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Paroxysmal Sympathetic Hyperactivity As A Cause Of Prolonged Icu Stay- Case Report by Arnab Choudhury in Journal of Clinical Case Reports Medical Images and Health Sciences
Abstract
Paroxysmal Sympathetic Hyperactivity (PSH) is commonly described in patients after Traumatic Brain Injury but it can present after an ischemic stroke following a complicated surgery. Usual clinical presentation are tachycardia, tachypnea, hypertension, sweating with seizures and dystonic posturing less likely initial signs. High grade fever and profuse sweating may allude sepsis or epilepsy leading to extraneous administration of anti-epileptics and antibiotics. Suspicion of pheochromocytoma arises in such situations which is ruled out by CECT. Clonidine (α-2 blocker), propranolol (β-blocker) and Baclofen (GABAb agonist) are agents used in treatment. Benzodiazapenes like lorazepam are important part of treatment as discontinuing them can exacerbate PSH attacks. MRI brain with MR angiography usually reveals hyper-intensities on T2/FLAIR in subcortical areas (thalami, cerebellum, crus cerebri) and restricted diffusion with low ADC values. Recurrent PSH episodes can occur due to delay in diagnosing and treatment leading to contractures and difficulty weaning the patient off the ventilator with tracheostomy tube placed. This case presents a scenario in which the delay in diagnosing PSH led to extensive investigations , delay in specific treatment and a prolonged ICU stay of the patient. Mainstay of rehabilitation remains aggressive physiotherapy to improve contractures if any, medications for the autonomic fluctuations and regular follow up.
Keywords : Sympathetic, hyperactivity, paroxysmal, brain, episodes
Introduction
Paroxysmal sympathetic hyperactivity (PSH) is a disorder of autonomic function regulation most commonly observed in patients with acute brain injury. It mostly occurs after traumatic brain injury, but it can also occur after non-traumatic brain diseases such as anoxic-ischemic coma after cardiac arrest, intracranial haemorrhage, and ischemic stroke-[1].
The core clinical features include - tachycardia, tachypnea, hypertension, sweating , hyperthermia and posturing-[2]. These episodes are mostly triggered by some external stimuli such as pain , movement , and urinary retention . PSH occurs due to diffuse or focal brain injuries that disconnect one or more cerebral centers from the caudal excitatory centers and the disconnection of descending inhibitory pathways causing spinal circuit excitation.
Tonic posturing during episodes can mimic tonic seizures, and the raised temperature can mimic infection, which can lead to unnecessary investigations, delays in proper management and prolonged ICU stays. Here, we are presenting one such case.
Case Presentation
A 32-year-old woman (gravida 2 and para1) had pain in the lower abdomen at week 31 of gestation for which she was hospitalized and emergency Lower Segment Cesarean Section was performed in view of fetal hypoxia. On the 2nd day post-delivery, she developed multiple episodes of seizures without regaining consciousness in between and was intubated for airway protection. Brain Magnetic Resonance Imaging(MRI) with angiography suggested posterior circulation ischaemic stroke with bilateral narrow caliber of both vertebral arteries and a left fetal PCA. She was started on antiepileptic drugs and secondary prophylaxis for stroke. She was having high-grade fever and, multiple episodes of profuse sweating per day. Blood counts, cultures, and other markers of infection gave negative Results. She had episodes of tachycardia, tachypnea, hypertension, and sweating associated with fever.
The fever episodes created difficulty in weaning the patient from the ventilator.Therefore, she was started on clonidine and later on, propranolol;-however, these episodes continued to occur. Suspecting pheochromocytoma, abdominal contrast enhanced computed tomography (CECT) was performed, but the results were normal. The patient had recurrent episodes of increase in whole body tone (Fig 1) associated with bilateral lower limb tremors, abnormal posturing along with the above-mentioned episodes of fever. Initially, it was assumed that the rigors were those associated with fever, but later,speculating that the rigors were seizures,- the dosage of herantiepileptic medications were increased, and she was administered triple antiepileptics ( valproic acid , levetiracetam and lorazepam). Her brain EEG showed no epileptiform discharges. Despite receiving triple antiepileptics, she continued to show seizure-like activity. Later, these episodes of fever, tachycardia, tachypnea, hypertension , sweating and increase in body tone occurred simultaneously,- and the diagnosis of paroxysmal sympathetic hyperactivity was made.
The patient was administered clonidine, propranolol, and baclofen. Her episodes of sympathetic hyperactivity were controlled . Later, her empirical antibiotics were stopped as there was no evidence of infection and fever was explained as a part of sympathetic hyperactivity. Antiepileptic medications were tapered off to only levetiracetam. However, after discontinuing valproate and lorazepam she again started experiencing episodes of sympathetic hyperactivity. Therefore, lorazepam was reintroduced to control her symptoms. Finally, the patient was weaned off ventilator support and shifted to the ward.
Investigations
Blood parameters: TLC - 10,000 /mm3 ,Hb - 12 g/dl , Platelets - 2.8 lac/mm3
Blood culture - no pathogenic organism grown after 48 hrs of aerobic incubation.
Urine culture - sterile
Endotracheal aspirate culture - no pathogenic organism grown after 48 hrs of aerobic incubation.
High vaginal swab culture - normal vaginal flora grown.
Procalcitonin - 0.29 ng/ml
CSF analysis, - Acellular; sugar,-24 mg/dl; protein,-68 mg/dl; culture,-sterile
Dengue IGM,- negative; ICT and peripheral smear for Malaria - negative , Typhidot IGM,- negative; scrub typhus IGM,- negative.
Ultrasound abdomen:- no significant abnormality.
MRI Brain with MR Angiography –The brain stem appeared bulky and showed T2/FLAIR hyperintense signal. Similar areas with T2/ FLAIR hyperintense signal were also seen involving the thalami, right crus cerebri and bilateral inferior cerebellar peduncles. Many of these areas showed restricted diffusion with low Apparent Diffusion Coefficient (ADC) values. The bilateral (right > left) vertebral and distal basilar arteries appeared significantly attenuated in caliber. The right PCA appeared to be significantly attenuated in caliberas compared with fetal origin of the left PCA.
EEG - Generalized cerebral dysfunction; -no epileptiform-discharges.
CECT abdomen - No significant abnormality
Outcome and Follow-up
The episodes of sympathetic hyperactivity resolved, and the patient was shifted to the ward from the ICU with tracheostomy in room air. She developed contractures owing to persistent decerebrate posturing. Aggressive physiotherapy was administered. In the ward she regained her sensorium and was discharged with a GCS score of E4VTM6 for further follow-up in the OPD.
