Background. Poisoning with tricyclic antidepressants (TCAs) is still a major concern for emergency physicians and intensivists. Concomitant ingestion of other psychoactive drugs especially benzodiazepines with TCAs may make this clinical situation more complex. This study aimed to compare the arterial blood gas (ABG) values and the outcome of treatment in patients with coingestion of TCA and be...

BACKGROUND Intrapulmonary shunt as a result of atelectasis following cardiac surgeries is an important and common postoperative complication that results into pulmonary dysfunction typically lasting more than a week following surgery. Different methods have been provided to prevent these complications. OBJECTIVES In order to prevent postoperative pulmonary complications, investigation of the ...

Abstract Background Paradoxical respiration is a sinister consequence of bony chest cage defects which can persist even post wall reconstruction. It leads to prolonged dependence on mechanical ventilation postoperatively, thereby delaying recovery. Methods Negative pressure wound therapy (NPWT) was applied in early postoperative period patient with defect reconstructed folded prolene mesh and f...

carbon monoxide (co) poisoning, though with different sources, is one of the most deadly emergencies in all countries. co can threaten men's life by several paths especially cardiac complications, which can mimic other cardiac problems such as myocardial infarction. the objective of this study was to determine ecg findings and serum troponin i levels in co poisoned patients. in this analytical ...

background: metabolic acidosis is a fatal finding in trauma patients that complicates the process of resuscitation. case: the case was a 37-year-old man with open fracture in both legs and fracture in second lumbar vertebral (l2). the serial arterial blood gas (abg) test results showed a ph value of 6.7 indicating a very severe and special case of metabolic acidosis. the rate of mortality for s...

introduction: breathing rehabilitation techniques are designed to reduce symptoms, decrease disability, increase participation in physical and social activities, and improve the overall quality of life for individuals with chronic respiratory disease. however, the role of these techniques remains unclear. this study examined the effects of pursed-lip breathing (plb) education on the respiratory...

Using a retrospective chart review, we compared the use of chest radiography (CXR) and arterial blood gas testing (ABG) before (pre-P) and after (post-P) initiation of specific ordering guidelines for the use of these studies for patients presenting to the ED with acute asthma exacerbation. We noted the number of tests performed, the indication for the test, and the results when performed. Ther...

STUDY OBJECTIVES A brief discontinuation (< 1 week) of long-term ventilation may be necessary in patients who are not totally ventilator-dependent in cases of technical problems, intolerable nasal irritation, upper airway congestion, or travel. We examined the incidence, timing, and causes of possible clinical deterioration after a brief withdrawal of ventilation in patients with chronic respir...

Sampling from blood has been performed for over 200 years. However clinically useful arterial blood gas sampling became a reality after the development of robust methods for measuring oxygen tension from humans in the 1940s. Thus the development of the Clark electrode and subsequent safe tools for sampling plasma, heralded an era of blood sampling, and analysis from which we have not looked bac...