Southern medical journal
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Southern medical journal · Mar 1993
Review Case ReportsBeneficial effect of epidural anesthesia on oxygen consumption in a parturient with adult respiratory distress syndrome.
Multifactorial increases in oxygen consumption during labor may exceed available oxygen supply. Cumulative subclinical oxygen debt could be clinically detrimental to both patient and fetus. We have reported the use of continuous mixed venous oxygen saturation monitoring to identify changes in oxygen consumption after painful uterine contractions in a critically ill parturient. ⋯ The absence of venous desaturation with contractions after abatement of labor pains confirmed that pain was the major cause of increased oxygen consumption in this critically ill parturient. Broader use of mixed venous saturation monitoring may allow detection of oxygen deficits during labor and direct appropriate therapy in other critically ill parturients. Similar applications and results have been noted for other disease states in nonpregnant patients.
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Torulopsis glabrata is a yeast ordinarily considered nonpathogenic. Systemic infection with this yeast occurs in patients who are debilitated, immunosuppressed, diabetic, or receiving multiple antibiotics. ⋯ The predisposing condition resulting in debility and predisposition to fungemia was major vascular surgery. Treatment with amphotericin B eradicated the fungemia.
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Southern medical journal · Mar 1993
ReviewCarbon monoxide poisoning in infants: treatment with hyperbaric oxygen.
Since 1974 the United States Air Force has treated more than 300 cases of carbon monoxide poisoning with hyperbaric oxygen (HBO). Fourteen of the patients treated were younger than 2 years of age. ⋯ There was complete recovery in 13 of the 14 infant patients. The pathophysiology, presentation, and clinical management of carbon monoxide poisoning in infants is discussed.