Presentation on hospital training at cardiology department
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An overview of our(Students of Pharmacy DU) hospital training in Cardiology Department of Dhaka Medical College Hospital during September 10, September 30, 2016
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FOR A BETTER SOCIETY
The University General Hospital of Valencia is a large Institution. Its foundational principles of public, accessible, quality health are part of our management model, orientated towards the welfare society.
Our sustainability as an institution, covering more than 500 years, is chiefly founded on How we relate to our professionals, our patients, our environment and to the people in order to achieve a Better Society.
SUMMARY
Whoever loses their memory loses their identity
The General University Hospital of Valencia Consortium
Corporate model
Clinical management: participation and efficiency model
University Hospital: Teaching and Research
Integrating the latest information technologies
Social dimension
Environmental dimension: Green Hospital
WHOEVER LOSES THEIR MEMORY LOSES THEIR IDENTITY
The hospital harks back to 1409 when Friar Juan Gilabert Jofré considered the need to establish a hospital for those lacking any kind of medical care. It was on this Hospital dels Folls that Ignocents I Orats was to erect the General Hospital, the result of an arbitral award pronounced by the Council, on 17th April 1512, to bring together all the hospitals in the town of Valencia. King Fernando the Catholic issued a privilege, that same year, which authorized this sentence.
BENCHMARK HOSPITAL
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1992 DERMATOLOGY
2002 INTERNATIONAL HEALTH (REEMERGING AND IMPORTED ILLNESSES)
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2005 PIGMENTARY RETINOSIS
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2008 TRANSANAL ENDOSCOPIC MICROSURGERY
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Transcatheter closure of ventricular septal defects (VSDs) is generally safe and effective but infectious endocarditis is a rare but serious complication. The case report describes a 25-year-old male who developed Pseudomonas endocarditis affecting the aortic valve and VSD closure device that was placed during childhood. Despite antibiotic treatment, the patient's condition deteriorated necessitating open heart surgery to remove the infected device and tissues, repair the VSD with a patch, and replace the damaged aortic valve. While transcatheter VSD closure has benefits over surgery, infectious endocarditis remains a serious potential complication that may require urgent intervention.
POST CARDIAC SURGICAL CARE
The document discusses the post-cardiac surgical management of patients in the intensive care unit (ICU). It outlines the types of patients admitted to the ICU, including those recovering from open or closed heart surgery. It describes the preparations made for receiving patients, including cleaning beds, preparing monitors, ventilators, and emergency equipment. It also outlines the various procedures and care provided in the ICU, such as monitoring, laboratory tests, medication administration, positioning, fluid balance maintenance, and discharge criteria when patients are stable and ready to be transferred from the ICU.
CharakMemorialhospitalServices.pptx
ICU : 14 bedded Intensive Care Unit with trained nurses experienced physiotherapist are available round the clock on their duty. The ICU is equipped with:
Multi panel overhead monitors for each bed & one central monitor
Bedside color Doppler
Echocardiography system
Continuous Oxygen supply
Infusion pumps
Defibrillator
Ventilators
Invasive as well as non-invasive pressure monitoring systems
Temporary Pace maker (transdermal as well as transvenous)
Intra aortic balloon pump
ABG (Blood Gas Machine)
3 dedicated cardiac theatres, (computerized monitoring systems,
centrifugal pumps, etc.)
NICU: Specialized care of the sick new born including premature and tiny babies with artificial life-support techniques, infection control mechanisms and advanced equipment including high frequency ventilators caters to premature babies with special needs and those born after high-risk pregnancies .We provide one of the most advanced neonatal units in neonatal medicine. The unit provides pre and postoperative management of neonatal emergencies.
The staff consists of 4 Consultant Neonatologists, 2 Registrars, 2 Fellows and specially trained Neonatal Nursing and Para-medical staff. These advances
backed by conventional neonate management technology (incubators, computerized monitoring including blood pressure, oxygen levels in the blood, blood gas analysis etc.)
Parents of babies admitted to the unit are allowed unlimited access to visit the baby. They are encouraged to actively participate in the day-to-day care of their baby.
Central Hospital/South Central Railway
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محاضرة_6_التمريض_تقنيات_التخدير_مرحلة_4.pdf
This document provides an overview of cardiovascular surgery and management of postoperative patients. It discusses surgical approaches for cardiac surgery, including coronary artery bypass grafting (CABG) and treatment of ischemic heart disease. Pre-operative preparation and the intraoperative phase for CABG are described. Post-operative recovery and potential complications are summarized. The document also reviews valvular heart diseases, surgical repair and replacement options, and indications for surgery for different heart valves.
