The patient was prepped and draped in the usual sterile manner. The lid speculum was placed in the right eye. A conjunctival peritomy was made and the 4 recti muscles were hooked and anchored with 2-0 black silk bridle sutures. The sclera was detached from 8 to 12 with macula-off. Cryotherapy was performed to 1 or 2 tiny retinal breaks. A #240 band was placed under the 4 recti muscles with a sleeve deep in the inferonasal quadrant. The band was anchored 12 mm from the limbus with a 4-0 Mersilene mattress suture in each quadrant. Drainage of a large amount of viscous subretinal fluid was achieved via 75S blade into the subretinal space of the inferotemporal quadrant, and intraocular air was injected to tamponade the retina and normalize the
Were included 82 eyes of 49 patients, 32 (69%) females and 17 (31%) males. The mean patient age was 33 +/- 7.4 years (range: 21 to 48 years). Mean follow up was 4.8 years (range 9 to 1 year). The mean anterior chamber depth was 3.2mm (range 2.8 to 3.67mm). Were implanted 42 Artisan IOL and 40 Artiflex IOL with a mean power of -11.1D
American Heart Association (AHA) estimates that nearly 700 Americans die each day of sudden cardiac arrest (MI), or 250,000 every year, as many as 50,000 lives could be saved each year if certain critical interventions were made. (Freeman , 50) A patient who receives early life support measures and defibrillation within one to five minutes of arrest is much more likely to live and to retain normal brain function. The brain is often at a serious risk for irreparable brain damage related to anoxia and many other co-morbidities that are associated with cardiac arrest (MI). When a perfusing cardiac rhythm returns after a heart attack, the most important objective is to preserve brain function. The AHA and the Advanced Life Support Task Force of
The nursing topic that I am going to base my final paper on is the use of hypothermia therapy following the successful resuscitation of adult patients. I want to further understand the positive or the negative outcomes for patients after we have using the hypothermia therapy protocol. hypothermia _1_.pdf This is one of the research studies that I plan on using in the research for my finial paper. The PICO question that I will be trying to answer in my research paper will be " In the resuscitated adult patient does the use of hypothermia therapy have a reduced mortality rate for adult patients after they have been discharged from the hospital?" By using the definition of PICOT from our book, the P in my research is resuscitated adult patients,
In the United States out-of-hospital cardiac arrest (OHCA) is a common occurrence among adults. In 2013, according to the American Heart Association (AHA), 359,400 individuals suffered from OHCA with an overall survival rate of 9.5% (AHA, 2014). Even with rapid chain-of-survival initiation, (i.e. immediate recognition of cardiac arrest, early cardiopulmonary resuscitation (CPR), early defibrillation, effective advanced life support, and post cardiac care) mortality following OHCA remains elevated (Lee & Cone, 2014). In the chain of survival, the post resuscitation period is thought to be the missing link. Therapeutic hypothermia (TH) is one such post resuscitative
In cases with Direct TON where vision loss is severe and immediate, surgical decompression may be necessary if there are bony fragments pressing against the optic nerve or an optic nerve sheath hematoma. Surgery for TON involves decompression of the optic canal, and may be accomplished by a variety of approaches like transcranial, transsphenoidal, or transethmoidal. Serious surgical complications include infection (meningitis), CSF leaks, and worsening on injury. If case is not severe though, observation is the number one treatment
In this video Dr. Rhonda Patrick (expert on nutritional health, brain, cancer & aging) talks in-detail about the benefits of Whole Body Cryotherapy with Joe Rogan. She tells about her experience in WBC, as well as how the procedure goes, what safety measures should be followed, describes the features, benefits and disadvantages of cold treatment from a medical point of
Induction Phase. This is the first phase of therapeutic hypothermia. The aim of this phase is to deliberately reduce the patient’s core body temperature to a degree where mild hypothermia is induced. The target temperature for this phase of therapeutic hypothermia is roughly 32-34 °C, although the exact target temperature varies between healthcare facilities. The induction of mild hypothermia can be achieved through a variety of different methods, including ice packs, cold saline infusion, external cooling pads, and intravascular cooling. Sedatives and neuromuscular blockers are often administered in conjunction with these cooling methods to prevent shivering thermogenesis, which could otherwise increase the amount of time required to reach
The importance of temperature management in the treatment of individuals afflicted by various medical ailments has been known for centuries with one of the earliest instances of this knowledge being recorded in the height of the Greek’s classical period. Hippocrates, a Greek physician commonly known as the father in medicine, was the first to describe the medical condition of hypothermia and note the importance of temperature in regards to some medical conditions. The following excerpt from Hippocrates writings demonstrates his rudimentary understanding of the correlation between temperature and medical conditions, “Old men have little warmth … for this reason, fevers are not so acute in old people for
Basically, the treatment of therapeutic hypothermia can be separated into three parts: induction, maintenance and rewarming (Walters et al., 2011). The process of hypothermia induction if often questioned. Is there an optimal time to begin mild therapeutic hypothermia that brings the most benefit? The data from the past experiments suggest that mild therapeutic hypothermia should be commenced within a short time from clinical comprehensive evaluation that suggests patient’s eligibility for this type of a treatment. Various animal studies suggest that early cooling becomes superior to delayed cooling because of its benefits on general outcome after suffering cardiac arrest (Janata & Holzer, 2009). According to Wolff et al. (2009), successful and early achievement of mild therapeutic hypothermia is one of the main elements contributing to the final neurological outcome. Therefore, the need for implementing new measures appears to be more than natural. In this experiment, there were forty-nine consecutive patients that were treated with mild hypothermia after suffering cardiac arrest. A closed-loop endovascular system proved to be the most suitable choice for achievement of rapid body cooling while allowing more precise control of mild therapeutic hypothermia. While the researcher team examined the correlation between the different time intervals of hypothermia achievement, it also closely monitored levels of neurone specific enolase,
Cryotherapy is a medical procedure that involves the utilization of extreme cold to destroy any abnormal growth on the skin. It is used to alleviate skin disease such as warts, moles, skin tags, and solar keratoses. Cryotherapy is considered one of the most effective treatments for genital warts. The said procedure can only be done at a doctor's office.
Cornea-Independent is correct visual impairment without affecting the cornea, which organized into non-surgical Interventions and surgical
Sub-Point One: When preforming the surgery the surgeon will create a thin flap in the cornea using either a
Atrophic holes caused by the atrophy of the sensory retina have a low risk for a subsequent RD.6 In contrast, retinal tears, such as horseshoe tears, are caused by vitreous traction and have a higher risk of a subsequent RD.6 Scleral depression is used to examine the peripheral retina that may be hard to access with indirect ophthalmoscopy alone in order to identify all retinal breaks.1 OCT is useful in differentiating between a macula-on and macula-off RRD, as well as revealing the presence of any subretinal fluid.
circulage, eyes with RRD, the use of Ringer 's solution and the use of gas. Cases of 20 gauge vitrectomy
In a study by (González, Rodríguez et al. 2017) the influence of deep cryogenic treatment followed by a double tempering at 150°C on the erosive wear resistance of high velocity oxy-fuel (HVOF) WC-10Co-4Cr coating was evaluated. Austenitic 304 stainless steel plates (400 mm_95 mm_7 mm) were used as substrates. Agglomerated and sintered WC-10Co-4Cr Praxair spherical powder with particle size ranging between 20 and 45 µm was used as feedstock. The coatings were fabricated by the HVOF spray process using their own deposition parameters. Cryogenically treated coatings displayed better erosive resistance at low impact angles such as 30° and both particle impact testing velocities i.e.100 m/s and 130 m/s. In contrast, at higher angles between