Discussion
A significant minority of patients who survive acquired brain injury develop sympathetic hyperactivity, which includes episodes of periodic increase in heart rate and blood pressure, sweating, hyperthermia, and motor posturing, often in response to external stimuli, which can last for weeks or more months-[3].Some studies argue that it is common but often unrecognized-[4].Most studies have reported paroxysmal sympathetic hyperactivity after traumatic brain injury. Fewer cases have reported it to be a sequel of brain stroke following prolonged hospital stay.Though commonly seen in TBI, PSH has rarelybeen described in patients with brainstem strokes and anoxic brain injury-[5].PSH may be mistaken for sepsis, which may lead to unnecessary treatment with antibiotics and prolonged hospital stays-[6].Fever is relatively common among patients in the intensive care settings. Although the most obvious and concerning etiology is sepsis, PSH may be the underlying etiology-[7].There are diencephalic structures analogous to the cerebral motor cortex that are capable of producing, when irritated, paroxysmal motor discharges similar to the focal discharges described as epilepsy-[8].PSA may be camouflaged by epileptic seizures, leading to the unwarranted administration of antiepileptics to the patient. Obstetric patients can present with acute increases in heart rate,-BP and the onset of HELLP syndrome mimicking PSH. Epigastralgia, hypertension, and tachycardia necessitate cesarean section, as in our case, with the subsequent development of HELLP syndrome mimicking PSH.An acute fluid shift from the splanchnic vasculature to the central vasculature may have occurred, causing HELLP syndrome as a result of vasospasm associated with sympathetic hyperactivity. Reporting such cases will facilitate in understanding if the reverse is true, that is, if PSH can mimick as HELLP syndrome-[9,10]. Pregnancy is a risk factor for paroxysmal sympathetic hyperactivity exacerbation, and delivery can result in resolution of the condition-[11].PSH is reclassified as a sympathetic storm rather than an epileptic disorder because of its unresponsiveness to anti-epileptics and the absence of epileptic activity on EEG. [12]it is crucial for clinicians to distinguish this disorder from paroxysmal dystonias. [13,14]Sympathetic storms have been linked to dystonia-like posturing (e.g., PAID, i.e., "paroxysmal autonomic instability with dystonia")[15], Antidopaminergic medications are best avoided to minimize the risk of neuroleptic malignant syndrome, which can potentially mimic PSH (dysautonomia). In contrast to delirium‐associated persistent agitation and picking‐like behaviours, PSH movements are episodic, tend to be provoked by touch, and are uniquely associated with increased sympathetic activityIn the management of this disorder opiates, γ-aminobutyric acid agents, dopaminergic agents, and β-blocker pharmacological agents have been studied. There is a lack of recommendations and comparisons of agents for the management of this disorder. There is a paucity of recommendations and comparisons of agents for the management of this disorder. Monotherapy is usually ineffective for the management of paroxysmal sympathetic hyperactivity, and multiple agents with different mechanisms of action should be considered, as in our case .β-blockers have proven to be therapeutic (not as monotherapy) as in our case,α-agonists such as dexmedetomidine have reported therapeautic efficacy in many studies. However, clonidine another α-agonist has shown therapeutic efficacy, as in our case. The effectiveness of physiotherapy in PSH is rarely reported in medical journals; our case strives to provide an example of such therapeutic benefits.
Conclusion
Paroxysmal sympathetic hyperactivity is quite common in patients with brain insult.It can mimic seizures and/or sepsis (due to high grade fever) leading to unnecessary investigations, exposure to higher-grade antibiotics and antiepileptics. Benzodiazepines are beneficial in controlling sympathetic hyperactivity.Non recognition of PSH can lead to difficulty in weaning patients off the ventilator and prolonged hospital stays. Recurrent episodes of sympathetic hyperactivity can lead to significant weight loss and contractures.
#Sympathetic#hyperactivity#paroxysmal#brain#episodes#JCRMHS#Journal of Clinical Case Reports Medical Images and Health Sciences (JCRMHS)| ISSN: 2832-1286#clinical decision making
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CT Coronary Scan Price: Understanding the Cost of Heart Health
A CT coronary scan is a useful, non-invasive diagnostic tool that provides clear images of the coronary streets. Using computed tomography (CT) technology, this scan can see blockages or narrowings in the streets that supply blood to the core, allowing to assess heart disease risk early on. However, one of the immediate problems for numerous is the CT coronary scan price. Let’s bring a more personal look at what influences the price and why this scan is an asset in long-term wellness.
What is a CT Coronary Scan?
A CT coronary scan, or coronary CT angiography, incorporates X-ray and computer technology to make clear, 3D images of the heart’s blood vessels. By using a difference dye, this scan allows doctors to determine any barriers or other heart-related issues. It’s especially useful for people with risk factors for heart disease, such as high cholesterol, hypertension, or a family history of cardiovascular issues.
Factors Influencing CT Coronary Scan Price
The CT coronary scan price can vary widely depending on several factors:
Location and Facility Type: Costs vary between clinics, hospitals, and diagnostic centers. Urban areas with high-end facilities may charge more.
Technology Used: Advanced CT scanners with more increased resolution and faster processing times may arrive at a tip.
Professional Fees: The expertise of radiologists interpreting the scan and the present physicians may also influence the price.
Insurance Coverage: Some insurance plans protect a part or all of the cost, so it’s wise to check with your provider.
Average Cost of a CT Coronary Scan
The cost typically goes from Rs13000, depending on the factors mentioned above. While this cost may seem high, early detection of heart issues through a CT coronary scan can stop severe complications down the line, potentially saving on prospective medical costs.
Why It’s Worth It
Financing in a CT coronary scan can lead to early detection of heart disease, letting for timely intervention. Though the CT coronary scan price may seem significant, the possible benefits for long-term fitness make it a worthy reference for those at risk.
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Best Cardiac Hospitals in Pune | Best Cardiology hospitals Hospitals in Pune
Sparsh Hospital, located in Pune, is well-regarded for its specialized services in cardiology, providing top-tier care for heart diseases. The hospital is equipped with advanced diagnostic tools, cutting-edge technology, and a team of highly skilled cardiologists and cardiac surgeons. Sparsh Hospital offers a comprehensive range of services that cater to both routine heart care and complex cardiac interventions.
Core Cardiology Services at Sparsh Hospital:
Cardiac Diagnostics:
Electrocardiogram (ECG): A non-invasive test that records the electrical activity of the heart.
Echocardiography: An ultrasound test used to examine the heart's structure and function.
Stress Testing: Measures the heart's performance under physical stress (e.g., treadmill test).
24-hour Holter Monitoring: Continuous monitoring of the heart’s rhythm for 24 hours to detect irregularities.
CT Angiography: A non-invasive imaging technique used to detect blockages in coronary arteries.
Coronary Angiography: A diagnostic procedure to visualize the inside of the heart's blood vessels and detect blockages.
Interventional Cardiology:
Angioplasty: A minimally invasive procedure to open up blocked or narrowed coronary arteries using a balloon or stent.
Stent Placement: Inserting a small metal mesh to keep blocked arteries open, ensuring proper blood flow.
Pacemaker Implantation: A procedure where a small device is implanted to regulate heart rhythms in patients with arrhythmias (irregular heartbeats).