Protocol
This document outlines a protocol for a thesis that will compare outcomes of percutaneous coronary intervention (PCI) with manual thrombus aspiration versus PCI alone for patients with ST-segment elevation myocardial infarction (STEMI). The study will enroll 80 patients who will be randomly assigned to receive either conventional PCI or PCI with thrombus aspiration. The primary endpoint is 30-day mortality. Secondary endpoints include complications of PCI, stroke, heart failure, length of hospital stay, and TIMI flow grade. All patients will undergo clinical assessments, cardiac biomarkers, echocardiography, and PCI. Post-procedure antiplatelet therapy will also be standardized.
icu admission.2022 pptx.pdf
The document discusses the Surgical Intensive Care Unit (SICU), describing it as a tertiary care facility that provides critical care to unstable, severely ill surgical patients requiring constant monitoring and emergency interventions. Anesthesiologists and surgeons play major roles in the SICU by managing airways, ventilation, resuscitation, and monitoring patients with critical illnesses or injuries. The document outlines patient admission criteria and monitoring, discharge criteria, and the roles and communication between intensivists and surgeons in managing and caring for patients in the SICU.
DVT PROPHYLAXIS FOR SURGERIES-dona.pptx
Deep vein thrombosis (DVT) is a blood clot that forms inside a vein, usually in the leg veins. If not treated, the clots can break off and travel to other parts of the body. Risk factors include genetic factors, immobilization, surgery, cancer, and oral contraceptives. Symptoms may include leg swelling and pain. Treatment involves blood thinners to prevent clot growth and embolism. Proper prophylaxis including mechanical methods and anticoagulants depends on the type of surgery and patient risk factors. Care must be taken with neuraxial procedures and indwelling catheters.
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Hospital pharmacists play an important role in ensuring safe and effective medication use. They are responsible for procuring, storing, and dispensing medications. Pharmacists also provide clinical services like reviewing medications for safety and efficacy, providing drug information to patients and staff, and optimizing medication therapy. Some pharmacists specialize in areas like nuclear pharmacy, oncology pharmacy, and intensive care pharmacy to support patients with complex medication needs. Overall, hospital pharmacists are drug experts who work to improve patient outcomes through optimal medication use.
3. monitoring & devices used in icu ccu
The document discusses various devices used in intensive care units (ICUs) for patient monitoring and life support. It describes equipment for monitoring vital signs like heart rate and blood pressure. Devices discussed include arterial lines, central venous lines, pulse oximeters, ventilators, infusion pumps, and crash carts. The roles of nurses in operating and overseeing this equipment are also reviewed.
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This document provides information on primary percutaneous coronary intervention (PPCI) for ST-segment elevation myocardial infarction (STEMI). It describes the clinical presentation of STEMI and time-sensitive treatment with either thrombolysis or PPCI. PPCI is shown to reduce mortality, reinfarction, and need for bypass surgery compared to thrombolysis. The document outlines the PPCI procedure, complications, post-procedure observations and care including monitoring for arrhythmias, puncture site bleeding, vital sign changes, pain, and left ventricular failure. Psychological support is also emphasized.
Anaesthetic Management of a Case of Dilated Cardiomyopathy for Breast Surgery...
Explore the intersection of cardiovascular challenges and surgical innovation in our presentation on 'Anaesthetic Management of a Case of Dilated Cardiomyopathy for Breast Surgery with SupraGlottic Airway Device (SGAD).' Join us as we unravel the intricacies of managing patients with dilated cardiomyopathy during breast surgery, employing advanced supra-glottic airway devices.
Intensive care unit (icu)
The intensive care unit (ICU) provides intensive treatment for critically ill patients. Common equipment in the ICU includes ventilators, cardiac monitors, IV lines, and other advanced medical equipment and resources not found elsewhere in the hospital. ICUs are staffed by highly trained doctors and nurses who care for patients with severe illnesses or injuries requiring close monitoring. Specialty ICUs exist for neonatal care, pediatrics, cardiac patients, neurological patients, and more. Quality ICU care is associated with lower mortality rates and recommended nurse-to-patient ratios are lower than standard hospital floors. ICU treatment is an expensive service that accounts for a high percentage of hospital costs.
The Changing Role of the Coronary Care Cardiologist & The Emerging Role of Ca...
