Anesteziologiia i reanimatologiia
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A structured and well-organized postgraduate professional education in medical doctors is an important and necessary component in health care these days. It is the foundation for a high quality and safety of physicians' daily work. The article describes the anesthesiological educational program, which is required to finish anesthesia residency in Germany successfully.
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This literature review is dedicated to hyperthermia in labor, its association with labor epidural analgesia, its impact on labor progress, postpartum and neonatality. Current concepts of the pathogenesis of afterbirth fever are presented. New data on the influence of intranatal fever on the course of neonatality and the incidence of obstetric complications are given. The review gives new perspectives for studying maternal fever induced by epidural analgesia and its influence on the newborn.
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Anesteziol Reanimatol · Mar 2009
Case Reports[A clinical case of lactic acidosis development in a diabetic patient taking metformin].
Metformin is a biguanide. Due to its effects in decreasing the hepatic production of glucose and in increasing insulin sensitivity in peripheral tissues, such as adipose tissue and skeletal muscle, the agent is used in metabolic syndrome and type 2 diabetes mellitus and, in which insulin resistance is especially pronounced. Eighty-one-year old male patient was admitted to the emergency unit with sudden vertigo, tiredness, dyspnea, cyanosis, and lethargy. ⋯ On the same day, extubation was ended and O2 was given by mask at a rate of 4 L/min. After the patient's vital signs, blood sugar, and lactate levels were stabilized; his treatment regimen was arranged again and the patient was discharged on day 4 of his admission. Dyspnea, acidosis, and hypoxia seen in the patient were thought to be due to lactic acidosis which may rarely occur when metformin is used.