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4,965 results
  • Esophageal bougienage in the emergency department with a substitute Hurst dilator. [Journal Article]
    Am J Emerg Med 2019; :158411Collins J, Tessaro MO, McGovern T
  • Impacted esophageal foreign bodies typically first present to the emergency department, with coins being most common in children and food boluses most common in adults. Controversy exists regarding the best treatment options in these cases. We report two cases, one pediatric and one adult, where the use of a novel substitute Hurst dilator constructed of materials regularly found in all EDs was su…
  • The Tadpole Pupil: Case Series With Review of the Literature and New Considerations. [Case Reports]
    Front Neurol 2019; 10:846Udry M, Kardon RH, … Kawasaki A
  • Tadpole pupil is a rare phenomenon in which segmental spasm of the iris dilator muscle results in a tadpole-shaped pupil. The pupillary distortion is usually unilateral, lasts several minutes, and can recur in clusters. Any segment of the iris can be affected; thus, for some patients, a different-shaped tadpole pupil is noticed from episode to episode. Tadpole pupil most commonly appears spontane…
  • Prevention and treatment of dilator injuries during central venous catheter placement. [Journal Article]
    J Vasc Surg Venous Lymphat Disord 2019Collier PE
  • CONCLUSIONS: In spite of U.S. Food and Drug Administration warnings, dilators are still inserted too far in patients, resulting in devastating hemorrhage. These complications are preventable if proper technique is used. When a catheter is noted to be misplaced, it must not be removed before either a covered stent or thoracoscopy is available; otherwise, uncontrolled hemorrhage into the chest may occur. If a patient becomes unstable in the operating room or immediate postoperative period injury to a major vein must be considered and corrected quickly.
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