N.B.: This short note has been made for my class seminar, and it will give you overview about post-anaesthesia complications of Respiratory, Cardiac, Renal and Neurological systems.
So, go read after it and you will find everything is clear.
Goodluck <3
N.B.: This short note has been made for my class seminar, and it will give you overview about post-anaesthesia complications of Respiratory, Cardiac, Renal and Neurological systems.
So, go read after it and you will find everything is clear.
Goodluck <3
This patient's shock was reluctant to resuscitation by I/V fluids, blood transfusion and all sorts of effort. I opened his abdomen with taking double bond consent. So he was saved. Thanks God.
This patient's shock was reluctant to resuscitation by I/V fluids, blood transfusion and all sorts of effort. I opened his abdomen with taking double bond consent. So he was saved. Thanks God.
I need finding assessmentresolutionmon Chief Complaint.pdfsukhvir71
I need
finding, assessment,resolution,mon
= Chief Complaint "My chest hurts, I can't catch my breath, and this cough is getting worse." = HPI
Justin Case is a 60-year-old man with a past medical history significant for MI who was admitted to
the hospital 5 days ago to undergo a scheduled surgical procedure following a recent diagnosis of
colorectal adenocarcinoma with metastatic lesions to the liver. The patient was taken to the OR on
hospital day 2 and underwent an exploratory laparotomy, diverting ileostomy, and Hickman
catheter placement in preparation for chemotherapy. Postoperatively, the patient was transferred
to the progressive ICU for his recovery without complication. The patient had no new complaints
until hospital day 5 when he complained of retrosternal crushing chest pain radiating to the left
shoulder and left jaw, shortness of breath, and a worsening cough with sputum production. The
patient was noted to be in respiratory distress with a RR of 43 breaths/min, HR 153bpm, BP
162/103mmHg, and O2 saturation of 87%. He was then transferred to the medical ICU and
underwent endotracheal intubation due to worsening respiratory status. Cardiac markers were
obtained, given the patient's symptoms and history of MI. Imaging and blood & sputum cultures
were obtained after patient transfer. =PMH CAD, S/P MI 3 years ago for which he did not undergo
any surgical intervention =SH Lives with his wife Smokes one ppd 40 years Denies alcohol or illicit
drug use Meds Patient states that he did not take any medications at home. Hospital medications
include (ICU medication list): Aspirin 325mgPO1 dose, then 81mg PO daily Enoxaparin 70mg
subcutaneously every 12 hours Esomeprazole 40mg PO daily Fentanyl 25mcg /hour IV
continuous infusion Lorazepam 2mg hour IV continuous infusion Metoprolol 25mg PO every 12
hours Nicotine patch 21mg per day applied daily AIl NKDA =ROS Patient is experiencing
significant chest pain, shortness of breath, and a cough with sputum production. He denies
nausea, vomiting, or difficulty urinating. He complains of mild abdominal pain near his ostomy and
incision sites. - Physical Examination Gen WDWN Caucasian man, initially anxious, ill-appearing,
and in moderate respiratory distress; now, S/P endotracheal intubation and in NAD VS BP
162/103 mm Hg, P 147 bpm, RR 42 breaths/min, T 38.5C; Wt 70kg,Ht56 Skin Warm; no rash; no
skin breakdown HEENT PERRLA; moist mucous membranes Neck/Lymph Nodes Supple; no
lymphadenopathy Lungs/Thorax Scattered rhonchi with expiratory wheezing; diffuse bilateral
crackles; decreased breath sounds in bilateral bases; right U Hickman catheter intact without
erythemaAbd Soft; mildly distended; hypoactive BS; large liver palpated in RUQ; ileostomy in RLQ
is pink and functioning; surgical incision is C/D/I Genit/Rect Deferred MS/Ext 1+ pitting edema; 2+
pulses bilaterally; good peripheral perfusion Neuro Prior to intubation, A&O3; CN II-XII intact;
patient is now intubated and sedated m Labs - Cardiac Mark.
