Vagus Nerve Stimulation and External Defibrillation during Resuscitation; a Letter to Editor
Journal Title: Archives of Academic Emergency Medicine - Year 2018, Vol 6, Issue 1
Abstract
External defibrillation in patients with implanted neuromodulatory devices is a crucial therapeutic challenge. We report a 63-year-old male patient with refractory epilepsy (RE) after recurrent ischaemic strokes in the middle cerebral artery and in the anterior cerebral artery territory 26 and 23 years ago. He received various therapeutic interventions to achieve seizure control with insufficient success. Therefore, vagus nerve stimulation (VNS) (model Pulse 102, Aspire SR, Cyberonics Inc, Houston, Texas) was applied via insertion of a pulse generator in the left upper chest in 2011. VNS stimulation settings were: output current 1.0 mA, pulse width 500 µs, frequency 30 Hz, 30s ON, 3.0 minute OFF.
Correlation between Central Venous Pressure and Inferior Vena Cava Sonographic Diameter; Determining the Best Anatomic Location
Introduction: The correlation of central venous pressure (CVP) with inferior vena cava (IVC) sonographic diameter has been reported in several studies. However, few studies have attempted to find the best anatomic locati...
Sonographic Optic Nerve Sheath Diameter as a Screening Tool for Detection of Elevated Intracranial Pressure
Introduction: Timely diagnosis and treatment of post-traumatic elevated intracranial pressure (EICP) could be re-duced morbidity and mortality, and improved patients’ outcome. This study is trying to evaluate the diagnos...
A Simple Device to Control Valsalva Manoeuvre Strain Pressure; a Letter to Editor
We read with interest the article by Motamedi and colleagues about the use of a hand held manometer to measure strain pressure during Valsalva manoeuvre (VM) treatment of supraventricular tachycardia (SVT) (1). We also...
Serum Procalcitonin and Lactoferrin in Detection of Acute Appendicitis; a Diagnostic Accuracy Study
Introduction: Finding an accurate diagnostic test can reduce the rate of unnecessary abdominal surgery in cases of suspected acute appendicitis (AA). This study aimed to evaluate the diagnostic value of serum lactoferrin...
Patients’ Attitude toward Breaking Bad News; a Brief Report
Introduction: Delivering bad news is a stressful moment for both physicians and patients. The purpose of this investigation was to explore the patients’ preferences and attitudes toward being informed about the bad news....