Ugeskrift for laeger
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Ugeskrift for laeger · Oct 1991
Review Comparative Study Historical Article[Continuous spinal analgesia. A review].
Continuous spinal analgesia is a recognized method of analgesia for surgical interventions which was originally described in 1907. A brief historical review is presented with a description of the current technique. ⋯ A review is presented of the current knowledge about technique, particularly the equipment, analgesic agents, advantages and disadvantages and indications and contraindications. it is concluded that continuous spinal analgesia probably offers certain advantages, particularly cardiovascular stability. However, the lack of randomized comparisons of the various techniques make further clinically controlled investigations necessary to illustrate this.
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A case of normal pressure hydrocephalus (NTH) complicated by delirious psychosis in the initial phase is described. A history of alcohol abuse made the diagnostic assessment difficult. Normal pressure hydrocephalus (NTH) should be considered in cases of delirium with dementia and histories of disturbances of gait or incontinence of urine.
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Ugeskrift for laeger · Oct 1991
Case Reports[Extravasation of cytostatics. Example of a severe complication from the use of long-term central venous catheters].
Completely implantable ports have become increasingly popular for venous access in the treatment of cancer. An uncommon but very serious complication is reported here: extravasation of a cytostatic agent secondary to a damaged Port-a-Cath catheter. Guidelines to be observed in implantation are recommended.
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Ugeskrift for laeger · Sep 1991
[Continuous arteriovenous hemodialysis in acute renal insufficiency. Review of therapeutical results among 23 patients treated over a period of 2 years].
In critically ill patients with acute renal failure and unstable circulation, dialysis employing conventional haemodialysis may prove technically difficult. If, however, continuous arterio-venous haemofiltration is employed, the haemodynamic problems may be overwon but the method does not always provide effective control of azotaemia. Continuous arterio-venous haemodialysis (KAVHD) is a combination of ultrafiltration and dialysis. ⋯ Fifteen patients (65%) died during the intensive course of treatment but none died from complications of KAVHD or renal failure. Renal function was reestablished in eight patients and seven of these could be discharged alive. KAVHD is an effective and simple method of treating critically ill patients with acute renal failure and unstable circulation.
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Ugeskrift for laeger · Sep 1991
Review[The laryngeal mask: a new alternative to the facial mask and the endotracheal tube].
The laryngeal mask is a new airway system for use under anaesthesia which assumes a position between the face mask and the endotracheal tube. Employment of this system achieves several of the advantages of intubation while the disadvantages are avoided. The possibilities which this system offers in cases of difficult intubation are particularly interesting, especially in unexpected.