Folia medica
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Recent development of sophisticated intensive care technique for use in newborn infants with the respiratory distress syndrome (RDS) has resulted in changes in the therapeutic strategies and moved the problem of neonatal survival into the realm of new therapeutic realities. At present, the mechanical ventilation methods form an integral part of the intensive care strategy of infants with RDS. They have come to the forefront of infant care because of their successful use in ventilatory support and children survival where other therapeutic modalities have failed. ⋯ The combination of three indexes (OI, (a/A)PO2 and (A-a)DO2 we propose is a useful discriminating predictor of neonatal lung maturity reflecting arterial blood gas status in ventilator-dependent neonates with RDS. 2. The indices detect the efficacy of the modern conventional ventilatory support with real-time convenience and reliable accuracy forming the cornerstone of clinical decision-making in RDS neonatal intensive care and allowing timely corrections of the ventilatory equipment parameters. 3. The prospective follow-up of these indices improves the predictive value as compared to any single test of neonatal lung maturity and has important prognostic implications in the management of neonates with RDS.
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This study analyzed a series of 35 patients with unstable fractures, with and without neurologic deficit including complete paraplegia. The patients underwent spinal stabilisation using plates and screws after sustaining fracture dislocations. ⋯ Complete recovery of the neurologic deficit was achieved in five out of 13 patients with neurologic deficit two of whom were paraplegic. Use of stabilization operation accompanied by dorsal vertebrodesis and post-operative immobilisation provides a reliable posterior bone block with a restored spinal canal.