Three patients are described who developed hydrothorax as a complication of central venous catheterization. Respiratory distress associated with physical signs of fluid in the chest should arouse suspicion that the venous catheter has perforated the wall of the vein.The complications of central venous catheterization are reviewed and three cases of hydrothorax are presented. Comments on the pre...

Background: Energy deficit is a common and serious problem in pediatric intensive care units. Parenteral nutrition, either alone or in combination with enteral nutrition, can improve nutrient delivery in critically ill patients by preventing or correcting the energy deficit and improving the outcomes. Intralipid 10% and 20% are lipid emulsions, widely used in parenteral nutrition. Despite sever...

Objective: To learn about the disagreements among geriatricians from a Latin American country (Peru) as to palliative therapy for dementia. Materials and methods: A descriptive cross-sectional study. The population consisted of Peruvian geriatrics residents surveyed during August 2019. non-probability convenience sampling was used. Considering total 277 in Peru design effect 1.0, minimum sample...

Diastolic mitral regurgitation (DMR) may occur due to an increased left ventricular (LV) cavity pressure compared the atrial (LA) pressure. This with bradycardia when diastolic filling time is increased. In our case, patient was found have blocked bigeminal premature contractions (PACs) causing leading regurgitation. N/A A 58-year-old woman presented one week history of shortness breath, paroxy...

A contrast echocardiographic technique using peripheral vein injections for the detection and localization of intracardiac right-to-left shunting is described. Fifty children underwent cardiac catheterization and peripheral contrast echocardiographic studies. The site, degree, and direction of shunting were established at catheterization by oximetry, indicator dilution analysis and/or angiograp...

Background & Aim: The most common complication of peripheral intravenous catheter use is phlebitis. This study aimed to determine the effect of Arnebia Euchroma on the prevention of peripheral intravenous catheter-related phlebitis. Methods & Materials: A double-blind randomized clinical trial done on 120 patients hospitalized in CCU and heart wards of Shariaty hospital in Tehran in 2017. The ...