Beta blockade prior to instituting other vasodilator drugs in aortic dessection management is essential. The following case presentation demonstates the importance of beta blockade in Aortic dissection management. A 44-year-old man whose only past medical history consists of hypertension and unilateral cataracts presents to his local emergency department with the acute onset of severe tearing […]
Pain is a personal and subjective experience of each individual. Objectivity in such situation of acute pain management techniques is very difficult. So the best way out of this is: “If patient says it hurts, then it hurts!” After accepting the pain, then try to quantify or assess the severity of the pain using acute
Based on the pharmacokinetic parameters and reported clinical experience in preterm and term midazolam in neonates , continuous IV infusion of midazolam should be initiated at a rate of 0.0005 to 0.001 mg/kg/mm (0.5 to 1 mcg/kg/min). IV loading doses should not be used with midazolam in neonates ; rather the infusion may be run
Physiological response to hypoxia is commonly seen. It depends upon speed and severity of the oxygen lack. The response may be direct or indirect. The direct Hypoxia effects are on cardiorespiratory systems and the secondary effects are due to the failure of organs like brain, liver, kidney and heart. The Hypoxia effects on these organs
In shiatsu techniques relaxation , treatment is given to the selected points in the palms which are in connection with the different parts of the body. Acupressure means applying pressure to an Acu point representing the area of treatment in question. Sujok is a word derived from Korean word: Su means hand, Jok means feet
Diazepam remains a popular oral drug for preoperative medication of adults and is the benzodiazepine most likely to be selected for management of delirium tremens and treatment of local anesthetic induced seizures. This is considered to be one of the diazepam uses that are very common. Production of skeletal muscle relaxation by diazepam is often
Propofol anesthesia has become the induction drug of choice for most of the surgical procedures, especially when rapid and complete awakening is desirable. Continuous IV infusion of Propofol anesthesia with or without other anesthetic drugs, is commonly used in TIVA and for sedation. Due to its quick onset and offset characteristics it is also becoming
Despite the rapid clearance of propofol pharmacokinetics by metabolism, there is no evidence of impaired elimination in patients with cirrhosis of the liver. Chronic alcoholism does not change the propofol pharmacokinetics significantly. Extrahepatic elimination of propofol occurs during the anhepatic phase of orthotopic liver transplantation. Renal dysfunction does not influence the clearance of propofol. Patients
The action of Opoid crisis on hypothalamic nuclei also may be involved in producing slight fall in the body temperature. Modulation of pain through diencephalic areas like periaqueductal grey, thalamic center and hypothalamic areas is produced. The mid-brain (Mesencephalon) basal nuclei, especially due to excitation of parasympathetic region of Edinger Westphal nucleus of the oculomotor nerve
Among the common benzodiazepines that are used in anesthesia today are three: namely diazepam, midazolam and lorazepam. Benzodiazepines produce varying degree of anxiolysis, sedation, anticonvulsant actions and anterograde amnesia. Benzodiazepines also produce some degree of skeletal muscle relaxation but that is not sufficient for surgical procedures; and they also do not decrease the dose requirements
