Ugeskrift for laeger
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Ugeskrift for laeger · Nov 2007
Review[Pathophysiology in accidental hypothermia. Hypothermia is not only a cold body].
Knowledge of the pathophysiology in accidental hypothermia is essential for clinical decision-making. The prognosis should be favourable provided the condition is recognized and treated accordingly. ⋯ Other reactions occur during rewarming of which rewarming collapse has received much attention. More detailed knowledge of rewarming collapse which has come out is examined in this paper.
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A 36-year-old female received an epidural analgesia during a normal vaginal delivery. Post delivery she developed a frontal/occipital headache, which worsened in the erect position. Initial treatment with a blood-patch was without symptom relief. ⋯ At a Centre for Headaches she was diagnosed with post dural puncture headache. After treatment with bed rest for 3 days and a second blood-patch she was symptom free. This case highlights the need for an additional blood-patch in specific cases of residual post dural puncture headache.