Cardiac Surgery:
Coronary Artery Bypass Grafting (CABG): A surgery that reroutes blood flow around blocked arteries to improve heart function.
Valve Replacement and Repair: Treatment for faulty heart valves, including minimally invasive options.
Aortic Surgery: Surgical procedures for treating conditions related to the aorta, including aneurysms.
Congenital Heart Surgery: Specialized surgery for children born with heart defects.
Heart Transplantation: In cases of severe heart failure, a heart transplant may be necessary, and Sparsh Hospital is equipped to perform this complex surgery.
Preventive Cardiology:
Sparsh Hospital emphasizes heart disease prevention and offers comprehensive check-up packages. These packages include risk assessments, lifestyle counseling, and interventions aimed at reducing the chances of heart disease.
Risk Factor Management: Regular monitoring and control of conditions like hypertension, diabetes, and cholesterol to reduce heart disease risks.
Heart Disease Education: Sparsh also focuses on educating patients and the community about maintaining a heart-healthy lifestyle, including diet and exercise.
Heart Failure Management:
For patients with heart failure, Sparsh provides a multi-disciplinary approach that includes medications, lifestyle modifications, and, in some cases, advanced therapies such as the implantation of devices like the Left Ventricular Assist Device (LVAD).
Cardiac Rehabilitation: Post-surgery or post-heart attack, patients can undergo rehabilitation programs that include physical therapy, counseling, and exercise to improve recovery and quality of life.
Emergency Cardiac Care:
Sparsh Hospital has a fully equipped Cardiac Intensive Care Unit (ICU) to manage patients with acute heart conditions like heart attacks, arrhythmias, or post-surgery care.
24/7 Emergency Services: The hospital offers round-the-clock emergency care for heart-related conditions, including heart attacks and other acute cardiovascular emergencies.
Pediatric Cardiology:
Sparsh Hospital also offers specialized care for pediatric heart conditions. Pediatric cardiologists provide diagnostic services, medical management, and surgical interventions for congenital and acquired heart conditions in children.
Why Choose Sparsh Hospital for Cardiology Care?
Expert Cardiologists & Surgeons: Sparsh Hospital has a team of highly experienced cardiologists, cardiac surgeons, and medical professionals who specialize in treating heart conditions.
State-of-the-Art Infrastructure: The hospital is equipped with the latest medical equipment for diagnosis, treatment, and surgery, ensuring that patients receive the highest quality of care.
Personalized Care: Sparsh Hospital believes in a patient-centered approach, offering tailored treatment plans and personalized care for each patient.
Comprehensive Care: From preventive check-ups to complex surgeries, Sparsh provides a full spectrum of cardiac services, making it a one-stop destination for heart health.
Patient-Centric Environment: The hospital emphasizes comfort, safety, and support, ensuring a positive experience for both patients and their families.
Conclusion
Sparsh Hospital’s Cardiology Department in Pune stands out for its expertise in heart care, offering everything from diagnostics to complex surgeries. Whether you are looking for routine cardiac check-ups, intervention procedures, or advanced heart surgeries, Sparsh Hospital provides comprehensive and compassionate care, ensuring that your heart health is in good hands.
If you’re experiencing heart-related issues or want to undergo a routine heart check-up, Sparsh Hospital’s cardiology team can help guide you through diagnosis, treatment, and recovery with the highest level of care and expertise.
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Hospital in Moshi: Dhanashree Multispecialty Hospital
Moshi, a rapidly growing suburb of Pune, is home to many healthcare facilities that cater to the needs of the community. Among these is Dhanashree Hospital, a leading multispecialty hospital in Moshi, dedicated to providing high-quality healthcare services. Located strategically, the hospital has become a beacon of hope for the residents of Moshi and nearby areas, offering comprehensive medical care across various specialties. In this article, we’ll explore the various services, facilities, and unique features of this hospital that make it one of the most sought-after healthcare providers in the region.
Dhanashree Hospital: A Multispecialty Facility
As a multispecialty hospital in Moshi, Dhanashree Hospital stands out for its wide range of medical services. Whether you’re seeking emergency care, surgical interventions, or specialized treatments, the hospital is equipped with state-of-the-art technology and experienced medical professionals. The hospital offers services across various domains, including:
Cardiology: Providing advanced treatments for heart diseases.
Orthopedics: Specializing in bone and joint care, including trauma surgeries.
Gynecology and Obstetrics: Comprehensive care for women’s health, including pregnancy and childbirth services.
Pediatrics: Specialized care for children and infants.
General Surgery: From routine surgeries to complex procedures, the hospital covers a wide spectrum of surgical needs.
Why Choose Dhanashree Hospital in Moshi?
The hospital’s vision is to offer accessible, affordable, and world-class healthcare to the residents of Moshi. Here’s why Dhanashree Hospital is a preferred choice for many:
1. Experienced and Specialized Medical Professionals
One of the key strengths of Dhanashree Hospital is its team of highly qualified doctors, nurses, and healthcare staff. The hospital prides itself on its panel of specialists who are trained in different fields, bringing years of experience to patient care. From expert surgeons to specialized physicians, the hospital ensures that patients receive the best possible care.
2. Comprehensive Multispecialty Services
As a multispecialty hospital in Moshi, Dhanashree Hospital covers a wide range of medical needs. This eliminates the need for patients to travel to multiple facilities for different treatments. Whether it’s a routine health checkup or a complex surgical procedure, patients can find all services under one roof.
Some of the core specialties include:
Cardiology: Dhanashree offers diagnostic and therapeutic services for heart diseases, including angiography, angioplasty, and non-invasive cardiology.
Orthopedics: Specializing in bone-related treatments, the hospital caters to fractures, joint replacements, and sports injuries.
Urology: Treating conditions related to the urinary tract and male reproductive organs.
Neurology: Offering care for disorders related to the brain and nervous system, including stroke management and epilepsy treatment.
3. Modern Infrastructure and Technology
The hospital’s infrastructure is designed to meet international standards. From spacious patient rooms to advanced operating theaters, Dhanashree Hospital provides a comfortable and safe environment for patients. The hospital is equipped with modern diagnostic tools such as:
MRI and CT Scans: For accurate imaging and diagnosis.
Ultrasound and X-ray Machines: Offering detailed insights for various medical conditions.
ICU and Critical Care Units: Fully equipped to handle emergencies with advanced life-support systems.
4. Emergency and Trauma Care
The hospital in Moshi offers round-the-clock emergency services. With a dedicated team for trauma care, the hospital is always prepared to handle critical cases such as accidents, cardiac arrests, and severe injuries. The hospital's ambulance services are also equipped with advanced life-support systems, ensuring that patients receive timely medical intervention during emergencies.
5. Patient-Centric Approach
At Dhanashree Hospital, the patient’s comfort and well-being are a top priority. The hospital follows a patient-centric approach, ensuring that each patient receives personalized care based on their unique needs. From the moment a patient steps into the hospital, they are guided through every step of their treatment journey, with doctors and staff offering support and clear communication.
