Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
-
Acute liver failure and acute decompensated chronic liver failure are two diseases that demand extensive knowledge of etiology and triggering factors, pathophysiology, diagnosis, prognosis and recommended guidelines for treatment. The article defines the diseases, discusses etiological factors, treatment strategies, indications for referral to the transplantation unit at Rikshospitalet and prognostic factors of importance. ⋯ Patients diagnosed with acute liver failure or acute decompensated chronic liver failure remain a clinical challenge. Optimal treatment requires extensive knowledge of pathophysiological mechanisms and treatment strategies.
-
Catheterization of umbilical veins and arteries is a common intervention in newborns. Malpositioning of catheters is associated with complications. The objective of this study was to evaluate catheter positions after insertion. ⋯ Umbilical vessel catheters are often malpositioned. This increases the risk of thromboses and circulation disturbances. X-ray images are important for evaluation and potential correction of the catheter position.