RESUMEN
The anesthetic management of dilated cardiomyopathy (DCM) is challenging and is associated with a high mortality rate. We present a case of a 44-year-old pregnant female known for DCM with low ejection fraction who underwent an elective cesarean section and tubal ligation. The patient was transferred to the intensive care unit in a stable condition with a favorable outcome. Awareness about the appropriate anesthetic management for this type of patients is of paramount importance because similar cases are likely to be encountered with the advances in modern medicine.
RESUMEN
OBJECTIVE: The aim of this study was to develop an Arabic version of the pediatric voice-related quality of life (PVRQOL) and test its validity and reliability. SUBJECTS: and methods: Fifty-one children with voice problems were included in the study along with 60 control children without any voice disorders. The translated Arabic PVRQOL and the Arabic pediatric voice handicap index (PVHI) have been distributed to the study subjects. The Arabic PVRQOL was tested for its internal consistency, test-retest reliability, and clinical validity. RESULTS: the Arabic PVRQOL showed strong internal consistency and excellent test-retest reliability (Cronbach αâ¯=â¯0.9 and ICCâ¯=â¯0.92 respectively). There was a significant difference between the patients and control group regarding Arabic PVRQOL scores (Pâ¯<â¯0.0001). Also, significant correlation was demonstrated between the Arabic PVRQOL and Arabic PVHI. CONCLUSION: The Arabic version of PVRQOL maintained its validity and reliability and may be considered in the assessment of voice disorders for Arabic speaking children.