Mayo Clinic proceedings
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Mayo Clinic proceedings · Jul 1997
Randomized Controlled Trial Clinical TrialProphylactic intravenous administration of caffeine and recovery after ambulatory surgical procedures.
To determine whether prophylactic intravenous administration of caffeine, to daily caffeine users, decreases the frequency of postoperative headache and shortens recovery time. ⋯ We conclude that prophylactic intravenous administration of caffeine was beneficial for those patients at risk for symptoms of caffeine withdrawal. For patients who consume caffeinated beverages on a daily basis, we recommend prophylactic administration of caffeine on the day of an ambulatory surgical procedure and anesthesia.
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Mayo Clinic proceedings · Jul 1997
Review Case ReportsEosinophilic myocarditis manifesting as myocardial infarction: early diagnosis and successful treatment.
To report a case of eosinophilic myocarditis with remarkable initial clinical manifestations and outcome. ⋯ This unusual clinical picture and outcome demonstrate that eosinophilic myocarditis may simulate acute myocardial infarction and should be considered in patients with a history of allergies or acute left ventricular dysfunction, even in the absence of pronounced eosinophilia in the peripheral blood. With appropriate medical therapy, recovery for these patients can be complete.
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Mayo Clinic proceedings · Jul 1997
Case ReportsOrganizing diffuse alveolar damage associated with progressive systemic sclerosis.
Diffuse alveolar damage (DAD) is a relatively nonspecific pattern of acute lung injury that can be observed in a wide range of clinical circumstances. DAD has often been recognized in association with various connective tissue diseases; however, to our knowledge, it has not been previously reported in the setting of progressive systemic sclerosis. ⋯ Open-lung biopsy specimens from both patients showed a histologic pattern of DAD with no identifiable cause other than their progressive systemic sclerosis. Our results suggest that DAD should be added to the list of pleuropulmonary complications of progressive systemic sclerosis.