Ugeskrift for laeger
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The first multidisciplinary intensive care unit in the world was established at the Copenhagen Municipal Hospital in December 1953. The man behind the concept was the Danish anesthesiologist Bjørn Ibsen (born: 1915). ⋯ It is concluded that despite the increased sophistication of intensive care therapy, it often meets with failure because it is started too late. The development of an early warning system is urgently needed.
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Until recently, critical care therapy practitioners have focused on survival rather than on long-term outcomes. The incidence of physical and neuropsychological dysfunction has been underestimated and underreported after acute critical care illness. Current research indicates that these sequelae are common, may be permanent, and are associated with decreased quality of life. More studies investigating the effects of treatment and rehabilitation therapy on sequelae after intensive therapy are required.
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Kodimagnyl is a widely used analgesic agent, particularly in outpatient practice. It is a combination of morphine and acetylsalicylic acid. ⋯ The acetylsalicylic acid component may in all probability be the cause of the hypokalaemia. Kodimagnyl is generally not included in a standard toxicology screen but should be considered in cases of hypokalaemia.