Monitoring includes an ECG, Doppler, andideally invasive blood pressure (IBP) if obtainable. The brainstem can further be divided intospecialized regions called the medulla, pons, and midbrain.The medulla and pons participate in the regulation of bloodpressure and respiration, while the midbrain plays an impor-tant role in controlling the movement of the eyes and body.The brainstem is also important as it is the point from whichmost of the cranial nerves, which are part of the PNS, ema-nate.

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Parenteral (i.m./i.v.) drugshave to be used; oral drugs may be substitutedwhen the condition improves. Although the best CMS results were achieved with reverse totalshoulder arthroplasty, there was no statistical difference when comparing the mean CMSbetween the three prostheses types. Another study reported four cases withsevere PPHN treated with a combination of iNOand milrinone (Bassler et al.

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over 1 hour twice daily for 3–5 days.The urinary excretion of Pb is promptly increased,but declines quickly as the metal is removed fromaccessible sites (primarily bone).