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psnet.ahrq.gov/node/49498/psn-pdf
January 01, 2006 - After successful resuscitation, a chest CT
revealed a massive pulmonary embolism. … Acute pulmonary embolism: clinical outcomes in the International
Cooperative Pulmonary Embolism Registry … Pulmonary embolism. Lancet. 2004;363:1295-1305. [ go to PubMed ]
4. … Thrombophlebitis and pulmonary infarction associated with fractured
hip. … Risk factors associated
with symptomatic pulmonary embolism in a large cohort of DVT patients.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
June 01, 2007 - Preoperative evaluation should consider risk of postoperative medical complications including cardiac, pulmonary … , and venous thromboembolic complications
Cardiac: AHA/ACC
Pulmonary: ACP
Venous thromboembolic disease … Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing … disease, symptoms or exam suggest cardiac or pulmonary disease
7. … problems
Spinal surgery is an intrinsically low risk procedure for pulmonary complications
Geerts
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psnet.ahrq.gov/issue/analysis-hospital-level-readmission-rates-and-variation-adverse-events-among-patients
August 25, 2021 - medication reconciliation at discharge on 30-day readmission rates of patients with chronic obstructive pulmonary … Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary … December 8, 2011
Time trends in pulmonary embolism in the United States: evidence of
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psnet.ahrq.gov/node/35571/psn-pdf
April 06, 2011 - Combining their previous work
with published studies of diagnostic performance for aortic dissection, pulmonary … They estimate that 17% of patients with tuberculosis, 18% to 26% with aortic
dissection, and 9% with pulmonary
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psnet.ahrq.gov/node/49670/psn-pdf
November 01, 2012 - Although the clinicians had a high
suspicion for pulmonary embolism (PE), a computed tomography angiogram … embolism (PE), congestive heart failure (CHF), asthma, or chronic obstructive pulmonary disease (COPD … D-dimer for the exclusion of acute venous thrombosis and
pulmonary embolism: a systematic review. … Excluding pulmonary embolism at the bedside without
diagnostic imaging: management of patients with … suspected pulmonary embolism presenting to the
emergency department by using a simple clinical model
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.45_slideshow.ppt
January 01, 2004 - diagnosis is critical and linked to morbidity and mortality in many diagnoses
Acute coronary syndrome
Pulmonary … patients with chest pain
ED Diagnosis %
Acute coronary syndromes 24.4
Neuro-radicular pain 17.1
Pulmonary … patients with chest pain
ED Diagnosis %
Acute coronary syndromes 24.4
Neuro-radicular pain 17.1
Pulmonary … patients with chest pain
ED Diagnosis %
Acute coronary syndromes 24.4
Neuro-radicular pain 17.1
Pulmonary … 0%5%10%15%20%25%
Percentage
Aortic dissection
No clear diagnosis
Cardiac arrhythmia
Vasovagal
Pulmonary
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psnet.ahrq.gov/node/50696/psn-pdf
November 27, 2019 - Patient 1:
A 31-year-old woman with end stage renal disease (ESRD) and pulmonary hypertension presented … for oversedation
and respiratory compromise during conscious sedation include chronic obstructive pulmonary … Ultimately, the cause of death was determined to be consistent with
an acute pulmonary embolism (PE) … However, the acute onset of massive pulmonary embolism in the procedural setting is a
reminder of the … Epidemiology, pathophysiology, and
natural history of pulmonary embolism.
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psnet.ahrq.gov/web-mm/missed-pneumonia
June 01, 2005 - Although the clinicians had a high suspicion for pulmonary embolism (PE), a computed tomography angiogram … embolism (PE), congestive heart failure (CHF), asthma, or chronic obstructive pulmonary disease (COPD … D-dimer for the exclusion of acute venous thrombosis and pulmonary embolism: a systematic review. … pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer … The value of serum procalcitonin in differential diagnosis of pulmonary embolism and community-acquired
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psnet.ahrq.gov/node/49806/psn-pdf
September 01, 2017 - A chest radiograph showed hilar
fullness and mild bilateral infiltrates, consistent with pulmonary edema … Cable, MD Pulmonary and Critical Care Fellow Division of Pulmonary, Allergy, Sleep, and Critical
Care … Emory Healthcare Director of Quality, Emory Critical
Care Center Assistant Professor, Division of Pulmonary … Professor of Medicine Section Chief and Associate Division Director for Critical
Care Division of Pulmonary … contrary
Normal initial laboratory blood work, vital signs, crackles on lung
exam, and mention of pulmonary
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psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
December 14, 2022 - The ED physician was concerned by the CT scan and requested another pulmonary consultation. … This time, the on-call pulmonary physician diagnosed cystic lung disease based on the CT findings, and … Patient presentations vary from asymptomatic disease detected incidentally on chest CT to severe pulmonary … , which in retrospect appears to have been misdiagnosed by the ED physician, radiologist, and first pulmonary … Unfortunately, the initial pulmonary consultant in this case apparently did not consider the potential
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - Various methods have been proposed to distinguish between gastric and pulmonary placement of NG tubes … However, these methods have not been shown to be reliable in distinguishing between gastric and pulmonary … Closed Loop Communication and Use of Electronic Medical Orders to Reduce Errors Pulmonary mispositioning … Pulmonary complications of 9931 narrow-bore nasoenteric tubes during blind placement: a critical review … A review of guidelines to distinguish between gastric and pulmonary placement of nasogastric tubes.
