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Paediatric Respiratory and OSA
Paediatric Respiratory and OSA

... In this patient group the most likely cause of desaturation is airway obstruction, therefore managing desaturations with supplementary O2 alone is not appropriate. Noisy breathing or restlessness during sleep are also signs of airway obstruction and warrant review. Patient transfer from ward 3 to HD ...
Aspects of Conscious/Sedation Analgesia
Aspects of Conscious/Sedation Analgesia

... impaired, ventilation and cardiovascular functions are unaffected. B. Moderate sedation/analgesia – a drug induced depression of consciousness during which patients respond purposefully to verbal commands either alone or accompanied by light tactile stimulation. No interventions are required to main ...
conscious sedation - Key Medical Resources
conscious sedation - Key Medical Resources

... impaired, ventilation and cardiovascular functions are unaffected. B. Moderate sedation/analgesia – a drug induced depression of consciousness during which patients respond purposefully to verbal commands either alone or accompanied by light tactile stimulation. No interventions are required to main ...
Orbital volume replacement after enucleation with porotic implants
Orbital volume replacement after enucleation with porotic implants

... concave artificial eye whose movement is restricted. Beyond the psychological trauma due to the loss of the eyeball, the patient’s quality of life is greatly reduced by a significant facial asymmetry developed after the surgery. Implants can be used to replace the bulbus and fill the orbital cavity. ...
Herpes Brainstem Encephalitis: A Cause of Intractable Emesis
Herpes Brainstem Encephalitis: A Cause of Intractable Emesis

... most cases. CSF examination often reveals a lymphocytic pleocytosis of 5 to 500 cells/mm3, a slight to moderate elevation of the protein concentration, and a normal or slightly decreased glucose level.8 Erythrocytes or xanthochromia may be present, and the presence of either helps to distinguish HSV ...
The Acutely Agitated Patient in a Remote Location
The Acutely Agitated Patient in a Remote Location

... least two health providers must be present to constantly supervise the patient in the designated treatment area of the remote clinic. IN this case it is recommended that oral sedation be provided as the mainstay of management of acute arousal. If ongoing parenteral sedation is required then consulta ...
Neurological Observations in the Adult Patient
Neurological Observations in the Adult Patient

... For example if an orientated patient becomes disorientated or a patient’s motor response changes by one point this could be indicative of rapid deterioration. Limitations of the Glasgow Coma Scale While the GCS has been shown to be a useful tool when assessing neurological function it also has limit ...
Practice Standards and Guidelines for Hearing Assessment
Practice Standards and Guidelines for Hearing Assessment

... required for specific populations (functional hearing loss, congenitally deaf, developmental problems, neurologically impaired, hearing instrument prescription and fitting, and cochlear implants). It is essential that audiologists have the necessary expertise, resources and equipment to assess heari ...
pediatric sedation - respiratorytherapyfiles.net
pediatric sedation - respiratorytherapyfiles.net

... procedure and/or administration of moderate or deep sedation or anesthesia. Each patient’s physiological status, mental status, and pain level are monitored Monitoring is at a level consistent with the potential effect of the procedure and/or sedation or anesthesia. Patients are discharged from the ...
The VANTAS® Insertion and Removal Guide
The VANTAS® Insertion and Removal Guide

... • Loss of, or inability to locate or remove, an inserted implant has been reported. Careful adherence to the Recommended Procedure for Implant Insertion and Removal is advised. In addition, patients should be instructed to refrain from wetting the arm for 24 hours and from heavy lifting or strenuous ...
Improving Sedation in Intensive Care: New drugs or better methods?
Improving Sedation in Intensive Care: New drugs or better methods?

... quantified definition that would be objectively consistent was available to define these states. More concisely, the primary problem is that the ‘human sensor’ lacks resolution and is not objective. In addition, these measured control outputs are highly and non-linearly discretised, which ultimately ...
An affordable overdenture option for an edentulous
An affordable overdenture option for an edentulous

... s the Baby Boomer population increases in number and size, so does the number of edentulous patients, since tooth loss and age are totally related. Whether it is due to neglect, caries, medications, or other systemic reasons, patients are presenting to practices all over America with their teeth alr ...
Dr. Yarascavitch - Toronto Academy of Dentistry
Dr. Yarascavitch - Toronto Academy of Dentistry

... A patient with mild systemic disease     A patient with severe systemic disease     A patient with severe systemic disease that is a constant threat to life     A moribund patient who is not expected to survive without the operation     A declared brain-dead patient whose organs are being removed fo ...
moderate sedation - Clinical Solutions
moderate sedation - Clinical Solutions

