management analgesia and anxiolysis in the adult patient
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 ... tined lead inserted at the apex of the right ventricle at the time of tricuspid valve replacement The lead was positioned in the ventricle first, via a purse string in the atrium and the sewing...
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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 ... 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 and ... appendage and the aforementioned left atrium The J stylet is the typical atrial appendage shape and the curved stylet is useful in negotiating large chambers In Figure 7.3, the Locator® lies in the...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 4 pdf
... 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 ... 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 path as the teenager grows, especially in the ... soluble ribonucleoproteins SS-A/Ro and SS-B/La, cross the placental barrier during the first trimester and interact with the fetal cardiac antigens involved in the development of the atrioventricular...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 5 doc
... Resting 12-lead ECG from the same patient demonstrating dual chamber pacing with an inferior axis and the characteristic tall R waves from V2 to V6 side of each other whereas in the normal, the ... 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 ... inverts all the structures derived from the bulboventricular part of the heart, which includes the atrioventricular valves, the ventricles and the proximal part of the great arteries; hence the...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 6 pot
... (PA) and 30◦ right anterior oblique (RAO) views to 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 ... 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 ... emerged from the coronary sinus, so that the tip went superior into the body of the ventricle rather than to the floor and apex [182] The active-fixation lead was then successfully attached to the bundle...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 7 potx
... superior vena cava and the stub of the right atrium It then proceeds behind the baffle into the anatomical left atrium, where it is attached to the roof In the L Lat view, the lead lies posterior ... voltage output pacing Provided the pathway is clear, the atrial lead progresses through the superior vena cava and the stub of the right atrium and proceeds behind the baffle into the anatomical ... correct the cyanosis are performed in the young: the Senning, and the more commonly used Mustard procedures; redirect venous blood by removal of the atrial septum followed by the insertion of an intra-atrial...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 8 pps
... to V4 (Figure 20.11) The axis is, however, dependent on the position of the lead in the left ventricle The higher the lead in the chamber, the more prominent the R wave in lead III (Figures 20.12, ... 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 ... postero-anterior (PA) and left lateral (L Lat), showing dual chamber pacing in a patient with the Mustard procedure In the PA view, active-fixation leads are attached to the roof of the left atrium and lateral...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 9 doc
... demonstrating dual chamber 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 ... following atrial, septal and apical single chamber right heart pacing in the young PACE 1997; 20: 1983–1988 52 Lieberman R, Grenz D, Mond H et al Selective site pacing: Defining and reaching the ... and left ventricular pacing in Ebstein’s anomaly with severe interatrial conduction block PACE 2001; 24: 1032–1035 72 Nguyen LS, Swaroop S, Prejean CA Pacing in the middle cardiac vein in a patient...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 10 pptx
... 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 ... to, 10 infundibular right ventricular outflow tract, 103 innominate vein, internal jugular approach, limitation, interrupted inferior vena cava, 41 intra-atrial baffle, 40, 89, 91 repair, 41 introducers, ... Ventricular pacing from the coronary sinus in a patient with a Fontan circulation Br Heart J 1993; 70: 578–579 252 Bens JL, Goudot B, Alsac J et al Permanent endocardial pacing in a case of single ventricle...
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báo cáo khoa học: "Compound double ileoileal and ileocecocolic intussusception caused by lipoma of the ileum in an adult patient: A case report" ppt
... intussusceptions are distinguished by the site of the pathologic lead point In ileocolic intussusception the lead point is in the ileum, but in ileocecal-colic intussusception the lead point is in the ileocecal ... ileocecalcolic, the initial pathologic lead point was located in the ileum and caused the double ileoileal intussusception (Figure 3) Then the double ileoileal intussusception continued to act as a lead point ... colonic intussusceptions The potential disadvantages of this approach are intraluminal seeding and tumor dissemination via venous flow, perforation and seeding of infection and tumor cells into the...
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Báo cáo khoa học: " Serum procalcitonin measurement as diagnostic and prognostic marker in febrile adult patients presenting to the emergency department" pdf
... 0.05 to be independent indicators of bacterial/parasitic infection and retained them in the model Continuous variables were transformed into dichotomous variables using the receiver operating curve ... Parasitic infections were malaria (in 12 patients) and Pneumocystis carinii pneumonia (in one patient) The main diagnoses of the patients are summarized in Table Agreement between the two experts ... determined the optimal threshold that minimized the distance to the ideal point (sensitivity = specificity = 1) on the ROC curve The discrimination ability of the final model was quantified by using...
