An Sist Sanit Navar
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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 · Jan 2006
Case Reports[Pulmonary alveolar proteinosis and crazy paving pattern in high resolution CT].
We present a case of pulmonary alveolar proteinosis in a 27 year old male, in which high resolution computerised tomography shows a typical crazy paving pattern. This test led to a specific differential diagnosis, in spite of the lack of specificity in the clinical presentation. The bronchoalveolar wash was not conclusive and the definitive diagnosis was made with a transbronchial biopsy. We review the most characteristic aspects of this rare disease and of the crazy paving pattern in high resolution CT.
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An Sist Sanit Navar · May 2005
Comparative Study[Prognostic value of the reception, attendance and classification of patients in the emergency department of a tertiary hospital].
The objective of this investigation is to study the usefulness, validity and reproducibility of the reception, attendance and classification of emergency cases employed by nurses in the emergency department of a tertiary hospital (Hospital de Navarra, Pamplona, Spain) (RACHN). ⋯ The RACHN triage system depends primarily on the protocol established by the nurse that carries out triage. We have found a good degree of concordance between triage carried out by the nurse using the RACHN and that determined by the doctor. We believe the discrepancy can be reduced by establishing a five level scale of severity and by carrying out periodic reviews of the RACHN.