Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti
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In the Traumatological Hospital in Brno in 1999 4975 operations were made incl. 1064 (21%) during emergency services. Thus there are on average 3 (2.91) operations per emergency shift. 88 operations were made after midnight. ⋯ The legal changes limiting overtime work make it important to seek ways how to preserve under the new conditions the scope of surgery while it is assumed that there will be a greater pressure to refer patients to the centre. The financial conditions of the Institute as regards funds are at variance with the efforts made.
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Perioperative hypothermia is associated with the development of haemocoagulation, cardiovascular and metabolic disorders leading to an increased morbidity and mortality. The objective of the investigation was to assess the extent of hypothermia and its clinical and laboratory consequences. A group of 30 patients subjected to elective radical laparotomy on account of colorectal carcinoma was divided into to equivalent groups. To the first group heated infusions were administered, to the second group not heated ones. In all patients the central and peripheral temperature, rate of postoperative normalization of the temperature, postoperative thermal comfort, consumption of analgesics and biochemical and haematological parameters were monitored. ⋯ Although no serious clinical complications induced by hypothermia were recorded, the authors recommend an active approach and provisions for the perioperative maintenance of body temperature as a standard of contemporary perioperative care.