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September 2016

Volume 3  Issue 3  

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Research article  

Implementing an Evidence-Based Algorithm for CT in the Emergency Department  

Sherri L LaVela PhD, MPH, MBA*, Gail Allen MD, Donna Woods PhD

The use of computerized tomography (CT), a valuable imaging tool, has been increasing rapidly. Throughout the world, a substantial percentage of children exposed to ionizing radiation receive it in the form of CT scans. Due to the potential for increased radiation exposure to children undergoing these scans, pediatric CT is a public health concern. The question of overuse has become a point of concern in the delivery of health care. By 2008, in the US, CT was performed in 5.9% of all pediatric visits to the emergency department (ED).

 

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Research Article  

Management of Patients with Transurethral Resection of Prostate Syndrome in the Intensive Care Unit  

Leonidas Grigorakos*, Ioannis Kechagioglou, Heliodoros Mantzivis, Evangelos Revelas, Daria Lazarescu, Katerina Tzortzopoulou, Panagiotis Voiniadis

The aim of this case report is to present our experience in the intensive care unit with patients with transurethral resection of the prostate (TURP) syndrome. Three patients undergoing transurethral prostatectomy under epidural analgesia had been transferred intubated in our ICU from the operating room because of mental confusion, discomfort, hypoxemia, acute pulmonary edema, bradycardia, hypotension, electrolyte disorders, anuria and elevated creatinine levels. All three patients were successfully resuscitated with mechanical ventilation, inotropic agents, diuresis and other supportive measures of the ICU.

 

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