High Radiofrequency Power for Faster and Safer Pulmonary Veins Isolation - a Pilot Observational Study.

Conditions:   Cardiac Arrhythmia;   Atrial Fibrillation;   Atrial Tachycardia;   Esophagus Injury Interventions:   Other: Pulmonary veins ablation.;   Other: Esophageal temperature monitoring;   Diagnostic Test: Esophageal endoscopy Sponsor:   Hospital Universitario La Paz Active, not recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials

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Conditions:   Cardiac Arrhythmia;   Atrial Fibrillation;   Atrial Tachycardia;   Esophagus Injury Interventions:   Other: Conventional LSI/AI-guided pulmonary veins ablation.;   Other: High-power pulmonary veins ablation.;   Other: Esophageal temperature monitoring;   Diagnostic Test: Esophageal endoscopy Sponsor:   Hospital Universitario La Paz Active, not recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Source Type: research
Conclusion: Sedation with propofol in the operation room might be required to ensure safer application of ESD for gastric tumors. However, a decrease in the desaturation rate was the only disadvantage of sedation in the endoscopy room.Digestion
Source: Digestion - Category: Gastroenterology Source Type: research
AbstractBackgroundCurrent literature is conflicted regarding the efficacy of laparoscopic anti-reflux surgery (LARS) among obese patients complaining of pathologic reflux or otherwise symptomatic hiatal hernias. Controlling for other factors, this study examined the influence of preoperative body mass index (BMI) on clinical and subjective quality of life (QOL) outcomes following LARS.MethodsPatients who underwent LARS between February 2012 and April 2018 were subdivided into four BMI stratified categories according to CDC definitions: normal (18.5 to  
Source: Surgical Endoscopy - Category: Surgery Source Type: research
ConclusionPCT showed comparable efficacy and safety to PMT with respect to respiratory complications, hypotension and arrhythmia, recovery time, procedure duration, patient satisfaction, and doctor satisfaction. However, the average dose of propofol used was higher in PMT.This article is protected by copyright. All rights reserved.
Source: Digestive Endoscopy - Category: Gastroenterology Authors: Tags: Review Source Type: research
Conclusions: Infrared thermography provided dynamic, high-resolution mapping of esophageal temperatures during cardiac ablation. Esophageal thermal injury occurred with temperatures>50°C and was associated with large spatiotemporal gradients. Additional studies are warranted to determine the relationships between thermal parameters and esophageal injury.
Source: Circulation: Arrhythmia and Electrophysiology - Category: Cardiology Authors: Tags: Catheter Ablation and Implantable Cardioverter-Defibrillator, Atrial Fibrillation Original Articles Source Type: research
Conclusions— Postablation endoscopy seems to identify patients at high risk of esophageal perforating complications only occurring in patients with category 2 EDEL. One out of 10 postablation esophageal ulcers progressed to perforation, and no patient without esophageal thermal ulcers showed the occurrence of perforating esophageal complications.
Source: Circulation: Arrhythmia and Electrophysiology - Category: Cardiology Authors: Tags: Arrhythmias, Catheter Ablation and Implantable Cardioverter-Defibrillator, Atrial Fibrillation Original Articles Source Type: research
Conclusion The results of our study showed that the use of IV midazolam and ketamine during upper endoscopy in children was safe and effective.
Source: Arab Journal of Gastroenterology - Category: Gastroenterology Source Type: research
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the 279th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM. The Most Fair Dinkum Ripper Beauts of the Week An incredible talk from Tom Evens discussing how we train for the long game with a focus on ma...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Education LITFL review LITFL R/V Source Type: blogs
Just because a medical intervention should theoretically work doesn ’t necessarily mean that it will. One of the most illustrative examples of this phenomenon is the effect of antiarrhythmic drugs on mortality after myocardial infarction (MI). Because arrhythmia is an important cause of death after acute MI, it was assumed that prophylactic antiarrhythmia therapy would improve clinical outcomes. Randomized trials, however, showed that antiarrhythmic agents were actually associated with increased mortality, thereby eliminating their use in this context.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Original article Source Type: research
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