Ugeskrift for laeger
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Ugeskrift for laeger · Sep 2009
[Convalescence and decline in physical function level following intensive therapy].
More patients survive critical illness, which emphasises the need to assess outcome measures other than mortality. A prolonged decline in physical function is frequently observed after discharge in the critically ill. ⋯ Thus, strategies to counteract neuromuscular dysfunction and to improve physical outcome may reduce the overall burden of critical illness. This review describes the most common predisposing factors and discusses preventative measures and interventions.
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If confronted with a neuropathic patient with an acute foot-ankle trauma, including fracture, this patient is by definition Eichenholtz stage 0. This is of major importance for the treatment. ⋯ Follow-up includes frequent ambulatory controls including X-rays. If the neuroarthropathy progresses, the period of treatment is adjusted accordingly.
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Ugeskrift for laeger · Sep 2009
[Elective surgery reconvalescence after pre-operative physical training].
Elective surgery is associated with decreased postoperative musculoskeletal function. High aerobic capacity and muscle strength prior to operation is associated with a shorter and more uncomplicated postoperative period. Pre-operative training as intervention has only showed very limited effect in relation to abdominal or alloplastic surgery, whereas strength and coordination training prior to operation has been shown to have a beneficial effect on postoperative movement function after reconstructive ligament surgery of the knee.
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Recommendations for reconvalescence and restriction of physical activity after elective caesarean section are not consistent and there is a lack of evidence on the subject. Although physiological changes are rapidly normalized after the operation, the women experience an extended period characterized by fatigue caused by lack of sleep due to nursing and breastfeeding of the baby. This paper accounts for the effects of post-operative pain, breastfeeding, fatigue, sexuality and physical recovery in the period of reconvalecence following elective caesarean section.
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Ugeskrift for laeger · Sep 2009
Comparative Study[Drug-drug interactions in intensive care patients].
The purpose of this study was to investigate the frequency of potential drug-drug interactions (DDIs) within the first 24 hours of admission to an intensive care unit, and to determine which drugs were involved in potential DDIs along with the clinical relevance of the identified DDIs. ⋯ A total of 71% of the 98 enrolled patients were exposed to one or more potential DDIs. We found an average of 2.5 potential DDIs per patient. Antithrombotic drugs, opioids and loop diuretics were most frequently involved in potential DDIs. The clinical relevance varied because the majority of the identified potential DDIs were normal drug combinations.