in the cardiac patient
báo cáo hóa học:" Perioperative safety of two-team simultaneous bilateral total knee arthroplasty in the obese patient" docx
... of either warfarin, enoxaparin, or combination enoxaparin and warfarin therapy Most patients were discharged to home or to a rehabilitation facility on the 3rd or 4th postoperative day Indication ... ligament avulsions [18] In our series, there was a low overall rate of wound complications and infections, and there was no increase in this type of morbidity in patients undergoing the simultaneous ... postoperative clinical pathways were utilized throughout the time period of this study Continuous passive motion was initiated in the post-anesthesia care unit and used throughout the patient' s hospital...
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Báo cáo y học: "Three variations of the laryngeal nerve in the same patient: a case report" potx
... at the anticipated crossing point of the nerve and the artery His right RLN was found not to follow the usual course of the nerve in the tracheaesophageal groove The dissection was advanced in ... anatomic finding Association of two anatomic variations has occurred in the same nerve, presenting the variation of the variation” Consent Written informed consent was obtained from the patient ... of the ILN in one patient is an extremely rare coincidence The prevalence of non-recurrent nerve has been reported below 1% [5-7] and increases the risk of ILN injury The laryngeal entry point...
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Báo cáo y học: "Immunodepression in the surgical patient and increased susceptibility to infection" doc
... deactivates their inflammatory and antigen-presenting pathways In summary, the greater the inflammation and injury, the greater the counter-regulation Measurement of immune responsiveness During the ... preventing excessive inflammatory reactions in intensive care unit patients If the response is transient, then the beneficial effect dominates However, extensive systemic inflammation (e.g following ... cytokine profiling (differentiation of type 1/2 cytokine patterns by intracellular cytokine staining and flow cytometric analysis) have been developed Using standard operation procedures, interassay...
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Báo cáo y học: " B-type natriuretic peptide release and left ventricular filling pressure assessed by echocardiographic study after subarachnoid hemorrhage: a prospective study in non-cardiac patients" ppt
... studied filling pressure in this type of population, other researchers have reported hemodynamic findings in line with our findings in SAH patients by using a pulmonary artery catheter placed ... less than in 30 patients (97%) on day 1, in 29 patients (94%) on day 2, and in all patients on day Of the 23 patients recorded, E/FPV was less than 1.5 in 21 patients (87%) In all patients, DT ... all patients Creatinine clearance was computed from creatinine excretion in a 24-hour urine collection and a single measurement of serum creatinine on day Aneurysm location was noted, and the...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 1 pptx
... utilizing their individual expertise This book outlines the principles of dealing with such patients including the preferences of techniques and the hardware available The text is divided into ... Acquisitions: Gina Almond Development: Beckie Brand Set in 10/13 Palatino by Newgen Imaging Systems (P) Ltd., Chennai, India Printed and bound in Singapore by COS Printers Pte Ltd For further information ... trunk into the superior vena cava Right: A left azygous (hemiazygous) vein drains blood from the lower trunk into a left superior vena cava and from there into the right atrium via the coronary sinus...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 2 potx
... occasion, the cephalic vein may break during lead insertion If the two leads cause a very tight fit in the vein, it may, as a consequence, invaginate the vein into the subclavian vein The torn ... sewing in the valve, the lead can be positioned on the endocardial surface of the ventricle, using the approach just described via the atrium The sewing ring of the valve will then cover the ... vein retained guide wire technique Left: Two leads are passed along an intact cephalic vein Right: The cephalic vein is torn with pushing of the second lead into the subclavian vein The vein...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 3 docx
... but rather proceed retrograde towards the arm in the axillary vein or up into the neck in the internal jugular vein (Figure 7.4) Although this can usually be prevented by not peeling the introducer ... annuloplasty ring to the apex of the right ventricle The other lead (white arrow) lies in the body of the right atrium The operation of the Locator® produces only a small change in the distal curvature ... (SelectSite® , Medtronic Inc.) At the distal end, four views of the catheter are shown demonstrating the range through which the catheter can be steered In the center is the thin 4.1F lumenless fixed...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 4 pdf
