Children's Memorial Hospital Of Montreal
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Children's Memorial Hospital Of Montreal
Montreal Children's Hospital (french: Hôpital de Montréal pour enfants) is a children's hospital in Montreal, Quebec, Canada. Founded in 1904, it is affiliated with the McGill University Health Centre (MUHC) and McGill University, Faculty of Medicine. The hospital has 154 single-patient rooms, 52-bed neonatology unit, 6 operating rooms and 6 intervention rooms. It has two blocks. Block A has pediatric outpatient services. Block B has pediatric inpatient units, which include a Neonatal Intensive Care Unit (NICU) and a Pediatric Intensive Care Unit (PICU). It houses a pediatric emergency department, operating rooms and perioperative services, day hospitals and some Allied Health Services. History The Montreal Children's Hospital (MCH) first opened on the rented premise of 500 Guy Street on January 30, 1904. It was the first hospital in Montreal with the sole mandate of providing care for sick children. In 1909, the growing number of patients required a move to new premises on ...
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McGill University Health Centre
The McGill University Health Centre (MUHC; french: Centre universitaire de santé McGill) is one of two major healthcare networks in the city of Montreal, Quebec. It is affiliated with McGill University and is one of the largest medical complex in Montreal. It is the largest hospital system in Canada by bed capacity. The majority of its funding comes from Quebec taxpayers through the Ministry of Health and Social Services. The centre provides inpatient and ambulatory care. History The centre announced that it would consolidate its services in a single facility in 2007; it was a long and troubled process. It was budgeted at around $700 million but cost around $1.3 billion; it was meant to take only three years but took much longer. The project was completed in 2015. The facility replaced the existing facilities of the Royal Victoria Hospital (on April 26, 2015), the Montreal Children's Hospital (on May 24, 2015), and the Montreal Chest Institute (on June 14, 2015). It did not repl ...
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Infant Respiratory Distress Syndrome
Infantile respiratory distress syndrome (IRDS), also called respiratory distress syndrome of newborn, or increasingly surfactant deficiency disorder (SDD), and previously called hyaline membrane disease (HMD), is a syndrome in premature infants caused by developmental insufficiency of pulmonary surfactant production and structural immaturity in the lungs. It can also be a consequence of neonatal infection and can result from a genetic problem with the production of surfactant-associated proteins. IRDS affects about 1% of newborns and is the leading cause of death in preterm infants. Data has shown the choice of elective caesarean sections to strikingly increase the incidence of respiratory distress in term infants; dating back to 1995, the UK first documented 2,000 annual caesarean section births requiring neonatal admission for respiratory distress. The incidence decreases with advancing gestational age, from about 50% in babies born at 26–28 weeks to about 25% at 30–31 weeks ...
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High-frequency Jet Ventilation
Modes of mechanical ventilation are one of the most important aspects of the usage of mechanical ventilation. The mode refers to the method of inspiratory support. In general, mode selection is based on clinician familiarity and institutional preferences, since there is a paucity of evidence indicating that the mode affects clinical outcome. The most frequently used forms of volume-limited mechanical ventilation are intermittent mandatory ventilation (IMV) and continuous mandatory ventilation (CMV). There have been substantial changes in the nomenclature of mechanical ventilation over the years, but more recently it has become standardized by many respirology and pulmonology groups. Writing a mode is most proper in all capital letters with a dash between the control variable and the strategy (i.e. PC-IMV, or VC-MMV etc.). Taxonomy for mechanical ventilation The taxonomy is a logical classification system based on 10 maxims of ventilator design 10 maxims #A breath is one cyc ...
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Cardiac Surgery
Cardiac surgery, or cardiovascular surgery, is surgery on the heart or great vessels performed by cardiac surgeons. It is often used to treat complications of ischemic heart disease (for example, with coronary artery bypass grafting); to correct congenital heart disease; or to treat valvular heart disease from various causes, including endocarditis, Rheumatic fever, rheumatic heart disease, and atherosclerosis. It also includes heart transplantation. History 19th century The earliest operations on the pericardium (the sac that surrounds the heart) took place in the 19th century and were performed by Francisco Romero (surgeon), Francisco Romero (1801) in the city of Almería (Spain), Dominique Jean Larrey (1810), Henry Dalton (1891), and Daniel Hale Williams (1893). The first surgery on the heart itself was performed by Axel Cappelen on 4 September 1895 at Rikshospitalet in Kristiania, now Oslo. Cappelen ligature (medicine), ligated a bleeding coronary circulation, coronary ...
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Premature Birth
Preterm birth, also known as premature birth, is the birth of a baby at fewer than 37 weeks gestational age, as opposed to full-term delivery at approximately 40 weeks. Extreme preterm is less than 28 weeks, very early preterm birth is between 28 and 32 weeks, early preterm birth occurs between 32 and 36 weeks, late preterm birth is between 34 and 36 weeks' gestation. These babies are also known as premature babies or colloquially preemies (American English) or premmies (Australian English). Symptoms of preterm labor include uterine contractions which occur more often than every ten minutes and/or the leaking of fluid from the vagina before 37 weeks. Premature infants are at greater risk for cerebral palsy, delays in development, hearing problems and problems with their vision. The earlier a baby is born, the greater these risks will be. The cause of spontaneous preterm birth is often not known. Risk factors include diabetes, high blood pressure, multiple gestation (being pregna ...