Special Focus on Women's Health
The hospital's gynecology and obstetrics department is particularly renowned for its focus on women’s health. Whether it’s routine gynecological checkups, pregnancy care, or high-risk deliveries, the department is equipped to handle all aspects of women’s healthcare. Dhanashree Hospital is also known for its maternity services, offering comprehensive care from prenatal to postnatal stages, ensuring a safe and healthy childbirth experience.
Additionally, the hospital provides advanced treatments for infertility, helping couples navigate their fertility journey with state-of-the-art technology and compassionate care.
Pediatric Care at Dhanashree Hospital
As a multispecialty hospital in Moshi, Dhanashree Hospital takes great care of its younger patients. The pediatrics department offers a wide range of services, from routine vaccinations and growth monitoring to specialized treatments for childhood illnesses. The hospital’s pediatricians are trained to handle all stages of child development, ensuring that every child receives the care they need for a healthy future.
Focus on Preventive Health
Prevention is better than cure, and Dhanashree Hospital emphasizes this through its preventive health services. The hospital offers a range of health checkup packages tailored to different age groups and health needs. These checkups include comprehensive tests that help in early detection of diseases, enabling timely treatment and better outcomes.
Health Check Packages: General checkups for men, women, and senior citizens.
Cardiac Health Packages: Focused on early detection of heart diseases.
Diabetes Care: Regular monitoring and management of blood sugar levels.
Affordable Healthcare Services
Despite offering advanced medical treatments and cutting-edge technology, Dhanashree Hospital is committed to providing affordable healthcare to the community. The hospital offers various payment options and works with numerous insurance providers, ensuring that financial concerns do not hinder access to quality healthcare.
Conclusion
Dhanashree Hospital, a premier multispecialty hospital in Moshi, is more than just a healthcare facility – it is a trusted partner in the health and well-being of the community. Whether you need emergency care, specialized treatments, or routine checkups, the hospital’s wide range of services ensures that every patient is treated with the utmost care and precision. With its modern infrastructure, skilled professionals, and patient-centric approach, Dhanashree Hospital is a key player in Moshi’s healthcare landscape, continuously striving to provide the best possible care to its patients.
For more information or to book an appointment, visit the official website: Dhanashree Hospital Moshi.
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AMD: Geographic atrophy
Age-related macular degeneration (AMD) with geographic atrophy requires multimodal retinal evaluation. Hyporeflective core drusen on OCT serve as a risk biomarker for progression to advanced AMD stages. OCT Angiography (OCTA) can confirm the absence of macular neovascularization (MNV), helping in the comprehensive assessment of the disease. #AMD #GeographicAtrophy #MultimodalEvaluation…
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Best Neurosurgery Centre in Gaya — Arsh Hospital
When it comes to neurosurgery, precision, expertise, and advanced technology are paramount. In Gaya, Bihar, Arsh Hospital is renowned for its exceptional neurosurgery services, providing world-class care to patients with complex neurological conditions. This article delves into why Arsh Hospital is considered the best neurosurgery center in Gaya.
Expert Neurosurgical Team
At the core of Arsh Hospital’s neurosurgery center is its team of highly skilled and experienced neurosurgeons. The team is led by Dr. R.K. Sharma, a prominent neurosurgeon with extensive experience in treating a wide range of neurological disorders. Supported by a dedicated team of anesthesiologists, neurologists, and specialized nurses, Dr. Sharma ensures that patients receive the highest level of care.
Comprehensive Neurosurgical Services
Arsh Hospital offers a broad spectrum of neurosurgical services, addressing various neurological conditions. These services include:
Brain Tumor Surgery: Advanced surgical techniques for the removal of benign and malignant brain tumors, aiming to maximize tumor removal while preserving neurological function.
Spine Surgery: Treatment of spinal disorders, including herniated discs, spinal stenosis, and spinal tumors, using both minimally invasive and traditional surgical methods.
Neurovascular Surgery: Specialized care for conditions such as aneurysms, arteriovenous malformations (AVMs), and stroke, utilizing cutting-edge endovascular techniques.
Pediatric Neurosurgery: Focused treatment for neurological disorders in children, including congenital abnormalities, brain tumors, and spina bifida.
Trauma Surgery: Emergency neurosurgical interventions for traumatic brain and spinal injuries, ensuring prompt and effective treatment to prevent long-term damage.
Functional Neurosurgery: Procedures for conditions such as epilepsy, Parkinson’s disease, and other movement disorders, aiming to improve patients’ quality of life.
State-of-the-Art Facilities
Arsh Hospital is equipped with state-of-the-art facilities that enhance the quality of neurosurgical care. The hospital features modern operating rooms with advanced surgical instruments and navigation systems that ensure precision during procedures. Additionally, the facility includes high-tech diagnostic equipment, such as MRI, CT scans, and digital angiography, which are crucial for accurate diagnosis and treatment planning.
Minimally Invasive Techniques
Arsh Hospital is at the forefront of employing minimally invasive neurosurgical techniques. These procedures involve smaller incisions, which result in less pain, reduced risk of infection, and quicker recovery times for patients. Techniques such as endoscopic surgery and stereotactic radiosurgery are utilized to treat various neurological conditions with minimal disruption to surrounding tissues.
Personalized Patient Care
One of the defining features of neurosurgical care at Arsh Hospital is its personalized approach. The medical team takes the time to understand each patient’s unique condition and medical history. This patient-centered approach allows for customized treatment plans that address the specific needs and goals of each individual. Patients are involved in every step of their treatment, ensuring they are well-informed and comfortable with the process.
Rehabilitation and Follow-Up Care
Rehabilitation is a critical component of neurosurgical treatment, and Arsh Hospital excels in providing comprehensive post-operative care. The hospital’s rehabilitation center is staffed with experienced physiotherapists and occupational therapists who work closely with patients to develop personalized rehabilitation programs. These programs are designed to restore function, improve mobility, and accelerate recovery after surgery.
Patient Success Stories
Arsh Hospital has a proven track record of successful neurosurgical treatments, with many patients sharing their positive experiences. From life-saving brain tumor surgeries to effective spine surgeries, the testimonials from satisfied patients highlight the expertise and compassionate care provided by Dr. R.K. Sharma and his team.
Community Engagement and Education
Beyond providing top-notch medical care, Arsh Hospital is committed to community engagement and education. The hospital conducts regular workshops and seminars on neurological health, educating the public on prevention, early detection, and treatment of neurological conditions. These initiatives help raise awareness and promote a proactive approach to neurological health.
Conclusion
Arsh Hospital in Gaya, Bihar, stands out as the premier neurosurgery center in the region. With its comprehensive range of services, state-of-the-art facilities, expert medical team, and personalized patient care, the hospital provides exceptional neurosurgical treatment. Whether you need brain tumor surgery, spine surgery, or rehabilitation, Arsh Hospital is dedicated to helping you achieve the best possible outcome and improve your quality of life.