... outside the vein in the pacemaker pocket has also been suggested The lead is secured to the tissues via the lead collar, using slowly absorbable suture material The lead can then be drawn into the intravascular ... vena cava will result in marked difficulties in trying to achieve left ventricular pacing The incidence of this abnormality draining into the coronary sinus is about 3–5% of patients with structurally ... biventricular pacing An enlarged thebesian valve within the coronary sinus may obstruct the ostium making lead positioning difficult or impossible 39 40 Chapter 11 In patients with D-transposition of the great...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 5 doc
... ventricular lead passing inferior without a bend as if into the floor of the right atrium and fits nicely with the accompanying schematic Depending on its position in the ventricle, the lead tip may ... permanent pacemaker implantation in a pregnant patient shrouded in lead from the diaphragm down Following physiologic pacing, in an otherwise normal female, there is no contraindication to pregnancy [123] ... leads requiring a thoracotomy is not indicated • In the adult, provided the patient is in sinus rhythm, reestablishment of atrioventricular synchrony is essential • In some centers, a single pass...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 6 pot
... show the ventricular lead emerging from the coronary sinus looping in the right atrium and then passing to the floor of the right ventricle The atrial lead (At) lies against the lateral wall of the ... to show the ventricular lead emerging from the coronary sinus, looping in the large right atrium and passing through the tricuspid valve to the floor of the right ventricle (white arrow) The atrial ... paradoxical embolism The decision would depend on the size of the shunt, age of the patient, previous emboli and the experience of the institution in closing such shunts The advent of transvenous...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 7 potx
... vein, then there will be a leftward axis similar to pacing from the cardiac apex (Figure 19.6) In this position, the lateral chest x-ray helps confirm the cardiac venous pacing by demonstrating the ... pacing with a right bundle branch block appearance and the axis will depend on where the lead lies For instance, if the lead lies low in the heart such as in the middle or lateral cardiac vein, ... (RAO) showing dual chamber pacing in a patient with Ebstein’s anomaly The passive-fixation atrial lead lies in the atrial appendage The passive-fixation right ventricular lead lies in the atrialized...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 8 pps
... at the time of the original surgery As described earlier, the lead can be positioned in the ventricle, via the atrium and the sewing ring of the prosthetic tricuspid valve will then cover the ... operatively the coronary sinus may not drain directly into the right atrium The surgeon, in order to protect the conducting system may position the prosthetic tricuspid valve, so that the coronary sinus ... if there is evidence of sick sinus syndrome or atrioventricular block which may progress in the future Another situation in Ebstein’s anomaly that may require cardiac pacing in the future is the...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 9 doc
... Prejean CA Pacing in the middle cardiac vein in a patient with tricuspid prosthesis PACE 2002; 25: 243–244 73 Bos HS, Pop GAM, Stel EA et al Dual site coronary sinus pacing in a patient with an ... pacing There is both sensing and pacing in the atrium Ventricular pacing demonstrates a right bundle branch block configuration and a left axis deviation suggesting left ventricular pacing from the ... portion of the single ventricle The two epimyocardial leads are on top of each other in the PA view which has been highlighted with a box In the L Lat view, a black arrow points to the two epimyocardial...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 10 pptx
... tract, 103 innominate vein, internal jugular approach, limitation, interrupted inferior vena cava, 41 intra-atrial baffle, 40, 89, 91 repair, 41 introducers, funnel introducer, 6, second introducer, ... LK et al Permanent pacing in patients with univentricular heart (Abstract) PACE 1994; 17: 806 251 Blackburn MEC, Gibbs JL Ventricular pacing from the coronary sinus in a patient with a Fontan ... al Transvenous ventricular pacing options in Ebstein’s anomaly Indian Heart J 1998; 50: 565–568 201 Andersen C, Oxhøj H, Justensen P Pacing in a patient with Ebstein’s anomaly PACE 1989; 12: 1586–1588...
