Ugeskrift for laeger
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Ugeskrift for laeger · Jan 2012
Case Reports[Capnocytophaga canimorsus meningitis diagnosed by means of a 16S rRNA analysis].
Capnocytophaga canimorsus is a gram-negative bacterial species hosted in the oral cavity of dogs. C. canimorsus can cause sepsis, meningitis and endocarditis. ⋯ Patients with a history of alcoholism, splenectomy or immunodeficiency are at an increased risk of contracting serious infections with C. canimorsus following dog bites. We report a case story of C. canimorsus meningitis contracted after a dog bite.
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Ugeskrift for laeger · Jan 2012
Review[Development and treatment of delirium in critically ill children].
Delirium is a common and often under-recognised neuropsychiatric disorder in paediatric critical care, secondary to a general medical condition. Paediatric delirium (PD) is associated with high morbidity and mortality and prolonged stay at the intensive care unit. ⋯ The literature about PD is sparse. In order to make recommendations about PD based on evidence more clinical studies are urgently needed.
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Ugeskrift for laeger · Jan 2012
[Optical and video-assisted laryngoscopy in difficult paediatric airways].
Despite ongoing technological advances, direct laryngoscopy still remains the golden standard for endotracheal intubation in children and infants. However, in some infants it is almost impossible to obtain a view of glottis and the vocal cords. In this paper we present an overview of the recent advances in optical and video-assisted laryngoscopy in difficult paediatric airways.
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Ugeskrift for laeger · Jan 2012
[Blood test results are available sooner if Point of Care testing is established in an emergency room].
To determine patient priority and degree of urgency with an objective high-quality evaluation, general Point of Care testing (POCT) was established as a novel facility in the emergency department at Holbæk Hospital, a laboratory that provides faster results for common lab tests. When evaluating response time from arrival of the patient to the time at which the test results are available, POCT is not a significantly better test method than ordinary test methods. This indicates that in order to benefit from POCT the time before taking blood samples should be reduced to a minimum. Overcrowding needs to be controlled in order to accomplish this.
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Ugeskrift for laeger · Jan 2012
[Tranexamic acid reduces blood loss after major elective orthopaedic operations].
Anaemia in surgical patients has been proven to increase morbidity and mortality. Due to the risk of adverse effects and the cost of blood transfusions it is important to reduce the need for transfusions by pre- and intra-operative interventions. ⋯ Several studies within the orthopaedic fields have underlined the effect of the drug in reducing blood loss and need for transfusions. However, more studies are needed to examine the optimal dosage and administration along with the risks associated with the drug.