Southern medical journal
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Southern medical journal · May 1998
Maternal mortality associated with adult respiratory distress syndrome.
Pregnancy-related adult respiratory distress syndrome (ARDS) can lead to maternal mortality and morbidity. ⋯ Pregnancy-related ARDS continues to be associated with a high maternal mortality rate (25%). Unfortunately, the etiology for ARDS during pregnancy is not predictive of maternal outcome.
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Southern medical journal · Apr 1998
Comparative StudyEmergency medicine practice systems in Louisiana.
We surveyed emergency medicine practice systems in Louisiana. ⋯ Emergency departments in teaching hospitals, using dictation, physician extenders, and accessory care areas, have significantly greater system productivity than nonteaching hospitals.
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Southern medical journal · Apr 1998
Comparative StudyEffectiveness of conjugated estrogen in orthotopic liver transplantation.
A retrospective study was conducted at a university hospital to determine the efficacy of conjugated estrogen in reducing blood product transfusion during orthotopic liver transplantation. ⋯ Administration of conjugated estrogen is associated with a statistically significant decrease in use of red blood cells and fresh frozen plasma during orthotopic liver transplantation.
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Southern medical journal · Apr 1998
Case ReportsUnilateral absent pulmonary perfusion due to bronchogenic carcinoma.
Ventilation-perfusion lung scans are commonly done in the diagnosis of pulmonary thromboembolic disease. We describe a patient in whom absent perfusion involving an entire lung was due to bronchogenic carcinoma. Echocardiography and chest computed tomography were essential tests in evaluating a nonembolic etiology.
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Fire in the modern operating room is still a constant danger today despite the usual absence of the historically explosive anesthetic gases, cyclopropane, and ether. During a tracheostomy, three conditions are present that will support an explosive or combustive event: heat, fuel and oxygen. ⋯ High-oxygen concentration, the presence of fuels such as suture and tissue, and an igniting spark from the electrocautery device produce the proper conditions for a fire during tracheostomy. Taking the proper precautions can minimize if not eliminate this risk.