Ugeskrift for laeger
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Ugeskrift for laeger · Mar 1996
Randomized Controlled Trial Clinical Trial[Compression stockings as prevention of hypotension in Cesarean section during spinal anesthesia].
Inflatable splints and wrapping of the legs have been shown to be effective against hypotension during spinal anaesthesia for Caesarean section. The aim of this study was to investigate if compression stockings could have a similar effect. Thirty healthy mothers scheduled for elective Caesarean section were randomised to have either compression stockings or no stockings on before spinal anaesthesia. ⋯ Ephedrine dose between zero and 20 minutes and total ephedrine dose was significantly lower in the group with stockings than in the control group (p < 0.038). Five patients in the control group experienced nausea, no patients in the study group had nausea (p < 0.013). In conclusion, compression stockings stabilised the blood pressure during Caesarean section in spinal anaesthesia and led to a significant smaller need for ephedrine.
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Ugeskrift for laeger · Mar 1996
Comparative Study Clinical Trial Controlled Clinical Trial[Diagnostic imaging in suspected lumbar disk prolapse. A controlled comparison of myelography, CT and magnetic resonance imaging].
Eighty patients with monoradicular sciatica were examined by myelography, computed tomography (CT) and magnetic resonance imaging (MRI) and all had subsequent surgery. The images were evaluated by a decision-analytic regret function. ⋯ Myelography was not significantly informative. The results suggest that CT or MRI should be the first choice examination in patients with suspected lumbar disc herniation.
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Ugeskrift for laeger · Feb 1996
Comparative Study Clinical Trial Controlled Clinical Trial[Eight days of naproxen therapy can prevent heterotopic ossification after total hip alloplasty].
The effect of one week of treatment with naproxen on the formation of heterotopic ossification after cemented total hip arthroplasty was studied in a prospective trial. Twenty-seven patients received 500 mg naproxen twice daily for seven days postoperatively. The medication was started on the morning of the operation. ⋯ One year after the operation 4/27 in the naproxen-treated group and 12/23 in the control group had heterotopic ossification (p < 0.05). Three patients in the control group and none in the naproxen-treated group developed severe ossification. It is concluded that naproxen given for one week can decrease the incidence of heterotopic ossification after total hip arthroplasty.
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Ugeskrift for laeger · Feb 1996
Case Reports[Traumatic total rupture of the musculus pectoralis major tendon].
Total or partial rupture of the major pectoral muscle is a rare lesion. Early treatment is recommended to regain full strength in the shoulder, but even without surgery 70 to 90% of original strength may be recovered within a year after trauma. ⋯ The diagnosis was visualized by MR imaging. The muscle strength was tested by use of a dynamometer.