BACKGROUND Intrathoracic pressure regulation (IPR) therapy has been shown to increase blood pressure in hypotensive patients. The potential value of this therapy in patients with hypotension secondary to trauma with bleeding is not well understood. We hypothesized that IPR would non-invasively and safely enhance blood pressure in spontaneously breathing patients with trauma-induced hypotension....

conclusions our data showed that the amount of hydration, transfusion, pre-manipulation arrhythmia, and pulmonary function should be controlled to decrease the risk of arrhythmias. minor mediastinal manipulation, few intraoperative hemorrhages, improvement of pulmonary function, and careful blood pressure monitoring can reduce the risk of hypotension. patients and methods in this prospective st...

background: spinal anesthesia is an accepted technique in elective cesarean sections. however, hypotension, resulted from sympathectomy is a common problem, especially in pregnant women. prevention of this complication by sympathomimetic agents is of potential clinical significance. the aim of this study is to compare the effect of prophylactic infusion of phenylephrine versus ephedrine in the ...

Achieving a balance between organ perfusion and hemostasis is critical for optimal fluid resuscitation in patients with severe trauma. The concept of “permissive hypotension” refers to managing trauma patients by restricting the amount of resuscitation fluid and maintaining blood pressure in the lower than normal range if there is continuing bleeding during the acute period of injury. This trea...

Introduction: Intradialytic hypotension is an important and common complication of hemodialysis. However, it seems that selective serotonin reuptake inhibitors (SSRIs) can manage patients’ blood pressure during Objectives: The present study aimed to investigate the effect sertraline on intradialytic patients under Patients Methods: randomized controlled trial included 18 hemodialysis for end-st...

Background: Hypotension following spinal block can be reduced or minimized prophylactically left lateral uterine displacement, volume loading with crystalloid solutions, phenylephrine infusion ephedrine administration. Fluid pre does not negate the hypotension entirely but decreases risk. This however is time consuming and vasopressors are often required to correct associated hypotension. Proph...