedo Presentación de un caso de corrección cosmética de pectus excavatum Rev INER 2005;18:117-122 3. Mansour Ann Thorac Surg 2003;76:391-395 4. Protopapas, Journal of Cardiothoracic Surgery 2008,3:40 5. Onur, Ann Saudi Med 2006;26(5):370-374 6. Schanberger, General Thoracic Surgery, 2005 6th ed, Chapter 41DISCLOSURE: The following authors have nothing to disclose: Sigelinda Sandoval Borrego, Francina BolanosI agree.
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Critical CareSESSION TYPE: Slide PresentationsPRESENTED ON: Monday, March 24, 2014 at 10:45 AM - 11:45 AMPURPOSE: Arterial blood gases are routinely obtained to monitor adequacy of oxygenation, ventilation , and acid-base status in patients undergoing mechanical ventilation. A novel respiratory index, the Integrated Pulmonary Index, (IPI™), was developed to provide a simple and accurate tool to assess respiratory status and to assist in determining if an intervention is necessary. Through a mathematical algorithm that integrates respiratory rate (RR), end-tidal CO2 (etCO2), pulse rate (PR), and pulse oxygen saturation (SpO2), the IPI is continuously displayed as a number between 1 and 10, where 8 to 10 indicates a normal overall respiratory status, 5 to 7 indicates needs for assessment and possible intervention, and 1 to 4 calls for prompt intervention. Although IPI has been shown to correlate well with respiratory status in adults and children undergoing procedural sedation, it has not yet been correlated with arterial blood gas parameters obtained in the intensive care unit (ICU). This study evaluated the clinical correlation between the IPI and results from arterial blood gases routinely obtained in the ICU. ⋯ Ruben Restrepo: Grant monies (from industry related sources): Received funding from Covidien to complete this investigator-initiated project The following authors have nothing to disclose: Adil AlotaibiAlthough the equipment used for monitoring capnography and pulse oximetry (Capnostream), the IPI is still under investigation for vaildation as a pulmonary index.
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Infectious Diseases CasesSESSION TYPE: Case ReportsPRESENTED ON: Saturday, March 22, 2014 at 04:15 PM - 05:15 PMINTRODUCTION: Fournier's Gangrene is a life-threatening necrotizing infection of the perineum which affects immunocompromised patients, including those with diabetes and alcoholism. It is usually polymicrobial in nature, but occasionally results from atypical organisms. We report a rare case of tuberculous Fournier's Gangrene from a presumed prostatic source. ⋯ In our patient, the tuberculous abscesses were presumed to be local prostatic seeding given the occult nature of this disease and lack of active pulmonary tuberculosis or evidence of wide-spread dissemination.Reference #1: Clin Infect Dis(2009) 49: 1350-7Reference #2: World J Urol(2012) 30:15-21Reference #3: Int J Urol(2008) 15: 827-832DISCLOSURE: The following authors have nothing to disclose: Jason Schnack, Aarti Mittal, Ching-Fei ChangNo Product/Research Disclosure Information.
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Tuberculosis Case Report PostersSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMPURPOSE: To diagnose and treat an old patient with a rare tongue tumor. ⋯ The following authors have nothing to disclose: Roxana Nemes, Emilia Tabacu, Gilda PopescuNo Product/Research Disclosure Information.
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COPD Comorbidity PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: The effects of meteorological conditions on the frequency of COPD (chronic obstructive pulmonary disease) exacerbations. ⋯ The following authors have nothing to disclose: Burhan Akbas, Arzu MiriciNo Product/Research Disclosure Information.