VenkaT TummurU’s Post

#11MonthsBaby #PeaNutInTrachea 11 Months Baby Brought to Paediatrician with C/O Noisy Breathing, Cough since 12 hrs. Tried Symptomatic treatment at Local Hospital, but not subsiding. H/O Cough while eating biscuit, but very small pieces. CxR - WNL O/E - Noisy Breathing on & office Family H/O Asthma + nt. SpO2 - 80 % @ R.A, Patient restless, Auscultation - Bil Extensive Wheeze. Kept on HFNC, Started on Nebulization, Steroids - comparatively better. Persistent Wheeze, unable wean from HFNC even after 24 hrs. Started on Aminophylline. Wheeze decreased but intermittent with Tachypnea, tried weaning, but baby was not comfortable. Discussed with Pulmonologist, Auscultation Wheeze +nt, Noisy Breathing+nt. As baby is not responding to Medical management, thought of doing CT chest as Xray is normal, But in view of Tachypnea, On HFNC, Can't give Sedation for CT, deferred. Counselled parents Regarding need of Bed side Broncoscopy, convinced with great difficulty . Did Bed side Bronchoscopy With HFNC without Sedation, Noted Foriegn body in Trachea Blocking 90% of the Lumen. Counselled Parents, Shifted to OT, Retrieved with Rigid Broncoscope, Rigid Optical Forces. Surprised to see Large Peanut almost 2 cms Long. Baby was of HFNC after 3 hrs of Procedure, Off Oxygen after 6 hrs, Discharged after 24 hrs. Learning Points - 1) Noisy Breathing in Children - Try to Rule out Foriegn Body 2) If the Baby is not fit to undergo CT, try to Fiber Optic Bronchoscopy ( call your Expert Colleague) 3) All Wheezes are Not Asthma ( Especially in Children) For Full Video - Watch on 👇 YouTube Link https://lnkd.in/eFcJwkYC #PAEDIATRICAIRWAYFORIEGNBODY #FORIEGNBODYINTRACHEA #PAEDIATRICRIGIDBRONCHOSCOPY

1 Yr Boy Yellow Chana In Airway 1 Yr Boy, Brought to a Paediatrician with C/O Sudden onset of SOB & Cough since 2 Hrs. Baby was crying continuously. There is no obvious H/O Chocking. O/E R.R - 65/min, Intercostal retractions, SpO2 - 80% @ R.A, with 5-6 litrs 98%. Given neb, supportive therapy, cry decreased. According to parents, baby is better. Was in Hospital. Next day morning Baby again started crying, not accepting feeds, R.R is still high. Chest Xray taken - Total Right Lung Collapse. Immediately ref to Higher centre, with great difficulty they travelled almost 250kms. Paediatrician examined the case, no obvious H/O chocking, asked for CT chest - Total Right Lung Collapse with Obstruction @ Right main Bronchus ? Thick mucus plug Vs Foriegn Body. Pulmonologist Ref given, Discussed, counselled parents. Need of Bronchoscopy & Risk explained. F.O.B - Large Foriegn Body @ Right main Bronchus Rigid Barrel placed, One piece Retrieved With Rigid Optical Forceps. Check FOB , one more piece @ Right main Bronchus with lot of secretions. Suctioned and Retrieved left over F.B with Rigid Optical Forceps. Post F.B retrieval, check Bronchoscopy - No F.B Remnants, lot of thick secretions were seen, cleared all Secretions. Learning Points :- 1) When there is sudden onset of SOB, Especially in Children, always Suspect FORIEGN BODY 1st, Take Xray chest ( It may be normal, but Must). For Full Video Watch on 👇 YouTube Link https://lnkd.in/gemGcCnq

Respiratory illness is the leading cause of emergency hospitalization in cerebral palsy (especially in GMFCS IV & V). It is associated with extended hospital stays and more days in the intensive care unit. The cost of emergency hospitalization in this population may range from 12-15 lacs (approximately in the Indian context), increasing the financial burden on families. Read this paper on " The cost of respiratory hospitalization in children with Cerebral Palsy" here. https://lnkd.in/gyz4vxjj Respiratory illness has many causes, including aspiration, reflux, poor breathing mechanics, muscle weakness, etc. How are we managing it in rehab: parent awareness, alternative feeding, reflux management, dysphagia management, addressing constipation, respiratory muscle training, respiratory hygiene, postural training and assistive aids to support ribcage and breathing?

