background: the ductus arteriosus connects the main pulmonary trunk to the descending aorta. the incidence of isolated patent ductus arteriosus (pda) in full-term infants is about 1 in 2000. the amplatzer ductal occluder (ado) is recommended for pdas with sizes larger than 2 mm. in this procedure, we must confirm the ado position in pda by aortogram from the arterial line. the purpose of this s...

background the ala of the nose, with its particular texture and characteristics, poses both aesthetically and functionally intriguing challenges and is rather problematic regarding choices for reconstructive methods. both flaps and grafts have been used to restore natural structure of nasal ala. the present study summarizes a ten-year experience of reconstructive surgery using small composite g...

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chest tube (ct) or tube thoracostomy placement is often indicated following traumatic injuries. premature movement of the chest tube leads to increased hospital complications and costs for patients. placement of a chest tube is indicated in drainage of blood, bile, pus, drain air, and other fluids. although there is a general agreement for the placement of a chest tube, there is little consensu...

results in the first three years, the team managed the care of 812 admissions. mean age wasn 44.3 years (sd = 24.8) and mean length of hospital stay was 6.1 days (sd = 10.9). ofn these individuals, 674 attended for 6 month follow-up with 52.2% having a good outcomen on extended glasgow outcome score. patients and their relatives' feedbacks weren excellent with an average score of 4.7/5 on overa...

We can, but should we? After recently reflecting upon our profession as pediatric critical care physicians , I concluded that this one complex question gets asked many times throughout the day – or at least it should. A recent report discussed an emerging paradigm in pediatric critical care medicine (1). With more and more chronic patients filling our pediatric intensive care unit (PICU), perha...