Ugeskrift for laeger
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Ugeskrift for laeger · Jun 2011
Review[Oxygen therapy in exercise-induced hypoxemia improves physical capacity and reduces dyspnea in patients with COPD].
Many chronic obstructive pulmonary disease patients suffer from dyspnoea and reduced physical abilities. Some of the patients exhibit desaturation during physical exercise. ⋯ Yet it is not possible to draw a clear conclusion regarding the effects of more prolonged (weeks) treatment. The studies are in general small and of poor methodological quality.
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Ugeskrift for laeger · May 2011
Case Reports[Venovenous hemodiafiltration for patient with baclofen intoxication].
Twice a young man was admitted to hospital upon having taken baclofen overdoses by intention. The ingested dose was 1,850 mg at the first episode and up to 2,500 mg at the second. ⋯ The elimination pharmacokinetics and toxicokinetics for baclofen is not fully known. During the second submission a shorter elimination half-life time was observed and it might be due to either compartmental distribution of baclofen, or more likely caused by an advantageous effect of the CVVHDF.
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Presenting two cases of spontaneous dissection of cervical arteries. A 54 year-old male suffered from left-sided Horner syndrome and severe headache. MR cerebrum revealed a left internal carotid artery dissection. A 57 year-old female with left vertebral artery dissection was admitted to hospital due to repeated attacks of total blindness preceded by weeks of moderate headache.
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Modern patient care requires collaboration among health-care workers belonging to various functional units, departments and hospitals. When the responsibility for patients is handed over, information is easily lost. ⋯ We reviewed 417 papers and the analysis comprises 29 papers. The paper points out numerous problems in connection with the transfer of responsibility, showing the importance of focusing on patient handover as a vulnerable phase in patient care.