Resuscitation
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Comparative Study Clinical Trial
Is a 4 days transoesophageal training course sufficient to diagnose shock related pathologies?
Echocardiography is a useful tool in patients suffering from shock of unknown origin to evaluate cardiac function and volume status in order to decide on further treatment. The aim of the study was to evaluate how well participants could identify function, preload and regional wall motion abnormalities after attending a 4-day transoesophageal echocardiography (TOE) seminar. ⋯ The results of the investigation show that participants of a 4-day TOE seminar can interpret left ventricular function, preload and regional wall motion abnormalities correctly at a very high rate. TOE seminars seem to be effective in teaching basic theoretical knowledge of TOE.
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Early and accurate prediction of survival to hospital discharge following resuscitation after cardiac arrest (CA) is a major challenge. Our aim was to investigate the levels of ischemia-modified albumin (IMA) and malondialdehyde (MDA) in CA patients and whether IMA levels are valuable early marker of post-cardiopulmonary resuscitation prognosis in CA patients. ⋯ In conclusion, though the result may not be applied clinically in every patient, the ischemia-modified albumin may be a valuable prognostic marker in cardiac arrest patients following CPR.
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Tako Tsubo cardiomyopathy has been described in a variety of stress situations, including several critical illness settings. We report the first case of this syndrome in a patient with multiple trauma. ⋯ Prolonged ST segment elevation on EKG, minor troponin release, and transient left ventricular apical ballooning on transthoracic echocardiography are among the features to be recognized. Full recovery occurs spontaneously within several weeks.