Ugeskrift for laeger
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Ugeskrift for laeger · Apr 1994
Review Historical Article[Staphylococcus aureus--33-year epidemiology in Denmark. From hospital epidemics to endogenous infections?].
Data on 591,292 Staphylococcus aureus strains from Danish patients in the period 1960-1992 have shown that penicillin- and streptomycin-resistant strains of the 52,52A,80,81 phagetype complex dominated around 1960 and were replaced by multiresistant strains of the 83A complex during 1965-1975. Since then the majority of the strains have been resistant to penicillin only, firstly due to an increased occurrence of the 94,96 complex followed by strains of type 95 and group II. ⋯ Hospital outbreaks with S. aureus have in recent years only rarely been detected in Denmark and phagetyping results might indicate that today patients are mainly infected by their own strain. In the future, infection control and surveillance of antibiotic resistance and phagetypes should be continued together with new studies on carriage and foreign body infections.
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Ugeskrift for laeger · Mar 1994
Review[Complications of epidural bupivacaine analgesia in vaginal labor].
Epidural analgesia is accepted as a good and effective method of analgesia in labor. The method is, however subject to a variety of complications, the worst being life long sequelae and death. The article presents a survey of the complications of bupivacaine epidural analgesia in labour and state prophylactic measures and treatments. The existing literature on the field is commented and criticized.
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Ugeskrift for laeger · Jan 1994
Review[Opioid analgesics in the treatment of non-malignant chronic pain].
Opioid sensitivity, residual pain, development of tolerance, physical and psychological dependence are described and discussed in relation to long-term opioid therapy. Based on this, guidelines for long-term opioid administration are established for chronic pain conditions of non-cancer origin. The indication must be well-considered--a life-long treatment may be instituted. ⋯ The single dosages should be identical and administered with identical time intervals, which are determined by the duration of action of the drug in use. P.r.n.-administration should not be allowed. Only one physician should be responsible for the treatment and for the prescription of the opioid analgesic drugs.
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Ugeskrift for laeger · Dec 1993
Review[Transesophageal echocardiography for registration of hemodynamics. A new tool in anesthesiology].
During the last ten years, transesophageal echocardiography has become an important tool for cardiac monitoring. In other countries it is widely applied, especially in cardiac surgery, but the areas of application are still expanding. ⋯ However, correct therapeutic decisions depend on profound experience with the equipment and image interpretation. The scope of transoesophageal echocardiography as a new tool in haemodynamic monitoring is described in this paper together with preliminary results.