Ugeskrift for laeger
-
Ugeskrift for laeger · Apr 2009
Comparative Study[Non-attendance at a pediatric outpatient clinic. SMS text messaging improves attendance].
To assess whether short message service (SMS) text message reminders would reduce non-attendance at a paediatric outpatient clinic. Furthermore, we wanted to clarify the families' attitude towards receiving an SMS reminder. ⋯ SMS reminders reduced non-attendance at the paediatric outpatient clinic.
-
The objective of the present paper was to examine the association between cerebral status at discharge in patients treated with therapeutic hypothermia (TH) and: 1) time form collapse to initiation of TH, 2) time form collapse to target temperature (32-34 degrees C), 3) time from initiation of TH to target temperature and 4) time to awakening after attainment of normal temperature. We also investigated the significance of age, over and under 70, and precipitating arrhythmia in relation to cerebral status at discharge. ⋯ Among the factors investigated, only time from attainment of normal body temperature to awakening was significantly associated with cerebral outcome.
-
Ugeskrift for laeger · Apr 2009
[Mild therapeutic hypothermia after cardiac arrest through continuous dialysis].
Mild therapeutic hypothermia (32-34 degrees C) after resuscitation from cardiac arrest to protect the brain against global ischaemia was first described in two independent randomized controlled studies in 2002. This manuscript describes a method to induce and maintain a target temperature of 32-33 degrees C after cardiac arrest for 24 hours with continuous renal replacement therapy (CRRT). ⋯ The described CRRT cooling method is a useful method for reaching and maintaining the target temperature. The method is especially suitably for intensive care units that use CRRT on a daily basis for patients with acute renal failure.
-
Ugeskrift for laeger · Apr 2009
Randomized Controlled Trial[Reasons for non-attendance and cancellations in a paediatric outpatient clinic].
It is important to identify reasons for non-attendance and late cancellations in the health care system to be able to plan possible interventions. ⋯ In the control group more than 70% of late cancellations and non-attendances could have been predicted by the parents, receiving a mailed reminder reduced this proportion significantly. It remains a challenge to reduce the number of non-Danish speaking patients not attending.
-
Ugeskrift for laeger · Apr 2009
Case Reports[Acute hyperphosphatemia in a dialysis patient after administration of sodium phosphate].
We describe a case of severe hyperphosphatemia due to phosphate-based enema for the preparation of coloscopy. A 39-year-old man with end-stage renal failure was admitted with bloody diarrhoea. ⋯ The patient recovered after daily dialysis and administration of intravenous calcium. The case demonstrates the need to avoid using phosphate-based laxatives in patients with impaired renal function.