Right Ventricle (RV) has been treated as the neglected cardiac chamber for a long time. Advent of cardiac MRI and advancements in echocardiography have facilitated the understanding of RV structure and function and elucidated its role in management and prognosis of various cardiac ailments. Further refinement of three-dimensional (3D) and strain imaging and their application to study of right ventricular structural and functional abnormalities will be helpful in early identification of cardiac pathologies and their timely intervention.
Advanced Heart Failure Therapies: Cardiac Transplantation and Mechanical Circ...Allina Health
By Michael A. Samara, MD. A discussion about the growing population of patients with heart failure, advances in heart failure therapies, and the role of ECMO and LVAD implants in improving outcomes. "ECMO is an older therapy that is undergoing a renaissance. We've learned that poorer outcomes were a consequence of resorting to ECMO too late after multiple system failure. Now we're starting ECMO in the cath lab, even during active CPR."
Right Ventricle (RV) has been treated as the neglected cardiac chamber for a long time. Advent of cardiac MRI and advancements in echocardiography have facilitated the understanding of RV structure and function and elucidated its role in management and prognosis of various cardiac ailments. Further refinement of three-dimensional (3D) and strain imaging and their application to study of right ventricular structural and functional abnormalities will be helpful in early identification of cardiac pathologies and their timely intervention.
Advanced Heart Failure Therapies: Cardiac Transplantation and Mechanical Circ...Allina Health
By Michael A. Samara, MD. A discussion about the growing population of patients with heart failure, advances in heart failure therapies, and the role of ECMO and LVAD implants in improving outcomes. "ECMO is an older therapy that is undergoing a renaissance. We've learned that poorer outcomes were a consequence of resorting to ECMO too late after multiple system failure. Now we're starting ECMO in the cath lab, even during active CPR."
The Small Intestine Channel of Hand-Taiyang
SI (Small Intestine) - This Acupuncture Lecture has been presented by Tim Vukan, the founder of Wushan TCM. It has been taught to Chinese Bachelor students at Zhejiang Chinese Medical University in Hangzhou, China. Find more Information about Online Courses on Wushan TCM www.wushantcm.com
6. Nurse’s role
during EPS with Ablation
Providing information, education, support and
reassurance
Balancing myocardial oxygen supply and demand
Maintaining hemostasis, Preventing bleeding
complications
Monitoring for arrhythmias
Monitoring vascular status of effected extremities
7. Preparing the patient for
EPS with Ablation
Monitoring for arrhythmias
停用五個代謝半衰期的心律不整藥物,如 :
Digoxin 、 Amindrone(1-3 天 )
持續 supraventricular tachycardiac ,可以短效之心律不整
藥物,如 : adenosine
矯正低血鉀症以免影響心臟傳導
避免使用 Atropine 、 Morphine ,因為會減弱人為激發心
搏過速不整脈的反應
8. Preparing the patient for EPS with Ablation
Providing information, education, support and reassurance
觀看「心電生理檢 與電氣燒灼術」錄影帶。查
聯繫醫師進行手術過程說明。
協助填寫同意書 ( 手術、電氣生理檢 、灼燒術治療同意書、 及住加護查
病房同意書、備血同意書 ) 。
胸部 X 光、心電圖檢查
On Lock( 左手 ) 同時抽血檢查 (CBC 、 BUN/Cr 、 NA/k 、 APTT/PT 、
備血 ) 。
標示四肢末梢 perfusion & pulsation 。
皮膚準備:雙側腹股溝及上段 1/3 毛髮。
術前禁食 6-8 小時。
介紹成功案例經驗分享以減輕焦慮。
睡前服用 Ativan 0.5mg 1#