Articles Related to ST segment elevation
Refractory Hypotension Caused By Prone Position in a Child Undergoing Scoliosis Corrective Surgery
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.
Therapeutic Hypothermia Still Effective in Prevention of Anoxic Encephalopathy following Extended Period of Pulselessness during Cardiac Arrest
There are approximately 300,000 out-of-hospital cardiac arrests per year with less than 10% of those surviving. More than half of
survivors suffer permanent neurologic deficits. Therapeutic hypothermia has proven effective at thwarting neurologic damage occurring
in the 16-hour window following return of spontaneous circulation (ROSC). Despite recommendations by the American Heart
Association (AHA), many cardiologists have been slow to implement therapeutic hypothermia. While many trials have discussed the
relevance of initial rhythm and delay of cooling, there has been limited discussion of the efficacy of therapeutic hypothermia in the
presence of extended pulselessness.