were available for 112 cases. The average time to extubation was 93 hours (range 0-680). Twelve patients were extubated postoperatively in the operating room. The average ICU length of stay was 170 hours (range 12-635). There were 2 postoperative deaths. The commonest indication for pLT were cholestatic disorders n=76, 54% (Extrahepatic biliary atresia, Alagille disease, Familial intrahepatic cholestasis, Sclerosing cholangitis and Caroli disease), followed by metabolic disorders n=21 (14.5%),…
amount of calcium. Statistics from Centers for Disease Control have recorded, “77.7% of males and 67.4% of females consume milk daily” (Centers for Disease Control 2015). There are approximately 51,481 dairy farms…
After three attempts the procedure was considered failed, the study protocol was stopped and intubation under inhalational induction with FOB without neuromuscular block (plan B) is carried out and patient to be excluded from the…
The initial electrical impulse that begins the process of a heartbeat is generated by a group of cells located in the upper chamber of the heart. This special pathway is as follow: the sinoatrial node, atrioventricular node, his-purkinje network. The impulse starts in a small bundle of specialized cell which is known as the sinoatrial node located in the right atrium. The sinoatrial node sets the rate and rhythm of the heartbeat. The atrioventricular node slows the electrical signal before…
SUBJECTIVE He was seen for two issues. 1. He just came back from Oak Park Heights last Thursday after he had treatment with C. diff; however, he did have a C. diff in the stool that was done on 09/13/2017, and also a fecal lactoferrin and both of them are positive. At this time, he continues to have abdominal cramping and also loose stool about 2-3 times a day. 2. He has been having chronic back pain. He only takes Tylenol but he claims that it is not really helping prior to him going to…
In younger subjects, arterial stiffness increases from central to peripheral arteries. However, the stiffness of central arteries such as the carotid and aortic arteries, increase with age1,2,3; peripheral arteries such as the radial and femoral arteries, stiffen little with age1,3. In younger subjects…
administering Pentamidine to avoid the risk of bronchospasm and improve Pentamidine’s lung deposition. B. Solution Preservation: 1. Nebulized Pentamidine must NOT be mixed with other nebulizer. 2. Reconstituted Pentamidine solution must be protected from light and may be stored for 48 hours. However, the manufacturer recommends freshly prepared solution for inhalation.…
Acute kidney injury (AKI) is defined as a decrease in kidney function occurring in the glomerular filtration ability of the kidney causing an increase in nitrogenous waste in the blood and in turn increasing the creatinine and blood urea nitrogen levels (McCance & Huether, 2014). Other findings associated with AKI include, a decrease in urinary output and also accumulation of metabolic acids, and increased potassium and phosphate concentrations (Bellomo, Kellum & Ronco, 2012). The AKI is…
and walk for short distances as soon as possible, to avoid deconditioning and acceleration of bone loss. They may be unable to walk independently for 1 wk. and have significant spinal pain for 6-12 weeks. Sometimes, after one month, the pain shifts from the fracture to an upper or lower level, since the deformity alters the mechanical…
Since their introduction in 1988, proton pump inhibitors (PPI) have become one of the most prescribed drugs worldwide especially for the treatment of peptic ulcer and gastroesophageal reflux disease (GERD). (1) Proton pump inhibitors (PPIs) effectively suppress gastric acid production by inhibiting the function of H+/K+-ATPase in gastric parietal cells. (2) Also, the indications for esophagogastroduodenoscopy (EGD) have significantly increased, including GERD. These patients usually tend to be…