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psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
November 15, 2023 - Patient 1: A 31-year-old woman with end stage renal disease (ESRD) and pulmonary hypertension presented … Ultimately, the cause of death was determined to be consistent with an acute pulmonary embolism (PE). … patient in this case had an aneurysmal fistula with large clot burden, which has been associated with pulmonary … However, the acute onset of massive pulmonary embolism in the procedural setting is a reminder of the … Epidemiology, pathophysiology, and natural history of pulmonary embolism.
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psnet.ahrq.gov/web-mm/sloppy-and-paste
February 02, 2011 - This raised his suspicion for the possibility of a pulmonary embolus (PE). … nearly a decade earlier where it was clearly intended to reflect a "physical examination" rather than a "pulmonary … likely copied and mistakenly pasted "PE" under "past medical history," after which this history of pulmonary … The EMR was updated to reflect, "This patient never had a pulmonary embolism." … safety is to don a medic-alert bracelet with the disclaimer, "I HAVE NOT NOW NOR HAVE I EVER HAD A PULMONARY
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psnet.ahrq.gov/issue/overestimation-clinical-diagnostic-performance-caused-low-necropsy-rates
February 09, 2011 - Combining their previous work with published studies of diagnostic performance for aortic dissection, pulmonary … They estimate that 17% of patients with tuberculosis, 18% to 26% with aortic dissection, and 9% with pulmonary
-
psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
August 20, 2018 - A chest radiograph showed hilar fullness and mild bilateral infiltrates, consistent with pulmonary edema … Cable, MD Pulmonary and Critical Care Fellow Division of Pulmonary, Allergy, Sleep, and Critical Care … , Emory Healthcare Director of Quality, Emory Critical Care Center Assistant Professor, Division of Pulmonary … Professor of Medicine Section Chief and Associate Division Director for Critical Care Division of Pulmonary … (GCS) Cardiologic (heart rate, systolic blood pressure) Renal (BUN, creatinine, urine output) Pulmonary
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psnet.ahrq.gov/node/49590/psn-pdf
January 01, 2010 - admission-drug-dose-too-low
The Case
A 72-year-old man with a long history of chronic obstructive pulmonary … occur frequently in the inpatient setting.(
1) This elderly man with long-standing chronic obstructive pulmonary … https://psnet.ahrq.gov//#references
published in 2001 by a Joint Expert Panel on Chronic Obstructive Pulmonary … Snow V, Lascher S, Mottur-Pilson, C; Joint Expert Panel on Chronic Obstructive Pulmonary Disease of … Evidence base for management of acute exacerbations of chronic obstructive pulmonary
disease.
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psnet.ahrq.gov/node/73650/psn-pdf
August 25, 2021 - The ED physician was concerned by the CT scan and requested another pulmonary
https://psnet.ahrq.gov … This time, the on-call pulmonary physician diagnosed cystic lung disease based on the CT
findings, and … Patient presentations vary from asymptomatic disease detected incidentally on chest CT to severe
pulmonary … which in retrospect appears to have been misdiagnosed by
the ED physician, radiologist, and first pulmonary … Unfortunately, the initial pulmonary consultant in this case
apparently did not consider the potential
-
psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - Even modest degrees of ankle edema can suggest right heart failure and pulmonary hypertension in the … Patients on CPAP have reductions in both systemic and pulmonary hypertension and experience an improvement … control, thereby lowering opioid requirements, an important consideration for obese patients prone to pulmonary … Lower extremity edema and pulmonary hypertension in morbidly obese patients with obstructive sleep apnea … Pulmonary physiologic changes of morbid obesity. Am J Med Soc. 1999;318:293-297. [go to PubMed] 9.
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psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
December 21, 2017 - The Case A 47-year-old woman with history of primary pulmonary arterial hypertension (PAH) was admitted … secondary to an infected intravenous (IV) line through which she was receiving IV treprostinil, a potent pulmonary … The ICU nurses were very familiar with using treprostinil in patients with pulmonary hypertension. … The patient experienced flash pulmonary edema and respiratory distress, which required emergent intubation … incorrect positioning of patients), which account for 61% of events.( 7 ) Adverse effects range from pulmonary
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
July 01, 2010 - Lower extremity edema and pulmonary hypertension in morbidly obese patients with obstructive sleep apnea … operative risk
Recommend 4-6 weeks of CPAP therapy prior to planned surgery
CPAP reduces systemic and pulmonary … excellent postoperative pain control to minimize opioid use, which can leave obese patients less prone to pulmonary … Pulmonary physiologic changes of morbid obesity.