Advanced Cardiac Life Support
V. Fib and Pulseless VT V. Tach PSVT A. Fib A. Flutter PAT Bradycardia ventricular ectopy Asystole Angina / MI – Misc: – IJ Central Line Insertion; – CPR … Read more
Data Trace Editor
After Loading Agents given by Continuous Infusion
Agent A/V effect Dilution Dose Range Comments Nitroprusside (art & ven) 100 mg/250 ml 1-10 ug/kg/min CN toxicity Incr. Pul Shunt. Trimethaphan (arterial) 500 mg/250 ml 1-6 mg/min Neg. Inotroph Tachyphylaxis Nitroglycerin (ven > art) 200 ug/ml 1-5 ug/kg/min
Adult Both Bone Forearm Fracture
– See – Pediatric Both Bone Frx – Deforming Forces – Discussion of Blount Fractures – Implants for Fractures of the Radius and Ulna – Plating Techniques – Indications for Operative Treatment: – all displaced, unstable fractures of the radius and ulna in adults; – radial shaft fractures: all displaced fractures of the radius with … Read more
Adult Both Bone Forearm Frx: PreOp Planning
– Location of Frx: – distal 1/3 : 75% – middle 1/3 : 18% – proximal 1/3: 7% – Surgical Approach: – Proximal Radius Fx (Thompson) – Distal Radius Fx (Henry) – Comminution: – side of comminution may dictate plate placement; – comminution involving more than 1/3 of circumference of shaft may necessitate bone grafting; … Read more
Adult Degenerative Spondylolisthesis
– Discussion: – often occurs as a result of degenerative disc disease and facet deficiency; – it is often associated w/ intersegmental instability and w/ central stenosis; – more commonly involves older black females and diabetics (affects females 6 times as much as males); – involves L4-L5 … Read more
Adult Humeral Inter-condylar Fractures
– Fractures Subtypes: – capitellar and coronal shear frx – distal humeral frx – lateral condyle frx – medial condyle frx – Muller’s Classfication: – type A: extra-articular fracture; – type B: uni-condylar fracture; – type C: bi-condylar fracture; – controversies: – total elbow replacement – Distal humeral fractures treated with noncustom total elbow … Read more
Adult Humeral Inter-condylar Fractures: Preparation and Positioning
– Discussion: – anesthesia: insist on general anesthesia rather than regional anesthesia for the following reasons: – it is essential that the patient not move during delicate portions of the case; – it is often helpful to paralyze the patient during the fracture … Read more
Adult Humeral Inter-condylar Fractures: Restoration of Frx Anatomy
– Technique: – it is helpful to have the patient paralyzed during the reduction (requires general anesthesia); – anatomic reduction of the condyles is performed first; – remember that the common factor in fixation failure in these fractures is comminution and/or osteoporosis; – best-fit method: … Read more
Adolescent Bunion
– Discussion: – adolescent bunion is present if IM angle > 10 deg & HV angle > 20 deg; – moderate deformity: HV of 25 – 40 deg, – severe deformity: HV of more than 40 deg; – in … Read more
Adolescent Sternoclavicular Joint Injury
– See: SC Joint Injury – Medial SC Joint Injury: – injury is due separation of proximal clavicular physis rather than dislocation; – need to determine if proximal clavicular metaphysis (distal fragment) is anterior or posterior; – anterior and superior displacement of medial end of clavicle or x-ray appearance … Read more