Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Nov 2005
Comparative Study[Postoperative cardiovascular complications].
It has been estimated that up to 25% of non-cardiac surgical procedures carry a significant risk of perioperative cardiovascular morbidity and mortality. A thorough preoperative evaluation with subsequent relevant diagnostic or therapeutic action can reduce the risk of postoperative complications in high-risk patients. The purpose of the present study was to compare clinical practice in a medium-sized Norwegian hospital with international recommendations regarding perioperative evaluation and care. ⋯ The registration indicates that there is a potential for improving clinical practice in order to reduce the number of postoperative complications.
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Tidsskr. Nor. Laegeforen. · Nov 2005
Comparative Study[Carotid endarterectomy in patients with coronary heart disease].
Patients with coexistent coronary and carotid artery disease are at high risk of developing stroke following coronary artery bypass grafting (CABG) and at the same time at increased risk of myocardial infarction when subjected to carotid endarterectomy (CEA). In patients with pronounced symptoms from both vascular territories, some institutions advocate a combined approach, with both CABG and CEA performed during the same period of anaesthesia. ⋯ Patients with coexistent atherosclerosis of the coronary and carotid arteries who underwent the combined procedure seem to have the same perioperative risk as patients with coronary artery disease who underwent isolated CEA, in spite of the fact that the former had a more generalised atherosclerotic disease.
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Tidsskr. Nor. Laegeforen. · Nov 2005
Case Reports[Fluid management and the risk of cerebral oedema in children with diabetic ketoacidosis].
Cerebral oedema is a rare but life-threatening complication of diabetic ketoacidosis in children. ⋯ Intracellular swelling of the brain seems to be caused by water moving along osmotic gradients. In diabetic ketoacidosis, sodium and glucose are the dominant osmotic forces. It is important to understand the relation between serum osmolarity, sodium and glucose, as appropriate fluid treatment might prevent this potentially fatal complication.