Asunto(s)
COVID-19/psicología , Motor de Búsqueda/tendencias , Curtiembre/estadística & datos numéricos , COVID-19/diagnóstico , COVID-19/epidemiología , COVID-19/virología , Interpretación Estadística de Datos , Humanos , Distanciamiento Físico , SARS-CoV-2/genética , Curtiembre/tendencias , Estados UnidosAsunto(s)
Acné Vulgar/etiología , COVID-19/prevención & control , Máscaras/efectos adversos , Medios de Comunicación Sociales/estadística & datos numéricos , Información de Salud al Consumidor , Fármacos Dermatológicos , Dermatólogos , Femenino , Humanos , Masculino , Mercadotecnía , Estudios Retrospectivos , SARS-CoV-2RESUMEN
To improve availability of arterial line placement, we developed a nonphysician protocol for respiratory therapists to insert arterial catheters. In our experience with more than 500 catheter insertions, in which placement lasted from 1 to 20 days, superficial infection occurred in 5 percent of patients and a major complication occurred in only 1 patient. These results show that specially trained nonphysician personnel can insert arterial catheters safely when following a protocol. Similar reallocation of existing resources should increase patient care while decreasing patient care cost in most settings.
Asunto(s)
Técnicos Medios en Salud , Cateterismo Periférico , Cateterismo Periférico/efectos adversos , Arteria Femoral , Humanos , Arteria Radial , Terapia RespiratoriaRESUMEN
A resident living at Lake Tahoe, Calif, at an elevation of 2,000 meters, had fatigue, edema, and erythrocythemia. Hematocrit was 63 percent, and arterial blood gas values revealed hypoxemia and respiratory acidosis. Results of pulmonary function tests, sleep study, and thyroid function all were normal. Erythrocytosis, cor pulmonale, and respiratory acidosis resolved after the patient moved to sea level. This patient suffered from chronic mountain sickness. Her symptoms resolved with relief of hypoxia.