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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.
what is a cell?
i want to extract my compound of interest from tlc i m finding some enzyme inhbitor from microbial source can you plzz suggest me how to prepare nad get my compound
Brackish Water The content of dissolved salts in brackish water is higher than the fresh water and ranges between 0.5 to 35%. These waters of intermediate salinity range are d
two inorganinc salts found in the body
Explain the Deficiency and Toxicity of vitamin A? Who defines VAD as tissue concentrations of vitamin A low enough to have adverse health consequences even if there is no evide
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Consistently overwatering a potted tomato plant will eventually kill it. Using the map, suggest why waterlogged soil results in plant death. O2 cannot reach respiring root cells. T
Careful palpation of the upper and lower limb pulses would make one suspect coarctation as the cause of hypertension. The lower limb pulses are weak and delayed. Confirmation ca
Diversity is defined as the no of species present in a community termed as "species richness". We can represent species biodiversity at different geographical scales as alpha, beta
What are cell kind that form the xylem? What are the major features of those cells? The major cells of the xylem are the tracheids and the vessel elements (these only in angios
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