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Levosimendan (Simdax, Simendan) in acute heart failure

…of levosimendan can be repeated at 2 6 weeks intervals, or more frequently, as individually appropriate. 3 Important study: Milrinone as Compared with Dobutamine in…

Urinary alkalinisation

…Heart failure, pulmonary oedema and other conditions with a high risk of fluid overload — a relative contraindication requiring invasive monitoring and slower administration. Significant metabolic…

Diuretic Strategy and Decongestion in Heart Failure

…failure and occurs in more than 90% of patients presenting with the syndrome. Its severity and temporal pattern vary considerably. Symptoms of systemic venous congestion…

Short Synacthen test

…or with suspected suppression of the HPA axis after long term glucocorticoid treatment. A basal morning cortisol in the grey zone. A morning value below…

Corticosteroids: quick reference for dose equivalents and stress dosing

…about suppression of the HPA axis, where a long half life produces more marked suppression. Stress dosing in known adrenal insufficiency A patient with primary…

Cardiac amyloidosis

…in patients with severe aortic stenosis, particularly the low flow, low gradient phenotype, or those undergoing aortic valve replacement [1, 5, 10]. A history of…

Adenosine for tachyarrhythmias (AVNRT, AVRT, NCT)

…atrial fibrillation with impulses conducted via an accessory pathway [see Wolff Parkinson White Syndrome]); blocking AV node conduction may result in accelerated transmission of atrial…

Peripheral venous cannula and intraosseous access

…with needles in three lengths: short for children and slim limbs, medium for most adults, long for thick soft tissue and for the head of…

Cardiac arrest in hyperthermia and malignant hyperthermia

…Coimbra R. Open chest versus closed chest cardiopulmonary resuscitation in trauma patients with signs of life upon hospital arrival: a retrospective multicenter study. Crit Care…

Acute kidney injury: quick reference for management

…of creatinine and urine output Creatinine is a late marker of function and may rise only after a substantial fall in glomerular filtration. The value…

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