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Alcohol withdrawal and delirium tremens: quick reference

…and inhibits excitatory glutamate signalling, in part via NMDA receptors. With prolonged alcohol exposure the nervous system adapts through reduced GABA mediated inhibition and increased…

Bone marrow aspiration and biopsy

…this first . Thrombocytopenia, by contrast, is not a contraindication; the specimen may be taken even at very low platelet counts, followed by compression. Infection in…

Invasive Coronary Angiography: Indications and Vascular Access

…stenoses. Myocardial ischaemia may occur despite the absence of significant epicardial obstruction. In patients with anginal symptoms and unobstructed or non obstructive coronary arteries, possible…

Empirical antibiotic therapy: quick reference for common infections

…airway infection cefotaxime 1–2 g × 3 IV Depends on the diagnosis Always assess the severity clinically, whatever the DS CRB65 score. Urinary tract Diagnosis…

Cardiovascular effects of COVID-19 (Coronavirus Disease 2019)

…and other viral respiratory infections. However, in some individuals the infection may be severe and deadly. Importantly, COVID 19 has caused an unprecedented number of…

Interpretation of neonatal and pediatric electrocardiograms (ECG)

…mentioned below are discussed in detail in other chapters, to which links are provided throughout the text. Heart rate During the first week of life…

Care after return of spontaneous circulation (ROSC)

…centers. Post cardiac arrest syndrome (PCAS) Post cardiac arrest syndrome (PCAS) emerges after ROSC or initiation of ECMO. The syndrome was first described by Negovsky …

Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

…the term perimyocarditis . Hemodynamic effects of pericardial effusion and cardiac tamponade Intrapericardial pressure increases as fluid accumulates in the pericardial space. Intrapericardial pressure may reach…

Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…of infection. Approximately 20% of all endocarditis affect people with valve prostheses and among other cases 18% show significant valvular disease. Table 1. Etiologies in…

Pericardial Effusion & Cardiac tamponade

…g. malignancy, amyloidosis). In case of suspicion of pericardial disease, in the first place, an echocardiographic examination is done. With echocardiography, good conditions are obtained…

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