Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Apr 2010
Editorial Historical Article[What happened with anesthesiologists?].
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Regional anaesthesia (epidural or spinal anaesthesia) is increasingly used for elective and emergency caesarean sections and is considered to be safer for the mother than general anaesthesia. We present some factors that are important to consider when choosing the anaesthetic method for caesarean section. ⋯ There are few adverse effects of regional anaesthesia in caesarean section except for hypotension that can be easily treated.
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Tidsskr. Nor. Laegeforen. · Apr 2010
Review[Treatment of acute pain during drug-assisted rehabilitation].
Patients on drug-assisted rehabilitation have the same right to pain relief as others. Techniques that reduce the need for opioids should be used when possible in opioid-dependent individuals who need treatment of acute and post-operative pain. ⋯ Higher doses of opioids than those needed in other patients may be required for analgesia. Well-designed clinical studies are lacking in this field.
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Health care workers are at risk for transmission of blood-borne agents through percutaneous exposure. Reporting of sharps injuries is essential for instigation of adequate post-exposure prophylaxis and follow-up. We aimed at providing an account of number of sharps injuries reported by type of health care worker and the reporting systems used for injuries that have an inherent risk of transmitting blood-borne agents. ⋯ Sharps injuries are often not reported, and especially doctors fail to report them. Of health care workers, nurses report most sharps injuries. Related to numbers employed, laboratory workers report most sharps injuries.