Läkartidningen
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Biography Historical Article
[Sven-Ivar Seldinger. Severe attack of common sense resulted in a revolutionary catheterization technique].
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Comparative Study
[Firearm assaults occur on a relatively small scale in Sweden].
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In a study of the frequency and causes of fever at an intensive care unit, we found 61 per cent of the patients to have had above normal temperatures on one or more occasions. The cause was infection in less than half of cases, surgery and trauma being the cause in the remainder. The leukocyte count could not be used for the diagnosis of bacterial infections. Respiratory tract infections, abdominal infections and septicaemia were the commonest types of infection.
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Nocturnal ventilation in respiratory insufficiency due to neuromuscular disease and/or thoracic deformity leads to improvement in the quality of life and daytime arterial blood gases, and also in survival. Several methods for nocturnal ventilation are now available. ⋯ We conclude that respiratory insufficiency due to neuromuscular disease and/or primary treatment for thoracic deformity should be nocturnal positive pressure ventilation via a nasal mask. If this treatment fails positive pressure ventilation should be administered via special mouth pieces or via tracheostoma.