inversion and high serum CK level. Blood and peripheral culture(s) together with serology, were negative. There was no histological evidence of inflammation on biopsy. The patient was gradually weaned off inotropic support and mechanical ventilation, while antiarrhythmic medication with amiodarone with digoxin and propranolol was initiated due to rhythm disturbances.Ventricular function improve...

AANA Journal  June 2011  Vol. 79, No. 3 209 Sonography addresses a variety of concerns, such as patient safety and comfort, cost-effectiveness, time to complete a procedure, and success rates associated with invasive anesthesia procedures. Ultrasound guidance is commonly being used for the placement of nerve blocks, placement of peripheral and central lines, and arterial catheterization. Rece...

Puncture site complications such as arteriovenous fistula after femoral arterial catheterizations are becoming more common with the increasing number of endovascular procedures being performed by interventional radiologists and cardiologists. Covered stent placement with endovascular technique for these lesions represents an appealing treatment alternative because it is only minimally invasive ...

A randomized, controlled study was implemented to verify reasons to release and adverse events related to the use of peripheral intravenous catheters in children, according to the dressing regimens The sample was set at 150 peripheral intravenous catheters, randomly assigned to three groups: sterile gauze dressings, sterilized transparent film dressings, and non sterile hypoallergenic adhesive ...

background portal vein thrombosis (pvt) is one of the most common causes of extrahepatic portal hypertension in children, which may follow neonatal umbilical vein catheterization. the incidence rates of catheter-related pvt, in infants and children vary in different studies. this study aimed to determine pvt incidence in the children under 3 years old with a history of neonatal umbilical vein c...

With the subject in the right lateral decubitus position, changes of central venous pressure can be recorded accurately and conveniently from a vein in the antecubital fossa of the dependent arm. Theoretically the hydrostatic pressure transforms the venous bed between the heart and the site of puncture into uninterrupted wide channels with relatively low distensibility. Simultaneous recordings ...

Intravascular lithotripsy (IVL) has emerged as a game-changer for treating complex and severely calcified lesions. There have been increasing cases of IVL usage in different clinical scenarios. Therefore, we reviewed the literature to assess current use non-coronary artery PubMed Embase were accessed case reports series on peripheral disease, excluding conference abstracts. We then calculated m...

Intravenous (IV) access is a common and essential emergency department procedure, which may be challenging in certain patients. Populations notorious for difficult IV access include injection drug users, diabetics, obese patients, or those in hypoperfusion states. Central venous catheter placement becomes the default solution when attempts at peripheral access prove unsuccessful. Yet, many pati...

The prevalence of coronary vasospasm and also the factors associated with coronary vasospasm in CKD is still unclear. In this cross-sectional study of 859 consecutive CKD patients with angina pectoris received coronary catheterization, we evaluated the factors associated with coronary vasospasm. Patients with vasospasm were older and had higher peripheral blood white cell counts, higher periphe...