Patients with congenitally corrected transposition of the great arteries (CCTGA) are predisposed to atrioventricular block, pacing-induced cardiomyopathy, and right ventricular (RV) failure. Although biventricular cardiac resynchronization therapy (CRT) and conduction system pacing (CSP) have been described, RV failure may persist. Three cases of CCTGA with intrinsic RV electrical delay are presented where conventional CSP targeting the His bundle or proximal left bundle branches resulted in incomplete electrical resynchronization.
View Article and Find Full Text PDF: To examine the current state of practice of oxygen (O2) supplementation in adults hospitalized in a tertiary hospital admitted to medical-surgical floors.: We recorded: the proportion of patients on O2; their peripheral O2 saturation (SpO2); if the SpO2 was within, above, or below the target range; if patients had an order for O2 supplementation and a target SpO2 range.: Among 811 hospitalized patients, 153 (19%) were on supplemental O2.
View Article and Find Full Text PDFObjectives/hypothesis: To develop and assess the feasibility of a new standardized protocol to guide tracheostomy decannulation.
Study Design: Descriptive review of quality improvement project.
Methods: A quality improvement project was conducted in the inpatient setting of a tertiary urban academic hospital.