The underrated role of ultrasound in peritoneal dialysis.
The application of ultrasound (US) in peritoneal dialysis (PD) started in the 90s, focusing on common clinical aspects such as exit site and tunnel infections.1-3 In the new millennium, US was evaluated as an aid to percutaneous catheter placement and for the study of catheter malfunction.4-10 In case reports or case series, US was useful in detecting complications such as adhesion,11, 12 hernia,13, 14 leakage,15 cyst formation,16 or pleuroperitoneal communication17 often anticipating or confirming the diagnosis of other radiological techniques such as computed tomography or nuclear magnetic resonance. In daily clinical practice, bedside US seems to have an underrated role despite its considerable diagnostic power. This publication wants to explain and reinforce the clinical utility of US in PD and to expand the diagnostic equipment for the clinical nephrologist.
Ultrasound is very effective in performing procedures and assessment of complications in peritoneal dialysis. The ultrasound examination can be applied for preoperative assessment, during the peritoneal catheter placement, for the detection and monitoring of infection, as well as for the evaluation of the catheter malfunction. Despite being not only a cost- and time-saving technique but also a bedside procedure, ultrasonography remains an underrated clinical tool in the field of peritoneal dialysis. This publication wants to explain and reinforce the clinical utility of US in PD and to expand the diagnostic equipment for the clinician.
Granata A; Rahbari E; Di Nicolò P; Battaglia Y; Campo I; Fresilli D; Pacini P; Lucatelli P; Barr RG; Cantisani V; Zeiler M
Journal Of Ultrasound In Medicine
2021
2021-03-29
Journal Article
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The underrated role of ultrasound in peritoneal dialysis.
complication; diagnosis; infection; malfunction; peritoneal dialysis; ultrasound
Ultrasound is very effective in performing procedures and assessment of complications in peritoneal dialysis. The ultrasound examination can be applied for preoperative assessment, during the peritoneal catheter placement, for the detection and monitoring of infection, as well as for the evaluation of the catheter malfunction. Despite being not only a cost- and time-saving technique but also a bedside procedure, ultrasonography remains an underrated clinical tool in the field of peritoneal dialysis. This publication wants to explain and reinforce the clinical utility of US in PD and to expand the diagnostic equipment for the clinician.
Granata A; Rahbari E; Di Nicolò P; Battaglia Y; Campo I; Fresilli D; Pacini P; Lucatelli P; Barr RG; Cantisani V; Zeiler M
Journal Of Ultrasound In Medicine
2021
2021-03-29
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
journalArticle
<a href="http://doi.org/10.1002/jum.15710" target="_blank" rel="noreferrer noopener">10.1002/jum.15710</a>
The Wrist Pivot Method, A Novel Technique For Temporomandibular Joint Reduction
complication; dislocation; ED procedure; Emergency Medicine; subluxation; temporomandibular joint; TMJ; TMJ dislocation
Lowery L E; Beeson M S; Lum K K
Journal of Emergency Medicine
2004
2004-08
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1016/j.jemermed.2004.03.007" target="_blank" rel="noreferrer noopener">10.1016/j.jemermed.2004.03.007</a>
Lumbosacral Plexopathy After Dual Kidney Transplantation
complication; dual kidney transplantation; femoral neuropathy; lumbosacral plexopathy; neuropathy; renal-transplantation; Urology & Nephrology
Dhillon S S; Sarac E
American Journal of Kidney Diseases
2000
2000-11
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1053/ajkd.2000.19109" target="_blank" rel="noreferrer noopener">10.1053/ajkd.2000.19109</a>
Complications of anesthesia for children with malignant infantile osteopetrosis before and after hematopoietic stem cell transplantation
diagnosis; Pediatrics; intubation; osteopetrosis; management; morbidity; Anesthesiology; complication; autosomal recessive osteopetrosis; anaesthesia