The latest post from Infirmary Health's Healthy Her blog series, "Healthy Her", helps answer the question about what pelvic organ prolapse is and how it can be treated. Although pelvic organ prolapse is very common and up to 50% of women will have some type of prolapse during their lifetimes, this condition rarely gets discussed because women often feel shame or confusion about pelvic organ prolapse and are unaware of the treatment options. “Corrective procedures are usually outpatient with quick recovery and rapid return to a normal way of life,” said Dr. Jeff Fahy, a board-certified gynecologist and pelvic surgeon who specializes in minimally invasive surgical procedures for pelvic organ prolapse, incontinence, benign pelvic masses, and pelvic pain. Learn more by reading the full blog post --> https://lnkd.in/gkaTVcuQ Infirmary Health's Healthy Her blog series provides information on a variety of health topics for women at all stages of life. Get connected to our women's health community at infirmaryhealth.org/women.

Neonatal Mechanical Ventilation-CPAP Non-invasive postive pressure ventilation comprehensive support and care of newborn life. https://lnkd.in/gbzhH-wW

🙋♂️ AMAZING Intubated ICU patient playing volleyball - NOTICE only 1 physical therapist needed to mobilize patient once out of bed! 👉Early mobility and mobilization of ventilated patients needs to be the standard of care in all ICU’s and hospitals worldwide 🌎 ❓Does your ICU walk and mobilize intubated patients? ❓What do you think? - Please comment and let me know! As @daytonicuconsulting noted- “Starting early mobility is similar to starting pronation for many teams in 2020. Initially, proning involved 8+ people and tedious time and effort. Now teams use 3 to prone quickly and efficiently” This is so true and it starts with sedation that allows for being awake with adequate pain control with opiates as opposed to heavy sedation with propofol. Intubated patients can be awake and mobilized without pain and anxiety when opiates and sedation witb Precedex if needed are utilized. This will not happen successfully on propofol or other heavy sedation. We must change our practice now to achieve this! 👉Follow here on LinkedIn and my new Instagram page @paulwischmeyerMD (my old page was hacked and deleted 😰) for more medicine and nutrition posts👈 👨🏫Subscribe free on my YouTube channel at @paul_wischmeyerMD to see my full lectures ❤️ LIKE 💬 COMMENT 👥 SHARE 💾 SAVE 👉Another amazing video and great work from @fisioprecoce ! ❤️ LIKE 👥 SHARE 💬 COMMENT 💾 SAVE #FOAMcc #ICURehab #RehabLegend #MedEd #icu #criticalcare #rehabilitation #physicaltherapist #physicaltherapy #nurse #icunurse #exercise #health #medicine #nutrition #dietitian #nutrição #nutricion #criticalcarenursing #amazing #ventilator #hospitallife #nursingstudent #criticalcaremedicine #chronicillness #inspirational #doctor #trending #trendingreels #rehab

🙋♂️ AMAZING Intubated ICU patient playing volleyball - NOTICE only 1 physical therapist needed to mobilize patient once out of bed! ❓Does your ICU walk and mobilize intubated patients? ❓What do you think? - Please comment and let me know! 👉Early mobility and mobilization of ventilated patients needs to be the standard of care in all ICU’s and hospitals worldwide 🌎 As @daytonicuconsulting noted- “Starting early mobility is similar to starting pronation for many teams in 2020. Initially, proning involved 8+ people and tedious time and effort. Now teams use 3 to prone quickly and efficiently” This is so true and it starts with sedation that allows for being awake with adequate pain control with opiates as opposed to heavy sedation with propofol. Intubated patients can be awake and mobilized without pain and anxiety when opiates and sedation witb Precedex if needed are utilized. This will not happen successfully on propofol or other heavy sedation. We must change our practice now to achieve this! 👉 Follow here on LinkedIn and on: Instagram: @paulwischmeyermd YouTube: @paulwischmeyermd Twitter: @paul_wischmeyer for more medicine and nutrition posts 👈 ❤️ LIKE 💬 COMMENT 👥 SHARE 💾 SAVE 👉Another amazing video and great work from @fisioprecoce ! 👨🏫Subscribe free on my YouTube channel at @paul_wischmeyerMD to see my full lectures ❤️ LIKE 👥 SHARE 💬 COMMENT 💾 SAVE #FOAMcc #ICURehab #RehabLegend #MedEd #icu #criticalcare #rehabilitation #physicaltherapist #physicaltherapy #nurse #icunurse #exercise #health #medicine #nutrition #dietitian #nutrição #nutricion #criticalcarenursing #amazing #ventilator #volleyball #nursingstudent #criticalcaremedicine #chronicillness #inspirational #doctor #trending #trendingreels #rehab

