Ugeskrift for laeger
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Ugeskrift for laeger · Jan 2006
Case Reports[Management of patients with myocardial rupture after acute myocardial infarction].
Ventricular free wall rupture resulting in pericardial tamponade and shock is a known complication of myocardial infarction. In recent years, the widespread availability of echocardiographia has enabled prompt diagnosis. ⋯ The presence of pericardial haematoma/fluid, haematoma in the ventricular wall or compression of the ventricles supports this diagnosis. Echocardiographia is an important tool for verifying the diagnosis in this group of patients.
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Ugeskrift for laeger · Jan 2006
Review[Levosimendan--an alternative to conventional inotropic treatment of patients with acute heart failure?].
In acute heart failure the myocardial function is acutely reduced and the oxygenation of the tissues becomes inadequate. Traditional inotropic drugs improve the haemodynamics and give symptomatic relief, but the evidence of injurious effects on morbidity and mortality restricts their use. The need for new inotropic drugs which can also reduce morbidity and mortality is for that reason obvious. Levosimendan is such a new drug in a new class (Ca2+ sensitizers) of positive inotropic drugs with favourable effects compared to existing treatment possibilities.
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Ugeskrift for laeger · Jan 2006
[Length of stay after primary total hip and knee arthroplasty in Denmark, 2001-2003].
We studied length of stay (LOS) after operation with total hip arthroplasty (THA) and total knee arthroplasty (TKA) in Denmark from 2001 to 2003 to determine whether experiences from published accelerated tracks had been implemented in Denmark, resulting in reduced LOS. ⋯ The LOS shows that accelerated tracks - with accompanying shorter LOS in the area of 4 to 6 days - have not been implemented on a nationwide basis, and we find a need to review the principles for rehabilitation after operation with THA and TKA in the direction of accelerated tracks. This could be expected not only to generate large savings in LOS but also to reduce the need for rehabilitation and possibly reduce morbidity.
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Ugeskrift for laeger · Jan 2006
Case Reports[Pediatric septic shock--timing, volume resuscitation and anticoagulation therapy].
Pediatric septic shock is associated with severe hypovolemia, and children frequently respond well to aggressive volume resuscitation. In recent years, improved outcome has been reported when aggressive volume resuscitation and goal-directed therapies were applied to children with septic shock. We report a case of severe meningococcal septic shock in a child aged 16 months where aggressive volume resuscitation and anticoagulation therapy were applied.
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The unprecedented spread of the highly pathogenic avian influenza type A H5N1 is a threat to veterinary public health. However, the virus does not in its present form constitute a major threat to human public health. ⋯ It is not possible to predict if this will happen, when it may happen or how serious it may be. At present, seasonal influenza represents the greatest burden of illness among the three types of influenza A illness: seasonal, avian, and pandemic influenza.