We report a case of a teenager with scoliosis and pectus excavatum who developed intraoperative refractory hypotension associated with prone position during posterior surgical correction of scoliosis. In this case, it was more difficult for the anesthetists to figure out the reason leading to severe hypotension when a surgery was partially completed, because there might be many confounding factors during surgery. Furthermore, TEE was difficult to be considered to be first diagnosis choice when patient have already underwent posterior spinal fusion surgery, compared to the cases previous reported that the surgery still did not begin.
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Causes for syncope are multifaceted. Hormonal etiology, specifically hypothyroidism, is associated with cardiac arrhythmias. Sinus bradycardia, low voltage, nonspecific T-wave changes and dissociative atrioventricular (AV) abnormalities are some of descriptive electrocardiographic features.
The effect of re-ageing on hardness, pin-on-disc sliding wear and corrosive behavior of 7075 aluminum alloy is studied. The as cast alloy was solution treated at 470 °C for 2hrs and aged at 120 °C for 6 and 24hrs respectively. Wear tests were conducted on a pin-on-disc- wear testing machine with die steel rotating disc.
Welcome to the first issue of the Journal of Case Reports and Studies. Within the field of medicine a number of systems have been established to stratify the quality of research designs which have been collectively termed "levels of evidence" or a "hierarchy of evidence" approach. These approaches rank study designs with respect to their impact on internal and external validity