An Sist Sanit Navar
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Spontaneous pneumomediastinum (defined by the presence of free air in the mediastinum) is an infrequent entity that is presented in the absence of diseases or precipitating factors. It generally affects young and healthy males. Thoracic pain, dyspnea, or both, are the most frequent symptoms. ⋯ Simple radiography of the thorax allows for the diagnosis in a high percentage of patients. Conservative treatment is indicated in these patients and has a favourable prognosis. Relapses are infrequent.
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An Sist Sanit Navar · May 2006
[Reversion of atracurium and vecuronium residual nondepolarising neuromuscular blockade with low doses of neostigmine].
To assess the effectiveness of low doses of neostigmine in the reversion of residual non-polarising neuromuscular blockade (RNMB). ⋯ The reversion of the residual neuromuscular blockade of atracurium or vecuronium with low doses of neostigmine and atropine adjusted to the degree of RNMB is effective even in deep blockades, reducing the risk of secondary effects.
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An Sist Sanit Navar · May 2006
[Clinical profile and impact of the unscheduled return to Emergency Department by elders].
The characteristics of patients aged 65 years and over that return to the Emergency Department (ED) have not been sufficiently analysed. The aim of this study is to determine the differentiating elements of the elderly that return to ED and evaluate the impact on them of such a return. ⋯ There are differences between the elderly patients that return and those who do not, and also with respect to young adults. The impact of return on this group of patients is reflected in the high rates of admission to hospital. An adaptation of resources to the special needs of this type of user in ED would be advisable.