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Eosinophilic granulomatosis with polyangiitis (EGPA)—or, as it was traditionally termed, Churg-Strauss syndrome—is a rare systemic necrotizing vasculitis that affects small-to-medium-sized vessels and is associated with severe asthma and blood and tissue eosinophilia. [1] Like granulomatosis with polyangiitis (Wegener granulomatosis), and the microscopic form of periarteritis (ie, microscopic polyangiitis), EGPA is an antineutrophil cytoplasmic antibody (ANCA)–associated vasculitide. [2, 3, 4, 5] In 1951, Churg and Strauss first described the syndrome in 13 patients who had asthma, eosinophilia, granulomatous inflammation, necrotizing systemic vasculitis, and necrotizing glomerulonephritis. [3] In 1990, the American College of Rheumatology (ACR) proposed the following six criteria for the diagnosis of Churg-Strauss syndrome [6] : Asthma (wheezing, expiratory rhonchi) Eosinophilia of more than 10% in peripheral blood Paranasal sinusitis Pulmonary infiltrates (may be transient) Histological proof of vasculitis with extravascular eosinophils Mononeuritis multiplex or polyneuropathy

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Nurses often prime IV lines with the hopes that there are no air bubbles. In this video, I will share a couple of tips to help reduce the risk or frequency of air bubbles during line priming. I will also talk about how to troubleshoot the air bubbles when they appear during an infusion

Providing patient care and influencing safe patient outcomes requires that registered nurses and licensed practice nurses maintain air free IV lines. Learn the strategies and tips to decrease the risk of air bubbles appearing in your primary or secondary medication line as well as troubleshooting tips to remove those alarming bubbles. Your patients will thank you!

Whether you are providing normal saline, a medication, or a combination, ensure that all fluids are compatible.

Supplies used in this video include the Alaris Primary Infusion line, alcohol swabs and a sterile 10 cc syringe ... and a nail in the wall :)

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❤️ ~ You may also be interested in watching ~ ❤️

PICC line assessment https://youtu.be/tnKClpU-J1g
How To Access a PICC line https://youtu.be/SCF6bmk8KWc
Putting on Sterile Gloves https://youtu.be/xNwkKLqDJn4
Organizational Plans for Nursing https://youtu.be/_NATxwPwHzc
Medication Conversions https://youtu.be/TCPBXg2TYCs

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Electrophysiology studies test the electrical activity of your heart to find where an arrhythmia (abnormal heartbeat) is coming from. These results can help you and your doctor decide whether you need medicine, a pacemaker, an implantable cardioverter defibrillator (ICD), cardiac ablation or surgery.

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This Basic Laparoscopic Surgery: Abdominal Access and Trocar Introduction course will teach you the steps of Laparoscopic Surgery. View the full course for free by signing up on our website: https://www.incision.care/

What is Laparoscopic Surgery:
Laparoscopic surgery describes procedures performed using one or multiple small incisions in the abdominal wall in contrast to the larger, normally singular incision of laparotomy. The technique is based around principles of minimally invasive surgery (or minimal access surgery): a large group of modern surgical procedures carried out by entering the body with the smallest possible damage to tissues. In abdominopelvic surgery, minimally invasive surgery is generally treated as synonymous with laparoscopic surgery as are procedures not technically within the peritoneal cavity, such as totally extraperitoneal hernia repair, or extending beyond the abdomen, such as thoraco-laparoscopic esophagectomy. The term laparoscopy is sometimes used interchangeably, although this is often reserved to describe a visual examination of the peritoneal cavity or the purely scopic component of a laparoscopic procedure. The colloquial keyhole surgery is common in non-medical usage.

Surgical Objective of Laparoscopic Surgery:
The objective of a laparoscopic approach is to minimize surgical trauma when operating on abdominal or pelvic structures. When correctly indicated and performed, this can result in smaller scars, reduced postoperative morbidity, shorter inpatient durations, and a faster return to normal activity. For a number of abdominopelvic procedures, a laparoscopic approach is now generally considered to be the gold-standard treatment option.
Definitions

Developments of Laparoscopic Surgery:
Following a number of smaller-scale applications of minimally invasive techniques to abdominopelvic surgery, laparoscopic surgery became a major part of general surgical practice with the introduction of laparoscopic cholecystectomy in the 1980s and the subsequent pioneering of endoscopic camera technology. This led to the widespread adoption of the technique by the early- to mid-1990s. The portfolio of procedures that can be performed laparoscopically has rapidly expanded with improvements in instruments, imaging, techniques and training — forming a central component of modern surgical practice and cross-specialty curricula [2]. Techniques such as laparoscopically assisted surgery and hand-assisted laparoscopic surgery have allowed the application of laparoscopic techniques to a greater variety of pathology. Single-incision laparoscopic surgery, natural orifice transluminal endoscopic surgery, and minilaparoscopy-assisted natural orifice surgery continue to push forward the applications of minimally invasive abdominopelvic techniques; however, the widespread practice and specific indications for these remain to be fully established. More recently, robotic surgery has been able to build on laparoscopic principles through developments in visualization, ergonomics, and instrumentation.

