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Foreign body in the ear and nose

…transparent object lying posteriorly or superiorly. Attempts already made and failed elsewhere. A child who cannot be kept still without sedation. Suspected tympanic membrane perforation…

Laryngeal mask and difficult airway

Procedurer The laryngeal mask is the single most important tool when intubation fails, since it restores oxygenation without requiring a view down into the larynx…

Colchicine and Anti-inflammatory Therapy in Coronary Disease

…losmapimod and darapladib, failed to demonstrate clinical benefit in the settings studied. Clinical application and patient populations The evidence for anti inflammatory treatment in coronary…

Percutaneous Coronary Intervention for Chronic Total Occlusions: Indications and Outcomes

…grafting rather than percutaneous coronary intervention (PCI). A CTO may be discovered incidentally during diagnostic angiography. Collateral vessels may maintain distal perfusion and permit visualization…

Periprocedural Myocardial Infarction After PCI and CABG

…rapid deterioration when a large myocardial territory is jeopardized. Cardiovascular collapse after failed PCI is more likely with extensive myocardium at risk, severe baseline stenosis…

Assessment of the pupillary reflex in cardiac arrest

…predicting an unfavorable neurological outcome, indicating that the test failed to identify 27.8% of individuals with poor neurological recovery. The specificity of absent pupillary…

Acute coronary syndrome: quick reference for loading doses and time targets

…angiography usually within 2 to 24 hours After failed fibrinolysis Immediate rescue PCI The 120 minute limit is a ceiling for the choice between primary…

Arterial line

Procedurer An arterial line is easy to insert and easy to trust too much. Two errors make the reading useless without anyone noticing: the transducer…

ACE Inhibitor Cough and Angioedema: Practical Management

…cough hypersensitivity syndrome are lacking; the diagnosis is suspected when alternative etiologies are excluded by diagnostic testing or failed therapeutic trials. If alternative causes of…

ECG changes caused by antiarrhythmic drugs, beta blockers & calcium channel blockers

…the pro arrhythmic effects of disopyramide. Structural heart disease also increases the risk of developing arrhythmias during disopyramide treatment. Propafenone and flecainide Propafenone and flecainide…

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