Trans sternal trans pericardial closure of post pneumonectomy bronchopleural ...Abdulsalam Taha
The occurrence of a broncho-pleural (BPF) after pneumonectomy is an infrequent but severe complication accompanied by a high morbidity and mortality. Small BPFs may heal either spontaneously or with drainage only. However, the majority of patients with persistent BPFs require operative intervention. There is no standard treatment to this complication and the successful management is a challenge to the thoracic surgeon. While most of the treatment options are staged operations, the trans-sternal trans-pericardial (TSTP) closure is attractive as it is a one stage operation that avoids the infected pneumonectomy space and does not result in patient’s disfigurement. The technique was first used in Italy and then used extensively in the former Soviet Union. Herein, we report a case of chronic BPF after pneumoectomy successfully closed via the TSTP approach. The relevant literature is reviewed to throw light on the indications and the results of this operation.
Key Words: BPF, Pneumonectomy, Empyaema and TSTP Approach.
Publication Date: Mar 2010
Publication Name: Basra Journal of Surgery
view on iasj.net
Austin Journal of Anesthesia and Analgesia is an open access, peer reviewed, scholarly journal dedicated to publish articles in all areas of anesthesiology and pain management.
The aim of the journal is to provide a forum for anesthesiologists, researchers, physicians, and other health professionals to find most recent advances in the areas of anesthesiology. Austin Journal of Anesthesia and Analgesia accepts original research articles, review articles, case reports and rapid communication on all the aspects of anesthesiology and pain management.
Austin Journal of Anesthesia and Analgesia strongly supports the scientific upgradation and fortification in related scientific research community by enhancing access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed journals under one roof thereby promoting knowledge sharing, mutual promotion of multidisciplinary science.
Worsening Tension Pneumocephalus from Late Post-traumatic Ventriculo-bronchia...asclepiuspdfs
The objective of the study was to report a case of tension pneumocephalus presenting as status epilepticus and outcome of treatment following emergency hyperbaric oxygen therapy. The data were collected from electronic medical record. The study was a case report. The data were extracted from medical record review and literature search. A 41-year-old male presented with status epilepticus and was found to have pneumocephalus within the cerebral venous sinuses. Before presentation he was complaining of intermittent hemoptysis attributed to a lung injury from a remote trauma due to a stab wound in the chest. At the time of his chest injury, he underwent multiple operations. His recovery was complicated by formation of left ventricular aneurysm and ventriculopleural fistula which was successfully repaired 5 years before presentation. Before determining the exact etiology of pneumocephalus, the patient was emergently treated with hyperbaric oxygen therapy (HBOT) to help with the management of intractable status epilepticus. During the HBOT therapy, the patient developed hemodynamic instability and the therapy was aborted. Repeat computed tomography (CT) scan showed worsening pneumocephalus with massive brain swelling and herniation. An echocardiogram showed bubbles crossing the left ventricle to the aorta. A CT thorax showed evidence of communication between the left ventricle and lung parenchyma at the site of the Gore-Tex confirming a ventriculo-bronchial fistula. Despite aggressive measures to control intracranial hypertension, the patient deteriorated and was declared brain dead. In cases of pneumocephalus where the exact cause is not well documented, an extensive investigation is recommended to ascertain the etiology before the institution of hyperbaric oxygen therapy.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
penetrating chest trauma
1. Case presentation On call team : Dr M Ragel Dr Iftkar 16/Jun/2011 Dr Malik A 28-year-old Egyptian male was brought to ER approximately 30 minutes after sustaining injury to chest wall by a stone cutting saw.
2. On examination He is conscious oriented GCS 15/15 , not on respiratory distress but complained of 6/10 pain on deep inspiration in the mid-sternal His vital signs were normal with a blood pressure of 130/86 mmHg, a heart rate of 89 bpm and room air oxygen saturation of 98% with respiratory rate 18 min.
3. Examination of the thorax revealed a 2cm length , 0.5 com width and 1.5 cm in depth laceration over lower third of sternum with no active bleeding . Chest symmetrical on expansion with equal air entry bilateral,no signs for distant or muffled heart sounds or jugular vein distention .
8. -fracture of the sternum with F.B. Inside. -air in the anterior junction suggestive of pneumothorax with minimal pneumomediastinum, associated with surgical emphysema . -There is lung contusion including the left inferior lingula and segment of the medial lobe extended to the Rt & Lt anterior segments of the lower lobe
9.
10.
11.
12. . After CT scan vital signs were unchanged. The chest wall wound was débrided and closed at the bedside, . The patient was admitted to hospital . Overnight, the patient remained hemodynamically stable and completely asymptomatic with good analgesia.
