Ugeskrift for laeger
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Bacterial meningitis is usually associated with pleocytosis of the cerebrospinal fluid due to the presence of polymorphonuclear leucocytes. However, 75 cases of bacterial meningitis without pleocytosis have been published. ⋯ Normocellular bacterial meningitis is in general associated with a good prognosis except for cases with severe underlying diseases. A high concentration of bacteria in a normocellular cerebrospinal fluid might also indicate a poor prognosis.
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Ugeskrift for laeger · Nov 1998
Case Reports[Prostacyclin inhalation in pulmonary failure following smoke inhalation].
A 42 year-old man was admitted to hospital due to smoke inhalation. Thirty-three hours after admission arterial oxygen saturation was 80-90% with FiO2 = 1.0. ⋯ Prostacyclin was terminated after 24 hours, when FiO2 was reduced to 0.5. It is concluded that prostacyclin inhalation therapy may have effect in patients following pulmonary smoke injury.
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Ugeskrift for laeger · Nov 1998
Randomized Controlled Trial Comparative Study Clinical Trial[Prophylactic use of prostaglandin synthesis inhibitors in connection with IUD insertion].
In a double-blind, randomized, placebo-controlled study conducted at a contraception clinic, 55 women (three nulliparous) were given either ibuprofen 600 mg or placebo 1-4 hours prior to insertion of IUD, 4-6 hours after insertion of IUD and the following morning. Pain was assessed by ten point Numerical Rating Scales during insertion, in the first 4-6 hours and in the following three days. ⋯ The patients were further randomized to type of IUD: TCu-380A and Nova T (R.). No difference in pain scores was evaluated between these.
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Pulmonary sequestration is a rare congenital malformation of the pulmonary parenchyma. A case of recurrent haemoptysis and pulmonary infections in an adult is presented. ⋯ Anatomical classification, symptoms, and diagnostic approach are discussed. Symptomatic patients benefit from surgical resection.
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Ugeskrift for laeger · Nov 1998
Case Reports[Unintended events in anesthesia due to reuse of disposable equipment].
Two cases concerning reuse of plastic-coated introducers (intended for single-use only) for intubation of children are described. If breaks in the coating occur, the airway can be compromised and removal of the broken piece of the plastic-coating can the treacherous. In this paper, the probable causes of the incidents are discussed and suggestions for avoiding breakage are outlined.