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Bone marrow aspiration and biopsy

Procedurer Aspirate and biopsy answer different questions and do not replace one another: the aspirate shows cellular morphology and provides material for flow cytometry and…

Anaphylaxis: quick reference for emergency management

…delay adrenaline in order to identify or remove the allergen. 2. Give adrenaline 1 mg/ml intramuscularly into the middle third of the anterolateral thigh…

De-escalation and Shortened Dual Antiplatelet Therapy in Patients at High Bleeding Risk

…events after coronary angiography, percutaneous coronary intervention (PCI), or medical management. The standard post ACS regimen is DAPT for 12 months, generally consisting of low…

Massive haemorrhage and transfusion: quick reference

…uncontrolled source of bleeding. Minimise the time to surgery, endoscopy, an obstetric procedure or angiographic intervention. Summon anaesthesia, the operating specialty, the blood bank and…

Transcutaneous and transvenous pacing

…a blood pressure cuff, and an arterial line for prolonged pacing. Venous access, oxygen, suction, airway equipment. Analgesia and sedation: an opioid (morphine or fentanyl)…

Interpreting NT-proBNP and BNP in Clinical Decision-Making

…hyperdynamic states In cardiac amyloidosis, BNP or NT proBNP may be markedly elevated even when overt congestion is not apparent. Such a discrepancy should prompt…

Assessing left ventricular systolic function

…greater precision in the calculation of ejection fraction, and 3D measurements will presumably replace 2D measurements in the future. Cardiac MRI (magnetic resonance imaging) is…

M-mode (motion mode) echocardiography

…mode was previously the dominating modality in echocardiography. Although it has now largely been replaced by 2D echocardiography, it is still used in clinical practice…

Arrhythmogenic Right Ventricular Cardiomyopathy / Dysplasia (ARVC, ARVD)

…is defined by the gradual loss of myocardial cells, which are replaced by fat and fibrous tissue. This process begins in the epicardium and gradually…

Tricuspid stenosis

…always accompanied by aortic or mitral disease (most commonly mitral stenosis). Simultaneous tricuspid regurgitation is also common. Echocardiography Echocardiography has replaced catheterization for the assessment…

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