Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Jan 1998
Case Reports[Circulatory arrest following sulprostone administration in postpartum hemorrhage].
In a woman aged 39 cardiac arrest occurred 3.5 hours after administration of 250 micrograms sulprostone directly into the uterine wall for a post-partum haemorrhage after manual removal of the placenta. A long period of resuscitation was necessary. ⋯ In the Netherlands sulprostone is registered for intravenous administration only. We would strongly advise against administration directly into the uterine wall.
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Ned Tijdschr Geneeskd · Jan 1998
Case Reports[Iatrogenic tension pneumothorax following faulty positioning of gastric tube].
A 74-year-old man was admitted with respiratory insufficiency and required mechanical ventilation. Enteral nutrition was given via a nasogastric feeding tube, but persistent food retention occurred. The chest X-ray showed the nasogastric tube to be in the right pleural space. ⋯ The patient's recovery was uneventful, with resolution of the pneumothorax. It is necessary to be alert with respect to the tube position, which, if doubtful, should be checked by chest X-ray. Recognition of an aberrant position is necessary to minimize related morbidity.
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Ned Tijdschr Geneeskd · Dec 1997
Review[Revision consensus hemophilia: treatment and responsibility. Nederlandse Vereniging van Hemophilia Patients].
Haemophilia is an X-linked clotting disease occurring in 1400 men in the Netherlands. As the result of factor VIII or IX deficiency, haemophilia patients suffer from severe bleedings, spontaneous or caused by trauma. Bleedings mostly occur in major joints and muscles. ⋯ Over the last 20 years haemophilia treatment has improved much. This has resulted in a decrease of the number and of the duration of hospitalization, and a decrease in days lost at school or work. This has led to great improvement of the social life of haemophilia patients.