at the final stages of a coronary artery bypass graft operation on a 64-year-old man, an experienced physician attempted to insert an intra-aortic balloon pump into the femoral artery via the seldinger technique. however, while the balloon pump was being passed over the guide wire, the latter was completely lost. the guide wire should be held at the tip at all times to prevent passage into the ...

background: lactic acidosis in cardiac surgical patients is a manifestation of systemic inflammation and excess pro-inflammatory cytokine production. this investigation was designed to integrate basic concepts about lactate acidosis with a clinically used of serum lactate in patients under coronary artery bypass surgery (cabg) by on pump method. methods: from august to september 2012, 15 patien...

heparin- induced thrombocytopenia (hit) is an antibody mediated adverse effect of heparin therapy which is classified into two subtypes, hit i which is non-immune, spontaneously reversible thrombocytopenia and; hit ii which is an autoimmune-mediated adverse effect of heparin therapy. in this case report, we described a 65-year old male patient with hit ii after coronary artery bypass grafting. ...

conclusions cabg may be the superior form of treatment for long-term outcomes in terms of the relief of chest pain, improvement of the functional class, reduced need for re-admission, and later death for octogenarians. however, short-term morbidity may be higher among the cabg group, but the mortality rate after 30 days is quite similar. background appropriate treatment methods lead to a reduce...

STUDY OBJECTIVES To investigate the efficacy of melatonin compared to placebo in improving sleep parameters in patients with primary sleep disorders. DESIGN PubMed was searched for randomized, placebo-controlled trials examining the effects of melatonin for the treatment of primary sleep disorders. Primary outcomes examined were improvement in sleep latency, sleep quality and total sleep time...

conclusions the findings showed a positive effect of therapeutic relationship based on peplau's model on reducing anxiety of patients undergoing cabg. therefore, health care teams, including nurses, should take advantage of appropriate communication with patients in their care procedures. in that regard, peplau's communication model is recommended as a simple, low-cost, and efficient method. re...

background according to the previous studies, antihypertensive drugs should be withdrawn before surgery. nowadays it is accepted that some drugs effectively control systemic blood pressure (bp) to assure its desirable therapeutic control. objectives in this study, the effects of captopril, an angiotensin converting enzyme inhibitor (acei), on hemodynamic changes before, during and after the cor...