Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Jan 2025
Case ReportsA Rare Encounter: Diagnosing and Managing Congenital Malaria in a Neonate.
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J Coll Physicians Surg Pak · Jan 2025
Case ReportsReversion of Supra-Ventricular Tachycardia Through High Positive End-Expiratory Pressure During Mechanical Ventilation in Critically Ill Patients.
The Valsalva manoeuvre is widely recognised for its effectiveness in reverting supra-ventricular tachycardia (SVT) in patients with good coordination. However, this is not applicable in sedated ventilated patients and there is a dearth of literature regarding the application of Valsalva in unconscious patients on mechanical ventilation. The authors, for the first time, present a novel non-pharmacological method to treat SVT in critically ill patients on mechanical ventilation, employing the high positive end-expiratory pressure (PEEP) technique. ⋯ While the exact mechanism remains unconfirmed, it is believed to be similar to that of the Valsalva manoeuvre. Further research is needed to validate this technique and determine the optimal ventilator settings, including the PEEP threshold, for such cases. Key Words: Valsalva manoeuvre, Supraventricular tachycardia, Positive end-expiratory pressure, Mechanical ventilation.
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J Coll Physicians Surg Pak · Jan 2025
Case ReportsTreating Hidden Left Supraspinatus Calcific Tendinitis with Conventional Surgery.
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J Coll Physicians Surg Pak · Jan 2025
Clinical Outcomes of Definitive Radiotherapy Delivered by Helical Tomotherapy.
To assess the disease response and patient survival outcomes for cancer patients treated with helical tomotherapy. ⋯ Radiotherapy, Tomotherapy, Radiotherapy technique, Multidisciplinary treatment, Peer-review practice.
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J Coll Physicians Surg Pak · Jan 2025
Letter Case ReportsTuberculosis of the Right Pubic Bone Complicated by Abscess of the Right Thin Femoral Muscle.
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