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Tài liệu Báo cáo khoa học: Distribution of class I, III and IV alcohol dehydrogenase mRNAs in the adult rat, mouse and human brain ppt
... involvement of ADH1 and ADH4 in ethanol oxidation in brain tissue Regarding retinoid metabolism in the adult brain, enzymes other than ADH4 must be active, because in vivo and in vitro data indicate ... Furthermore, a remarkable number of proteins involved in retinoid-related metabolism (retinoic acid receptors, cellular binding proteins and oxidizing enzymes) have been mapped within the adult ... can be oxidized in brain homogenates and that catalase is involved in the accumulation of acetaldehyde in the brain [27], explaining its presence despite the absence of ADH1 and the fact that acetaldehyde...
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Tài liệu Integrated Management of Childhood Illness Caring for Newborns and Children in the Community doc
... (http://www.who.int/about/licensing/copyright_form/en/index.html) The designations employed and the presentation of the material in this publication not imply the expression of any opinion whatsoever on the ... Convulsions? Swelling of both feet? Difficulty drinking or feeding? If yes, not able to drink or feed anything? Vomiting? If yes, vomits everything? Any other problem? IDENTIFY PROBLEMS: ASK AND LOOK ... been taken by the World Health Organization to verify the information contained in this publication However, the published material is being distributed without warranty of any kind, either expressed...
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ANTIBIOTIC RESISTANCE OF ESCHERICHIA COLI ISOLATED FORM POULTRY WORKERS, PATIENTS AND CHICKEN IN THE EASTERN PROVINCE OF SAUDI ARABIA ppt
... gentamicin Ampicillin, spectinomycin Ampicillin, tetracycline Ampicillin, TMPϩSMX Ampicillin, gentamicin, tetracycline & TMPϩSMX Ampicillin, gentamicin, spectinomycin, tetracycline & TMPϩSMX E coli -patient ... al 1996) In conclusion, our data demonstrate alarmingly high individual and multiple resistance to antibiotics in E coli, reflecting the misuse of these agents in the poultry industry Since chicken ... poultry industry workers and patients to antimicrobial agents commonly used in the poultry industry and/ or for patients in E coli-chicken ———————– Drugs Ampicillin, chloramphenicol Ampicillin, gentamicin...
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Risk Management and Performance in the Balkans Support Contract docx
... structure and operating mechanisms, including the work scope and WBSs; the service order, work order, and funds administration processes; the award fee evaluation process; and the CDRL and other management ... competing demands for preparedness and responsiveness, along with an apparent interest in reducing its in- house role in providing CSS in the region, relating to various resource constraints For these ... responding to changing circumstances and increased concerns about cost The details of the order process differ, depending on a number of factors, including whether the work is within the scope of the...
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Guidelines for the Diagnosis and Management of Food Allergy in the United States docx
... itchy rashes and blistering, weeping, or peeling of the skin The causes of the disease are unclear There may be a problem in the skin’s ability to maintain an effective barrier against environmental ... small intestine Enteropathy is a disease of the intestine Epinephrine (adrenaline) is a hormone that increases heart rate, tightens the blood vessels, and opens the airways Epinephrine is the best ... respiratory tract and/ or gastrointestinal tract), begins very rapidly, and may cause death Angioedema is swelling due to fluid collecting under the skin, in the abdominal organs, or in the upper airway...
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Báo cáo hóa học: " The effect of red blood cell transfusion on tissue oxygenation and microcirculation in severe septic patients" pdf
... drafting and revising the manuscript, and approving the manuscript in its final form RA, KK, and JO contributed to acquiring and managing the data, revising the manuscript, and approving the manuscript ... analyzing the data and interpreting the results, revising the manuscript, and approving the manuscript in its final form Competing interests The authors declare that they have no competing interests ... off-line and in a blinded fashion by one of the investigators (FS), who was blinded to the patient s clinical course and the order of the sequences Percent change in PPV was calculated as the difference...
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Báo cáo hóa học: " Albuterol enantiomer levels, lung function and QTc interval in patients with acute severe asthma and COPD in the emergency department" pptx
... albuterol enantiomer remain unknown and are the subject of ongoing work The wide variation in the relationship between dose and levels has also indicated the difficulties in spot sampling methodology ... obtained from the remaining samples after routine blood examination was performed according to DEM procedures Routine tests undertaken include full blood examination, electrolyte examination and ECG ... interpret and are often not translated into clinical studies that compare the therapeutic outcome [19-22] There are a number of studies indicating that both the immediate therapeutic effects and immediate...
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Risk Management and Performance in the Balkans Support Contract potx
... structure and operating mechanisms, including the work scope and WBSs; the service order, work order, and funds administration processes; the award fee evaluation process; and the CDRL and other management ... competing demands for preparedness and responsiveness, along with an apparent interest in reducing its in- house role in providing CSS in the region, relating to various resource constraints For these ... responding to changing circumstances and increased concerns about cost The details of the order process differ, depending on a number of factors, including whether the work is within the scope of the...
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