Chest
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Respiratory Support PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: To evaluate outcome of weaning failure patients sent home on invasive home mechanical ventilation.(IHMV)METHODS: Overall feasibility,safety,efficacy and cost-effectiveness of 10(n=10) tracheostomised patients unable to wean discharged from Metro Centre for Respiratory Disease on IHMV in the year 2012, were analyzed .Cost-effectiveness was evaluated in terms of cost saved per patient discharged alive, life year saved and cost per year of life saved. The survival was calculated by the 30 days mortality rate. Efficacy was calculated by number of decannulation and discontinuation of IMV. Data was statistically analyzed using χ2 test with level of significance taken at p ≤ 0.05RESULTS: The mean age of the patient population was 72.1±12.84years.Mean duration of hospitalization was 23.7±12.62 days whereas ICU stay was 11.7±6.01 days. Six patients were sent home on BiPAP (S/T mode) with IPAP of 14.4 ± 1.63 cm H2O and EPAP of 6.11 ± 0.8 cm H2O, whereas 3 patients were sent home on BIPAP with AVAPS and one on SIMV(PC mode).Median days patients were followed up at home were 35.8 days with a median duration of usage of MV being 18.6 days. The 30 days mortality was 40% (p=0.188).Two patients required readmission.The cost saved per patient discharged alive, who either died or were readmitted was US$ 16241.72. The life year saved was 0.13(p= 0.361) whereas the cost-per year of life saved was US$ 151662.18. Three(n= 3)patients (30.0%; p= 0.241) were successfully decannulated and continue on IHMV beyond 30 days, two discontinued HMV. ⋯ The following authors have nothing to disclose: Mir Ali, Deepak TalwarNo Product/Research Disclosure Information.
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Surgery Case Report Posters IISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Pancreaticopleural fistulae (PPF) are rare communications between the pancreatic duct and the pleural cavity. More commonly the sequelae of alcoholism, PPF occasional results from peripancreatic surgery. ⋯ The following authors have nothing to disclose: Eric Toloza, Christian Sobky, Anna Cheng, Christy Chai, Ian Smithson, Lori Brown, Carla Moodie, Joseph Garrett, Colin Parsons, Pamela Hodul, Mokenge MalafaNo Product/Research Disclosure Information.
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Application of Light's criteria results in misclassification of some transudative effusions as exudative, particularly because of congestive heart failure (CHF). We sought to determine if the serum to pleural fluid albumin (SF-A) and serum to pleural fluid protein (SF-P) gradients increased the predictive accuracy to correctly identify exudative effusions. ⋯ Application of Light's criteria, not uncommonly, misclassifies CHF transudative effusions as exudates. In cases where no cause for an exudative effusion can be identified or CHF is suspected, the sequential application of the fluid LDH, followed by the SF-P and then the SF-A gradients, may assist in reclassifying pleural effusions as transudates.
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COPD Epidemiology & Physiology PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: To identify predictors associated with hospital readmission in patients discharged after acute exacerbation of chronic obstructive lung disease (AECOPD). ⋯ The following authors have nothing to disclose: Sana' AL Aqqad, Teo Ley Khim, Irfhan Ali Hyder Ali, Balamurugan TangiisuranNo Product/Research Disclosure Information.
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Cancer Case Report Posters IISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Cisplatin, is a heavy metal complex which is used alone or with other cytotoxics,for long years in the treatment of solid tumors. Although renal and gastrointestinal toxicity are commonly dose limiting, several neurological complications have been described,particularly after high doses. The main neurological side effects are peripheral sensory neuropathy predominantly and ototoxicity, which may be irreversible. Seizures are rare and are often reversible. ⋯ We conclude that physicians using cisplatin chemotherapy should be aware of this rare complication.Reference #1: Steeghs, N.a c; de Jongh, F. E.a d; Smitt, P. A. E. Sillevisb; Bent, M. J. van denb .Cisplatin-induced encephalopathy and seizures. Anti-Cancer Drugs. 2003 - Volume 14 - Issue 6 - pp 443-446 Case ReportReference #2: Fuse-Nagase Y, Suwa K, Nagao Y.Partial seizures associated with cisplatin administration: a case report.Clin Electroencephalogr. 1997 Jan;28(1):55-6DISCLOSURE: The following authors have nothing to disclose: Makbule Ozlem Akbay, Dilek Ernam, Nuray Erdal, Aysegul CubukNo Product/Research Disclosure Information.