Medicina
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Although albumin (A) may be considered an ideal natural colloid, the clinical importance efficacy of A administration in the treatment of critical illness have changed considerably of late years. This article reviews data about the use of A at present. ⋯ There are at the present time no clear indications for A administration. Albumin can be used only as a second-choice infusion solution when other products are not indicated, are contraindicated or have been used up their maximum dose.
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Amniotic fluid embolism is a rare obstetric emergency in which amniotic fluid, fetal cells, hair, or other debris enters the maternal circulation. Amniotic fluid embolism is an incompletely understood obstetric complication unique to pregnancy presenting with the acute onset of hypoxia, hypotension and severe coagulopathy. ⋯ It cannot be predicted nor prevented. The epidemiology of amniotic fluid embolism, frequency, pathophysiology, clinical presentation, histologic findings, diagnosis, differential diagnosis, possible treatment, mortality rate, neonatal survival are discussed in this review article.
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Comparative Study
[Myocardial revascularization combined with mitral valve surgery in case of ischemic mitral valve insufficiency].
The aim of the study was to evaluate the possibility of mitral valve surgery in patients with mitral valve insufficiency and short time outcomes following mitral valve correction combined with coronary artery bypass grafting. ⋯ In cases of coronary artery bypass grafting for patients with moderate and significant mitral insufficiency after myocardial infarction, mitral valve correction must be performed.
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The aim of the study was to analyze the tendencies of public and private health care expenditure in Lithuania during 1994-1999. Crude examination of statistical data show, that the growth rate of health care spending per capital is largely determined by growth of national gross domestic product (GDP). We have estimated that health care spending in Lithuania have risen twice faster than GDP during 1994-1999. (Percentage of rise in health care spending, divided by percentage rise of GDP, is +2.26). ⋯ The tendency of increasing private spending shows, the evidence, that households are facing more financial risk of purchasing health care. This should be an implication for health care policy makers. Further decisions to increase private payments have to be based on evidence after detailed analysis of impact of consequences on health care access for various social economic groups of population.
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Comparative Study
[Analysis of treatment outcomes after electric injuries (1991-2000)].
During the 1991-2000 year period 1728 children and 1967 adults have been treated in the Unit of Plastic Surgery and Burns of Kaunas Medical University Hospital. A retrospective analysis of patients who sustained electric injuries during these years period was carried out. Among all patients 93 (2.517%) were injured by electricity. 38 (40.86%) of them were children and 55 (59.14%)--adult patients. ⋯ Five patients of adult high voltage injury group needed amputation. Three of them needed amputation of forearm, one--of upper arm and one--of the calf. From low voltage injury group 3 patients needed amputations of one or two fingers and only one patient needed amputation of upper arm.