Ugeskrift for laeger
-
Ugeskrift for laeger · Feb 2015
Review[Ischaemic preconditioning for protection against reperfusion injury in non-cardiac surgery].
Remote ischaemic preconditioning is a non-invasive intervention that is done by transient occlusion of the blood flow to a limb with a blood pressure cuff. The intervention initiates a systemic endogenous protective response, which may confer multi-organ protection against acute ischaemia reperfusion injury. Originally discovered as a therapeutic strategy in cardiac surgery for protecting the myocardium against ischaemia reperfusion injury, it has been discovered that remote ischaemic preconditioning may confer protection against surgical stress and reperfusion injury in non-cardiac surgery.
-
Ugeskrift for laeger · Jan 2015
Case Reports[Ultrasound-guided performance of labour epidural analgesia in a patient with thoracolumbar scoliosis].
Providing epidural analgesia in patients with scoliosis may be challenging. We describe ultrasound-guided insertion of an epidural catheter for labour analgesia and a following caesarean section in a patient with a thoracolumbar scoliosis. A well-functioning epidural catheter was easily inserted on the first attempt without any need for redirections of the epidural needle. Use of ultrasound imaging to guide epidural needle insertion site and trajectory can be a valuable tool in managing patients with scoliosis.
-
Ugeskrift for laeger · Jan 2015
Case Reports[Secondary neoplasms of the larynx from a colonic adenocarcinoma].
Secondary neoplasms of the larynx are rare and account for 0.09-0,4% of all laryngeal tumours. Cutaneous melanomas are the preponderant primaries metastasizing to the larynx, followed by renal cell carcinomas, breast and lung carcinomas. Colonic adenocarcinoma metastases to the larynx are extremely rare. ⋯ Patients with metastasis of colonic adenocarcinoma to the larynx usually present with disseminated disease. We present a case of an isolated laryngeal metastasis from a colonic adenocarcinoma. The patient was treated with endoscopic surgery and radiation.
-
Ugeskrift for laeger · Jan 2015
Case Reports[Cervicofacial emphysema and pneumomediastinum after dental treatment].
Pneumomediastinum with subcutaneous emphysema is a rarely observed complication of dental treatment. It is a potentially dangerous condition, but the majority of cases are self-limiting and benign. ⋯ The rapid onset of swelling and dyspnoea are often misinterpreted as an allergic reaction to the anaesthesia used during the procedure. Physicians and dentists should be aware that cervicofacial emphysema can cause swelling after dental procedures and may mimic an allergic reaction.
-
Ugeskrift for laeger · Jan 2015
Case Reports[Pregabalin can cause addiction and withdrawal symptoms].
A 38-year-old man was referred to the psychiatric department due to auditory hallucinations, suicidal ideation and a large daily intake of 8.4 g pregabalin. The Danish National Medication Register showed that the patient had bought pregabalin 21 times within the last two months, a total of 487.2 g pregabalin. ⋯ High doses of pregabalin are tolerated with surprisingly few toxicological consequences, though lethal cases have been described. Pregabalin abuse, however, can lead to dependency.