Bratisl Med J
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We present a rare complex variation of the inferior vena cava and internal iliac veins demonstrated by a multidetector computed tomography. It was shown that patient had double inferior vena cava with azygos continuation of the right inferior vena cava, retroaortic left renal vein and the left and right internal iliac veins converged and drained to the right external iliac vein through a common trunk. These variations of the inferior vena cava and iliac veins are important in the retroperitoneal surgery. We present multidetector computed tomography findings of this complex variation (Fig. 3, Ref. 12). ⋯ double inferior vena cava, azygos continuation, retroaortic left renal vein, iliac vein variation, multidetector computed tomography.
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Randomized Controlled Trial Comparative Study
Comparison of antibacterial effects of oral rinses chlorhexidine and herbal mouth wash in patients admitted to intensive care unit.
Mouthwashes decrease the risk of VAP by reducing the number of microorganisms and their transmission and colonization in the lung. Among the oral rinses, chlorhexidine is considered as the gold standard but it has a variety of complications. The purpose of this study was to determine and compare anti-bacterial effects of the chlorhexidine gluconate and herbal mouthwashes in intensive care unit patients. ⋯ The herbal mouth wash has significant antibacterial effects against Staphylococcus aureus and Streptococcus pneumoniae, but its efficacy is less than chlorhexidine, so after further investigation, it would be considered as an alternative to chlorhexidine in ICUs (Tab. 3, Ref. 33).
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Randomized Controlled Trial
Adding magnesium to levobupivacaine for axillary brachial plexus block in arteriovenous fistule surgery.
The aim of this study was to compare the effect of adding magnesium to levobupivacaine on sensory and motor block onset and duration for axillary brachial plexus block in chronic renal failure (CRF) patients scheduled for arteriovenous fistule surgery (AVFS). ⋯ We conclude that by its decreasing effect on local anesthetic dose, magnesium may reduce the side effects due to high local anesthetic doses in patients with CRF (Tab. 1, Ref. 11).
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Comparative Study
The comparison of the effects of hepatic regeneration after partial hepatectomy, silybum marinaum, propofol, N-acetylcysteine and vitamin E on liver.
We investigated the comparison of the effects of N-acetylcysteine, silybum marinaum, propofol, and vitamin E on liver hepatic regeneration after partial hepatectomy. ⋯ Our experimental study indicates that hepatic regeneration after partial hepatectomy was meaningful and significant in groups with intraperitoneal administration of silybum marinaum,vitamin E, N-acetylcysteine and propofol. Hepatic regeneration rate was particularly higher in silybum group compared to other groups (Fig. 16, Ref. 26).
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Comparative Study
Percutaneous dilation tracheostomy versus surgical tracheostomy in critically ill patients.
This study was done to compare surgical tracheostomy and percutaneous dilation tracheostomy in respect to their early postoperative complications in critically ill patients. ⋯ Percutaneous dilation tracheostomy is an equally safe method compared with surgical tracheostomy. While posing the same perioperative risk, it requires neither the transport to the operating theater, nor the presence of the whole surgical team. In the early postoperative period, it significantly reduces the complications, mainly infections in a critically ill patient. The latter benefits make it a method of choice in elective tracheostomies at ICU (Tab. 2, Ref. 11).