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Heart Rhythm After Intravenous Methylprednisolone Administration

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The clinical status of patients was evaluated before each pulse, including blood pressure monitoring, glucose level monitoring and symptoms of infection. HR and BP was measured continuously for 3 consecutive days (the day before, the day of IVMP and the day after IVMP) during 1st, 6th and 12th IVMP

Assessment of ECMO in Acute Myocardial Infarction Cardiogenic Shock

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Scientific background - Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is used more and more frequently in patients with acute myocardial infarction (AMI) and refractory cardiogenic shock despite the absence of high level scientific evidence to recommend the use of temporary circulatory

RCT of Gastric ESD With or Without Epineprhine Added Solution

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Endoscopic submucosal dissection (ESD) is an endoscopic technique aiming to achieve en-bloc resection of mucosal neoplastic lesion in the gastrointestinal tract. It is now considered as the standard of treatment for early gastric cancer confined to the mucosa, achieving an excellent overall survival

Hypotension Probability Index in Anesthesia

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Study design The study is designed as a single center randomized prospective interventional trial comparing goal directed hemodynamic management using HPI compared to standard care. Subcenter University hospital of Giessen, Department of Anesthesiology, Operative Intensive Care and Pain Therapy

High Versus Low Target Mean Arterial Pressure in Septic Shock in Critically Ill Cirrhotics

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Inhaled Nitric Oxide After Out-of-Hospital Cardiac Arrest

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Subjects will be identified upon emergency department (ED) arrival or upon transfer from an outside facility and screened for enrollment by a PCAS physician as soon as possible. Eligible patients will have receive any required resuscitation (including central venous and arterial line placement,

Daily Ginger Drinking and Platelet Function

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Herbal medicine products are dietary supplements that people take to improve their health. Many herbs have been used for a long time for claimed health benefits. They are sold as tablets, capsules, powders, beverages, extracts and fresh or dried plants. Herbal medicines have been associated with

Paravertebral Block vs. General Anesthesia for Major Abdominal Surgery

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Introduction Elderly patients are usually presented with higher risk for developing cardiopulmonary complications after general anesthesia (GA). The risk of adverse events in elderly patients increases with the combination of intraoperative fentanyl, opioid premedication and neuromuscular blockers.

Arterial Stiffness and General Anesthesia Induced Hypotension in Patients on Angiotensin-converting Enzyme Inhibitors

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Background: Induction of anesthesia consists with administration of anesthetics followed by endotracheal intubation. During the induction of anesthesia moderate hemodynamic disturbances (either systemic arterial hyper- or hypo-tension) are common due to concurrent autonomic nervous system

Esophageal Temperature Management After Cardiac Arrest

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Background The ability to control a patient's body temperature under a wide variety of conditions is extremely important, and is of particular importance after CA. TH targeted to 32-34°C as a targeted temperature management (TTM) demonstrably improves outcomes in at least two clinical conditions:

Hartmann's Solution and Normal Saline in Type II Diabetes Patients

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Hyperglycemia is an independent risk factor for poor outcomes in diabetic patients experiencing sudden cardiac death, myocardial infarction, cerebrovascular accident. During surgery, activation of the neuroendocrine system by surgical stress releases stress-induced hormones such as cortisol,

Dexmedetomidine and Outcomes of Cardiac Surgery (DOCS)

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There are about 694,000 open-heart surgeries performed in US each year. The major complication rates for valve plus coronary artery bypass graft (CABG) procedure are as high as 30.1% in Society of Thoracic Surgeons (STS) reports. Postoperative delirium, infection, acute renal failure (ARF) and major

Essential Hypotension and Allostasis Registry

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DEFINITIONS ARTERIAL BLOOD PRESSURE CLASSIFICATION Arterial Blood Pressure (ABP) is a complex physiological variable in regard to its measure, behavior between BP taken in the same visit at the office and between these and ABPM, chronobiology (different day time BP levels), evolution in time,

The Effects of Levosimendan During Mitral Valve Surgery

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Introduction: The coronary and peripheral vasodilatory properties of levosimendan has recently been investigated in patients with heart failure. It is considered as a promising alternative to conventional inotropic agents for patients with low LVEF. However, the effects of levosimendan on renal

The Effect of Perioperative Medications on the Outcomes of Patients Undergoing Cardiac Surgery

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Each year about 694,000 Americans have open-heart surgery including valve repairs, valve replacements, heart transplants, and coronary artery bypass graft (CABG) surgery [1]. The reported incidence of perioperative complications in these cardiac surgery patients is 4.5% while the prevalence varied

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