abstract objective: to determine the correlation between blood gas parameters and central venous pressure (cvp) in patients suffering from septic shock. m e t h od s : forty adult patients with diagnosis of septic shock who were admitted to the emergency department (ed) of shohadaye tajrish hospital affiliated with shahid beheshti university of medical sciences, and met inclusion and exclusion ...

background: proper placement of central venous catheter (cvc) tip could reduce early and late catheter-related complications.although the live fluoroscopy is standard of care for placement of the catheter, it is not available in many centers. therefore, the present study evaluated the sensitivity and specificity of bedside chest x-ray (cxr) for proper positioning of the catheter tip. materials ...

conclusions the us-guided method for cvc placement was superior to the traditional landmark method in terms of access time, number of attempts, success rate, and fewer complications. objectives this study aimed to compare the traditional landmark method vs. us-guided method of cvc placement in terms of complications and success rate. patients and methods in this randomized controlled trial, pat...

conclusions despite close concordance between ultrasonography and chest radiography, ceus is not a suitable alternative for standard chest radiography in detecting cvc location; however, considering its high sensitivity and acceptable specificity in our study, its usefulness as a triage method for detecting cvc location on a real-time basis in the operating room cannot be ignored. results chest...

conclusions considering possible side effects of heparin and the increase in treatment charges and the fact that using heparin did not have a significant effect on patency and survival of catheters in the studied patients, it is recommended to use normal saline solution to maintain the patency of central venous catheters. results there was no significant difference in the rate of flushing (p = ...

primary angiitis of the central nervous system (pacns) is an idiopathic disorder (vasculitis) restricted to the central nervous system (cns). it often presents with focal neurological deficits suggesting stroke or a combination of confusion and headache. we herein report three cases with various combinations of fever, partial seizure, encephalopathy, paresis, headache and ataxia. one of them wa...

cleft hand deformity is a rare congenital anomaly of the hand with an incidence rate about 1/90,000. it has two clinical types typical and atypical. in this paper we are representing ten cases of this anomaly admitted during seven years from 1992 in emam khomeini hospital. some of the patients especially those with typical cleft hand deformity achieved good functional results after surgical cor...