Video yükleniyor...

Video Yüklenemedi

Ana Sayfaya Dön

My most typical setup for perfusion and reconstruction during #TAAA repair. Distal aortic perfusion with 17 arterial cannula. 21 venous cannula placed under TEE into the SVC. Visceral cannulas with blood and renal cannulas with cold LR/mannitol/steroids. #AortaEd

15,931 görüntüleme • 1 yıl önce •via X (Twitter)

5 Yorum

frank arko profil fotoğrafı
frank arko1 yıl önce

The viscerals are doubled looped as is the L renal. The left renal has been divided and is below the other 3. The right renal is simply cannulated from inside the aneurysm sac

CollaboratingDocs profil fotoğrafı
CollaboratingDocs1 yıl önce

NPs and PAs can now easily build their own telemedicine practice! Click to check out a free training session that lays out the 6 components you must consider when starting your own telemedicine practice. 👇 Click to join the free training 👇

W. Michael Park, MD profil fotoğrafı
W. Michael Park, MD1 yıl önce

I never liked CPB Hiremath N, Younes H, Aleinati T, Park WM. Open repair of extent-III thoracoabdominal aortic aneurysm using a modified branch-first technique. JTCVS Tech. 2021 Mar 13;7:29-31. doi: 10.1016/j.xjtc.2021.03.014. PMID: 34318197; PMCID: PMC8312144.

frank arko profil fotoğrafı
frank arko1 yıl önce

You probably shouldn’t do TAAA open repair than

Ricardo Bernardo da Silva profil fotoğrafı
Ricardo Bernardo da Silva1 yıl önce

Tell us a little more about the case so we can learn! I saw a proximal Tevar. Was this case done in a hybrid way? I like to transform a type 2 into something simpler. Do you routinely do this perfusion for type 4? Thanks for sharing #aortaEd

Benzer Videolar

Scientists cured hiccups by putting a plastic bag over the person's head. The research aimed to determine the level of inhaled CO2 required to stop hiccups. A 20 L (4-gallon) bag was placed over the head, sealed around the neck, and inflated with air. As the person breathes, oxygen saturation is monitored with a pulse oximeter, and CO2 is monitored with a mouth CO2 sensor. In another experiment, there were some small holes in the bag. In another, the bag was filled with pure oxygen. The research showed that, for hiccups to stop, inhaled and exhaled CO2 concentrations had to equalize and then rise together to approximately 50 mmHg. The equalization indicates that the body can no longer expel CO₂ — meaning arterial blood CO₂ (PaCO₂) has caught up with venous blood CO₂ (PvCO₂). In experiment 1, this happened around 3 minutes, and the hiccups stopped. In experiment 2 (the bag with holes), it didn’t happen, and the hiccups didn't stop. In experiment 3 (the bag filled with oxygen to start with), both occurred around 6 minutes. “We stumbled upon the observation that acute CO2 retention induced by plastic bag rebreathing resolves persistent hiccups. This discovery is actually quite similar to the results achieved by other Japanese researchers during experiments using felines when they indicated that CO2 inhalation suppresses the movements of the muscles associated with hiccups... The mechanism behind our method is simple: hiccups stop when the partial pressure of CO2 in arterial blood (PaCO2) reaches the same level as that in venous blood (PvCO2), or approximately 50 mm Hg.” The required threshold of CO2 concentration is only slightly above what you'd normally exhale, but massively higher than what you'd normally inhale. Normal atmospheric CO₂ = ~0.04% (about 0.3 mmHg) Normal exhaled CO₂ (EtCO₂) = ~5% (~38 mmHg) The target in this paper = ~6.6% (~50 mmHg) Of course, putting a plastic bag over your head is a bad idea, but rebreathing into a paper bag can have the same effect without the risk of suffocation. Ref: CO2 retention: The key to stopping hiccups

