Chest
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PleuralSESSION TYPE: Slide PresentationsPRESENTED ON: Sunday, March 23, 2014 at 04:15 PM - 05:15 PMPURPOSE: Study objective: To evaluate the role of rigid medical thoracoscopy in the management of patients with undiagnosed exudative pleural effusion. ⋯ The following authors have nothing to disclose: Essam Hassanein, Eman Hatata, Suzan Helal, Emad Ibrahim, Ayman BaessNo Product/Research Disclosure Information.
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The use of mechanical circulatory support (MCS) devices has increased sixfold since 2006. Although there is an established legal and ethical consensus that patients have the right to withdraw and withhold life-sustaining interventions when burdens exceed benefits, this consensus arose prior to the widespread use of MCS technology and is not uniformly accepted in these cases. ⋯ Our center recently encountered the challenge of an awake and functionally improving patient with a total artificial heart (TAH) who requested its deactivation. We present a narrative description of this case with discussion of the following questions: (1) Is it ethically permissible to deactivate this particular device, the TAH? (2) Are there any particular factors in this case that are ethical contraindications to proceeding with deactivation? (3) What are the specific processes necessary to ensure a compassionate and respectful deactivation? (4) What proactive practices could have been implemented to lessen the intensity of this case's challenges? We close with a list of recommendations for managing similar cases.
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DVT/PE PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Our goal has been to study long-term survival and main causes of mortality in patients with acute pulmonary embolism (APE). ⋯ The following authors have nothing to disclose: Hernando Chávez Roldán, Jacinto Hernández Borge, María del Carmen García García, Pedro Pires Goncalves, María Teresa Gómez Vizcaíno, Amparo Sanz Cabrera, María José Antona Rodríguez, Pilar Cordero Montero, Ana Castañar Jover, Ignacio Rodríguez BlancoNo Product/Research Disclosure Information.
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Tuberculosis Case Report PostersSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Tuberculosis (TB) treatment faces many challenges because of adverse drug reactions (ADR) that can result in significant morbidity, leading to the withdrawal of first-line medication and its substitution for a less effective and often more poorly tolerated second-line medication. This case report is about a patient with active TB sensitive to all first-line drugs but with severe ADRs to all of them, and to ethionamide. A case of ADRs to all first-line anti-TB drugs and to ethionamide is, to the best of our knowledge, not reported. ⋯ The following authors have nothing to disclose: João Cordeiro da Costa, Daniela Malheiro, Susana Cadinha, Raquel DuarteNo Product/Research Disclosure Information.
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Surgery CasesSESSION TYPE: Case ReportsPRESENTED ON: Sunday, March 23, 2014 at 09:00 AM - 10:00 AMINTRODUCTION: We present a case of a patient diagnosed with synovial sarcoma of the left arm with pulmonary metastasis. ⋯ The following authors have nothing to disclose: Gemma Gonzalez Velasco, María Teresa Gómez Hernández, Maria Rodríguez, Nuria María Novoa Valentín, Marcelo Fernando Jiménez López, Jose Luis Aranda Alcaide, Gonzalo Varela SimóNo Product/Research Disclosure Information.