Indexed hemodynamic measurements may be inappropriate at body surface area extremes

Indexed hemodynamic measurements may be inappropriate at body surface area extremes

the epidemic of obesity and morbid obesity [1] spreads and as more obese patients require intensive care, it is important to use appropriately body surface area (BSA) indexed hemodynamic measurements [2]. Th e idea of adjusting for variation in heights and weights while making comparisons was fi rst described by DuBois and Dubois in 1916. Unfortunately, they derived their widely used formula ba...

Misleading indexed hemodynamic parameters: the clinical importance of discordant BMI and BSA at extremes of weight

e widespread availability of minimally invasive hemodynamic monitors encourages evaluation of cardiac output (CO) and stroke volume (SV) in real time, and they are integral to goal-directed therapy, algorithmbased treatment plans. Patients with extremes of body surface area (BSA) are at risk of having their indices erroneously evaluated despite adequate non-indexed values. We evaluated the use ...

Assessment of blinding may be inappropriate after the trial.

Case Report of a Vanished Aspirated Foreign Body; Cough may be more Helpful

Foreign body aspiration is a potentially life-threatening event especially in those who are younger than 5 years old. Aspiration could be presented as a spectrum, ranging from absolutely asymptomatic event to more sever events including choking, respiratory distress and cyanosis or even death. Although foreign bodies in lung may not be visualized on X-ray, X-ray radiography is considered as a f...

AdipoRon may be benefit for atherosclerosis prevention

Atherosclerosis has serious role in coronary arteries disease,so it is important to establish effective strategies for prevention or even treatment of atherosclerosis. Adiponectin, as one of the most abundant adipokines, has insulin sensitivity, anti-inflammatory and anti-atherogenic properties. Disturbed adiponectin actions through its receptor, (AdipoR1 and AdipoR2) may be involved in atheros...