Ever wonder what is actually happening within your heart when looking at an EKG? 🫀SA Node: known as the pacemaker of the heart. It is a group of specialized cardiac muscle cells located above the right atrium. These cells have the ability to generate spontaneous electrical activity that causes the atrium to contract. It is the reason our heart beats at 60-100 beats per minute. The electrical signal moves from cell to cell until reaching the AV node. 🫀AV Node: known as the gatekeeper. A cluster of cells located at the center of the heart between the atria and ventricles the slows the electrical signal before reaching the ventricles. This slowing allows the atria to fully contract before stimulating the ventricles. 🫀Bundle of His: branch of fibers extending from the AV node. Once it receives the electrical signal from the AV node, it carries it down to the Purkinje Fibers. 🫀Purkinje Fibers: separated into left and right branches, once stimulated causes ventricles to contract. 💡DId you know the autonomic nervous system [ANS] can can send a signal to the SA node to double the rate of the heart within 3-5 seconds? What sort of scenario do you think the heart would be in to increase its rate that quickly? 🩺 Taking my 13+ years of nursing experience and using it to assist in the legal field ⚖️ 📧 jessica.medina.lnc@gmail.com #expertwitness #legalnurseconsultant #medicalmalpractice #personalinjury #emergencyroomnurse #traumanurse #criticalcarenurse #nursesonlinkedin

👀 Your Vision, Our Priority! Visit Your Local Optometrist Today! 👓 Taking care of your eyes is essential for maintaining good vision and overall health. Optometrists are primary eye care providers who specialize in detecting and correcting vision problems, as well as identifying eye diseases. Here’s why you should schedule an appointment with your optometrist: Comprehensive Eye Exams: Regular eye exams can detect vision issues and eye diseases early, ensuring timely treatment. Vision Correction: Whether you need glasses or contact lenses, optometrists can prescribe the right solution for your vision needs. Eye Health Monitoring: Optometrists can spot signs of serious health conditions like diabetes and high blood pressure during routine eye exams. Personalized Care: Receive tailored advice and treatment plans to maintain optimal eye health. Don’t wait until you have a problem to see an optometrist Make eye care a priority and schedule your appointment today! #infiniteeyecare #eyecare#eyehealth

👓 National Eye Health Week: Prioritizing Sight for Care Home Residents 👓 As we observe #NationalEyeHealthWeek, let's remember that preserving vision is crucial for the well-being of your residents. Regular eye care can detect and prevent vision loss, ensuring continued independence, reducing falls, and promoting a higher quality of life. At Visioncare at home, we bring comprehensive eye health services directly to care homes. Our specialised optometrists provide thorough examinations, prescription updates, and early detection of conditions like cataracts, glaucoma, and diabetic retinopathy. Benefits of Visioncare at home: * Convenience: Minimise disruptions to care home routines. * Specialised Care: Our optometrists are experienced in addressing the unique vision needs of older adults. * Improved Quality of Life: Help residents maintain visual independence and engage with their surroundings. Let's work together to prioritize eye health for your treatments. Contact us today to learn how Visioncare at home can support your residents' vision. #VisioncareAtHome #SeniorEyeCare #CareHomeManagers #ClinicalManagers #NationalEyeHealthWeek