Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Sep 1999
Comparative Study[Use of noninvasive mechanical ventilation to avoid intubation during acute respiratory insufficiency].
To determine the value of noninvasive mechanical ventilation in patients with acute respiratory insufficiency. ⋯ Noninvasive mechanical ventilation prevented intubation in over half of the selected patients presenting with acute respiratory failure due to an exacerbation of COPD. The method appears to be less successful in acute respiratory failure due to other causes.
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Ned Tijdschr Geneeskd · Aug 1999
[Injuries missed in diagnosing severely injured accident victims in the emergency room].
To determine the incidence of injuries missed in the emergency room (ER) and the factors involved. ⋯ Of 376 severely injured patients in 1996, 329 patients had sufficient follow-up documentation. In 37 patients (11%) of these 329 patients 47 injuries were missed. Fractures were the injuries most frequently missed (n = 25), followed by nerve tissue injuries (n = 14). There were consequences for the treatment in 13 of these patients (35%). Patients with missed injuries had a higher HTI-ISS, were more often primarily referred to the ER and arrived more often at night compared with patients without missed injuries. The two patient groups did not differ at to experience of the physicians.