Arsh Hospital
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What is Thrombectomy?
Thrombectomy, a pivotal procedure in modern medicine, is a life-saving intervention for individuals suffering from acute ischemic stroke, where a blood clot obstructs an artery in the brain. This minimally invasive procedure entails the removal of the clot, swiftly restoring blood flow to the affected brain tissue and preventing irreversible damage.
At its core, thrombectomy involves the insertion of a catheter into a blood vessel, typically in the groin, guided through the circulatory system to the site of the clot in the brain. Utilizing advanced imaging techniques such as fluoroscopy and angiography, medical professionals precisely navigate the catheter to the occluded vessel. Once in position, specialized tools are employed to grasp and extract the clot, reestablishing blood flow and salvaging endangered brain cells.
The significance of thrombectomy cannot be overstated. Time is of the essence in stroke treatment, and thrombectomy offers a narrow window of opportunity to mitigate the devastating consequences of cerebral ischemia. Studies have underscored its efficacy in improving patient outcomes and reducing long-term disability, affirming its status as the gold standard for acute ischemic stroke intervention.
In conclusion, thrombectomy epitomizes the synergy between medical innovation and clinical expertise, embodying a beacon of hope for stroke patients worldwide. Its continued refinement and accessibility promise to reshape the landscape of stroke care, affirming its status as a cornerstone of modern neurology.
You can contact us by:
Phone: +91 9818776763
Email: at Dr. Nagesh Chandra, Top Neurologist in Delhi
Website: Best Brain & Spine Treatment in Delhi
Visit us: at Dr. Nagesh Chandra, Top Neurologist in Delhi
#SPINE DOCTOR IN DELHI#SPINE SURGERY IN DELHI#SCOLIOSIS TREATMENT IN DELHI#NEUROSURGEON IN DELHI#BEST NEUROSURGERY SPECIALIST IN DELHI
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Dr. T.S. Kler: A Pioneering Force in Interventional Cardiology
Pioneering Milestones by Dr. T.S. Kler
Dr. T.S. Kler's name is synonymous with groundbreaking achievements in interventional cardiology. His illustrious career spans decades, during which he has performed over 25,000 coronary, renal, carotid, and peripheral angioplasties, cementing his status as a leader in complex coronary interventions. Dr. Kler's pioneering spirit is evident in his establishment of India's first dedicated Electrophysiology department at Fortis Escorts Heart Institute, where he initiated the radiofrequency ablations program in 1993 and performed the country's first implantations of ICD, CRT-P, and CRT-D devices.
Dr. T.S. Kler's Global Impact and Leadership
Dr. Kler's expertise extends far beyond the borders of India, as he has played a pivotal role in advancing cardiac care across South Asia. He has spearheaded RF ablation and cardiac device implantation programs in various centers in India, Bangladesh, Nepal, Sri Lanka, and Pakistan. Dr. Kler's reputation as a global authority in his field has led to invitations as a guest faculty at prestigious national and international conferences, where he shares his knowledge and insights with colleagues worldwide.
Academic Accomplishments of Dr. T.S. Kler
Dr. Kler's academic achievements are equally impressive. After completing his MBBS from Medical College, Patiala, he obtained his MD in Medicine and DM in Cardiology from the prestigious PGI Chandigarh. His contributions to the field include approximately 150 national and international journal articles, and he has served on the editorial board of the Indian Heart Journal. Dr. Kler's interests encompass a wide range of cardiac procedures and diagnostic techniques, including complex coronary interventions, cardiac pacing, and electrophysiology.
Honoring Dr. T.S. Kler's Exceptional Contributions
Dr. Kler's exceptional contributions to the field of medicine have been recognized with numerous prestigious awards, including the Padma Bhushan, the third-highest civilian honor in India, awarded by the President of India in 2005. He has also received the Lifetime Achievement Award in 2006 for his outstanding contributions to clinical and preventive cardiology, further solidifying his status as a pioneering figure in interventional cardiology.
Dr. T.S. Kler's Commitment to Patient Care
At the core of Dr. Kler's practice lies a deep commitment to providing the highest standard of patient care. His comprehensive range of cardiac services includes cardiac OPD procedures, stress testing, echocardiography, myocardial perfusion imaging, and CT angiography, ensuring that patients receive personalized and cutting-edge treatment. Dr. Kler's dedication to advancing cardiac care and improving patient outcomes continues to make a profound impact on the field of interventional cardiology, inspiring generations of cardiologists to come.
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Exploring the Cutting-Edge Technology of Heidelberg Spectralis: Advancing Eye Care with Precision
In the realm of ophthalmology, technological advancements continuously redefine the landscape of diagnosis and treatment. Among these innovations stands out the Heidelberg Spectralis, a state-of-the-art imaging system renowned for its precision and versatility. This article delves into the benefits of the Heidelberg Spectralis, elucidating how it revolutionizes eye care with its unparalleled capabilities.
Unmatched Precision in Retinal Imaging:
At the core of the Heidelberg Spectralis lies its ability to provide high-resolution, three-dimensional images of the retina. Utilizing spectral-domain optical coherence tomography (SD-OCT), this device offers unparalleled clarity in visualizing retinal structures. With a resolution down to micrometer levels, it enables clinicians to detect the subtlest abnormalities, facilitating early diagnosis and intervention for various retinal diseases such as macular degeneration, diabetic retinopathy, and glaucoma.
Real-Time Monitoring of Disease Progression:
One of the key advantages of the Heidelberg Spectralis is its capacity for real-time imaging and tracking of disease progression. Through its proprietary eye-tracking technology, the system compensates for eye movement, ensuring precise image alignment during scans. This feature allows clinicians to monitor changes in the retina over time with exceptional accuracy, facilitating personalized treatment plans and optimizing patient outcomes.
Multimodal Imaging for Comprehensive Assessment:
Beyond traditional OCT imaging, the Heidelberg Spectralis offers a spectrum of imaging modalities, including confocal scanning laser ophthalmoscopy (cSLO) and fundus autofluorescence (FAF). By combining these modalities, clinicians gain comprehensive insights into retinal structure, function, and metabolism. Whether evaluating the integrity of the retinal pigment epithelium or assessing the distribution of lipofuscin, this multimodal approach enhances diagnostic precision and aids in the management of complex retinal conditions.
Enhanced Diagnostic Capabilities:
The versatility of the Heidelberg Spectralis extends beyond routine clinical evaluations to encompass specialized diagnostic procedures. With its angiography module, clinicians can perform fluorescein angiography (FA) and indocyanine green angiography (ICGA) to visualize retinal vasculature and detect abnormalities such as neovascularization or choroidal circulation disorders. By integrating angiographic data with structural OCT images, the system provides a comprehensive understanding of retinal pathology, facilitating targeted treatment strategies and improving patient outcomes.
