17 research outputs found
Unexpected pyomyositis of right buttock
A 11-year-old boy was admitted to the emergency department complaining of pain in the right hip, fever and had developed a noticeable limp sinds one week. He had fallen on his buttock in the swimming pool a few weeks before. Physical examination revealed pain at the mobilisation of the right hip, without limitation of movement. The laboratory data showed increased value CRP (154 mg/l) and leukocytosis at 11300 WBC/µl
Delayed rupture of the extensor digitorum tendon of the index finger after a distal radial fracture in a child
status: publishe
<i>Ureaplasma urealyticum</i> osteomyelitis of the greater trochanter in a patient with multiple sclerosis using ocrelizumab – a case report
Ocrelizumab – a monoclonal anti-CD20 antibody used in treatment of multiple sclerosis (MS) – marks significant progress in treating autoimmune diseases but raises susceptibility to opportunistic infections due to hypogammaglobulinemia. A young MS patient developed osteomyelitis from persistent Ureaplasma urealyticum urethritis, which was diagnosed with specialized polymerase chain reaction and resolved with targeted antibiotics. A multidisciplinary approach is crucial for managing such infections.</p
FLOW-i ventilator performance in the presence of a circle system leak
Recently, the FLOW-i anaesthesia ventilator
was developed based on the SERVO-i intensive care ventilator.
The aim of this study was to test the FLOW-i\u2019s tidal
volume delivery in the presence of a leak in the breathing
circuit. We ventilated a test lung model in volume-, pressure-,
and pressure-regulated volume-controlled modes
(VC, PC, and PRVC, respectively) with a FLOW-i. First,
the circuit remained airtight and the ventilator was tested
with fresh gas flows of 6, 1, and 0.3 L/min in VC, PC, and
PRVC modes and facing 4 combinations of different
resistive and elastic loads. Second, a fixed leak in the
breathing circuit was introduced and the measurements
repeated. In the airtight system, FLOW-i maintained tidal
volume (VT) and circuit pressure at approximately the set
values, independently of respiratory mode, load, or fresh
gas flow. In the leaking circuit, set VT = 500 mL, FLOWi
delivered higher VTs in PC (about 460 mL) than in VC
and PRVC, where VTs were substantially less than
500 mL. Interestingly, VT did not differ appreciably from
6 to 0.3 L/min of fresh air flow among the 3 ventilatory
modes. In the absence of leakage, peak inspiratory pressures
were similar, while they were 35\u201345 % smaller in
PRVC and VC than in PC mode in the presence of leaks. In
conclusion, FLOW-i maintained VT (down to fresh gas
flows of 0.3 L/min) to 90 % of its preset value in PC mode,
which was 4\u20135 times greater than in VC or PRVC modes