Ugeskrift for laeger
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Ugeskrift for laeger · Sep 2014
Case Reports[Liver lesion in a cardiac arrest patient treated with therapeutic hypothermia.]
Cardiac arrest patients receive cardiopulmonary resuscitation. If resuscitated therapeutic hypothermia (TH) improves outcome. The following coagulopathy caused by TH, antithrombotic drugs and acidosis can induce severe haemorrhage from non-acknowledged organ lesions. ⋯ By coincidence the lesion was found on a computed tomography scan. The patient remained circulatory stabil during TH and was discharged in good cerebral state. However, should these patients rutinely be scanned?
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Ugeskrift for laeger · Sep 2014
Case Reports[Entrapped nerve causing severe post-operative pain from scar tissue.]
Entrapment of a cutaneous nerve in a surgical scar may cause chronic post-operative pain. The condition presents with similar symptoms as a traumatic neuroma or as an anterior cutaneous nerve entrapment syndrome, which, however, is often idiopathic. We present a case, where entrapment of a cutaneous nerve in a laparotomy scar caused chronic pain. The symptoms were immediately relieved after selective neurectomy.
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Ugeskrift for laeger · Sep 2014
[Data from automated external defibrillators provide important information on the quality of in-hospital resuscitation.]
International guidelines recommend monitoring the outcome following in-hospital cardiac arrest. Using data from automatic external defibrillators (AED) prospectively collected during a three-year period in a regional hospital, we evaluated the treatment quality of resuscitation. ⋯ Survival to discharge was 11%. Consequently, training in basic and advanced life support of hospital staff has been modified.
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The hospitalized patient is at risk of hyponatraemia caused by reduced electrolyte free water clearance and prescription of hypotonic fluids. Hospital-acquired hyponatraemia is common and associated with increased mortality/morbidity. ⋯ To reduce iatrogenic hyponatraemia the understanding of P-[Na+] is fundamental. Next, meticulously prescription of fluid amount/quality and reevaluation as with any other drug is of paramount importance.