Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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In recent years there has been a growing awareness of possible hazards caused by anaesthetic gases in operating theatres. Our study monitored ambient nitrous oxide (N2O) levels in the operating theatres and recovery rooms at the University Hospital in Tromsø. The results show that exposure to waste anaesthetic gases occurs because of leaks in the anaesthetic equipment. ⋯ During mask anaesthesia we have observed nitrous oxide concentrations above 1500 ppm, owing to mask leakage. A closely fitting scavenging mask and good working practices lead to in lower nitrous oxide concentrations. Nitrous oxide exhalation from the patient in the recovery room is only a minor problem.
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Lumbar myelography is still frequently used in cases of suspected lumbar radiculopathy. Since 1984, iohexol has been the contrast medium of choice in myelography, and so far only a few cases of chemical meningitis have been reported. ⋯ We describe two patients who developed meningitis following myelography with iohexol. In one of the patients, the cerebrospinal fluid culture was positive with subsequent identification of Flavobacterium meningosepticum, a species not previously reported as an infectious agent in meningitis after myelography.
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Tidsskr. Nor. Laegeforen. · Jun 1995
Case Reports[Light stylet--an alternative when intubation is difficult].
Using a light stylet, it is possible to perform oro- and nasotracheal intubation without the need of visualizing the larynx or extending the patient's neck. This makes the light stylet a valuable alternative when conventional intubation with a laryngoscope is difficult or impossible. ⋯ We describe successful intubation with the light stylet in four patients. Two had unstable neck fractures, one had previously been difficult to intubate, and one had trismus.
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Acute compartment syndrome is a serious complication to tibial fractures. The reported incidence is 1-10%. ⋯ Decompressive fasciotomy was performed if the pressure exceeded 30 mm Hg for more than 30 minutes. Follow-up showed no patients with clinical sequelae from a compartment syndrome, but the incidence of fasciotomy was as high as 18%.