Ugeskrift for laeger
-
Radical prostatectomy has been offered as curative treatment for localized prostate cancer at Rigshospitalet since August 1995. We here report on postoperative complications in 719 patients operated during the 12-year-period from August 1995 to August 2007 with special emphasis on developments over time. ⋯ Our results demonstrate that radical prostatectomy can be performed with a minimal mortality and an acceptable morbidity.
-
Surgery for perforated ulcers is one of the most common emergency surgical procedures. Approximately 400 procedures are performed each year in Denmark and mortality is high, reaching close to 30% at 30 days postoperatively. The importance of perioperative fluid administration during the perioperative course remains unclear. The purpose of this study is to describe the perioperative fluid management in these patients in order to identify problem areas (if any) and to create a basis on which future trials on fluid management in this patient group may be designed. ⋯ Both the preoperative fluid management and the postoperative monitoring of the fluid balance are suboptimal and should be optimized. Individualized (goal-directed) fluid administration aiming at optimizing the oxygen supply to the peripheral tissues is warranted and is recommended to high-risk emergency surgery patients.
-
A 76-year-old female was referred because of violaceous dermatitis on sun-exposed skin. She had associated muscle weakness, dysphagia, dysarthria and reported an unintended weight loss. ⋯ Despite intended curative treatment, she died of the cancer six months later. This case emphasizes the importance of a thorough examination for an underlying cancer, in patients diagnosed with dermatomyositis.
-
Ugeskrift for laeger · Apr 2009
Comparative Study[Non-attendance at a pediatric outpatient clinic. SMS text messaging improves attendance].
To assess whether short message service (SMS) text message reminders would reduce non-attendance at a paediatric outpatient clinic. Furthermore, we wanted to clarify the families' attitude towards receiving an SMS reminder. ⋯ SMS reminders reduced non-attendance at the paediatric outpatient clinic.
-
The objective of the present paper was to examine the association between cerebral status at discharge in patients treated with therapeutic hypothermia (TH) and: 1) time form collapse to initiation of TH, 2) time form collapse to target temperature (32-34 degrees C), 3) time from initiation of TH to target temperature and 4) time to awakening after attainment of normal temperature. We also investigated the significance of age, over and under 70, and precipitating arrhythmia in relation to cerebral status at discharge. ⋯ Among the factors investigated, only time from attainment of normal body temperature to awakening was significantly associated with cerebral outcome.