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Unlabelled: This case report presents the intensive care management of a 65-year-old male patient who underwent hemicorporectomy due to advanced intrapelvic chordoma. Early postoperative complications included supraventricular tachycardia, ventilator-associated pneumonia, and sepsis, while late complications involved wound infection, fluid management challenges, and pleural effusion. Candida parapsilosis was isolated from the wound site, and clinical improvement was achieved with antifungal therapy. After a two-month intensive care stay, the patient was stabilized and transferred to the orthopedic department. This report highlights the importance of a multidisciplinary approach and intensive care management following hemicorporectomy.
Graphical Abstract: [Image: see text]
Supplementary Information: The online version contains supplementary material available at 10.1186/s12871-025-03184-x.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210823 | PMC |
http://dx.doi.org/10.1186/s12871-025-03184-x | DOI Listing |
Nurs Crit Care
September 2025
School of Nursing and Midwifery, Monash University, Frankston, Victoria, Australia.
Background: Optimal oral care is essential in preventing non-ventilator hospital-associated pneumonia and enhancing patient comfort. However, nurses' clinical oral care practices for patients not on mechanical ventilation in the intensive care unit are both underreported and understudied.
Aim: To explore intensive care nurses' clinical oral care practices for patients not on mechanical ventilation in intensive care units.
J Adv Nurs
September 2025
Department of Sociology and Behavioral Sciences, De La Salle University, Manila, Philippines.
Aim: To explore the potential axiological shift in nursing, drawing upon a critical reading of the new definition of 'nursing' published by the International Council of Nurses (ICN) in June 2025, and to articulate its implications for research and doctoral education.
Design: Critical discussion paper.
Methods: Guided by critical inquiry and emancipatory nursing knowledge development approaches, this paper deploys retroductive analysis to interrogate the axiological commitments that inform and are generated by the 2025 ICN definition and how it relates to nursing research.
J Adv Nurs
September 2025
Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Aims: To assess self-reported practices and knowledge of nurses and prescribers (i.e., physicians and nurse practitioners) on intravenous fluid therapy, and to evaluate how this is documented through a clinical documentation review.
View Article and Find Full Text PDFArthritis Care Res (Hoboken)
September 2025
Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Background: Interstitial lung disease (ILD) is a significant cause of morbidity and mortality in systemic sclerosis (SSc), particularly among Black patients. Pulmonary function tests (PFTs) are critical to screen for and monitor SSc-ILD. We examined whether race-specific and race-neutral PFT reference equations impact classification of restrictive lung disease (RLD) severity in Black and White patients with SSc.
View Article and Find Full Text PDFStroke
September 2025
Department of Neurology, Yale School of Medicine, New Haven, CT (L.H.S.).
Preclinical stroke research faces a critical translational gap, with animal studies failing to reliably predict clinical efficacy. To address this, the field is moving toward rigorous, multicenter preclinical randomized controlled trials (mpRCTs) that mimic phase 3 clinical trials in several key components. This collective statement, derived from experts involved in mpRCTs, outlines considerations for designing and executing such trials.
View Article and Find Full Text PDF