conclusions both pca techniques provided effective pain scores (< 3) after cardiac surgery; but generally, pca-paracetamol infusion has a better analgesic effect. results the trend of pain scores did not have any significantly difference between group r and group p except for hour 8 and hour 18 after surgery that vas was significantly lower in group p than group r (p = 0.031, p = 0.023, respect...

this research is a descriptive study which had been performed in order of settlement of communication between the nurses with the confinded patients in the internal cardiac wards in the hospital affiliated to ministry of health and medical educations of tehran. this research has been done in twelve internal cardiac. wards of the hospital affiliated to the ministry of health and medical educatio...

this research is a field study designed to-investigate the complication of patients, who underwent heart valve   surgery and were hospitalized in intensive care unit.   in this research, the field files of those patient who had undergone surgical heart valve operation and were   hospitalized in intensive care units in 1992, have been selected as general research documents.   from the point of t...

transcatheter aortic valve replacement (tavr) is a novel therapeutic intervention for the replacement of severely stenotic aortic valves in high-risk patients for standard surgical procedures. since the initial partner trial results, use of tavr has been on the rise each year. new delivery methods and different valves have been developed and modified in order to promote the minimally invasive p...

Cardiac laceration from blunt thoracic trauma is not a common presentation. The rate of mortality due to this injury is very high since it is not diagnosed and treated immediately. In this study, we present the case of a 65-year-old man with blunt cardiac trauma, causing right atrial rupture and pericardial tamponade. Successful management of this patient was firstly done with initial pericardi...

cardiac laceration from blunt thoracic trauma is not a common presentation. the rate of mortality due to this injury is very high since it is not diagnosed and treated immediately. in this study, we present the case of a 65-year-old man with blunt cardiac trauma, causing right atrial rupture and pericardial tamponade. successful management of this patient was firstly done with initial pericardi...

this report details the presence of hyperammonemia in a patient who sustained cardiac arrest after a traumatic amputation. serum ammonia levels may rise due to numerous etiologies; however, few reports detail its usefulness in diagnosing subclinical seizures. in this case, we successfully utilized persistently elevated serum ammonia levels as a marker of subclinical seizures in a patient who su...

in any patient with a history of penetrating thoracic trauma, cardiac injury must be kept in mind. here, we describe a 36 years-old female referred to this hospital with severe chest pain and hypotension. after primary evaluation and suggestion of ami, streptokinase was started for the patient and because of deterioration of vital signs, cardiac surgery consultation was requested. after perform...