Master Metabolism

35,013 görüntüleme • 2 ay önce

RIP Adam💜 he made this Post dec 5 health canada gaslit him and discharged him with no help he died the next day per his obituary and cause of death is AAA - abdominal aortic aneurysm- also know as a Triple A •An abdominal aortic aneurysm (AAA) is a swelling in the aorta, the artery that carries blood from the heart to the tummy (abdomen) •Most aneurysms do not cause any problems, but they can be serious because there's a risk they could burst (rupture) •Symptoms of abdominal aortic aneurysm• •Abdominal aortic aneurysm often has no symptoms •You usually only find out you have one during an abdominal aortic aneurysm screening test or during tests for another condition •If an aneurysm gets bigger, you might sometimes notice: •tummy or back pain •a pulsing feeling in your tummy •Tests for abdominal aortic aneurysm •The main test to find out if you have an abdominal aortic aneurysm is an ultrasound scan of your tummy •A small device is placed on your tummy and images of the inside of your tummy will be shown on a screen •You'll usually be told if you have an aneurysm at the end of the test •You’ll also be told how big it is: •small (3cm to 4.4cm or smaller) •medium (4.5cm to 5.4cm) •large (5.5cm or bigger) •Screening for abdominal aortic aneurysm• •An ultrasound test is offered to all men when they turn 65, as they're most at risk of getting an abdominal aortic aneurysm •Treatment for abdominal aortic aneurysm• •Treatment for an abdominal aortic aneurysm usually depends on how big it is and if you have symptoms •If it's small, lifestyle changes such as quitting smoking and eating healthily may be recommended to help stop it getting bigger •Sometimes you may need: •medicines to lower your blood pressure and cholesterol level, which may help stop the aneurysm getting bigger •surgery to reduce the risk of the aneurysm bursting - this may be done if your AAA is large (5.5cm or bigger), is quickly getting bigger or is painful •Surgery has risks and side effects which your doctor or surgeon should discuss with you •Abdominal aortic aneurysms often get bigger over time •You'll usually need regular scans to see if it's getting bigger •If your aneurysm ruptures, you’ll need emergency surgery to treat it •Causes of an abdominal aortic aneurysm• •An abdominal aortic aneurysm happens when the main artery that carries blood from the heart to the tummy (the aorta) becomes weakened •It's not always clear what causes it, but some people have a higher chance of getting one •You’re more at risk if you: •are male and aged 65 or over •smoke or used to smoke •have high blood pressure •have high cholesterol •have a close relative who's had an abdominal aortic aneurysm •have coronary or peripheral artery disease (atherosclerosis) •have chronic obstructive pulmonary disease (COPD) •have a condition such as Marfan syndrome •Sometimes an abdominal aortic aneurysm can be caused by an infection, but this is rare and we’ve also seen an increase in AAA since c19 jab rolled out

Lyndsey, RN 💜🐭

64,647 görüntüleme • 1 yıl önce

The Gandhi family has played a defining role in my political journey, not merely through leadership, but through the faith they placed in me at different stages of my life. I often reflect on Shri Rajiv Gandhi avaru, who saw potential in a young worker even before I could see it in myself. His encouragement gave me the confidence to dream bigger and dedicate myself to public service. The greatest leaders are those who identify possibilities in others and inspire them to rise beyond their own expectations. Rajiv Gandhi did exactly that for me. Smt. Sonia Gandhi avaru taught me another important lesson in leadership. True leaders do not stand by you only during moments of success; they stand beside you during your most difficult times, offering strength, encouragement and unwavering support. Her faith in me during challenging phases of my journey is something I will always cherish. Shri Rahul Gandhi avaru has been a constant source of guidance and inspiration. His willingness to listen, his conviction in democratic values, and his vision for a more inclusive and compassionate India continue to motivate leaders like me. His support has been a strong pillar throughout my public life. Smt. Priyanka Gandhi Vadra avaru has always been approachable, warm and encouraging. She has treated every worker with respect and dignity, reminding us that politics is ultimately about connecting with people and understanding their aspirations. Her guidance and encouragement have always been deeply valued. For me, the Gandhi family represents different dimensions of leadership recognizing potential, standing by people in difficult times, listening with empathy, and inspiring others through conviction and service. As someone who began as a grassroots worker and has been entrusted today with the responsibility of leading Karnataka, I remain profoundly grateful for their trust and encouragement. Under their leadership and with the blessings of the people of Karnataka, I will continue to work with sincerity and commitment to build a progressive, inclusive and prosperous Karnataka that reflects the values we collectively stand for. Congress

