Ugeskrift for laeger
-
Ugeskrift for laeger · Jun 1996
Review[Acute respiratory distress syndrome. Pathogenesis and therapy of acute pulmonary failure].
Adult respiratory distress syndrome (ARDS) is the pulmonary response to systemic inflammation precipitated by local or systemic tissue hypoxia, or ischaemia and reperfusion. ARDS is a dynamic, pathological process with a multifactorial etiology. The main clinical manifestations of ARDS are dyspnoea, non-cardiogenic pulmonary oedema, and hypoxia due to increased pulmonary capillary permeability, pulmonary vasoconstriction and diminished pulmonary vascular reactivity. ⋯ For treatment of pulmonary hypertension nitric oxide is useful. Change of position and inhalation with beta2-agonists are therapeutic possibilities. Steroids may be of benefit in the late proliferative phase of ARDS.
-
Ugeskrift for laeger · Jun 1996
Case Reports[Caffeine antagonizes the neuromuscular blockade of vecuronium].
It is known that theophylline antagonizes the neuromuscular blockade in animals and case reports, where the same phenomenon has been observed in man, are described. One patient is described where another methylxantine-caffeine-caused resistance to neuromuscular blockade by vecuronium, but successful blockade was achieved by pancuronium.
-
Ugeskrift for laeger · Jun 1996
Case Reports[Large epiglottic lipoma. Intubation method for large tumors in the pharynx and larynx].
Large benign tumours in the aperture of the larynx are uncommon, and they are especially rare on the epiglottis. They are, however, important as they may cause fatal airway obstruction particularly at induction of general anaesthesia. We present a patient with a large lipoma originating in the vallecula epiglottica and the lingual surface of the epiglottis. ⋯ A commissure laryngoscope was used for visualisation of the laryngeal inlet and a flexible bougie was inserted into the trachea. After removal of the laryngoscope a 7 mm ID endotracheal tube was advanced over the bougie into the trachea. After securing the airway in this way general anaesthesia was induced and the table tennis ball sized lipoma was uneventfully removed.