Facilitating Research and Innovation:
In addition to its clinical utility, the Heidelberg Spectralis plays a pivotal role in advancing ophthalmic research and innovation. Its compatibility with advanced imaging protocols and customizable scan patterns empowers researchers to explore novel biomarkers, elucidate disease mechanisms, and evaluate therapeutic interventions. By facilitating collaboration between clinicians and researchers, this technology accelerates the pace of discovery and fosters the development of groundbreaking therapies for ocular diseases.
Streamlined Workflow and Patient Experience:
Beyond its technical prowess, the Heidelberg Spectralis enhances clinical workflow and patient experience through intuitive software interfaces and ergonomic design. Automated features such as image segmentation and analysis tools streamline data interpretation, saving time for clinicians and improving diagnostic efficiency. Moreover, its non-invasive nature and rapid imaging capabilities contribute to a comfortable and expedient experience for patients, enhancing overall satisfaction and compliance with follow-up appointments.
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Atulaya Healthcare offers affordable angiography
Are you seeking information about angiography costs? At Atulaya Healthcare, our core mission revolves around delivering superior diagnostic services that don't strain your finances. We recognize the significance of accessible and high-quality healthcare for everyone. Hence, our angiography services are designed to provide accurate results while ensuring affordability. Our focus on affordability doesn’t compromise the meticulousness and accuracy of our angiography procedures. Click to explore our competitive prices and make informed choices about your healthcare journey with Atulaya Healthcare.
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Dr Richard Zelman's Cardiac Imaging Techniques - A Comprehensive Guide for Patients
Deep Dive into Modern Cardiac Imaging Techniques
Renowned Interventional Cardiologist Dr Richard Zelman often emphasizes the critical role of understanding various cardiac imaging techniques in managing cardiac health. The field of cardiology, dedicated to diagnosing and treating heart-related ailments, has seen remarkable advancements particularly in imaging technology over the years. For patients, acquiring in-depth knowledge about these varied cardiac imaging methods is key to demystifying the diagnostic process and fostering a proactive stance towards their heart health. This comprehensive guide's primary objective is to shed light on the core cardiac imaging techniques, their functional purposes, and what patients can realistically expect during these medical investigations.
Cardiac imaging falls under the umbrella of medical imaging, focusing on capturing detailed images of the heart and its adjacent structures. These images play a pivotal role in diagnosing and monitoring various cardiovascular conditions, aiding healthcare providers in making informed decisions about treatment plans. Cardiac imaging techniques encompass a range of modalities, each offering unique insights into the structure and function of the heart.
Non-Invasive Cardiac Imaging Techniques
Dr Richard Zelman MD , a renowned Cardiologist, often emphasizes the significance of Echocardiography, colloquially known as an echo, in his practice. This diagnostic method utilizes the power of high-frequency sound waves to project live images of the heart. The technique is non-invasive, making it not only safe but also highly efficient for evaluating the heart's size, shape, and ability to pump blood effectively.
Furthermore, Doppler ultrasound, a technology frequently incorporated within the echocardiography process, offers the added benefit of assessing the intensity and direction of blood flow through the heart's chambers and vessels. This feature enhances the diagnosis capabilities of echocardiography, making it a powerful tool for identifying conditions such as valvular heart disease, congenital heart abnormalities, and for evaluating the overall functioning of the cardiac system.
Cardiac MRI provides detailed images of the heart using a powerful magnetic field and radio waves. This non-invasive technique offers a comprehensive view of both the heart's anatomy and its functional aspects. Cardiac MRI is particularly useful for evaluating myocardial infarction (heart attack), cardiac tumors, and congenital heart defects. Although this examination takes longer than some other imaging techniques, it is painless and does not involve ionizing radiation. Cardiac MRI is often recommended when additional information beyond what echocardiography can provide is needed.
CT angiography is a non-invasive imaging technique that uses X-rays to create detailed cross-sectional images of the heart and blood vessels. This method is particularly effective in visualizing the coronary arteries, detecting blockages or narrowing, and assessing blood flow. During the procedure, the patient lies on a table that moves through a doughnut-shaped scanner. While CT angiography exposes patients to a small amount of ionizing radiation, the benefits often outweigh the risks, especially when rapid and accurate visualization of coronary arteries is crucial.
Invasive Cardiac Imaging Techniques
Renowned cardiologist Dr Richard Zelman frequently employs cardiac catheterization, also known as coronary angiography, in his practice. This invasive procedure calls for a catheter to be skillfully threaded through blood vessels all the way to the heart. The objective of this technique is to enable real-time X-ray visuals of the coronary arteries, an essential step in identifying the presence of blockages, stenosis, or other irregularities. Commonly, cardiac catheterization is performed as a precursor to interventions such as angioplasty or stent placement. While it's true that cardiac catheterization is more invasive than non-invasive imaging techniques, its distinct advantage lies in allowing for direct and precise visualization of the coronary arteries as well as an accurate assessment of cardiac function.
Nuclear imaging involves the injection of a small amount of radioactive material, known as a tracer, into the bloodstream. The tracer emits gamma rays that can be detected by a special camera, creating images of blood flow and myocardial perfusion. This technique is commonly used in stress testing to evaluate how well the heart responds to increased workload. Nuclear imaging is valuable in diagnosing conditions such as coronary artery disease, myocardial infarction, and assessing the viability of heart tissue.
Patient Considerations and Conclusion
When confronted with heart-related issues, understanding the nuances of various cardiac imaging techniques becomes paramount. Each method serves a unique purpose, with the choice of imaging modality being largely dependent on the specific diagnostic goals and the individual patient's medical history. Non-invasive techniques such as echocardiography, cardiac MRI, and CT angiography often serve as the primary line of imaging. These methods provide a wealth of valuable information without subjecting the patient to invasive procedures. In the hands of expert cardiologists like Dr Richard Zelman, these imaging techniques can offer insights into the heart's condition, leading to accurate diagnoses and effective treatment plans.
Invasive techniques such as cardiac catheterization and nuclear imaging may be recommended when more detailed information is required or when interventions are planned. It's crucial for patients to communicate openly with their healthcare providers, discussing any concerns or questions they may have about the recommended cardiac imaging procedure.
Dr Richard Zelman, in his extensive career in cardiology, has observed and contributed to the remarkable advancements in cardiac imaging. These innovations have revolutionized the field of cardiovascular diagnostics, enabling healthcare professionals to utilize an array of sophisticated tools for assessing and diagnosing heart conditions. For patients, knowing about these advancements can empower them to take an active role in their healthcare journey. Whether they are preparing for a routine check-up or managing a more complex cardiac issue, understanding the capabilities of modern cardiac imaging techniques can facilitate timely and accurate diagnoses, which in turn significantly contribute to optimal heart health outcomes. Dr. Zelman believes this patient awareness and understanding are crucial components in the trajectory of cardiac care excellence.
