Angela Degirolamo

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BACKGROUND No national policy requires health care providers to discuss with hospitalized patients whether the latter would want cardiopulmonary resuscitation (CPR) or mechanical ventilation (MV) in the event of cardiopulmonary failure. OBJECTIVE To determine whether hospitalized patients are willing to discuss end-of-life issues and choose whether to(More)
BACKGROUND After patients recovering from respiratory failure have successfully completed a spontaneous breathing trial (SBT), clinicians must determine whether an artificial airway is still required. We hypothesized that cough strength and the magnitude of endotracheal secretions affect extubation outcomes. METHODS We conducted a prospective study of 91(More)
OBJECTIVE We hypothesized that patients with septic shock who achieve negative fluid balance (< or =-500 mL) on any day in the first 3 days of management are more likely to survive than those who do not. DESIGN Retrospective chart review. PATIENTS Thirty-six patients admitted with the diagnosis of septic shock. SETTING Twelve-bed medical ICU of a(More)
BACKGROUND No studies have assessed whether clinicians obtain informed consent for invasive medical procedures, and there are no explicit national standards to guide the process. HYPOTHESIS Informed consent practices are inconsistent for commonly performed invasive medical procedures. METHODS A simple questionnaire was electronically mailed and/or faxed(More)
OBJECTIVE To describe the informed consent practices in the medical intensive care unit (MICU) of a university-affiliated, community teaching hospital. DESIGN Prospective, observational study. SUBJECTS 177 critically ill patients. MEASUREMENTS Study personnel identified all critically ill patients who had an invasive medical procedure during the study(More)
Adult onset Still’s disease (AOSD) is a systemic auto-inflammatory condition of unknown etiology, characterized by high fever, an evanescent, salmon-pink maculopapular skin rash, arthralgia or arthritis and leukocytosis. AOSD can also present with atypical cutaneous manifestations, such as persistent pruritic coalescent papules or plaques and linear lesions(More)
BACKGROUND Acute porphyria and Arnold Chiari malformation are both uncommon genetic disorders without known association. The insidious onset, non-specific clinical manifestations, and precipitating factors often cause diagnosis of acute porphyria to be missed, particularly in patients with comorbidities. CASE REPORT A women with Arnold Chiari malformation(More)
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