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Infectious Disease Case Reports Posters IISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Pneumocystis jiroveci pneumonia (PJP) is an infection known to affect immunocompromised individuals and is rarely seen outside of the HIV positive population. It typically presents with radiographic findings of a diffuse bilateral interstitial infiltrate pattern with diagnosis being confirmed via sputum or bronchoscopy. ⋯ The following authors have nothing to disclose: John Kern, Corinne Kern, Cristina CicognaNo Product/Research Disclosure Information.
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Cardiovascular Case Report Posters ISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: For regional anesthesia, lidocaine bupivacaine combination is popular due to the advantage of quick onset action of lidocaine and longer duration of action of bupivacaine. Although a safe procedure, toxicity from local anesthetics can result from local absorption and/or inadvertent direct IV injection. Direct cardiac toxic effects of local anesthetics involve arrhythmias and/or direct myocardial injury/ suppression. A recent study showed that bupivacaine induce mitochondrial swelling in myocarium with resultant negative inotropic effects. Bupivacaine in high doses or unintentional intravascular injection may lead to high plasma levels and related depression of the myocardium, heart block, hypotension, bradycardia, ventricular arrhythmias, and cardiac arrest. There is very limited echocardiographic and ventriculographic evidence of bupivacaine induced cardiac dysfunction. ⋯ This case describes inverted takotsubo cardiomyopathy as a mechanism for bupivacaine induced cardiac suppression and demonstrates the need for increased awareness of the rare but serious cardiotoxic effects of bupivacaine when used for nerve blocks.Reference #1: Coyle DE et el Anesth Analg. 1994 Aug; 79(2):335-339DISCLOSURE: The following authors have nothing to disclose: Martinus Dyrud, Rakesh Gupta, Rumi KhanNo Product/Research Disclosure Information.
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Tobacco Cessation and PreventionSESSION TYPE: Slide PresentationsPRESENTED ON: Saturday, March 22, 2014 at 12:15 PM - 01:15 PMPURPOSE: A number of non-pharmacological approaches to smoking cessation have been developed with varying degree of success. Intensive anti-smoking counselling remains to be evaluated in countries with limited budget for nicotine replacement therapy; hence this study aimed to define the role of intensive antismoking counselling in taking patients off tobacco in a low-income country. ⋯ The following authors have nothing to disclose: Maha GhanemNo Product/Research Disclosure Information.
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ILD PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Thin-section computed tomography (CT) is better than normal chest radiograph in the detection of pulmonary lesion including smoke inhalation injury which is often non-specific on chest X-ray. Unfortunately, specific changes and findings in CT have not yet been described. The aim of this study is to identify and describe the most useful CT features in inhalation injury. ⋯ The following authors have nothing to disclose: In-Gyu Hyun, Cheol-Hong KimNo Product/Research Disclosure Information.
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Respiratory Support PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Aerosol and humidification therapy are used in long-term airway management of critically ill patients with tracheostomy. The purpose of this study was to determine delivery efficiency of jet (JN) and mesh (MN) nebulizers combined with various humidification systems in a spontaneously breathing adult lung model with tracheostomy with or without exhaled humidity. ⋯ James Fink: Consultant fee, speaker bureau, advisory committee, etc.: Aerogen, Bayer, Boerhinger Ingleheim, Cubist, Dance Biopharm, Novartis, ONY, Parion, Aridis, and the WHO The following authors have nothing to disclose: Arzu AriNo Product/Research Disclosure Information.