DK Shivakumar

63,514 görüntüleme • 1 ay önce

Almost 300 attack drones, most of them “shaheds,” along with 18 ballistic and 7 cruise missiles, were launched by the Russians against Ukraine last night. Once again, the main target of the strike was our energy – generation facilities and substations. Sadly, there has been extensive destruction of residential and civilian infrastructure. Dnipro, Zhytomyr, Zaporizhzhia, Kyiv, Odesa, Sumy, Kharkiv, and Donetsk regions came under attack. With no military purpose whatsoever, Russia lobbed missiles at a postal terminal in Korotych, Kharkiv region, killing 4 people. My condolences to their families and loved ones. The situation in the Kyiv region is not easy – several hundred thousand households are currently without power. All emergency services are on the ground. Points of Invincibility have been deployed. As always, wherever Russia tries to destroy, Ukrainians support one another, and internal resilience is what is most needed right now. Every such strike against life is a reminder that support for Ukraine cannot be stopped. Missiles for air defense systems are needed every day, and especially during winter. The world can respond to this Russian terror with new assistance packages for Ukraine. We expect the acceleration of deliveries already agreed with America and Europe. Russia must come to learn that cold will not help it win the war. Thank you to everyone who is helping.

Volodymyr Zelenskyy / Володимир Зеленський

168,826 görüntüleme • 6 ay önce

President Volodymyr Zelenskyy / Володимир Зеленський: Almost 300 attack drones, most of them “shaheds,” along with 18 ballistic and 7 cruise missiles, were launched by the Russians against Ukraine last night. Once again, the main target of the strike was our energy – generation facilities and substations. Sadly, there has been extensive destruction of residential and civilian infrastructure. Dnipro, Zhytomyr, Zaporizhzhia, Kyiv, Odesa, Sumy, Kharkiv, and Donetsk regions came under attack. With no military purpose whatsoever, Russia lobbed missiles at a postal terminal in Korotych, Kharkiv region, killing 4 people. My condolences to their families and loved ones. The situation in the Kyiv region is not easy – several hundred thousand households are currently without power. All emergency services are on the ground. Points of Invincibility have been deployed. As always, wherever Russia tries to destroy, Ukrainians support one another, and internal resilience is what is most needed right now. Every such strike against life is a reminder that support for Ukraine cannot be stopped. Missiles for air defense systems are needed every day, and especially during winter. The world can respond to this Russian terror with new assistance packages for Ukraine. We expect the acceleration of deliveries already agreed with America and Europe. Russia must come to learn that cold will not help it win the war. Thank you to everyone who is helping.

Defense of Ukraine

62,010 görüntüleme • 6 ay önce

Foreign tissue injected into blood! Millions infected with XMRVs! And here are the parasites. This is a 2011 they're there at the NIH criminal center. What is killery, Hillary Clinton doing in November of 2011 with Tony Fauci, another non Christian Francis Collins, head of the NIH, Harold Varmus, Nobel Prize winner for oncogenes. By the way, God didn't create cancer causing genes. There's no such thing as BRCA1, breast cancer gene number one. It's a DNA repair from radiation, part of a large protein complex. So when you have BRCA1, and they radiate you with breast cancer, they just killed you, and they knew it, and experiment on you. What's their problem: the big why? Why did they do it? Who and why? Because, in 1991 when I defended my PhD thesis, saying all you had to do was feed and nutrify and stop injecting these poisons and truly immunize orally and mucosalli you could clear all of this as your body heals itself. So in 1991 when I did my PhD thesis, defended it and Majic Johnson still alive, by the way, and doing well, he never got AIDS. One million Americans were infected with HIV. In 2010, a year after the publication, which, by the way, was this week, october 23 2009, our science paper that should have changed everything, should have cured all of this, because we then knew it was this practice in 2009. Fifteen long years it took and how many millions? Oh, that 17 million here in America. In 2010, 10 to 25, million Americans were infected with X.M.R.V! Xeno! Foreign tissue injected directly into the blood! Judy Mikovits, PhD - 10/19/2024 Presentation at ReAwaken America Tour Selma, NC: Slide Deck: Clay "Anti-Great Reset & Watching BRICS" Clark Hillary Clinton

