Temporary transvenous pacing is an established treatment for many bradyarrhythmias associated with haemodynamic compromise in patients who have had acute myocardial infarction. Procedural complications associated with insertion of temporary pacing electrodes are well recognised and documented, as is subsequent loss of capture due to rising stimulation threshold or electrode displacement. Tempor...

Positive myocardial imaging was undertaken on 120 unselected patients admitted to a coronary care unit with clinical suspicion of acute myocardial infarction. Multipurpose mobile gamma-cameras were used for serial imaging after administration of 99mtechnetium-labelled imidodiphosphonate, a low-cost radiopharmaceutical that is 97% specific for myocardial necrosis, with myocardial uptake and bloo...

Critical care training during paediatric residency provides an ideal opportunity to learn and refine the skills needed in the early recognition and prompt treatment of the acutely ill paediatric patients. Paediatric critical care medicine is a relatively young sub-specialty in Pakistan. The aim of this study is to describe our experience of teaching paediatric residents in paediatric critical c...

The health care provided to cardiovascular emergencies has undergone several changes in past decades, motivating the re-structuration of health care services. Currently, that subject is being widely discussed by the American Heart Association1 and worldwide. Consequently, discussing that within the context of our reality is important. Of the innumerous changes, those referring to acute coronary...

case presentation in this report, ultrasound-guided sciatic nerve block was performed in a 25-year-old patient with tetanus to progress his respiratory drive which was decreased due to high dose sedative administration. this procedure accelerates the weaning process and extubation. introduction muscle rigidity and generalized spasm can cause severe pain in patients with tetanus. administration ...

background there are different risk factors that affect the intensive care unit (icu) stay after cardiac surgery. objectives the aim of this study was to evaluate possible risk factors influencing prolonged icu stay in a large referral hospital. patients and methods we conducted a case-control study to determinate causes of prolonged icu stay in 280 adult patients undergoing cardiac surgery in ...

background: there are challenges ahead of short-term hospitalization of low-risk patients hospitalized only for monitoring of severe disease who may die soon after admission. the purpose of this study was to suggest strategies for the management of icu stay lengths and to ensure optimal use of icu resources.   methods: the study was conducted retrospectively on 246 patients admitted to 9 genera...

patients and methods a cross-sectional study was conducted at icus of imam-reza and vali-asr hospitals, birjand, iran. sampling was done through a census in which 53 icu nurses participated. descriptive statistics, kolmogorov-smirnov test, mann-whitney u tests and kendall's correlation coefficient were used to analyze the data. results a total of 53 nurses participated in this study. most of th...

abstract background: endotracheal suctioning (ets) is an essential procedure performed for mechanically ventilated patients. ets can be either performed by open or closed suctioning system (css). there may be some concern on how closed‑system ets is practiced by intensive care nurses. this study was designed to investigate closed‑system ets practices of critical care nurses and to compare their...

introduction : coronary artery disease is one of the most dangerous health problems in developed and undeveloped countries. annually one million patients admitted in coronary care units in u.s.a due to ami and about 59 million people suffered from atherosclerosis. in europe 54% of c.c.u admissions is due to non q wave mi and 46% due to q wave mi. unfortunately there is no distinct statistic al ...