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cáo khoa học: " A knowledge translation collaborative to improve the use of therapeutic hypothermia in post-cardiac arrest patients: protocol for a stepped wedge randomized trial" pdf
... result in an increase in post -cardiac arrest patients receiving appropriate therapeutic hypothermia Methods/design The setting Figure Chain of survival for out-of-hospital cardiac arrest The hospitals ... posted on the website for all hospitals Innovative tools to help translate the guideline to the bedside and increase the use of therapeutic hypothermia in all eligible patients (’cooling kits,’ ... arrest The hospitals in this project include the 33 southern Ontario hospitals already participating in the University of Toronto regional coordinating centre site of the Dainty et al Implementation...
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Báo cáo y học: "Comparison of bedside measurement of cardiac output with the thermodilution method and the Fick method in mechanically ventilated patients" pot
... QTTherm (l/min) Passing and Bablok regression of cardiac output determined using the metabolic (Fick) method (QTFICK) against cardiac output determined using the thermodilution method (QTTHERM) [29] ... QTTherm (l/min) Comparison of cardiac output determined using the metabolic (Fick) method (QTFICK) and cardiac output determined using the thermodilution method (QTTHERM) according to (a) the Bland ... of the clinical use of thermodilution in measuring cardiac output With particular reference to the Swan–Ganz thermodilution catheters Scand J Clin Lab Invest 1978, 38:383-388 Bilfinger TV, Lin...
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Báo cáo khoa học: "The role of thyroid hormone therapy in acutely ill cardiac patients" pot
... seriously in a prospective randomized trial Competing interests The author(s) declare that they have no competing interests References 334 Wartofsky L, Burman KD: Alterations in thyroid function in patients ... Wyne shunted into rT3, the authors ask whether we should consider treating cardiac patients who have the euthyroid sick syndrome with T3 (and not T4) to facilitate cardiac recovery There is now ... activated NF-κB in the pathogenesis of euthyroid sick syndrome J Clin Invest 2000, 106:393-402 De Groot LJ: Dangerous dogmas in medicine: the nonthyroidal illness syndrome J Clin Endocrinol Metab...
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Báo cáo y học: "Bench-to-bedside review: The value of cardiac biomarkers in the intensive care patient" pdf
... elevated in patients with unstable angina but not in those with variant angina caused by vasospasm, indicating that CRP is associated with inflammation in the coronary artery rather than in the ischemic ... demonstrating the usefulness of CRP as a cardiac biomarker in the intensive care setting BNP is also a promising biomarker for use in the ICU, but its application is confined mainly to screening purposes ... reuptake, increasing the glomerular filtration rate and inhibiting angiotensin action on the proximal tubule [7] BNP also induces vasodilatation, thereby reducing afterload [8] The peptide therefore...
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Báo cáo y học: "A prospective observational study of the relationship of critical illness associated hyperglycaemia in medical ICU patients and subsequent development of type 2 diabetes"
... pre-existing increased insulin resistance and dysfunction of beta cells Insulin resistance is present in the acutely ill [13,15,18,28] in different intensity, but the factors determining the extent ... body mass indexes During the five years of follow-up, 102 (15.2%) patients in the normoglycaemia group and 66 (18.3%) patients in the hyperglycaemia group died There were 154 patients in the normoglycaemia ... wrote the manuscript AVB and VG participated in patients' inclusion and follow-up IPR was involved in the analysis of results and writing the manuscript All the authors read and approved the final...
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Báo cáo y học: "Special considerations in the treatment of patients with bipolar disorder and medical co-morbidities"
... hrs following the post-dialysis dose There is a case report in which lithium levels were maintained in the therapeutic range by intraperitoneal administration of lithium during continuous peritoneal ... gabapentin in patients with HCV [55] These findings suggest that valproate can be used for some patients with HCV without adversely affecting ALT levels Obtaining pretreatment baseline ALT levels in ... shunting, thereby decreasing first pass metabolism; decrease in quantities and affinity of plasma proteins, thereby increasing free-drug levels; increase in volume of distribution in patients...
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