The Experts below are selected from a list of 294 Experts worldwide ranked by ideXlab platform
Lena M. Napolitano - One of the best experts on this subject based on the ideXlab platform.
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Necrotizing soft tissue infection from Decubitus ulcer after spinal cord injury.
Spine, 2004Co-Authors: Steven C Cunningham, Lena M. NapolitanoAbstract:STUDY DESIGN: A case of necrotizing soft tissue infection in a patient with spinal cord injury with extension of infection into the spinal canal and spinal cord is presented. OBJECTIVE: To review the history, risk factors, pathophysiology, diagnosis, treatment, and morbidity and mortality regarding necrotizing soft tissue infection as they relate to spinal cord injury. SUMMARY OF BACKGROUND DATA: Necrotizing soft tissue infection related to Decubitus ulcers is rare. To our knowledge, this is the first report of this disease related to a sacral Decubitus ulcer with extension of the necrotizing infection into the spinal canal. METHODS: The clinical, radiographic, and pathologic features associated with necrotizing soft tissue infection are presented. The patient presented with a late-stage necrotizing soft tissue infection requiring extensive de-bridement of necrotic tissue, which the patient underwent on admission. RESULTS: The patent died of refractory septic shock and multiple-organ failure after surgery. CONCLUSION: Necrotizing soft tissue infections from Decubitus ulcers are rare and unpredictable, and ultimately have a progressively aggressive course. The case reported herein is the first report of necrotizing soft tissue infection from a Decubitus ulcer in a patient with spinal cord injury with extension into the spinal canal and spinal cord.
Yong Yeon Kim - One of the best experts on this subject based on the ideXlab platform.
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effect of different head positions in lateral Decubitus posture on intraocular pressure in treated patients with open angle glaucoma
American Journal of Ophthalmology, 2015Co-Authors: Tae Eun Lee, Chungkwon Yoo, Shan C Lin, Yong Yeon KimAbstract:Purpose To investigate the effects of different head positions in the lateral Decubitus posture on intraocular pressure (IOP) in medically treated patients with open-angle glaucoma (OAG). Design Prospective observational study. Methods setting: Institutional. participants: Twenty patients with bilateral OAG who received only latanoprost as treatment. observation procedures: IOP was measured using an ICare Pro tonometer in the sitting, supine, right, and left lateral Decubitus posture. In lateral Decubitus posture, IOP measurements were taken with 3 different head positions (30 degrees higher than, 30 degrees lower than, and parallel to the center of the thoracic vertebra) in a randomized sequence. main outcome measures: Comparison of the IOPs between the dependent (lower-sided) and nondependent eyes in the lateral Decubitus postures with different head positions. We also analyzed the differences in IOPs between the better and worse eyes. Results IOP was higher in the dependent eyes than in the nondependent eyes in lateral Decubitus posture, regardless of the head position (all P Conclusions Low head position elevates IOP of the dependent eyes of medically treated OAG patients compared with neutral head position in the lateral Decubitus posture. Adjustment of the height of a pillow may help mitigate IOP elevations resulting from lying on the side with a low or no pillow in glaucoma patients.
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comparison of intraocular pressure measurements between icare pro rebound tonometer and tono pen xl tonometer in supine and lateral Decubitus body positions
Current Eye Research, 2015Co-Authors: Tae Eun Lee, Chungkwon Yoo, Shan Lin, Jinyoung Hwang, Yong Yeon KimAbstract:AbstractPurpose: To compare intraocular pressure (IOP) measurements obtained using the Icare Pro rebound tonometer and Tono-Pen XL tonometer in supine and lateral Decubitus body positions.Methods: One-hundred eyes of 50 subjects (normal volunteers or glaucoma suspects) were enrolled in this prospective observational study. IOP was measured in both eyes using the Icare Pro and Tono-Pen XL in the sitting position and the recumbent positions including supine, right lateral Decubitus and left lateral Decubitus. IOP was measured five minutes after assuming each of the recumbent postures in a randomized sequence. The eye on the lower side in the lateral Decubitus position was termed as the dependent eye. Agreement of IOP readings between the Icare Pro and Tono-Pen was assessed in all recumbent positions. Differences of IOP readings (ΔIOP) between the two tonometers and their correlations with ocular parameters were also assessed in all positions.Results: The IOP readings obtained using Icare Pro and Tono-Pen sh...
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Head Position and Intraocular Pressure in the Lateral Decubitus Position
Optometry and vision science : official publication of the American Academy of Optometry, 2015Co-Authors: Hyejin Seo, Chungkwon Yoo, Tae Eun Lee, Shan Lin, Yong Yeon KimAbstract:PURPOSE: To investigate the effects of different head positions in the lateral Decubitus posture on intraocular pressure (IOP). METHODS: Seventeen healthy Korean subjects were included in this prospective observational study. Intraocular pressure measurements were taken with the subjects in the sitting position and the recumbent positions including supine, right lateral Decubitus, and left lateral Decubitus positions. In right and left lateral Decubitus positions, IOP measurements were taken with three different head positions (30 degrees higher, 30 degrees lower, and parallel to the center of the thoracic vertebra) in a randomized sequence. Intraocular pressure was measured using the ICare Pro tonometer in both eyes 5 minutes after assuming each posture. The eye on the lower side in the lateral Decubitus position was termed as the dependent eye. We assessed differences in the IOP of the dependent and nondependent eyes in the lateral Decubitus positions with different head positions. RESULTS: Regardless of the head position, the dependent eyes showed higher IOP than the nondependent eyes in the lateral Decubitus positions except in the left lateral Decubitus with high head position (p < 0.001 for all positions except left lateral Decubitus, p = 0.083). Low head position significantly increased the IOP of dependent eyes, compared with the neutral or high head positions in lateral Decubitus posture. CONCLUSIONS: Low head position elevates the IOP of the dependent eyes compared with neutral head position in the lateral Decubitus posture. Proper adjustment of the height of a pillow may help mitigate IOP elevations resulting from lying on the side with a low pillow or with no pillow.
