Ugeskrift for laeger
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Ugeskrift for laeger · May 2000
[The pattern of medication errors in connection with intravenous administration at an intensive care unit].
In a static study, medication errors in intravenous administration were registered in a multidisciplinary intensive care unit. The most frequent type of errors included administration of incorrect doses, but also administration of diluted drugs over an excessive time period, use of previously opened ampoules, administration of unauthorized drugs, wrong infusion rates, dissolution of drugs in incorrect media, dissolution of drugs in incorrect volumes of dissolution media and wrong dosage form errors were observed.
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Ugeskrift for laeger · May 2000
Case Reports[Break of radial artery catheter resulting in a loose intra-arterial fragment].
An unusual complication after radial artery cannulation is described. Due to difficult fixation the distal part of the catheter broke loose, and was captured intravascularly. ⋯ The present case did not lead to surgical intervention. A suggestion is made as to, how to avoid this complication.
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Ugeskrift for laeger · May 2000
Multicenter Study Clinical Trial[Incidence, severity and mortality of acute respiratory failure in Denmark].
To determine the incidence, severity and 90-day mortality of acute respiratory failure (ARF), acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) we conducted an eight-week prospective cohort study in 48 Danish ICUs, during which all ICU admissions (n = 6647) > 14 years of age were assessed. ARF was defined as intubation and mechanical ventilation > 24 hrs. ALI and ARDS were defined in accordance with the American-European Consensus Conference criteria. ⋯ The 90-day mortality was 46.3% for ARF patients without ALI/ARDS, 47.3% for ALI patients and 46.2% for patients with ARDS. Compared to previously reported figures, the ARDS mortality is in the lower range whereas the incidence is slightly higher. This probably reflects a broader selection of patients when using the consensus criteria to define the ARDS population as opposed to definitions previously used.
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Ugeskrift for laeger · May 2000
Case Reports[Pseudomonas aeruginosa as the cause of meningitis in a patient with epidural catheter].
A case of epidural infection following epidural catheterization is presented. The clinical signs initially were backpain and a small swelling at the site of insertion. Treatment with dicloxacillin was begun, presuming a Staphylococcus-infection. ⋯ Weeks later the patient developed meningitis and Pseudomonas aeruginosa was cultivated. Antibiotic treatment was changed to ceftazidime, netilmycin and ciprofloxacin. Complete recovery followed.