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Neurosurgery
Neurosurgery or neurological surgery, known in common parlance as brain surgery, is the medical specialty concerned with the surgical treatment of disorders which affect any portion of the nervous system including the brain, spinal cord and peripheral nervous system. Education and context In different countries, there are different requirements for an individual to legally practice neurosurgery, and there are varying methods through which they must be educated. In most countries, neurosurgeon training requires a minimum period of seven years after graduating from medical school. United States In the United States, a neurosurgeon must generally complete four years of undergraduate education, four years of medical school, and seven years of residency (PGY-1-7). Most, but not all, residency programs have some component of basic science or clinical research. Neurosurgeons may pursue additional training in the form of a fellowship after residency, or, in some cases, as a senior resid ...
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Kidney Dialysis
Kidney dialysis (from Greek , , 'dissolution'; from , , 'through', and , , 'loosening or splitting') is the process of removing excess water, solutes, and toxins from the blood in people whose kidneys can no longer perform these functions naturally. This is referred to as renal replacement therapy. The first successful dialysis was performed in 1943. Dialysis may need to be initiated when there is a sudden rapid loss of kidney function, known as acute kidney injury (previously called acute renal failure), or when a gradual decline in kidney function, chronic kidney disease, reaches stage 5. Stage 5 chronic renal failure is reached when the glomerular filtration rate is 10–15% of normal, creatinine clearance is less than 10 mL per minute and uremia is present. Dialysis is used as a temporary measure in either acute kidney injury or in those awaiting kidney transplant and as a permanent measure in those for whom a transplant is not indicated or not possible.Pendse S, Singh A, ...
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Fetal Surgery
Fetal surgery also known as antenatal surgery, prenatal surgery, is a growing branch of maternal-fetal medicine that covers any of a broad range of surgical techniques that are used to treat congenital abnormalities in fetuses who are still in the pregnant uterus. There are three main types: open fetal surgery, which involves completely opening the uterus to operate on the fetus; minimally invasive fetoscopic surgery, which uses small incisions and is guided by fetoscopy and sonography; and percutaneous fetal therapy, which involves placing a catheter under continuous ultrasound guidance. Fetal intervention is relatively new. Advancing technologies allow earlier and more accurate diagnosis of diseases and congenital problems in a fetus. Fetal surgery draws principally from the fields of surgery, obstetrics and gynecology, and pediatrics- especially the subspecialties of neonatology (care of newborns, especially high-risk ones), maternal-fetal medicine (care of high-risk preg ...
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EXIT Procedure
The EXIT procedure, or ex utero intrapartum treatment procedure, is a specialized surgical delivery procedure used to deliver babies who have airway compression. Causes of airway compression in newborn babies result from a number of rare congenital disorders, including bronchopulmonary sequestration, congenital cystic adenomatoid malformation, mouth or neck tumor such as teratoma, and lung or pleural tumor such as pleuropulmonary blastoma. Airway compression discovered at birth is a medical emergency. In many cases, however, the airway compression is discovered during prenatal ultrasound exams, permitting time to plan a safe delivery using the EXIT procedure or other means. Process The EXIT is an extension of a standard classical Caesarean section, where an opening is made on the midline of the anesthetized mother's abdomen and uterus. Then comes the EXIT: the baby is partially delivered through the opening but remains attached by its umbilical cord to the placenta The ...
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Décarie Boulevard
Autoroute 15 (also called the Décarie Expressway (English) or Autoroute Décarie (French) between the Turcot and Décarie Interchanges in Montreal and the Laurentian Autoroute (English) or Autoroute des Laurentides (French) north of Autoroute 40) is a highway in western Quebec, Canada. It was, until the extension of Autoroute 25 was opened in 2011, the only constructed north-south autoroute to go out of Montreal on both sides. A-15 begins at the end of Interstate 87 at the United States border at Saint-Bernard-de-Lacolle and extends via Montreal to Sainte-Agathe-des-Monts with an eventual continuation beyond Mont-Tremblant. The total length of A-15 is currently , including a short concurrency () with Autoroute 40 (Boulevard/Autoroute Métropolitan) that connects the two main sections. This is one of the few autoroutes in Quebec that does not have any spinoff highways. Road description Southern section The southern section of A-15 connects the south shore suburbs of ...
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Montreal Chest Institute
Montreal Chest Institute is a health centre in Montreal specializing in respiratory medicine. It is affiliated with the Royal Victoria Hospital, and by extension, McGill University Health Centre The McGill University Health Centre (MUHC; french: Centre universitaire de santé McGill) is one of two major healthcare networks in the city of Montreal, Quebec. It is affiliated with McGill University and is one of the largest medical complex in .... On June 14, 2015, the historic Institute moved into the new MUHC Glen Site. See also * Montreal Heart Institute {{McGill Hospitals in Montreal Côte-des-Neiges–Notre-Dame-de-Grâce McGill University buildings ...
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Montreal Neurological Institute And Hospital
The Montreal Neurological Institute-Hospital (MNI), also known as Montreal Neuro or The Neuro, is a research and medical centre dedicated to neuroscience, training and clinical care, located in the city's downtown core of Montreal, Quebec, Canada. It is part of the McGill University Health Centre network and it is situated on the southern slope of Mount Royal along the east side of University Street, just north of Pine Avenue. It was founded in 1934 by neurosurgeon Wilder Penfield, who developed thMontreal procedurethere for the treatment of epilepsy. History The Montreal Neurological Institute originated from the Sub-Department of Neurosurgery at the Royal Victoria Hospital. The Neuro was created at the RVH in 1933, before it moved to its newly-constructed building across University Street. The cornerstone of The Neuro was laid on October 6, 1933. On September 27, 1934 Sir Edward Beatty, chancellor of McGill University, declared the institute formally opened. The Rockefeller Fo ...
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