Ugeskrift for laeger
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Ugeskrift for laeger · Aug 2012
Case Reports[Dyskinesia after treatment with droperidol for preventing postoperative nausea and vomiting].
This case presents a young woman with extrapyramidal reactions after the use of a small dose (0.625 mg) of droperidol. In combination with dexamethason (8 mg) droperidol was given as the patient underwent laparoscopic cholecystectomy in order to prevent postoperative nausea and vomiting. ⋯ We believe that droperidol was the cause. She had previously experienced similar signs after taking metoclopramide.
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Hereditary angio-oedema (HAE) is a rare genetic disease caused by deficiency of complement C1 inhibitor. It is characterised by recurrent episodes of subcutaneous or submucosal oedema typically involving the extremities, bowel, face or larynx. Within the latest years it has become evident that the active mediator of HAE attacks is an increased level of bradykinin and various new treatment modalities have been developed. The aim of this paper is to give an update from the Danish HAE Comprehensive Care Centre on current treatment possibilities and address some of the challenges when diagnosing HAE.
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As general anaesthesia (GA) for caesarean section (CS) compared to regional anaesthesia (RA) can increase maternal risks, it has been suggested that 85% of all acute CS should be performed in RA. We observed whether anaesthesiologists at a Danish university hospital over a 4,5 year-period fulfilled this objective. ⋯ Our results indicate that anaesthetising for CS routinely helps to keep the frequency of RA for CS above 85%. Further studies are necessary to investigate whether GA for CS is used according to recommendations.
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Ugeskrift for laeger · Aug 2012
Case Reports[Cardiopulmonary resuscitation should continue as long as shockable cardiac rhythms persist].
Initiation of cardiopulmonary resuscitation or termination of a resuscitation attempt may be challenging. We report a case with a 41-year-old man who was successfully resuscitated without significant neurological deficits despite more than 45 minutes of cardiac arrest with shockable cardiac rhythms. This case demonstrates that treatment should continue as long as shockable cardiac rhythms persist.