Ugeskrift for laeger
-
Neonatal transport is difficult and often associated with problems. In 1998, the Neonatal Intensive Care Unit, University Hospital of Copenhagen, H:S Rigshospitalet, set up a neonatal transport team. The aim of this study was to assess whether a better quality of high risk transport could justify the increased consumption of time. ⋯ Neonatal transport of extremely ill infants is difficult. A specialised (transport) team with local stabilisation and transport reduces the frequency of complications. The number of high-risk neonates transported is so small that it is improbable that adequate expertise can be built up and maintained locally.
-
A substantive amendment to this systematic review was last made on 3 January 2000. Cochrane reviews are regularly checked and updated if necessary. ⋯ We have found no evidence of a difference in time to discharge from hospital in patients who received anxiolytic premedication. However, in view of the age and variety of anaesthetic techniques used, inferences for current day-case practice should be made with caution.
-
The stay in hospital after colonic resection is usually 7-12 days, with a complication rate of 20%. A multi-modal rehabilitation regimen, comprising epidural analgesia, early mobilisation, and oral nutrition, reduced the hospital stay to 2-3 days after colonic resection. ⋯ The usual postoperative ileus, "medical complications", and hospital stay were reduced in high-risk patients undergoing colonic resection with a multi-modal rehabilitation programme. These results call for further comparative studies with conventional care programmes and laparoscopic colonic resection.
-
Ugeskrift for laeger · Feb 2001
Review[Surgical physiopathology. New results of importance for optimization of the postoperative course].
Complications after major surgery may be related to factors in the surgical stress response with endocrine-metabolic and inflammatory changes. In order to prevent these complications, it is important to understand the stress reaction of each organ system. ⋯ Unimodal intervention cannot eliminate morbidity and mortality after major surgery. Thus, multi-modal intervention with attenuation of the surgical stress response, effective dynamic treatment of pain, enforced mobilisation, and nutrition should be employed when possible.