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General Critical Care
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Guess
this is an Xray of a 43 years old female patient admitted yesterday in our ICU, done post intubation & central line insersion.
Do you notice what is of concern?
This secondary analysis of the MINT trial evaluated four transfusion thresholds (<10 g/dL, <9 g/dL, <8 g/dL, and <7 g/dL) in 3492 patients with acute MI and anemia. The 30-day risk for death or recurrent MI increased progressively as transfusion thresholds decreased, with a 14.8% risk at <10 g/dL, 15.1% at <9 g/dL, 15.9% at <8 g/dL, and 18.3% at <7 g/dL. However, wide confidence intervals preclude definitive conclusions. These findings suggest higher thresholds may reduce risk, but further research is needed due to imprecision in the estimates
Noor Ali Shah
Sep 20
โข
Very nice and interesting case.
Excellent debriefing ๐.
Well done my dear. ๐.
Only one thing I am concerned , whether thereโs any surgical emphysema after trial of tracheostomy tube insertion ?
Edited
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- Hussain Al-shabib
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What is concerning in this Xray is the central line shadow, it is hyperdense metalic shadow extending beyond superior vena cava surronded by a lesser dense shadow.
Dr Mazen gave us a hint by asking why "VERY BRITE".
It is a forgotten retained guidewire.
The question now : what is to be done next ?