Ugeskrift for laeger
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Continuous delivery of high-quality chest compressions is the most important and difficult part of resuscitation. Two automatic mechanical chest compression devices - LUCAS and Autopulse - have been implemented in Denmark in order to optimize the circulation in patients with cardiac arrest. In spite of some practical benefits, improved haemodynamics in animal models, and a possible increase in short-term survival, none of the devices improved the long-term survival or neurological outcome in patients with cardiac arrest. Future randomized trials are crucial.
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Ugeskrift for laeger · Aug 2009
[Reconstruction of the maxilla with pedicled temporalis muscle after maxillectomy].
Removal of the maxilla requires adequate restoration of the maxillary structure to replace form and functions, especially vocal and eating functions. A host of reconstructive options are available to restore the maxilla, most of which include free-flap reconstruction. The aim of this study was to clinically evaluate the use of pedicled temporalis flap for reconstruction of the maxilla and to assess patient quality of life. ⋯ The follow-up study of the 27 patients showed a most satisfactory result evaluated objectively as well as subjectively using the EORTC questionnaire.