Ugeskrift for laeger
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Multimodal rehabilitation with preoperative information, reduction of surgical stress responses, optimised dynamic pain relief and early mobilisation and oral nutrition reduce hospital stay, morbidity and convalescence in colorectal procedures. In addition, the results of fast-track colonic surgery suggest that postoperative pulmonary, cardiovascular and muscle function are improved and body composition preserved. Consequently, the hospital stay may be reduced to about two to four days. Preliminary studies suggest similar improvements in more complex colorectal procedures.
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It is estimated that at least one billion passengers travel by air every year. It is predicted that this number will double in the future, including an increasing number of aged passengers. It is further estimated that for every ten million passengers, 225 acute in-flight incidents and one death will occur. ⋯ Travel by air is, however, safe and can be tolerated by most people. Each aircraft is equipped with emergency oxygen and medical kits, the crew is trained in advanced first aid, and a link to a ground-based medical centre often exists. Ill and elderly people can have their journey specifically prepared for by communication between their physician and the medical service of the particular company, providing the best opportunity for a smooth journey.
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Ugeskrift for laeger · Oct 2005
Case Reports[Don't always rely on PACS: undetected loss of a central venous catheter guide wire].
A 74-year-old woman had a CVC inserted. Unfortunately, the guide wire was lost under the procedure, and despite a chest X-ray control it was not detected. The reason the guide wire was not identified was insufficient fine-tuning of the >local< PC monitor. We recommend regular fine-tuning of monitors used for X-ray control.
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Ugeskrift for laeger · Oct 2005
[Does evidence lead to a change in clinical practice? Danish anaesthetists' and nurse anesthetists' clinical practice and knowledge of postoperative residual curarization].
Recent studies have shown a high incidence of postoperative residual curarization (PORC). The reason for this is unclear. The purpose of this study was to evaluate whether the methods used by Danish anaesthetists to exclude PORC are evidence-based and, if they are not, to determine the reasons why. ⋯ The results indicate that Danish anaesthetists" clinical practice regarding residual curarization is often not evidence-based. The reason for this seems to be a lack of knowledge, rather than lack of resources and/or a negative attitude toward neuromuscular monitoring.