Ugeskrift for laeger
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Ugeskrift for laeger · Feb 2012
Case Reports[Aorta-caval fistula as a complication to abdominal aorta aneurysm].
An 84 year-old man with a history of mild well-controlled hypertension was admitted acute with severe chest and epigastrial pains, radiation to the back and nausea lasting one hour under the diagnosis acute coronary syndrome. Acute computed tomography of the thorax and abdomen showed an 8 x 10 cm infrarenal abdominal aorta aneurysm with a 10 mm fistula through the wall of the aorta into the inferior caval vein.
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Ugeskrift for laeger · Feb 2012
Case Reports[Suspected allergic reaction during anesthesia requires thorough postoperative investigation].
Allergic reactions during anaesthesia are rare and the cause is seldom immediately obvious. Incorrect guesses for the offending substance can lead to suboptimal management. Furthermore there is a risk of a serious reaction on subsequent exposure to the real allergen. ⋯ Allergy to this drug could not be demonstrated by skin tests or challenge. The reaction was due to unspecific histamine release induced by several opioids given at the same time. Future pretreatment with antihistamine was recommended.
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Scurvy, lack of vitamin C, is a rare disease and is often called seafarers' disease. This case story describes a 36 year-old female patient with scurvy after a gastric bypass operation. ⋯ After intensive care treatment and a minor split skin graft the patient was discharged from the university hospital to a local hospital for further mobilization. Three months later the patient died due to sepsis.
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Ugeskrift for laeger · Feb 2012
Historical Article[Fewer indications for sedation in mechanical ventilation therapy].
Critically ill patients undergoing mechanical ventilation have traditionally been deeply sedated. In the latest decade growing evidence supports less sedation as being beneficial for the patients. A daily interruption of sedation has been shown to reduce the length of mechanical ventilation and the length of stay in the intensive care unit. Recently it has been shown that a strategy with no sedation of critically ill patients undergoing mechanical ventilation reduced the time patients received mechanical ventilation and reduced the length of both intensive care and hospital stay.