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The effect of lateral Decubitus position on intraocular pressure in patients with untreated open-angle glaucoma.
American journal of ophthalmology, 2012Co-Authors: Jong Yeon Lee, Chungkwon Yoo, Yong Yeon KimAbstract:Purpose To investigate the effect of change of body posture from the supine to the lateral Decubitus position on intraocular pressure (IOP) in patients with open-angle glaucoma. Design Prospective, observational case series. Methods Setting. Institutional. Participants. Forty-four eyes of 22 patients with newly diagnosed bilateral open-angle glaucoma. Observation procedures. IOP was measured using the Tono-Pen XL (Reichert Inc) in both eyes 10 minutes after assuming each position: sitting, supine, right lateral Decubitus, supine, left lateral Decubitus, and supine. By comparing the mean deviation (MD) of Humphrey visual field between both eyes of a patient, eyes were classified into either worse-MD eye or better-MD eye. Main outcome measures. Magnitude of IOP alterations by postural changes and intereye difference of IOP with each posture. Results The mean ± SD IOP of the dependent eyes (eye on the lower side in the lateral Decubitus position) increased after changing from the supine to the right lateral Decubitus position (19.1 ± 2.6 mm Hg vs 21.0 ± 2.7 mm Hg; P = .019) or the left lateral Decubitus position (18.6 ± 2.9 mm Hg vs 20.6 ± 3.1 mm Hg; P = .002). The mean IOP of the dependent eyes was significantly higher than that of the nondependent eyes in the lateral Decubitus positions (right lateral Decubitus, +1.2 mm Hg; left lateral Decubitus, +1.6 mm Hg; both, P P = .065). Conclusions The postural change from the supine to lateral Decubitus position may increase the IOP of the dependent eyes in patients with open-angle glaucoma.
Steven C Cunningham - One of the best experts on this subject based on the ideXlab platform.
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Necrotizing soft tissue infection from Decubitus ulcer after spinal cord injury.
Spine, 2004Co-Authors: Steven C Cunningham, Lena M. NapolitanoAbstract:STUDY DESIGN: A case of necrotizing soft tissue infection in a patient with spinal cord injury with extension of infection into the spinal canal and spinal cord is presented. OBJECTIVE: To review the history, risk factors, pathophysiology, diagnosis, treatment, and morbidity and mortality regarding necrotizing soft tissue infection as they relate to spinal cord injury. SUMMARY OF BACKGROUND DATA: Necrotizing soft tissue infection related to Decubitus ulcers is rare. To our knowledge, this is the first report of this disease related to a sacral Decubitus ulcer with extension of the necrotizing infection into the spinal canal. METHODS: The clinical, radiographic, and pathologic features associated with necrotizing soft tissue infection are presented. The patient presented with a late-stage necrotizing soft tissue infection requiring extensive de-bridement of necrotic tissue, which the patient underwent on admission. RESULTS: The patent died of refractory septic shock and multiple-organ failure after surgery. CONCLUSION: Necrotizing soft tissue infections from Decubitus ulcers are rare and unpredictable, and ultimately have a progressively aggressive course. The case reported herein is the first report of necrotizing soft tissue infection from a Decubitus ulcer in a patient with spinal cord injury with extension into the spinal canal and spinal cord.
Michael T. Freehill - One of the best experts on this subject based on the ideXlab platform.
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Basic Shoulder Arthroscopy: Lateral Decubitus Patient Positioning.
Arthroscopy techniques, 2016Co-Authors: Alexander H. Jinnah, Sandeep Mannava, Johannes F. Plate, Austin V. Stone, Michael T. FreehillAbstract:Shoulder arthroscopy offers a minimally invasive surgical approach to treat a variety of shoulder pathologies. The patient can be positioned in either the lateral Decubitus or the beach chair position. This note and accompanying video describe the operating room setup for shoulder arthroscopy in the lateral Decubitus position, including positioning of the arms, head, and sterile preparation and draping. Appropriate lateral Decubitus positioning for shoulder arthroscopy with careful attention to detail will promote ease of surgical intervention and minimize complications.
Nikhil N. Verma - One of the best experts on this subject based on the ideXlab platform.
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Shoulder Arthroscopy in the Lateral Decubitus Position.
Arthroscopy techniques, 2017Co-Authors: Jason T. Hamamoto, Rachel M. Frank, John D. Higgins, Matthew T. Provencher, Anthony A. Romeo, Nikhil N. VermaAbstract:Arthroscopic shoulder surgery can be performed in both the beach chair and lateral Decubitus positions. The lateral Decubitus position allows for excellent exposure to all aspects of the glenohumeral joint and is therefore frequently employed in procedures such as stabilization, in which extensive visualization of the inferior and posterior aspects of the joint is required. Improved visualization is imparted due to applied lateral and axial traction on the operative arm, which increases the glenohumeral joint space. To perform arthroscopy surgery in the lateral Decubitus position successfully, meticulous care during patient positioning and setup must be taken. In this Technical Note, we describe the steps required to safely, efficiently, and reproducibly perform arthroscopic shoulder surgery in the lateral Decubitus position.
