Articles: postoperative.
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Lung Cancer Posters IISESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Review the characteristics and outcomes of patients in our series ⋯ The following authors have nothing to disclose: Daniel Valdivia, Lucas Hoyos, Lidia Macias, David Gomez, Andres VarelaNo Product/Research Disclosure Information.
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Cancer CasesSESSION TYPE: Case ReportsPRESENTED ON: Sunday, March 23, 2014 at 09:00 AM - 10:00 AMINTRODUCTION: Cancer has been described as a civil war raging within the body. Advances in cancer treatment has improved survival, but also highlighted the long term adverse effects of treatment. ⋯ Radiation associated sarcomas should be considered in the differential work-up of solitary pulmonary nodule/mass in a patient with previous radiotherapy to the thorax.Reference #1: Laskin, W.B., T.A. Silverman, and F.M. Enzinger, Postradiation soft tissue sarcomas. An analysis of 53 cases. Cancer, 1988. 62(11): p. 2330-40.Reference #2: Wolden, S.L. and K.M. Alektiar, Sarcomas across the age spectrum. Semin Radiat Oncol, 2010. 20(1): p. 45-51Reference #3: Murray, E.M., et al., Postradiation sarcomas: 20 cases and a literature review. Int J Radiat Oncol Biol Phys, 1999. 45(4): p. 951-61DISCLOSURE: The following authors have nothing to disclose: Vinod Aiyappan, Sonja Klebe, Doug Henderson, Anand RoseNo Product/Research Disclosure Information.
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Critical Care CasesSESSION TYPE: Case ReportsPRESENTED ON: Saturday, March 22, 2014 at 04:15 PM - 05:15 PMPURPOSE: Treatment of Pulmonary arterial hypertension (PAH) with chronic intravenous prostanoid through a chronic tunneled catheter has been reported to be associated with bacteremia and sepsis; however bacterial endocarditis is rarely reported. Here we report a patient with idiopathic PAH receiving chronic intravenous prostacyclin that developed acute Clostridium perfringens aortic valve endocarditis. ⋯ The following authors have nothing to disclose: Amitesh Agarwal, Alex DuarteNo Product/Research Disclosure Information.
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Infectious Disease Case Reports Posters IISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: An 85 year old male with CAD, severe aortic stenosis, sick sinus syndrome status post pacemaker and CHF, underwent a coronary artery bypass graft and an aortic valve replacement surgery with pericardial valve. He received a preoperative dose of IV vancomycin and cefazolin and 3 postoperative doses of cefazolin as part of the prophylactic protocol. On Hospital Day (HD) #4 he became septic and had several episodes of diarrhea with right lower quadrant abdominal pain. ⋯ We believe that the institution of IVIG was surgery averting for this patient with significant comorbidities even though it has only been described in case reports.Reference #1: J Salcedo, S Keates. Intraveous immunoglobilin therapy for severe Clostridium Difficile colitis. Gut 1997; 41: 366-370DISCLOSURE: The following authors have nothing to disclose: Nicolas Crescimone, Giri Srikanthanoff label use.
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Age-related changes in skin contribute to impaired wound healing after surgical procedures. Changes in skin with age include decline in thickness and composition, a decrease in the number of most cell types, and diminished microcirculation. The microcirculation provides tissue perfusion, fluid homeostasis, and delivery of oxygen and other nutrients. ⋯ Judicious use of fluids, maintenance of normal body temperature, pain control, and increased tissue oxygen tension are examples of adjustable variables that support the microcirculation. Anesthetic agents influence the microcirculation of a combination of effects on cardiac output, arterial pressure, and local microvascular changes. The authors examined the role of anesthetic management in optimizing the microcirculation and potentially improving postoperative wound repair in older persons.