Mediterranean Journal of Emergency Medicine & Acute Care最新文献

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Can Ultrasound Aid in the Diagnosis of Gout and Septic Arthritis in the Setting of Monoarticular Joint Pain? 超声能在单关节疼痛的情况下帮助诊断痛风和脓毒性关节炎吗?

Mediterranean Journal of Emergency Medicine & Acute Care Pub Date : 1900-01-01 DOI: 10.52544/2642-7184(1)4002

J. Kiel, G. Kaeley

引用次数: 0

Non-Invasive Ventilation in the Elderly at Emergency Department: Epidemiological Data and Results 急诊科老年人无创通气:流行病学数据和结果

Mediterranean Journal of Emergency Medicine & Acute Care Pub Date : 1900-01-01 DOI: 10.52544/2642-7184(1)1005

Y. Yahia, Hamida Maghraoui, Khédija Zaouche, Abdelwahab Mghirbi, Amani Slama, M. Kilani, Abderrahim Achouri, M. Kallel, Hedia Gnenna, Kamel Majed

{"title":"Non-Invasive Ventilation in the Elderly at Emergency Department: Epidemiological Data and Results","authors":"Y. Yahia, Hamida Maghraoui, Khédija Zaouche, Abdelwahab Mghirbi, Amani Slama, M. Kilani, Abderrahim Achouri, M. Kallel, Hedia Gnenna, Kamel Majed","doi":"10.52544/2642-7184(1)1005","DOIUrl":"https://doi.org/10.52544/2642-7184(1)1005","url":null,"abstract":"Introduction: Non-invasive ventilation (NIV) could be a good alternative in elderly people with acute respiratory failure (ARF), to procure them a respiratory support while avoiding as much as possible the complications of invasive ventilation.\u0000\u0000Methods: This is an observational retrospective study conducted at the emergency department (ED) of a tertiary care, university-based teaching hospital. Data of elderly patients (≥ 65 years) admitted to ED between January 2017 and April 2018 for ARF and requiring NIV were collected and analyzed using SPSS 22 software.\u0000\u0000Results: Sixty six patients (≥ 65 years) requiring NIV for acute respiratory failure (ARF) were included. The mean age was 76 years (± 7), the median Charlson index was 5. Acute respiratory failure was related to acute heart failure in 68%, acute exacerbation of chronic obstructive pulmonary disease in 53% and pneumonia in 39% of cases. Forty eight percent had more than one etiologic diagnosis. Hypercapnic acute respiratory failure was observed in 61%. On initiation of NIV, the average pH was 7.31 (± 0.11) and PaCO2 56 mmHg (± 21), After NIV, the average pH was 7.38 (± 0.11) and PaCO2 53 mmHg (± 26). Improvement of pH was significant (p < 0.05). 61% of patients were discharged at home, 9% were admitted to intensive care unit. Invasive ventilation was performed in 4%, of which 23% died. Success of NIV was observed in 68% of patients.\u0000\u0000Conclusion: NIV can be of a great interest in elderly people. Our study showed that it can be used successfully in the studied settings.","PeriodicalId":364543,"journal":{"name":"Mediterranean Journal of Emergency Medicine & Acute Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123261071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Brief Report on the Beirut Port Explosion 贝鲁特港口爆炸简要报道

Mediterranean Journal of Emergency Medicine & Acute Care Pub Date : 1900-01-01 DOI: 10.52544/2642-7184(1)4001

引用次数: 13

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