... history because the sedation itself is not without risk. Many patients neglect to tell their doctor or the nurse taking the history about their use of dietary supplements they may be taking. Patients may fear the physician will be unhappy about the patient using nonconventional therapy. However, doc ...
Shoulder Dislocation Anterior
Shoulder Dislocation Anterior

... stars of the 1930s. She is pictured here in a “glamour” pose typical of the period, the seductive look with one hand placed over the shoulder. Patients, who have suffered an anterior shoulder dislocation, will also typically support their injured shoulder with their other arm. Their “look”, unlike M ...
Sedation under JCI standard - Korean Journal of Anesthesiology
Sedation under JCI standard - Korean Journal of Anesthesiology

... tion qualification every 2 years, because practice programs such as BLS, ACLS, and PALS have 2-year validation period. If your institute has its own practice program, you can determine the required time for renewing the qualification. The sedation policy should be defined in terms of safety, so a qu ...
Severe Pre-Eclampsia and Eclampsia Scenario
Severe Pre-Eclampsia and Eclampsia Scenario

... BP and seizures are well controlled. 2. There is a great emphasis on appropriate medication and timing to insure staff are following ACOG guidelines for preeclampsia and eclampsia. Since labetalol and hydralazine require 10-20 min for effect, the instructors will speed up the case by announcing 10 m ...
the neonatal survival guide
the neonatal survival guide

... • “Organ System” approach is suggested to help with organizing patient data: - FEN - GI - Respiratory - Heme - Cardiovascular - CNS/Metabolic - ID - Social/Discharge Planning • Think about and make an assessment & plan on each problem before rounds. o A good deal of the learning will be by discussio ...
Dental Implants: 101
Dental Implants: 101

... Dalise (OCO Biomedical): OCO Biomedical began by developing and patenting the O-Ring Attachment systems primarily to attach sub periosteals to overdentures in the early 1970s. The O-Ring System was the first reproducible system, rather than a lab technician’s work of art that could not be reproduced ...
Tinnitus Retraining Therapy Tinnitus Retraining Therapy Certified Location:
Tinnitus Retraining Therapy Tinnitus Retraining Therapy Certified Location:

... a combination of tinnitus retraining and sound enrichment can end their negative reaction to the tinnitus sound, and then reduce and eventually end their perception of it. Noise generators are used in TRT to provide stimulus to the ear which helps reduce the symptoms of tinnitus. The TRT offers hope ...
Subtalar Surgical Technique
Subtalar Surgical Technique

... This can be assessed intraoperatively by everting and inverting the calcaneus and at the same time loading the lateral column. Approximately 4° to 6° of eversion of the calcaneus should be noted. Note the position of the skin line along the graduated markings on the sizing probe. Now, the Sizer Prob ...
review article
review article

... possible, protocols should be developed by institutions. Response to sedation in children is highly variable, while some become deeply sedated after minimal doses, others may need much higher doses. Child developmental status, clinical circumstances and condition of patient should be considered and ...
View Article
View Article

... and validated to provide an item that is sterile when opened. Sterility is event related and depends on whether the integrity of the package has been correctly maintained.4,5 The sterility of an item does not change with the passage of time4 but may be affected by particular events,5 such as being d ...
Policies and Procedures for Outpatient Surgery
Policies and Procedures for Outpatient Surgery

... and documented throughout the care process and, if applicable, at follow-up appointments. Reassessment time frames are defined in departmental policies. Reassessments shall take place under a variety of conditions, which include • when there is a significant change in the patient’s diagnosis or cond ...
Clinical Policy Bulletin: Evoked Potential Studies
Clinical Policy Bulletin: Evoked Potential Studies

... Evoked potentials measure conduction velocities of sensory pathways in the central nervous system using computerized averaging techniques. Three types of evoked potentials are routinely performed: (i) somatosensory; (ii) visual; and (iii) brainstem auditory. In each of these tests a peripheral sense ...
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Auditory brainstem response

The auditory brainstem response (ABR) is an auditory evoked potential extracted from ongoing electrical activity in the brain and recorded via electrodes placed on the scalp. The resulting recording is a series of vertex positive waves of which I through V are evaluated. These waves, labeled with Roman numerals in Jewett and Williston convention, occur in the first 10 milliseconds after onset of an auditory stimulus. The ABR is considered an exogenous response because it is dependent upon external factors.The auditory structures that generate the auditory brainstem response are believed to be as follows:Wave I through III – generated by the auditory branch of cranial nerve VIII and lower brainstemWave IV and V – generated by the upper brainstem↑ ↑ 2.0 2.1 ↑ ↑
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