Transient post ischemic left ventricular dysfunction has been called stunned myocardium. The stunned myocardium can lead cardiac problems such as arrhythmias, left ventricular dysfunction, and a myocardial infarction. Stunned myocardium is a reversible condition. In this case, a 25 year old female patient with a history of mild intermittent asthma became hypovolemic and got into shock after dev...

INTRODUCTION The military recommends that a 500 mL bolus of Hextend® be administered via an intravenous (IV) 18-gauge needle or via an intraosseous (IO) needle for patients in hypovolemic shock. PURPOSES The purposes of this study were to compare the time of administration of Hextend and the hemodynamics of IV and IO routes in a Class II hemorrhage swine model. METHODS This was an experimen...

The problems considered in the review are: mechanisms of formation physiological and pathological endothelium phenotypes, involvment hematovascular homeostasis, immune processes, inflammation, systemic inflammatory response. reversibility endothelial dysfunction, participation reaction, etc. are discussed. validity conventional term «endotheliitis» for dysfunction various diseases, including CO...

An animal model was designed to study the effect of large volume Hypertonic Solutions (HTS) for re‌suscitation following a hypovolemic shock. Resuscitation in hypovolemic animals was performed by infusion of 15 ml/kg of normal saline (group I), 5% sodium bicarbonate (NaHCO3) (group II), 5% sodium chloride (NaCI) and 7.5 % NaHCO3 1:1 VN (group III), 5% NaC1 (group IV), and 5% NaCl and 5% serum a...

A 70-year-old male with advanced pancreatic cancer went into shock after sustaining a traumatic abdominal injury. Computed tomography (CT) showed a hematoma with extravasation around the pancreas and hemorrhagic ascites. After direct catheterization failed due to angiospasm, the ruptured splenic artery was successfully occluded by transcatheter arterial embolization (TAE) using an N-butyl cyano...

Here we report an outbreak of gastroenteritis due to V. cholerae 0139 in Pondicherry, South India. The outbreak lasted for 10 weeks beginning from middle of October, 1992. During the period, a total of 237 cases were admitted to JIPMER (tertiary care hospital) with gastroenteritis, of whom 100 were females. The mean age of all the patients was 39.20 ± 1.06 (SEM) years (range 0.02 to 76 years). ...

Corresponding author: Dr Luke Chen, Clinical Research, Infectious Diseases Unit, The Alfred Hospital, Melbourne 3000. Telephone: +61 3 9276 3000. Facsimile: +61 3 953

BACKGROUND Both dopamine and norepinephrine are recommended as first-line vasopressor agents in the treatment of shock. There is a continuing controversy about whether one agent is superior to the other. METHODS In this multicenter, randomized trial, we assigned patients with shock to receive either dopamine or norepinephrine as first-line vasopressor therapy to restore and maintain blood pre...

BACKGROUND Trauma is the leading cause of death among North Americans between the ages of 1 and 44 years. Resuscitation with hypertonic saline (7.5%) solutions can reduce mortality in hypotensive and brain-injured patients. STUDY DESIGN Two multicenter, randomized, clinical trials were designed to compare hypertonic saline resuscitation with or without dextran with conventional isotonic resus...

Hypoxic-Ischemic Encephalopathy (HIE) is a birth brain injury that precedes the development of Cerebral Palsy (CP). Visualized on MRI scanning, the lesions of HIE are infarcts resulting from deficient generalized perfusion of brain tissue. Birth asphyxia/hypoxia is the widely assumed cause of this brain injury, however, HIE may occur without significant hypoxia. Hypovolemia/hypovolemic shock, i...