RESUMO
Among respiratory infections, adenovirus infection (ADVI), in the presence of which there may be severe pneumonia that frequently results in a fatal outcome, occupies particular attention. ADVI in patients without immunodeficiency is usually mild and shows a limited extent of injury. At the same time the disease in immunocompromised individuals may be severe, presenting with viremia, evolving sepsis, and high death rates. The paper gives a characteristic example of severe ADVI and its fatal outcome.
Assuntos
Infecções por Adenoviridae , Bactérias Gram-Negativas/patogenicidade , Sepse , Infecções por Adenoviridae/complicações , Infecções por Adenoviridae/diagnóstico , Infecções por Adenoviridae/terapia , Adulto , Evolução Fatal , Humanos , Masculino , Militares , Sepse/diagnóstico , Sepse/microbiologia , Sepse/terapia , Sepse/virologia , Adulto JovemRESUMO
RESEARCH OBJECTIVE: To raise safety of conduction anesthesia of a humeral plexus by depression of cases of intraneural introduction of anesthetic on the basis of application of ultrasonic scanning during performance of blockade. MATERIALS AND METHODS: 137 blockade of a humeral plexus by axillary access are executed. Depending on a method of identification of nerves patients have been distributed on two groups: 1) identification of nerves by means of ultrasonic scanning (n=68); 2) a combination and ultrasonic scanning for identification of nerves (n=69). RESULTS: At a finding of a section of a needle in immediate proximity from a nerve (according to ultrasonic scanning) peripheral motor reaction was absent in 63,8% of cases. Intraneural introduction of a solution of local anesthetic was observed more often (p<0,05) at identification (69,6%), than at ultrasonic identification of nerves (17,6%). THE CONCLUSION: Diffusion of local anesthetic observed by means of ultrasonic scanning confirms an exact site of an end of a needle that allows to avoid its intraneural introduction.
Assuntos
Anestésicos Locais/administração & dosagem , Plexo Braquial/diagnóstico por imagem , Bloqueio Nervoso/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , UltrassonografiaRESUMO
Presented herein is a clinical case report of a patient with thrombosis of the inferior vena cava, renal veins, acute renal failure, and anuria. The patient was admitted to the hospital two days after thrombosis. Diuresis was reestablished after emergency operation (thrombectomy from the inferior vena cava and renal veins). In the postoperative period, the clinical manifestations of renal failure and inferior vena cava syndrome regressed slowly. After 6 months of the control follow up the manifestations of renal failure disappeared; insignificant edema of the lower limbs was well preserved.
