Medicinski pregled
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Spinal anaesthesia was performed in 776 adult patients with 22 G and 25 G spinal needle. The incidence of postdural puncture headache was 3.5%. ⋯ Our results show that the age was a significant predictor of postlumbar puncture headache. Postspinal headache was more often found in younger patients (p < 0.001).
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For a long period of time propofol has been in use for total intravenous anesthesia in adults. In our literature there are no data on the use of propofol in pediatric anesthesia. The aim of the study was to compare effects of propofol for the induction of anesthesia, maintenance and recovery after anesthesia, with barbiturate, that is, inhalation anesthesia during spontaneous breathing. 50 children underwent propofol anesthesia. ⋯ The decrease, recorded only during the initiation of anesthesia, stabilized afterwards. Side effects (pain during the initiation, apnea, spontaneous movements) were present in the propofol anesthesia, while in the halothane group they were reduced. In the propofol group period of recovery was short, indicating advantages of this anesthetic in day care centers.
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Clinical syndrome of acute viral meningitis and meningoencephalitis may be induced by different viruses. Etiologic diagnosis may be set by the isolation of the virus from the liquor and by the detection of specific antibodies in the blood and liquor. Our aim was to determine viral etiology of AVI with special reference to hyperproteinorachia. ⋯ Depending on the levels of proteinorachia the patients were divided into the group with proteinorachia levels below 1g/l (34 patients) and above 1 g/l (21 patients). In the first group the most common was herpes simplex- and adenoviral etiology while in the second group most frequently found were choriolymphocytic meningitis virus (LCM) and herpes simplex virus. The protein level was in correlation with the severity of the clinical features and the duration of the treatment.
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The authors investigated the hematologic parameters in 592 children up to two years of age. By analyzing hemoglobin and hematocrit values, the specific criterions were established for diagnosis of anemia. Iron deficient anemia was found in 12.8% children, which suggest that anemia is still a great health and socioeconomic problem. By examination of every single case, the authors found out that anemia is not a specific entity, but a result of basic aspects of iron metabolism and nutrition.