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Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…umbilicus. Nevertheless, perioperative planning should be individualized according to the patient, device, procedure, and anticipated electrical environment. Preoperative evaluation Establish the nature and function of…

Lumbar puncture

…the threshold, but the threshold varies between regions. Infection of the skin over the puncture site. Marked haemodynamic instability — stabilise the patient first. CT before…

Paracentesis

…of the rectus muscle along its lateral border and is the commonest source of serious bleeding after paracentesis. The midline 2 cm below the umbilicus…

Abdominal Aortic Aneurysm: Screening and Surveillance

…the umbilicus and the fourth lumbar vertebral level. Physical examination can identify a large aneurysm as a palpable, pulsatile, expansile mass, although absence of a…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…the occipital area but does not radiate below the umbilicus. It is often accompanied by sweating, nausea, vomiting, anxiety, and a sense of impending doom…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…below the umbilicus. Epigastric or subxiphoid pain may be mistaken for indigestion. Associated manifestations include: Sweating Nausea and vomiting Anxiety A sense of impending doom…

Cardiac arrest during pregnancy and childbirth

…fundal height surpasses the umbilicus, the uterus should be manually displaced to the woman's left side (Figure 1). Additional offloading of the vena cava…

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