This Basic Laparoscopic Surgery: Abdominal Access and Trocar Introduction course will teach you:
- How to access the abdomen using an open, closed, and direct optical-entry technique
- Principles underlying safe abdominal insufflation
- The vascular anatomy of the abdominal wall and its implications for trocar placement
- How to introduce trocars into the peritoneal cavity
- The principle of triangulation and how this can be applied to organizing a laparoscopic surgical field

Specific attention is given to these hazards you may encounter:
- Intravascular, intraluminal, or extraperitoneal needle position
- Limitations of a closed introduction technique
- Abdominal surgical history
- Limitations of an open introduction technique
- Optical trocar entry in thin individuals
- Visualization of non-midline structures
- Limitations of direct optical-entry techniques
- Limitations of clinical examination to confirm intraperitoneal insufflation
- Leakage of insufflation gas

These tips are designed to help you improve your understanding and performance:
- Alternative left upper quadrant approach
- Testing Veress needle before use
- Lifting the abdominal wall for Veress needle introduction
- "Hanging-drop test"
- Palmer's test
- Confirming intra-abdominal insufflation
- Subcutaneous tissue retraction
- Anatomy of the umbilicus
- Retraction of abdominal wall fascia
- Finger sweep of anterior abdominal wall
- Lifting the abdominal wall for optical trocar introduction
- Identification of venous bleeding at the end of a procedure
- Identification of inferior epigastric vessels by direct vision
- Peritoneal folds of the anterior abdominal wall
- Transillumination of superficial epigastric vessels
- Infiltration of local anesthetic at port sites
- Aiming of trocars
- Selection of trocar size
- Maintaining direct vision

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| MBBS मतलब JOHARI MBBS I

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The bulb syringe is readily available, safe tool for clearing the airway of a newborn infant

For more information, please visit our website: https://www.drrajatgupta.com/

A lot of women come to us, asking about breast enhancement procedures. They come asking for options, about what we can do to increase the size of their breasts, the different options for the service, what are the options most commonly used in breast implant, and are there different types of breast implants available in the market?

There are two ways of increasing the size of the breasts. The first is fat grafting surgery & second is breast implant surgery.

Fat grafting surgery a procedure in which we remove the fat from certain areas of the body where the woman wants to lose fat, and this is fat creates a pad and is grafted to the breast to enhance the size of the breast. This is an excellent technique since you get an autologous tissue to augment their own size of the breast. But the problem with this technique is that you can only increase the size of the breast from half to 1 cup size. Now if a woman desires for the increase in the breast's size from A cup to a C or D cup, then the best option available for them is breast implants.

Now, breast implant surgery is one of the most commonly done surgeries for women across the globe. It's a safe surgery if done properly by an excellent surgeon at a good center. If you are considering breast augmentation surgery, this video is for you because we will discuss a lot of finer nuances in breast augmentation surgeries–especially implant-based surgeries.

So let's start with approaches of breast implant surgery:
There are essentially three approaches in which we can place a breast implant in any female.
Either you can give a trans axillary cut, in which the incision hides in the armpit, you can give a perioral incision, in which the incision is at the border of an areola, or an inframammary incident in which the incision is beneath the breast.

Now, let's know what these approaches are. This is an armpit approach in which we hide the incision or the scar in the axilla. This is a perioral approach, in which the incision is at the edge of the areolar and the normal skin, and this is an inframammary incision, in which we keep the incision beneath the breast. All these options have their own pros and cons.
What I recommend to every patient is to discuss each one of these options with their respective doctors in much more detail and then decide about the best approach or a plan for every individual.

In my practice, the most commonly used infra-mammary incision because this incision is always hidden under the breast and is not visible even if a patient is standing naked. This incision is a much more direct approach to give you a breast implant.

The other approaches also have their own advantages in certain indications.

How do you decide the size of an implant?
Traditionally, every surgeon was using a technique of putting the original sizes of implants inside the woman's bra and asking them to look in the mirror & see and decide what implants they would prefer; what size they would prefer. This has been the technique that has been done everywhere across the globe, but it has its own fallacy because the implant is not going beneath the screen. It is on the skin, under the bra to give you an idea. But this is not very accurate. The surgeon would always assess you for your shoulder weight, for your pelvic weight & will discuss with you what your desired goals are & then decide about the size of the implant.

Now, what are the effects of these techniques on your overall aesthetic result?

Also, it is recommended that one should do this technique if the tissue thickness in the upper pole of a female is less than 2 centimeters because if you put a breast implant in a thin female just behind the breast tissue and the tissue is less, the implant will show & it will look unnatural over the long-term.

Related Videos:
1. How to Prevent Capsular Contracture? | Breast Implant & Augmentation: https://youtu.be/ufP6wJpnTbg
2. Do Breast Implants Increase Cancer Risk?: https://youtu.be/au1hhKp-f3Q


For more details, contact us on +91-9251-711-711 or contact@drrajatgupta.com

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About Dr. Rajat Gupta & RG Aesthetics

With 10 years of experience, brand-certification, and international recognition, Dr. Rajat Gupta solves all your contouring needs. His expertise in liposuction techniques combined with the state-of-the-art technology available at RG Aesthetics ensures we continue providing the most reliable services with incredible, instantaneous results!

The National Institute of Allergy and Infectious Diseases explains food allergy and offers tips on how to manage the condition.

Prevent Stretch Marks During Pregnancy

Clinical Examination of the respiratory system