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Explain Sedationin details?
Intubation and mechanical ventilation is associated with a significant degree of discomfort. In addition, many of the procedures done routinely in ICUs carry with them pain and discomfort - suctioning, cannulation, etc. Hence, it is important give pain relief and administer sedation as appropriate. This is conveniently done as a continuous infusion of a narcotic + benzodiazepine (morphine + midazolam or fentanyl + midazolam). Besides, adequate explanations should be given before every procedure. Sedation should be stopped routinely in the morning to allow the patient to waken up and assess neurological status before restarting. This would prevent accumulation of long acting sedatives and allow earlier weaning and extubation and thereby, shorten ICU stay. Earlier, it was considered necessary to use muscle relaxants all the time for patients on mechanical ventilation. This is no longer true with the newer modes like pressure support that allow partial as well as full ventilator support and preserves spontaneous breathing. Some degree of spontaneous breathing is always preferable as this would allow diaphragmatic activity, prevention of basal collapse and also reduce the incidence myopathies associated with the use of long acting muscle relaxants.
Adie's (Tonic) Pupil In Adie's syndrome there is no evident cause for the denervation. Most patients are women, aged 20-40 and have poor light reaction in one eye. When examin
Explain the Maintenance of Weight Loss? Once an individual has managed to lose weight to a desirable level, it must not be assumed that the weight loss will be maintained autom
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why does the removal of extremity of coleoptile prohibit plant growth?
Define the Techniques of Instrument Retrieval Endo Extractor (Brasseler) a. Hollow tube bonded to coronal tip of separated instrument by cyanoacrylate adhesive, with
TYPES OF MENTAL DISORDER - 1 . Psychosis 2 . Neurosis 3. Personality & character disorders 1 . PSYCHOSIS - It effects mental capa
Define Vacuum production and Thermal processing - Canning? Vacuum production - This can be obtained by filling the heated product into the can, by heating the can and content
Viscosity and Plasticity of colloidal particle Various degrees of viscosity and plasticity are encountered in colloids. Viscosity may be described as resistance to pouring.
Q. Preservation of Tooth Structure? Fixed partial dentures have been considered the standard of treatment prior to advent of implant therapy. However, to obtain optimal esthe
State the Stabilization of haem pigments Ligands suggested for the stabilization of haem pigments are imidazole (and its derivatives), S-nitrosocysteine and nitrite. Whereas se
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