Revista de medicina de la Universidad de Navarra
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Rev Med Univ Navarra · Oct 1992
[Cardiorespiratory arrest as a reason for admission to the ICU: clinical course and prognostic factors].
The cardiac arrest is a situation associated with a abrupt and unexpected interruption of the spontaneous breath and circulation. It's a frequent cause to admit people in hospital. There the patients are admitted to the intensive care unit in order to care for them after cardiac arrest. ⋯ We encountered a higher mortality the longer the time of arrest, the higher the score on the Apache scale, on the lower the score on the Glasgow coma scale. Another point is if we aren't sure about the cause of the cardiac arrest or it's cerebrovascular accidents or upper airway failure, the prognostic is worse. Finally, if the ECG at the moment of the admission is asystole the death rate is 100%.
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Rev Med Univ Navarra · Jan 1990
Review[Infectious complications in the orthoptic liver transplant].
Orthotopic liver transplantation is a therapeutic option for selected patients with end-stage liver disease. Among the complications of orthotopic liver transplantation infectious problems are a major cause of mortality. In this report the different types of infection following orthotopic liver transplantation are reviewed. In addition, currently available data regarding to transmission of infectious agents from organ donor to transplant recipient are reported.
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Rev Med Univ Navarra · Jan 1988
Comparative Study[A bupivacaine-morphine combination by intrathecal route: correlation between pain relief and postoperative neuroendocrine response].
The purpose of the present study was to assess the repercussion of morphine injected in the intrathecal space on postoperative neuroendocrine response and the correlation with pain relief in the postop period. We studied 50 healthy patients (ASA I-II) submitted to orthopaedic surgery under general anaesthesia (N = 25) or spinal anaesthesia (N = 25). In the group under general anaesthesia we observed a hypersecretion of ADH, ACTH, cortisol and aldosterone during and after surgery. ⋯ Intraoperative and postoperative bleeding with spinal anaesthesia was significantly lower (p less than 0.01; p less than 0.05 respectively) than with general anaesthesia. Postoperative analgesia was excellent in group with spinal anaesthesia; the average duration of analgesia was 16.3 hours. We conclude that small intrathecal doses of morphine have beneficial effects and may be used usefulness in orthopaedic surgery.
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Rev Med Univ Navarra · Dec 1983
Case Reports[A case of idiopathic retropneumoperitoneum, pneumoperitoneum, pneumomediastinum and subcutaneous emphysema].
We present a case of retropneumoperitoneum , pneumoperitoneum , pneumomediastinum and subcutaneous emphysema in a caquectic 17 years old young man with an important depressive disorder. Several possible etiopathogenic factors are discussed, as well as the pathways of transmission of the pulmonary , mediastinic and abdominal gas.