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&
The Emerging Role of Cardiac Intensive Care Specialists lecture presented by Dr Sherif Mokhtar, President ECCCP at the Egyptian Spanish Critical care Symposium held at Cairo, Egypt on 11 May 2023
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This document summarizes information on device therapy for congestive heart failure, including cardiac resynchronization therapy (CRT). It discusses:
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Renal transplantation.pptx
This document provides an overview of renal transplantation procedures in Bangladesh. It discusses the history of renal transplantation in the country, indications and contraindications for transplantation, donor and recipient criteria, organ preservation techniques, transplantation surgery, potential complications, immunosuppression protocols, legal issues, and ABO incompatible transplantation. The key points are:
- Renal transplantation is the preferred treatment for end-stage renal disease and was first performed in Bangladesh in 1982.
- Potential living and deceased donors must meet criteria regarding age, health status, and relationship to recipient.
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3. monitoring & devices used in icu ccu
The document discusses various devices used in the intensive care unit (ICU). It describes patient monitoring equipment like bedside monitors, pulse oximeters, and intracranial pressure monitors that continuously track vital signs. Life support devices discussed include mechanical ventilators, infusion pumps, and defibrillators used for emergency resuscitation. The roles of nurses in monitoring devices and addressing alarms is emphasized. Complications of equipment like arterial lines and ventilators are also reviewed.
Monitoring & devices used in icu ccu
Intensive care units are equipped with various monitoring and life support devices to care for critically ill patients. These include patient monitoring equipment like ECG machines and pulse oximeters, life support devices like ventilators and infusion pumps, and diagnostic tools like portable x-rays. Central lines and arterial lines provide vascular access. Other important devices are bedside monitors to continuously track vital signs, intracranial pressure monitors for brain injuries, and crash carts containing emergency resuscitation equipment. Nurses are responsible for properly operating and maintaining these devices to closely monitor patients and support life.
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3. A supraglottic airway device was used along with local anesthesia to avoid cardiovascular stress.
4. Close monitoring was maintained and the patient had an uneventful postoperative recovery without complications.
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Anaesthetic Management of a Case of Dilated Cardiomyopathy for Breast Surgery...
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Presentation on hospital training at cardiology department
- 2. Prof. Dr. Abdul Wadud Chowdhury Learn drug-drug interaction and drug side effects, Allah will give magic in your hands. - Dr. Wadud said during a round in the PCCU
- 3. General Overview Location Head of Department Wards Number of beds (Total- 51) Units DMCH New Building 2nd Floor Prof. Dr. Abdul Wadud Chowdhury CCU (Coronary Care Unit) and PCCU (Post Coronary Care Unit) CCU – 20 PCCU - 31 3 Units
- 4. CCU 20 BEDS PCCU 31 BEDS Cardiac Cath Lab Echo Room ECG Room Cardiology Floor Map
- 5. Cardiac Patient Management (Non-referred Patient)
- 6. Sudden cardiac death Conditions Requiring Admission to CCU Chest pain, Acute coronary syndromes Pulmonary Embolism Cardiac tamponade Heart failure Cardiogenic shock Post procedure monitoring Arrhythmias Acute myocardial infarction
- 7. CCU of DMCH is the state of the art facility for cardiac care. It contains 20 beds among which 19 beds are for admitting patients and one bed is preserved for transferring patients. ▪ Facilities: ▪ Equipment ▪ Doctors ▪ Units ▪ Nurses Coronary Care Unit (CCU) ▪ Recommendations ▪ Monitors ▪ Doctors Duty ▪ Trained professionals for equipment handling ▪ Prohibiting access ▪ Maintaining controlled environments
- 8. Inside CCU
- 9. ▪ Procedures Performed ▪ Angiogram ▪ Pacemaker related ▪ Stenting ▪Suggestions Cardiac Cath Lab
- 11. ▪ Beds ▪ Equipment ▪ Manpower Post Coronary Care Unit (PCCU)
Editor's Notes
- There are 3 units to ensure uniform patient care. On Sat and tuesday unit -1, eventually unit 2 and 3 patients who are admitted on fridays are alotted to a definite unit following a roaster
- There are 3 units to ensure uniform patient care. On Sat and tuesday unit -1, eventually unit 2 and 3 patients who are admitted on fridays are alotted to a definite unit following a roaster
- Like modern healthcare centers around the world cath lab must be open 24*7. Emergency patient must be taken to cath lab as soon as possible reducing delay More and more trained specialists must be “;নিয়োগ”
- Like modern healthcare centers around the world cath lab must be open 24*7. Emergency patient must be taken to cath lab as soon as possible reducing delay More and more trained specialists must be “;নিয়োগ”
- Like modern healthcare centers around the world cath lab must be open 24*7. Emergency patient must be taken to cath lab as soon as possible reducing delay More and more trained specialists must be “;নিয়োগ”