Interference of monitored electrocardiogram (ECG) is a common event in intensive care units and operation theaters. Artifacts in the ECG tracing can resemble serious arrhythmia, thus leading to unnecessary usage of antiarrhythmics or electrical defibrillation. In addition, ECG artifacts may lead to serious hemodynamic consequences secondary to intra-aortic balloon pump (IABP) trigger failure. We report a rare event of IABP failure due to ECG artifact, which appeared on placement of the transthoracic echocardiography probe over the chest. Subsequent evaluation revealed potential current leakage from echocardiography machine secondary to earthing defect in the machine.
Cholecystectomy represents the second most common surgery during pregnancy. Both general and regional anesthetic techniques have been successfully used for cholecystectomy in pregnant patients. Authors present here a case of a pregnant patient carrying twin gestation who underwent cholecystectomy, which is not frequently encountered by the anesthesiologists. This report enumerates the perioperative issues relating to anesthesia given to a pregnant patient in addition to emphasizing the importance of multidisciplinary approach when such a case is encountered.
The human respiratory system mainly consists of four parts namely trachea, main bronchi, bronchioles and alveoli respectively. The alveoli in the lungs are responsible for the transfer of oxygen and carbon-dioxide through capillaries blood vessels leading to the pulmonary vein. A person cannot breathe properly during Chronic Obstructive Pulmonary Disease (COPD) due to abnormal transfer of oxygen and carbon-dioxide. Artificial ventilation is recommended for a person who suffers from COPD with no breathing or abnormal breathing, to manually preserve intact brain function. So, the blood oxygen level required for the person should be continuously monitored using pulse oximeter and controlled automatically using artificial ventilation. Hence, in this paper human respiratory system is modelled as analogies electrical model by using RLC parameters. The analogous electrical model parameters are represented as resistance, inheritance and compliance respectively. Using this analogous electrical model of human respiratory system, time domain and stability analysis are performed to identify COPD condition.
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