Judy A. Mikovits PhD

13,753 görüntüleme • 1 yıl önce

Today, I have left my heart in Gaza and taken my fragile body outside it. For 560 days, I have never stopped and have done over my energy to tell the truth and report our pain from my hometown. The story has come to a temporary end. I never ever imagined I would be at such an impossible decision, to leave my family behind and depart for medical treatment and care. My body, since Israel’s ongoing blockade, has become constantly weaker. And since I haven’t found my medicine either, I was plunged into my guilt zone and decided to go. With this sentiment comes relentless emotional pain. As a young man, I always dreamed to report on football. I was let down many times, instilled doses of courage into me to overcome the challenges, and fought hard to be that dreamer. But once Israel started its genocide, I put everything aside and picked up my weapon to begin reporting tirelessly hour in and hour out. Maybe, I haven’t done enough and wish I could continue until every inch is rebuilt, but my health has disappointed me this time. It couldn’t take that much horror and suffering. My braves colleagues have stayed. They’re the best of the world. There was indeed a last drop of blood in my veins, and I didn’t want to spend it nowadays. I desire to recharge, grow stronger, and come back to defend my homeland with aplomb and unmatched love. As I have always promised, I will die for the day Palestine will be free. My mother, my father, and my brothers and sisters, I have failed you. I miss you and will miss you in every second I will be out from Gaza. Love to you. My heart has remained with you and will never leave you. You’re my light in this whole darkness. That’s why I am shining. For my friends, it’s all about you. You are the companions of the journey. Even if we bid shot farewells, we will reunite and live together again. I want you to be very strong much more than when we were side by side. And to all people around the world, your support and love have been my solace and respite during the genocide. I am so grateful to every person of you. And I hope we will all be in a free Palestine soon. To all of you, I love you. And I have really known the meaning of love from you. You have been the sense of safety inside my heart when I felt afraid under the bombardments. I will continue conveying the message of my people and share my experiences during the genocide abroad and will never stop telling my people’s stories. Forgive me, all. My homeland, my heartbeat, please forgive me. I promise I will come back soon to water your soil with my blood. We will be all free. We will sacrifice until the last blood. Abdulruhman Ismail

Abubaker Abed

571,799 görüntüleme • 1 yıl önce

As for Me and My House: Brandon Lake & His Sons at the Piano – A Tender Family Moment of Worship The stage lights soften as Brandon Lake settles at the piano during his King of Hearts Tour. Flanking him are his two young sons—adorable in their caps, one in a hoodie and the other in a casual tee—sharing this intimate moment with their dad. The crowd watches in awe as the family makes worship personal and powerful. With gentle keys under his fingers, Brandon leads into “As for Me and My House” (also shared as “As for Me and My Home”), the faith-filled anthem he wrote with Gabby Barrett. His voice carries both strength and vulnerability, echoing Joshua 24:15: “But as for me and my house, we will serve the Lord.” The boys sit close, absorbing the moment as their father pours out a declaration meant for their very home. The reel captures it all in under a minute: raw emotion, no elaborate production needed—“No words 😭😭 One more.” It’s a father modeling what it looks like to lead his family in faith, singing of belief in God, choosing Jesus first, and building a legacy “while on this side of the dirt.” The sons’ presence turns the performance into a living testimony—faith isn’t just sung from the stage; it’s lived at home. This heartfelt clip from the tour reminds us that worship starts in the heart of the family. Brandon, his boys, and the thousands joining in chorus create something beautiful: a picture of generational surrender to the Lord. A perfect encapsulation of the song’s message—our homes will serve Him. 🙏❤️

