Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Feb 2008
Comment[The practice guideline 'Sore throat' (second revision) from the Dutch College of General Practitioners; a response from the perspective of otorhinolaryngology].
In this comment, the practice guideline 'Sore throat' (second revision) is discussed. This guideline, composed by the Dutch College of General Practitioners, offers general practitioners a well-appreciated overview of the common practices regarding diagnostic tests and treatment of pharyngitis and tonsillitis.
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Ned Tijdschr Geneeskd · Feb 2008
Review[Prognosis for patients in a coma following cardiopulmonary resuscitation].
Most patients with post-anoxic coma after resuscitation have a poor prognosis. Reliable prediction of poor outcomes (death or vegetative state after 1 month; death, vegetative state or severe disability after at least 6 months) at an early stage is important for both family members and treating physicians. ⋯ The predictive value of a status epilepticus or serum levels of neuron-specific enolase is uncertain at this time. In contrast to poor outcomes, good neurological recovery cannot be predicted reliably at this time.
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Ned Tijdschr Geneeskd · Feb 2008
Review[Induced mild hypothermia to limit neurological damage after resuscitation].
Despite improvements in resuscitation techniques, the prognosis for patients who experience cardiac arrest outside of a hospital remains relatively poor. This is mainly due to brain damage that occurs as a result of global cerebral ischaemia. In 2002, two prospective randomised multicentre studies demonstrated that induced mild hypothermia can increase the chance of good neurologic recovery after out-of-hospital cardiac arrest by at least 40%. ⋯ A safe and effective method to induce mild hypothermia is the infusion of cold fluids during sedation and mechanical ventilation. Cardiac function, renal function and electrolytes must be monitored closely during induced mild hypothermia. Given the potentially deleterious effects of rapid rewarming, a maximal rewarming rate of 0.5 degrees C per hour is recommended.
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Ned Tijdschr Geneeskd · Jan 2008
Case Reports[Diagnostic image (358). A neonate with splenomegaly and calcified adrenal glands].
A 10-day-old male neonate with feeding problems and splenomegaly had bilateral adrenal calcifications on plain abdominal X-ray caused by Wolman disease.
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Ned Tijdschr Geneeskd · Jan 2008
[Neurological defects and developmental disorders following neonatal extracorporeal membrane oxygenation: results of a follow-up study after 5 years].
Descriptive study of the development of children 5 years after neonatal extracorporeal membrane oxygenation (ECMO). ⋯ A significant proportion ofthe children that had been treated with ECMO had long-term morbidity in the form of neurological defects and developmental disorders.