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Cure of Retinal Disease
The human eye is a highly developed organ that responds to light and provides vision. The eye is the most important part of the human body, and it is also a very sensitive part. A person may require the services of an ophthalmologist if they are having issues with their retina. A doctor with a focus on ophthalmology, or eye care, is this person. A person might need to see an eye specialist who specializes in retinal diseases in particular. The retina is an important part of the eyes. In this post, we are going to discuss the cure for retinal disease.
Let's read it out:
Using a Laser
Laser surgery can be used to repair a retinal tear or hole. A laser is used by the surgeon to heat a few tiny places on the retina. Scarring is produced in this way, and it typically bonds (welds) the retina to the underlying tissue. If a new retinal tear is treated with a laser as soon as possible, there may be a reduced chance for it to become a retinal detachment.
Forewarnings
It is always preferable to go through your eating habits and the necessary adjustments with your eye doctor. Additionally, one must disclose their drug and prescription usage for a better visual result.
Eye conditions, including retinal tears and detachments, necessitate rapid medical attention due to the permanent nature of the loss of vision. Therefore, in such circumstances, one must immediately undertake eye screening exams with the finest eye specialist to prevent irreversible eyesight loss.
Patient Examination
A comprehensive visual and medical history was supplied by each patient. Comprehensive evaluations of the anterior segment, dilated posterior section, and intraocular pressure were performed.
The participants underwent standardized eye exams by two retinal experts. Study participants who required further testing with fundus fluorescein angiography and macular OCT were directed to a tertiary eye hospital.
Causes of retinal disease
infections caused by bacteria, fungi, and viruses
Age: The macula, the most sensitive area of the retina and its very core, can be impacted by ageing processes.
The loss of night vision, colour vision, light sensitivity, or widespread blur can all be hereditary disorders like retinal dystrophies.
Conditions are frequently progressive.
eye injury
some systemic conditions, such as diabetes or hypertension
Final words
Any area of the retina can get damaged by retinal diseases. Retinal conditions that go untreated can cause significant vision loss and perhaps blindness. Some retinal illnesses can be treated with early discovery, while others can be slowed down or regulated to protect or even restore eyesight. If you are facing any kind of issue, you need to connect with a professional. Our team offers treatment for retinal disease in London; if you are looking for the same, you can connect with us.
#eye surgeon#macular degeneration#holistic eye care#diabetic eye disease#autos#retinal disease in london#cataract surgery#eye surgery#retinal disease#science
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Enhancing Vision and Care: EyeSite Eye Hospital and Retina Centre
Introduction :
In the realm of eye care, precision and expertise are paramount. When it comes to your vision, you deserve nothing less than the best. That's where EyeSite Eye Hospital and Retina Centre in Indore shines. As a super speciality hospital in Indore, we are committed to providing world-class eye care services. Our team of dedicated specialists caters to a wide range of eye conditions, including retina-related issues, cataracts, and more. In this blog, we will explore our commitment to excellence and how we are making a significant impact on eye health in Indore.
Retina: The Core of Our Expertise :
The retina, a delicate tissue at the back of the eye, is essential for clear vision. At EyeSite Eye Hospital and Retina Centre, we specialize in diagnosing and treating a multitude of retinal disorders. Our experienced eye specialists in Indore employ state-of-the-art techniques, such as Fundus Fluorescein Angiography (FFA), to precisely assess and manage retinal conditions.
Types of Cataracts: Understanding the Clouding of Vision :
Cataracts, a common eye ailment, can significantly impair your vision. There are various types of cataracts, each affecting different parts of the eye lens. Our Indore hospital offers comprehensive cataract care, addressing conditions like nuclear cataracts, cortical cataracts, and subcapsular cataracts. With advanced surgical techniques, we can remove cataracts and restore your vision effectively.
Eye Care in Indore: My Hospital, Your Vision :
EyeSite Eye Hospital and Retina Centre takes pride in being your trusted "my hospital" in Indore. Our commitment to excellence, compassionate care, and a patient-centric approach have made us a top choice for eye health in the region. Whether you're seeking general eye care or specialized treatments, our team of eye specialists in Indore is here to ensure your vision is in the best hands.
The Essence of Our Eye Hospital in Indore :
Our eye hospital in Indore is more than just a medical facility; it's a place where vision meets innovation. As one of the NABH-accredited hospitals in the region, we adhere to the highest standards of patient care and safety. We employ cutting-edge technologies, such as Fundus Fluorescein Angiography (FFA), to provide accurate diagnoses and treatments for various eye conditions.
Eye Angiogram: A Window to Eye Health :
Fundus Fluorescein Angiography (FFA), commonly known as an eye angiogram, is a diagnostic tool that allows us to visualize the blood vessels in your retina. This procedure helps us detect and manage retinal disorders effectively. At EyeSite Eye Hospital and Retina Centre, we offer FFA as part of our comprehensive retinal care services, ensuring that your eye health is thoroughly evaluated and treated.
The Challenge of Black Fungus and Eye Health :
In recent times, the emergence of black fungus (Mucormycosis) has raised concerns, particularly regarding its impact on the eyes. Our experienced team is well-prepared to address black fungus eye cases, providing timely and expert care to protect your vision. Early diagnosis and treatment are critical, and we are equipped to handle these challenging cases with precision.
Eye Health Tips: Preserving Your Precious Vision :
At EyeSite Eye Hospital and Retina Centre, we not only treat eye conditions but also promote proactive eye health. Here are some valuable eye health tips to help you maintain optimal vision:
1. Regular Eye Check-ups: Schedule routine eye examinations to detect issues early.
2. Healthy Diet: Consume foods rich in vitamins and antioxidants to support eye health.
3. UV Protection: Wear sunglasses with UV protection to shield your eyes from harmful sun rays.
4. Hydration: Stay well-hydrated to prevent dry eyes.
5. Screen Time: Limit screen time and take breaks to reduce digital eye strain.
Conclusion:
EyeSite Eye Hospital and Retina Centre in Indore stands as a beacon of hope for those seeking comprehensive eye care. From retina-related concerns to cataracts and more, our super speciality hospital is equipped with the expertise and technology needed to preserve and restore your vision. When you think of "eye specialist in Indore" or "eye hospital in Indore," think of us as your dedicated partner in eye health. Your vision is our priority, and we are here to ensure it remains clear and vibrant.
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Post Cardiac Arrest Care:
If not already done, place an endotracheal tube. If an endotracheal tube is already in place, confirm proper position and patency. Start ventilations at a rate of 10 breaths per minute and adjust as necessary to keep carbon dioxide levels in physiologic range (PaCO2 between 35 and 45 mmHg or monitored using ETCO2) unless another target is clinically indicated. Provide 100% oxygen (FiO2 1.0) until the oxygen saturation can be measured, an arterial blood gas is obtained or both, and then provide the minimal level of oxygen needed to maintain an SaO2 of 94% to 99% and (if obtained) a PaO2 in the physiologic range. Continuously monitor the patient using capnography and pulse oximetry and, as available, PaCO2 and PaO2 to ensure ventilation and oxygenation levels are in the physiologic range.
