Marx Christian Sorino’s Post

Ultrasound guided L subclavian venous cannulation with smaller incidence of malposition than on the R in this. A related study showing that abducting the R arm and elevating the R shoulder can be protective for the R subclavian access going up the R IJ https://lnkd.in/gtW3Ypzb https://lnkd.in/gUGjb7YC

First case only over month ago. Here is our second case in Nigeria!!! Deep vein thrombosis is the formation of clot in one of the veins in the leg. This can be caused by multiple factors including a high propensity to clot from several factors or long term immobility. When a clot forms in the leg, this typically manifests with leg swelling and should promt you to seek medical attention. Most patients are treated successfully with blood thinning(anticoagulation) medications. It is important that you stick to the anticoagulant regimen to avoid formation of large clots in the big veins in the belly(inferior vana cava). If this happens, it becomes a serious medical problem. We can however still treat this patient’s successfully here in Nigeria with intervenal radiology techniques. #iliocaval thrombosis Euracare

Unimaginable cause of abrupt bleeding after band ligation of esophageal varices #foryou #explore #medicine #endoscopy #اكسبلور# #طب # A 79-year-old woman presented with a massive attack of hematemesis and melena. The patient gave a history of chronic liver disease and band ligation for esophageal varices. Laboratory studies revealed thrombocytopenia, PLTcount= 38000. the patient underwent an upper digestive endoscopy. The scope revealed esophageal varices and band ligation was performed. One minute after withdrawal of the scope, there is an attack of fresh bleeding. Upper endoscopy was done and revealed oozing around the rings of band ligation https://lnkd.in/dZEkiqe6

Gastroparesis crash course # 2 How do you work it up? Do upper endoscopy Why? The symptoms of gastroparesis mimic those of pyloric obstruction. So, anything causing obstruction at the pylorus, like a tumor or pyloric stenosis, would mimic gastroparesis. EGD done --> pyloric obstruction ruled out --> now what? Do one of the following 3 studies. 1. Nucear medicine gastric emptying study, OR 2. Wireless motility capsule study, OR 3. Gastric emptying carbon breath testing study Keep in mind that if the patient is diabetic, the blood glucose has to be less than 275 mg/dL because hyperglycemia can itself impair gastric emptying. MedEd University Piracha Consulting LLC 

Cook G31519 Echotip Ultra ECHO 25 Endoscopic Ultrasound Needle Part #G31519                  Exp 8/17, 4/17 Cook G31519 Echotip Ultra is used to sample targeted submucosal gastrointestinal lesions through the accessory channel of an ultrasound endoscope. G31519 / ECHO-25 - Needle Gauge: 25 - Sheath Size: 5.2F

🧡 How #Memosorb series of biodegradable occluders are shaping the future of cardiac care ❤️ #Research Sharing: First-in-Human Experience With a Novel Fully Bioabsorbable Occluder for Ventricular Septal Defect The first human experience with the implantation of fully bioabsorbable occluders for VSDs was performed using echocardiographic guidance and a specialized shaping line. Between February and June 2018, five patients with perimembranous VSDs underwent successful closure at Fuwai Yunnan Cardiovascular Hospital. The fully bioabsorbable occluders, with a polydioxanone framework and poly-L-lactic acid fabric were implanted using a hybrid perventricular approach. After occluder deployment, a “double-umbrella” framework shape is achieved by pulling back the line while pushing the delivery cable. With a mean defect size of 5.1±0.5 mm (range: 4.5 to 6 mm), mean occluder size of 7.4±1.1 mm (range: 6 to 9 mm), mean total procedural time of 59.0±11.2 min, and mean post-operative hospital stay of 2.8±0.8 days (range: 2 to 4 days), the fully bioabsorbable occluders were implanted successfully in all patients, without occluder malposition, atrioventricular block, residual shunt, or valvular regurgitation. All patients completed 6-month follow-up, without deaths or severe complications such as aortic regurgitation, embolism, and malignant arrhythmias. Today, the MemoSorb series of biodegradable occluders has been used in over 3,000 cases across China, offering a healthier and safer future for patients with structural heart disease. Reference: Chen, L, Hu, S, Luo, Z. et al. First-in-Human Experience With a Novel Fully Bioabsorbable Occluder for Ventricular Septal Defect. J Am Coll Cardiol Intv. 2020 May, 13 (9) 1139–1141. More products 👀 >>https://lnkd.in/e_kMV48W #CHD #LepuScientech #Lepumedical #BiodegradableOccluder #MedicalDevice #VentricularSeptalDefect

