Danish medical journal
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Danish medical journal · Sep 2012
Randomized Controlled TrialLocal injection of methylprednisolonacetat to prevent seroma formation after mastectomy.
This study served the following three purposes: To evaluate the prophylactic effect against seroma of a single dose of steroid in the mastectomy cavity, to evaluate the thesis that there is a connection between subclinical bacterial colonization and seroma formation and to evaluate if a simple urine stix test can detect postmastectomy infection. ⋯ not relevant.
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Danish medical journal · Aug 2012
Nurse administered propofol sedation for pulmonary endoscopies requires a specific protocol.
This study provides an evaluation and risk analysis of propofol sedation for endoscopic pulmonary procedures according to our unit's "gastroenterologic nurse-administered propofol sedation (NAPS) guideline". ⋯ This work was supported by the START research foundation at Gentofte Hospital.
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Danish medical journal · Aug 2012
ReviewOrgan dysfunction following regional and global ischemia/reperfusion. Intervention with postconditioning and adenocaine.
Cardiac arrest and acute myocardial infarction are leading causes of death in the middle-aged and elderly, whereas trauma primarily affects the younger segment of the population. The three conditions are all characterized by a period of reduced blood flow either regionally in the heart or globally, and treatment strategies target the restoration of normal blood flow. Paradoxically, reperfusion of ischemic tissue contributes to cellular injury in all three settings. ⋯ Resuscitation with ALM/AL reduced fluid requirements during fluid resuscitation, transiently reduced whole body O2 consumption and improved cardiac and renal function. In conclusion, early intervention with either postconditioning or adenocaine attenuates I/R injury and organ dysfunction in animal models of acute myocardial infarction, cardiac arrest or hemorrhagic shock. Postconditioning and adenocaine may be promising new therapies for protection against I/R after acute myocardial infarction, cardiac arrest and hemorrhagic shock.
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When patients are transferred from intensive care units (ICUs) to general wards with a tracheostomy in situ, there is a risk of suboptimal care and increased morbidity. The aim of this study was to elucidate the management of patients with a tracheostomy in situ at discharge from the ICU to the ward. ⋯ not relevant.
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Danish medical journal · Aug 2012
Telephone hotline is an important part of overall patient management in upper gastrointestinal malignancies.
As seven out of every ten patients with upper gastrointestinal malignancies (UGIM) are not eligible for curative treatment, life after diagnosis is characterised by a rapid deterioration and uncertainty. To accommodate these issues, we established a telephone hotline. ⋯ not relevant.