To ensure the best outcome, perfusion must be adequate and maintained. Blood pressure can be extremely labile during the post–cardiac arrest period. As such hypotension should be treated aggressively. Current recommendations are to target a minimum systolic blood pressure of 90 mmHg or a mean arterial pressure (MAP) of 65 mmHg.
Initially treat hypotension with a 1- to 2-L intravenous (IV) isotonic crystalloid fluid bolus. If the patient fails to respond to fluid, consider starting an IV vasopressor infusion with epinephrine (2–10 mcg/min), dopamine (5–20 mcg/kg/min) or norepinephrine (0.1–0.5 mcg/kg/min). The choice of agent is based on the clinical situation. Once therapy is initiated, the drug infusion rate can be titrated according to hemodynamic parameters and physical examination findings.
Obtain a 12-lead ECG expediently. As time and resources permit, obtain a medical history and complete focused physical and neurologic examinations. Maintain euglycemia and identify treatable underlying causes (including Hs and Ts).
Addressing ST-segment elevation myocardial infarction (STEMI) and non–ST-segment elevation acute coronary syndromes (NSTE-ACS) and providing mechanical cardiac support if needed may improve neurological outcomes. Consider the need for emergent cardiac interventions such as reperfusion therapy and mechanical circulatory support and obtain a cardiology consultation. Patients with STEMI require immediate reperfusion therapy with percutaneous coronary intervention (PCI), fibrinolytic therapy or both. Emergency coronary angiography is recommended for all patients, awake or comatose, who have ECG and laboratory findings suggestive of acute myocardial infarction. Both reperfusion therapy and mechanical circulatory support can be initiated in patients who are comatose and concurrently with targeted temperature management (TTM).
Targeted temperature management (TTM; a neuroprotective intervention that involves lowering and maintaining the core body temperature in the range of 32° C to 36° C for a period of at least 24 hours.) may reduce global oxygen demand and improve overall outcomes after cardiac arrest and should be considered for patients who remain comatose after ROSC (as indicated by an inability to follow verbal commands).
In TTM, a target temperature between 32° C (89.6° F) and 36° C (96.8° F) is established, the patient’s body temperature is maintained at the targeted temperature for at least 24 hours, and then the patient's body temperature is slowly brought back up at a rate of 0.25° C per hour. Various methods of inducing hypothermia may be used, including administering an ice-cold IV fluid bolus (30 mL/kg), using endovascular catheters or applying surface cooling strategies (e.g., cooling blankets, ice packs).
The patient’s core body temperature should be continuously monitored throughout therapy using an esophageal, rectal or bladder core temperature monitoring device.
Other measures for promoting neurologic recovery in patients who remain comatose following cardiac arrest include obtaining brain imaging and establishing continuous EEG monitoring to help identify seizures that might not be detected by other clinical parameters. Seizures or epileptiform activity on EEG occur in approximately 20% to 30% of comatose patients in the post–cardiac arrest period. If detected, post–cardiac arrest seizures must be treated; however, anticonvulsants should not be used prophylactically during the post–cardiac arrest period.
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Aneurysmal Bone Cysts Treatment Market Key Players, Outlook and Forecast 2028
Global Aneurysmal Bone Cysts Treatment Market, By Type (Active, Aggressive), Treatment (Curettage And Bone Grafting, Cryotherapy, Sclerotherapy, Marginal Or Wide Excision, Others), Diagnosis (X-Ray, Needle Biopsy, Computed Tomography (CT) Scan, Angiography, Magnetic Resonance Imaging (MRI), Others), Symptoms (Pain, Stiffness, Weakness, Deformity In The Area Of The Growth, Swelling, Feeling Of Warmth Over The Affected Area, Decreased Range Of Motion, Others), End-Users (Clinic, Hospital, Others), Distribution Channel (Hospital Pharmacy, Retail Pharmacy, Online Pharmacy), Country (U.S., Canada, Mexico, Brazil, Argentina, Peru, Rest of South America, Germany, France, U.K., Netherlands, Switzerland, Belgium, Russia, Italy, Spain, Turkey, Hungary, Lithuania, Austria, Ireland, Norway, Poland, Rest of Europe, China, Japan, India, South Korea, Singapore, Malaysia, Australia, Thailand, Indonesia, Philippines, Vietnam, Rest of Asia-Pacific, Saudi Arabia, U.A.E, Egypt, Israel, Kuwait, South Africa, Rest of Middle East and Africa) Industry Trends and Forecast to 2028.
With the attentive use of established and advanced tools such as SWOT analysis and Porter's Five Forces Analysis, the large scale Aneurysmal Bone Cysts Treatment market business report has been generated. Meticulous hard work of skilled forecasters, well-versed analysts and knowledgeable researchers gives outcome of such premium and large-scale market analysis report. This market report aids to unearth the general market conditions, existing trends and tendencies in the Aneurysmal Bone Cysts Treatment industry.
Key Players
The major players covered in Aneurysmal Bone Cysts Treatment market are Pfizer Inc., Teva Pharmaceutical Industries Ltd., Bayer AG, Shionogi Inc., Allergan, LUMITOS AG, Upsher-Smith Laboratories, LLC, Ligand Pharmaceuticals Incorporated, Pantarhei Bioscience, Foamix Pharmaceuticals Ltd and others.
Browse More Info @ https://www.databridgemarketresearch.com/reports/global-aneurysmal-bone-cysts-treatment-market
A wide ranging Aneurysmal Bone Cysts Treatment Market report includes strategic profiling of key players in the market, systematic analysis of their core competencies, and draws a competitive landscape for the market. SWOT analysis and Porter's Five Forces Analysis are the two consistently and promisingly used tools for generating this report. Competitive landscape in this finest marketing report covers strategic profiling of key players in the market, comprehensively analyzing their core competencies, and strategies. Quality and transparency has been strictly maintained while carrying out research studies to provide an outstanding Aneurysmal Bone Cysts Treatment Market research report for a niche.
Key questions answered in the report:
Which product segment will grab a lion’s share?
Which regional market will emerge as a frontrunner in coming years?
Which application segment will grow at a robust rate?
Report provides insights on the following pointers:
Market Penetration: Comprehensive information on the product portfolios of the top players in the Aneurysmal Bone Cysts Treatment Market.
Product Development/Innovation: Detailed insights on the upcoming technologies, R&D activities, and product launches in the market.
Competitive Assessment: In-depth assessment of the market strategies, geographic and business segments of the leading players in the market.
Table Of Content
Part 01: Executive Summary
Part 02: Scope Of The Report
Part 03: Global Market
Part 04: Global Market Sizing
Part 05: Global Market Segmentation By Product
Part 06: Five Forces Analysis
About Us:
Data Bridge Market Research set forth itself as an unconventional and neoteric Market research and consulting firm with unparalleled level of resilience and integrated approaches. We are determined to unearth the best market opportunities and foster efficient information for your business to thrive in the market
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