Ugeskrift for laeger
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Ugeskrift for laeger · May 2009
[Propofol sedation administered by nurses for endoscopic procedures].
As an increasing number of therapeutic and diagnostic procedures are performed endoscopically, the demand for sufficient sedation during endoscopy is rising. Propofol sedation administered by nurses (NAPS) has gained increasing popularity. NAPS was introduced at Gentofte Hospital in September 2007 after structured training at Roque Valley Surgical Center in Medford, Oregon, USA. The aim of the present study is to present our results with NAPS. ⋯ NAPS seem to be a suitable method for sedation in endoscopy and should be implemented in Denmark. However, proper training is required in collaboration with anaesthesiologists.
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Ugeskrift for laeger · May 2009
Review[Rapid eye movement sleep behaviour disorder--diagnosis, causes and treatment].
Rapid eye movement (REM) sleep behaviour disorder (RBD) is characterized by loss of REM sleep and related electromyographic atonia with marked muscular activity and dream enactment behaviour. RBD is seen in 0.5% of the population. ⋯ Furthermore, it is increasingly recognized that RBD is frequently related to Parkinsonian disorders and narcolepsy. This article reviews recent knowledge about RBD with focus on the diagnostic process and management.
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Ugeskrift for laeger · May 2009
Randomized Controlled Trial Comparative Study[Emergency department X-rays requested by physicians or nurses].
Triage nurse requested x-rays reduce waiting-time in the emergency department. Does triage nurse requested x-rays in the emergency department save time for patients with a defined group of low-energy injuries without compromising treatment quality or patient satisfaction? ⋯ Waiting-time was reduced for a well-defined type of low-energy injury requiring x-ray examination at the emergency department when referred to x-ray by a triage nurse. The intervention did not compromise the quality of the treatment or the patients' satisfaction with the intervention.
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Ugeskrift for laeger · May 2009
Case Reports[Thrombolytic therapy in pregnant woman with pulmonary embolism].
A 33-year-old pregnant woman suffered a massive pulmonary embolism at 29 weeks of gestation. The diagnosis was confirmed by spiral computed tomography, and she was successfully treated with recombinant tissue plasminogen activator and LMWH.