Search results
Results From The WOW.Com Content Network
Lumbar punctures should be done when possible as 10-15% presenting with sepsis also have meningitis, which warrants an antibiotic with a high CSF penetration. [citation needed] CRP is not very accurate in picking up cases. [14] Molecular assays can give faster result in diagnosis of neonatal sepsis than microbial culture from blood. [15]
Lumbar punctures may also be done to inject medications into the cerebrospinal fluid ("intrathecally"), particularly for spinal anesthesia [10] or chemotherapy. Serial lumbar punctures may be useful in temporary treatment of idiopathic intracranial hypertension (IIH). This disease is characterized by increased pressure of CSF which may cause ...
The SOFA scoring system is useful in predicting the clinical outcomes of critically ill patients. [8] According to an observational study at an Intensive Care Unit (ICU) in Belgium, the mortality rate is at least 50% when the score is increased, regardless of initial score, in the first 96 hours of admission, 27% to 35% if the score remains unchanged, and less than 27% if the score is reduced. [9]
Postural drainage is more difficult if patients experience poor mobility, poor posture, pain, anxiety, and skin damage, usually requiring adaptations to the technique. [6] Trendelenburg position which is head down position is relatively contraindicated in patients who have uncontrolled hypertension, orthopnea , recent gross hemoptysis ...
This type of drain is known as an external ventricular drain (EVD). [10] This is rarely required outside brain injury and brain surgery settings. [citation needed] In situations when only small amounts of CSF are to be drained to reduce ICP's (e.g. in idiopathic intracranial hypertension), drainage of CSF via lumbar puncture can be used as a ...
Septic shock is a result of a systemic response to infection or multiple infectious causes. The precipitating infections that may lead to septic shock if severe enough include but are not limited to appendicitis, pneumonia, bacteremia, diverticulitis, pyelonephritis, meningitis, pancreatitis, necrotizing fasciitis, MRSA and mesenteric ischemia.
In more severe cases an external ventricular drain may be required to maintain ICP and evacuate the hemorrhage, and in extreme cases an open craniotomy may be required. [ 2 ] [ 14 ] In cases of unilateral IVH with small intraparenchymal hemorrhage the combined method of stereotaxy and open craniotomy has produced promising results.
Patients with lumbar–peritoneal shunts are left with two scars; a vertical scar down part of the lumbar of the spine, and a horizontal scar across the upper abdomen. A lumbar–peritoneal shunt is expected to remain in situ for the lifespan of the patient unless revisions or relocation of the shunt is required. In some cases the shunt has ...