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The arrested heart surgery patient is a unique beast in surgery and critical care. Dr Nikki Stamp gives a whirlwind tour of post cardiac surgery resuscitation. She will discuss how to spot the potential arrest, how to manage it and some special situations to be aware of in this special group of patients Post cardiac surgery resuscitation is complex. Nikki describes them as “brown trouser moments”. She highlights this with three cases. A15-year-old girl who exsanguinated on Day 12 after dissection repair in the community. A 40-year-old female arrested within an hour of a re-do aortic root procedure. A 72-year-old lady who arrested after a bradycardic arrest following an aortic valve replacement. Only one survived – this is serious business. Cardiac arrest post cardiac surgery is relatively uncommon. The survival rate is also quite high. This is due to it being recognised and treated early with a high proportion of reversible causes. The key is to think of these causes and treat them as a team. Nikki breaks the causes into four groups. Ischemia, mechanical, arrhythmia and unknown. It is important to recognise that cardiac arrest in this population is differs to a typical scenario of cardiac arrest. As such, there is a different algorithm. This hinges on assessing the rhythm in the first instance and consider defibrillation fist if appropriate. One should also consider the use of pacing wires if they are still in post-operatively. Nikki provides a great number of clinical pearls, discussing care of the right heart, use of chest compressions and cardiac massage, use of ECMO and considerations if a left ventricular assistance device is in place. Her take home points include being alert to these situations but not alarmed! Practice these resuscitations as a team. Shock early and pace early and remember most people should not die with a closed chest!
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Tips and tricks to pass the cardiovascular station for PACES exam
Junhao Koh
it's an review article based on the clinical symptoms that arise after the alcohol withdrawal that can get worse in just 2 days after the withdraw of alcohol this review includes the pathophysiology and management of AWS. Management includes both the allopathic and ayurvedic Management and thus keeping in mind that the disorder can go to chronic in just 2 days treatment should be started from day 1st and giving ayurvedic formulations can be a better choice over allopathic because these can be administered for a very long time compared to allopathic and also works on the root cause of disorder clear out toxicity and person starts to recover soon. Only limitation is can not be given in chronic state.
Unveiling Alcohol Withdrawal Syndrome: exploring it's hidden depths
Unveiling Alcohol Withdrawal Syndrome: exploring it's hidden depths
Yash Garg
SEMESTER- V CHILD HEALTH NURSING-I Modern child care emphasizes a holistic approach, nurturing a child's physical, emotional, social, and cognitive development. Shifting from a disease-centered model, modern child care prioritizes preventive care and fostering healthy growth in children. The modern concept of child care recognizes the family as a crucial partner, advocating for family-centered care that addresses individual needs. Incorporating play, proper nutrition, and a safe environment, modern child care fosters optimal child development in all domains. Modern child care empowers nurses to act as advocates, educators, and caregivers, ensuring the well-being of children at every stage.
SEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdf
SEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdf
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Tips and tricks to pass the cardiovascular station for PACES exam
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Surgical management of valvular heart disease update
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AORTIC STENOSIS
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TRICUSPID REGURGITATON Secondary to
lung disease or disease in the left side of the heart
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Operative mortality after
surgery for valvular heart disease
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Thank You