P>Objectives and aims: The primary aim was to determine the frequency of anesthetic-related complications for patients with malignant infantile osteopetrosis (MIOP) before and after hematopoietic stem cell transplant (HSCT). The secondary aims were to describe the types of complications that occurred, to determine whether the risk of anesthetic complications was altered by HSCT, and to determine the frequency of difficult intubation. Background: Patients with MIOP undergo HSCT, often in infancy, and anesthesia is frequently required for investigations and procedures associated with transplantation. Although MIOP has adverse implications for anesthetic management, the literature describing the anesthetic management of MIOP patients is limited. Methods: A retrospective review of medical and anesthetic records was undertaken between November 2000 and March 2008. Results: Eleven patients underwent 127 anesthetics. The overall complication rate was 11%. Before HSCT, there were 12 complications in 62 anesthetics (19.3%). After HSCT, there were two complications in 65 anesthetics (3.2%). This difference was not statistically significant. All of the complications were airway or respiratory events. Of the 26 intubations associated with anesthesia, 23 (88.5%) were easy, 1 (3.8%) was moderately difficult, and 2 (7.7%) were difficult. Conclusion: Complications associated with anesthesia for infants and children with MIOP having HSCT are fairly common and are usually airway or respiratory related. Difficult endotracheal intubation is also common.
Burgoyne L L; Kaur A; Billups C A; Parish M E; Kaddoum R N; Bikhazi G B; Pereiras L A
Pediatric Anesthesia
2010
2010-11
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1111/j.1460-9592.2010.03425.x" target="_blank" rel="noreferrer noopener">10.1111/j.1460-9592.2010.03425.x</a>
Recurrent pseudoaneurysm after carotid endarterectomy
Angioplasty; aortic endograft infection; Bovine patch; Carotid endarterectomy; Complication; experience; false aneurysm; Infection; pasteurella-multocida; patch infection; Pseudoaneurysm; Surgery
Pseudoaneurysms and patch infections are known complications of carotid endarterectomy with patch angioplasty. Although they are rare occurrences, they carry high morbidity and almost uniformly require surgical intervention. Infectious pathogens are often gram-positive bacteria, most commonly Staphylococcus species, whereas gram-negative infections are less frequently observed. We present a case of recurrent pseudoaneurysm in a patient who had a carotid endarterectomy with bovine pericardial patch angioplasty complicated by Pasteurella multocida infection. This case demonstrates the need for recognition and consideration of a broad differential of pathogens in evaluating and treating vascular infections.
Azouz V; Fahmy J N; Kornbau C; Petrinec D
Journal of Vascular Surgery Cases and Innovative Techniques
2019
2019-06
<a href="http://doi.org/10.1016/j.jvscit.2018.12.010" target="_blank" rel="noreferrer noopener">10.1016/j.jvscit.2018.12.010</a>
Recurrent pseudoaneurysm after carotid endarterectomy
Angioplasty; Bovine patch; Carotid endarterectomy; Complication; Infection; Pseudoaneurysm
Pseudoaneurysms and patch infections are known complications of carotid endarterectomy with patch angioplasty. Although they are rare occurrences, they carry high morbidity and almost uniformly require surgical intervention. Infectious pathogens are often gram-positive bacteria, most commonly Staphylococcus species, whereas gram-negative infections are less frequently observed. We present a case of recurrent pseudoaneurysm in a patient who had a carotid endarterectomy with bovine pericardial patch angioplasty complicated by Pasteurella multocida infection. This case demonstrates the need for recognition and consideration of a broad differential of pathogens in evaluating and treating vascular infections.
Azouz Vitali; Fahmy Joseph N; Kornbau Craig; Petrinec Drazen
Journal of Vascular Surgery Cases and Innovative Techniques
2019
2019-06
<a href="http://doi.org/10.1016/j.jvscit.2018.12.010" target="_blank" rel="noreferrer noopener">10.1016/j.jvscit.2018.12.010</a>