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Oesophageal ECG

…atrium. An electrode placed in the oesophagus at the right level therefore records atrial depolarisation with an amplitude the surface ECG can never achieve, and…

Assessment of Pacemaker Malfunction

…misplaced stimulation artifacts, irregular pacing, etc. Most cases of malfunction are associated with the electronics in the pulse generator or dislodgement or fracture of the…

Nasogastric tube

…confirmation of the position that determines whether the tube is safe. A misplaced tube in the airway produces no reliable symptoms in a patient with…

The ST segment: physiology, normal appearance, ST depression & ST elevation

…may be displaced upwards (ST segment elevation) or downwards (ST segment depression). The term ST segment deviation refers to elevation and depression of the ST…

Tricuspid regurgitation (TR/TI)

…It should be noted that imaging of the right ventricle requires an experienced echocardiographer. Three dimensional (3D) echocardiography should be considered in laboratories with expertise…

Injection technique — intramuscular, subcutaneous and intradermal

…which causes the shoulder injury known as SIRVA. Both are avoided with the right landmark and the right needle length. Indications Route Typical drugs Absorption :…

Cardiac arrest during pregnancy and childbirth

…remain consistent with those used for non pregnant adults. The fetus is not harmed by defibrillation, amiodarone, or adrenaline (epinephrine). In the event of a…

Continuous Wave Doppler (CW Doppler)

…the opening of the mitral valve and the left atrium. Recall that velocities (flows) directed away from the transducer are displayed below the baseline and…

The Cabrera format of the 12-lead ECG and inverted lead aVR

…from right anterior (V1) to left lateral (V6), but regrettably, the limb leads are not. Instead, the limb leads are displayed in two groups of…

Aortic stenosis

…according to type of stenosis. The patients with low flow (stroke volume index <35 ml/m²) and low gradient (<40 mmHg) displayed the worst prognosis…

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