NancyH

18,958 görüntüleme • 2 ay önce

Yoga and improved skin health and hair growth? India’s pseudoscience poster boy, Ranveer, aka Beerbiceps gets it embarrassingly wrong. Let us break it down. I am sorry this is lengthy, because – as per Brandolini's Law (aka the Bullshit Asymmetry Principle): It takes a lot more energy to refute bullshit than to produce it. Check out this video. In it, Ranveer “pseudoscience peddler” Allahbadia with over 8 million followers on YouTube and Instagram bullshits everyone in just 35 seconds. He showcases some major female movie celebrities and tells the viewers that the secret to their skin and hair is that they perform Yoga every day, especially a Yoga pose called the “Sarvangasana” or shoulder-stand or candle pose. His “scientific” explanation? The stance increases blood flow the scalp and head, and improves skin health and hair growth. This is utter nonsense. What happens to the blood flow, heart, head, and brain region when someone takes an upside-down stance? For that, you must know the meaning of one word – Homeostasis. Homeostasis is a self-regulating process by which human body maintains internal stability in its organ functions while adjusting to changing external conditions. This is also consists of “autoregulation,” the method by which an organ or tissue maintains blood flow despite a change in perfusion due to external (eg: body position changes) or internal (block in blood vessels) conditions. For example, we are normally supposed to walk on two legs or rest by sitting down or lying down. The heart rate, blood flow to all organs including scalp and brain is all maintained depending on the importance and metabolic activity of that organ. For example, at rest, highest proportion of blood flow is received by the liver (nearly 25% of cardiac output) which is 100ml/min per 100g liver weight. The brain receives 50ml/min per 100g weight, while the skin receives 1 to 3ml per 100g per minute. Organ tissues are usually considered as blood supply-dependent (e.g., heart and brain) and blood supply-independent (e.g., abdominal organs, kidneys, skin, and resting muscle) for oxygen delivery – meaning the latter WILL receive fixed amounts to maintain its functioning while the former requires changes to blood flow depending on various unusual situations. For example, in massive blood loss, the body will try to maintain blood flow into heart and brain rather than skin and muscle to maintain life. The blood flow is set in the body for proper functioning of organs and every time we try to change that flow, a healthy body will re-align that flow depending on the importance of the organ systems functions. So, when you do a shoulder stand or candle pose, the initial sudden change to the body position will be caught by the receptors in the blood vessels and heart which will re-align the flow to organs of importance, thereby maintaining critical functions that are required for health. Which means, the blood flow to the skin including the scalp, will be re-aligned to its required flow and DOES NOT increase to face and scalp or brain as India’s pseudoscience peddler mentions. In heavy aerobic exercise and changes to temperature related sweating or certain disease conditions, the skin blood can increase. Yoga is not a proper exercise as it is not an aerobic activity. Now Sarvangasana and blood flow – a study showed that heart and blood flow responses were NOT AFFECTED with this pose in healthy people. Even a complete head stand, called Sirsasana does not increase blood flow to the brain, forget the scalp skin, because of blood delivery homeostasis due to autoregulatory mechanisms. The claims for effects of Yoga on specific organs are complete bluff – a public duping started by B K S Iyengar who took Yoga to the international stage. Even in his authoritative books, he does not mention shoulder stand or candle pose to be useful for hair growth. In fact, he [nonsensically] mentions that shoulder stand will improve “thyroid health” (it does not), controls asthma (it does not), reduces disease of the throat (it does not) and prevents common cold (it does not, because common cold is caused by a virus, and not dependent on whether you stand, sit, lie down, and hang yourself upside down). Also, note that Sarvangasana (shoulder stand), Sirsasana (head stand) and Padmasana (lotus position) are the most common Yoga poses reported to cause an injury. In those with high blood pressure or heart disease, these poses may become life threatening. You can see those here here and here Yoga, especially shoulder or head stands do not improve skin health or increase hair growth by increasing blood flow. In fact, Yoga does nothing specific for organ systems functions since such evidence does not exist. A lot of pseudoscience peddlers who sympathize with Yoga will mislead you with many such magical benefits. So then, what specific exercise or action improves hair growth? We do not really know. There is some evidence, even though weak, for standardized scalp massages: good evidence for scalp cooling (prevents hair loss, may promote regrowth especially in chemotherapy patients) Speak with your Dermatologist on skin and hair health queries and not National-level baby-face poster boys of misinformation.

TheLiverDoc™

496,047 görüntüleme • 3 yıl önce

The footage shown is regarding a historical event known as the Brookside Marketplace tragedy. It remains one of the most prominent cold cases in the region of Tinley Park, Illinois. ​The event took place during a typical morning at a retail clothing location. An unidentified male entered the establishment under the guise of a delivery person or surveyor. Once inside, he moved the individuals present—five customers and the store manager—into a rear storage area. ​During the encounter, a total of six women were harmed. Five of the individuals did not survive the event, while one woman survived the injuries she sustained. The survivor later became a key witness for the ensuing investigation, providing vital details regarding the assailant's appearance and the nature of the encounter. ​The Investigation and Search for the Assailant ​Law enforcement agencies launched an extensive investigation, collecting DNA evidence and ballistic data from the scene. Despite these efforts, the case faced significant hurdles: ​Suspect Description: The survivor helped create a composite sketch of a man with a distinct hairstyle featuring braided rows and a single green bead. ​The 911 Audio: A brief emergency call was placed during the event, which captured the assailant’s voice. Forensic experts have analyzed this audio for years to identify speech patterns or background noise. ​The Documentary Influence: The footage you viewed is linked to a documentary titled 15, produced by filmmaker Charlie Minn. The project was designed to re-examine the evidence and encourage anyone with suppressed information to come forward, utilizing modern digital reach to find leads that were unavailable during the initial inquiry. ​Current Status ​The case is categorized as an active, ongoing investigation. Although a significant financial reward has been maintained for information leading to an arrest, the identity of the person responsible remains unknown. Local authorities continue to review the file periodically as forensic technology advances, specifically in the areas of genetic genealogy and audio enhancement.

✨️Serenitee♡Sam✨️

15,512 görüntüleme • 2 ay önce