Posts

The Glasgow coma scale (GCS) in practice.

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         The Glasgow coma scale (GCS) gives a reliable, objective way of recording the conscious state of a person. It has value in predicting ultimate outcome. 3 types of response are assessed, note in each  case the best response (or best of any limb) which should be recorded.

Intravenous fluid therapy. Routine maintenance. NICE guideline.

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Routine maintenance 1.4.1 If patients need IV fluids for routine maintenance alone, restrict the initial prescription to: 25–30 ml/kg/day of water  and

Choice between coronary artery bypass grafting and percutaneous coronary intervention.

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FAVOURS percutaneous coronary intervention (PCI):

Prevention of Perioperative Peripheral Neuropathies

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  An Updated Report by the American Society of Anesthesiologists Task Force on Prevention of Perioperative Peripheral Neuropathies I. Preoperative History and Physical Assessment  •   When judged appropriate, it is helpful to ascertain that patients can comfortably tolerate the anticipated operative position.  •   Body habitus, preexisting neurologic symptoms,

When to operate in Aortic Stenosis?

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Aortic Valve Replacement (AVR) is recommended:

3 ОСНОВНЫЕ ПРИЧИНЫ ОБМОРОКА.

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Обморок (или из латыни синкопе ) - это временная потеря сознания, которая возникает вследствие снижения мозгового кровоснабжения. Эта так называемая церебральная гипоперфузия возникает по причине снижения сердечного выброса и/или периферического сосудистого сопротивления, то есть либо сердце плохо качает, либо сосуды чрезмерно расширяются и резко снижается артериальное давление.

Post spinal puncture headache.

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The incidence of post spinal puncture headache is approximately 1% in spinal anesthesia. It results from unintentional or intentional puncture of the dura membrane. In obstetrics in case of accidental dural puncture up to 80% of patients subsequently developing a post-dural puncture headache.