Ugeskrift for laeger
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Ugeskrift for laeger · Nov 1994
[Patient categories and use of staff in transportation of patients between hospitals in Denmark].
Questions about how many and how far patients are transported from one hospital to another in Denmark were put to assistant matrons of anaesthesiological wards. They were also asked about what type of patients they accompanied on interhospital transports. ⋯ The patients are mostly neurosurgical and paediatric patients. Apart from the nurse from the anaesthesiological ward, there is usually also a doctor from another ward who accompanies the patient.
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Late postoperative hypoxaemia is a common phenomenon, and is probably an important pathogenetic factor in the development of cardiac, cerebral and wound complications after major surgery. Thus, oxygen therapy may play an important role in the postoperative care of the surgical patient. Diagnosis of hypoxaemia is most cheaply and easily performed with pulse oximetry. ⋯ Further studies of pathogenesis, treatment and clinical implications of late postoperative hypoxaemia are therefore warranted. It is our opinion, until further data is available, that monitoring of oxygenation is indicated in all patients after major surgery, and that hypoxaemia should indicate supplementary oxygen therapy. Proposed guidelines for monitoring and oxygen therapy are provided.
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Ugeskrift for laeger · Nov 1994
Case Reports[Overlooked bronchial rupture after blunt thoracic injury].
A 72-year-old man developed a total atelectasis of the right lung six weeks after a blunt trauma in a motor vehicle accident. Bronchoscopy demonstrated a total fibrotic occlusion of the right main bronchus. ⋯ One and a half centimetres of the bronchus were resected with a good result. Findings and treatment of this rare complication are discussed.
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Ugeskrift for laeger · Oct 1994
Comparative Study[Left ventricular hypertrophy in patients with aortic stenosis. A comparison between electrocardiography and echocardiography].
Using echocardiography (ECHO) as the reference method, the aim of this study was to determine the sensitivity, specificity, and predictive value of the electrocardiogram (ECG) in detection of left ventricular hypertrophy (LVH) in patients with aortic stenosis. Forty-one patients, 18 men and 23 women aged 25-80 years (mean 49 years) with uncomplicated aortic stenosis were studied. ECG-LVH was estimated by standard fixed voltage criteria. ⋯ The positive predictive value of the ECG in detection of LVH was high (100%). We conclude that the sensitivity of the ECG in detection of LV hypertrophy is unsatisfactorily low. Accordingly, it is recommended that echocardiography be performed in all patients suspected of aortic stenosis.