🚨Do you want to succeed in your blocks? This article is for you!🚨 A fascinating study recently published in *RAPM* sheds light on the complexity of adipose tissue compartments enclosed by fascia and how they impact nerve block outcomes. 🔍 Using postmortem histology and in vivo micro-ultrasound, the study reveals that local anesthetic agents can occupy multiple, non-communicating fat compartments, leading to variability in: - Block success rates - Onset time - Block density - Duration of effect - Secondary continuous block failure Why does this matter? Classic nerve block mechanisms and histology do not account for these adipose compartments. This study suggests that these fatty compartments may also influence injection pressures, challenging our assumptions about needle tip location during procedures. For those working in pain management and completing interventional procedures, this could be a game-changer. Understanding the nuances of these compartments is crucial to improving nerve block precision and patient outcomes. 🔗 If you want to read more: https://bit.ly/3XNQRh7 #PainMedicine #RegionalAnesthesia #NerveBlocks #InterventionalPain #MedicalResearch #PMR #RAPMJournal

✨ We welcome you to read the latest published paper "Combined Ultrasound and Fluoroscopy versus Ultrasound versus Fluoroscopy-Guided Caudal #Epidural Steroid Injection for the Treatment of Unilateral Lower #Lumbar Radicular Pain: A Retrospective Comparative Study" 🔗 Read the full article: https://lnkd.in/dMWQCtEQ 👉 This paper is part of the closed Special Issue "Persistent #Pain: Advances in Diagnosis and Management". Read all published papers: https://lnkd.in/dvszqpWR #spine #painmanagement

#FridayFacts: Did you know? The liver has an extraordinary ability to regenerate itself. The liver is the only organ in the human body that has the remarkable ability to regenerate itself. Even if up to 70% of the liver is removed due to surgery or injury, it possesses the unique capacity to grow back to its full size and restore its function. This regenerative process involves the rapid proliferation of the remaining liver cells to replace the lost tissue, ensuring that the liver can continue performing its vital roles. These roles include detoxifying harmful substances, producing essential proteins, regulating metabolism, and storing nutrients. This extraordinary capability underscores the liver's critical importance in maintaining overall health and metabolic balance. Source: ScienceDirect.COM Nelson Fausto, Liver regeneration, Journal of Hepatology, Volume 32, Supplement 1, 2000, Pages: 19-31, ISSN: 0168-8278" . . . #Nutsby #FridayFact #facts #facts #trendingnow #explore #healthfacts #healthfact #liver #liverhealth #liverregeneration

I recently had the opportunity to perform a challenging yet rewarding procedure on a patient who developed a renal arteriovenous fistula following a motor vehicle accident. This rare vascular malformation, characterized by an abnormal connection between the renal artery and vein, can lead to significant complications if left untreated. Using the Onyx™ Liquid Embolic System by Medtronic, we successfully embolized the fistula, preserving renal function and preventing further complications. The advantages of liquid embolic agents, such as controlled delivery, excellent visibility, ensuring complete filling, and distal penetration of the vessels, make it my first choice in trauma with bleeding. This case underscores the importance of timely intervention and the advancements in interventional radiology that allow us to treat complex conditions with minimal invasiveness. I am proud to be part of a continually evolving field to provide better patient outcomes. #InterventionalRadiology #Embolization #RenalAVF #MedicalInnovation #PatientCare Amit Brill