Devices for Cardiac Support and Replacement

Aug 19, 2016 by in ANESTHESIA Comments Off on Devices for Cardiac Support and Replacement

KEY POINTS  1. Mechanical circulatory support devices most often are ventricular assist devices, which are indicated for bridging to myocardial recovery or cardiac transplantation or as a permanent assist device…

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Intraoperative Myocardial Protection

Aug 19, 2016 by in ANESTHESIA Comments Off on Intraoperative Myocardial Protection

KEY POINTS  1. Mechanisms of myocardial ischemic injury are multifactorial and include some of the following: Depletion of high-energy phosphates, intracellular acidosis, alterations in intracellular calcium homeostasis, complement activation, generation…

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Pain Management for Cardiothoracic Procedures

Aug 19, 2016 by in ANESTHESIA Comments Off on Pain Management for Cardiothoracic Procedures

KEY POINTS  1. Chronic pain due to intercostal nerve injury develops in approximately 50% of postthoracotomy patients, and in 5% this pain becomes severe and disabling.  2. Thoracic epidural analgesia…

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Induction of Anesthesia

Aug 19, 2016 by in ANESTHESIA Comments Off on Induction of Anesthesia

KEY POINTS  1. On the day of surgery, most cardiovascular medications should be administered orally, with the exceptions of angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers, and (selectively) diuretic agents….

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Practice strips

Aug 18, 2016 by in CRITICAL CARE Comments Off on Practice strips

Practice strips 1. Rhythm: _________________________________ Rate: _________________________________ P wave: _________________________________ PR interval: _________________________________ QRS complex: _________________________________ T wave: _________________________________ QT interval: _________________________________ Other: _________________________________ Interpretation: _________________________________ View Answer 1. Rhythm:…

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Disorders affecting 12-lead ECGs

Aug 18, 2016 by in CRITICAL CARE Comments Off on Disorders affecting 12-lead ECGs

Disorders affecting 12-lead ECGs A 12-lead electrocardiogram (ECG) is a key tool in diagnosing and evaluating certain disorders, such as angina, Prinzmetal’s angina, myocardial infarction (MI), pericarditis, left ventricular hypertrophy…

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Electrocardiogram analysis

Aug 18, 2016 by in CRITICAL CARE Comments Off on Electrocardiogram analysis

Electrocardiogram analysis After obtaining an electrocardiogram (ECG), you’ll want to read and interpret the findings. Becoming comfortable with ECG analysis will allow you to detect subtle, and sometimes dangerous, changes…

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Basic 12-lead electrocardiography

Aug 18, 2016 by in CRITICAL CARE Comments Off on Basic 12-lead electrocardiography

Basic 12-lead electrocardiography The 12-lead electrocardiogram (ECG) is a diagnostic test that helps identify pathologic conditions, especially ischemia and acute myocardial infarction (MI). It provides a more complete view of…

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Nonpharmacologic treatment

Aug 18, 2016 by in CRITICAL CARE Comments Off on Nonpharmacologic treatment

Nonpharmacologic treatment Nonpharmacologic treatments for arrhythmias—including pacemakers, implantable cardioverter-defibrillators (ICDs), and radiofrequency ablation—produce distinctive electrocardiogram (ECG) tracings. By understanding how these devices work, and the ECG changes they produce, you’ll…

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