Erratum to: 36th International Symposium on Intensive Care and Emergency Medicine

[This corrects the article DOI: 10.1186/s13054-016-1208-6.]

Nurses' perceptions of aids and obstacles to the provision of optimal end of life care in ICU

Contains fulltext : 172380.pdf (publisher's version ) (Open Access

Clinical and radiological evaluation of five patients with double aortic arch [Çift arkus aorta: Beş vakanin klinik ve radyolojik degerlendirilmesi]

Double aortic arch is a very rare congenital vascular anomaly that causes tracheal and esophageal compression. In this study, clinical and radiological evaluations of five patients, four girls and one boy, diagnosed as double aortic arch between 1996-2002, were done. The average age was 7,2 months (4-11) and the average follow-up duration was 50 months. Four patients were admitted with the symptoms of respiratory distress, recurrent lung infection and feeding problems. One patient was asymptomatic. The patients were evaluated with plain chest X-ray, barium esophagogram, echocardiography, angiography and thorax magnetic resonance imaging. There was an accompanying congenital cardiopathy in two patients. Tetralogy of Fallot was seen in one patient, and PDA in the other. Surgical division of the left smaller arch was applied to the four patients. There was a complete recovery from the respiratory distress, cough and feeding problems in three patients. Although frequency and severity were decreased, expiratory wheezing continued in the patient with obliterative bronchiolitis

A case report of tuberous sclerosis with cardiac rhabdomyomas diagnosed antenatally by fetal echocardiography [Fetal ekokardiyografi ile kalpte rabdomiyomlarin saptandigi tuberosklerozlu bir olgu sunumu]

Tuberous sclerosis is a multisystem disease, involving primarily the skin, the brain, the kidneys, the heart and the eyes. The most frequent cardiac tumor is rhabdomyoma. In our patient who was referred to our hospital due to fetal arrhythmia, multiple intracardiac masses were detected by fetal echocardiography performed in the 36th week of pregnancy. Cardiac rhabdomyoma was considered and the baby was investigated for tuberous sclerosis. The diagnosis of tuberous sclerosis was established by the presence of multiple subependymal calcific nodules and periventricular and subcortical tubers in the postnatal magnetic resonance imaging. Since the rhabdomyomas had not caused hemodynamic impairment, surgical treatment was not considered. The patient was followed up and we observed that rhabdomyomas regressed and arrhythmia decreased without any medical treatment. We wanted to point out that the diagnosis of tuberous sclerosis should be considered in cases presenting with intracardiac masses on fetal echocardiography

Elastic properties of the abdominal aorta in the children with bicuspid aortic valve: An observational study [Biküspit aortik kapakli{dotless} çocuklarda abdominal aortun elastik özellikleri: Gözlemsel bir çali{dotless}şma]

PubMed ID: 22591936Objective: Abnormalities of the aortic root and ascending aorta are common in patients with a bicuspid aortic valve (BAV). The aim of this study was to evaluate the stiffness of the abdominal aorta in children with BAV. Methods: In this cross-sectional observational study, we evaluated 35 children with normally functioning or mildly regurgitant BAV and 35 healthy children as controls. All children were noninvasively evaluated with transthoracic echocardiography. Annulus of aorta and abdominal aorta diameters were measured. Aortic strain (S), pressure strain elastic modulus (Ep), pressure strain normalized by diastolic pressure (Ep&z.ast;), aortic stiffness ß index (ßSI) and, aortic distensibility (DIS) were calculated using the measured data. In evaluation of the data Student's t-test, Chi-square test, Pearson's correlation and multivariate linear regression analysis were used. Results: Diameter of the aortic annulus was found significantly larger in the children with BAV than the control group (p0.05). The children with BAV exhibited significantly lower S (0.210±0.04/0.267±0.07, p0.05). Conclusion: Bicuspid aortic valve is associated with an increased abdominal aortic stiffness in children. However, impaired abdominal aortic elasticity is not due to abdominal aortic dilatation. These findings require validation by further studies. © 2012 by AVES Yayi{dotless}ni{dotless}li{dotless}k Ltd

Biküspit aortik kapaklı çocuklarda abdominal aortun elastik özellikleri: Gözlemsel bir çalışma

Objective: Abnormalities of the aortic root and ascending aorta are common in patients with a bicuspid aortic valve (BAV). The aim of this study was to evaluate the stiffness of the abdominal aorta in children with BAV. Methods: In this cross-sectional observational study, we evaluated 35 children with normally functioning or mildly regurgitant BAV and 35 healthy children as controls. All children were noninvasively evaluated with transthoracic echocardiography. Annulus of aorta and abdominal aorta diameters were measured. Aortic strain (S), pressure strain elastic modulus (Ep), pressure strain normalized by diastolic pressure (Ep&z.ast;), aortic stiffness β index (βSI) and, aortic distensibility (DIS) were calculated using the measured data. In evaluation of the data Student's t-test, Chi-square test, Pearson's correlation and multivariate linear regression analysis were used. Results: Diameter of the aortic annulus was found significantly larger in the children with BAV than the control group (p0.05). The children with BAV exhibited significantly lower S (0.210±0.04/0.267±0.07, p0.05). Conclusion: Bicuspid aortic valve is associated with an increased abdominal aortic stiffness in children. However, impaired abdominal aortic elasticity is not due to abdominal aortic dilatation. These findings require validation by further studies. © 2012 by AVES Yayi{dotless}ni{dotless}li{dotless}k Ltd