Wiener klinische Wochenschrift
-
Wien. Klin. Wochenschr. · Jan 2001
Comparative StudyHigh-dose versus low-dose rate brachytherapy in definitive radiotherapy of cervical cancer.
To retrospectively compare the clinical outcome in cervical cancer patients treated by external irradiation and intracavitary high-dose rate (HDR) brachytherapy with iridium 192 versus low-dose rate (LDR) brachytherapy with radium 226 or caesium 139. ⋯ In our preliminary experience, HDR brachytherapy combined with external beam radiation produced similar and even better survival rates compared with the LDR series. HDR brachytherapy combined with external beam radiation is an efficient method for the treatment of cervical cancer and adverse side effects are comparable.
-
Wien. Klin. Wochenschr. · Jan 2001
Randomized Controlled Trial Clinical TrialA prospective randomized trial comparing the cuffed oropharyngeal airway (COPA) with the laryngeal mask for elective minor surgery in female patients.
The cuffed oropharyngeal airway (COPA), a modified Guedel-type airway with a cuff at the distal end, has recently been introduced into anesthetic practice. The aim of this study was to compare the COPA with the well established laryngeal mask airway (LMA). Special consideration was granted to the difficult airway. ⋯ On the whole, high overall success and low complication rates render COPA and LMA equally suitable for routine anesthetic airway management.
-
Wien. Klin. Wochenschr. · Jan 2001
Review Comparative Study[Botulinum toxin treatment of hip adductor spasticity in multiple sclerosis].
Spasticity results in a resistance to passive movement and decrease of passive mobility of the involved joints and is defined as a state of hypertonicity with exaggeration of tendon reflexes mediated by a loss of inhibitory control of upper motor neurons. In patients with severe stages of multiple sclerosis (MS) spasticity of the lower limbs often leeds to a spastic pattern with hip adduction resulting in decreased range-of-motion (ROM), increased pain, spasms, and functional disability (disturbed gait and sitting position) as well as difficulties with perineal hygiene. Local botulinum toxin type A (Btx-A) injections in spastic muscles offer a new treatment approach for managing spasticity and associated problems. ⋯ A maximum dose of 1500 units Dysport (400 units Botox) per treatment session and 250 units Dysport (50 units Botox) per injection site is recommended. See table for dose-range of Dysport, and Botox in the treatment of adult patients with hip-adductor spasticity. For evaluation of treatment effects in hip adductor spasticity clinical examination with specific scales and measurements (see Appendix) at baseline, 4 and 12 weeks following BtxA injection is recommended:--Global rating of severity (0-4; patient's self assessment and physician's rating) --Global rating of response (-4 - +4; patient's self assessment and physician's rating)--Visual Analogue Scale (patient's self assessment of pain)--Active and passive ROM (manual goniometer)--Distance between the medial femur condyles in thigh extension (distance in cm)--Modified Ashworth scale (0-4)--Ten meter walking time (seconds)--Functional Ambulation Categories (0-5)--Score of perineal hygiene (0-5).
-
Wien. Klin. Wochenschr. · Jan 2001
Comparative StudyVideo-assisted thoracic surgery--a new possibility for the management of traumatic hemothorax.
Thoracic trauma usually results in severe injury and is associated with a high rate of mortality, either due to the trauma itself or due to trauma-related causes. Early diagnosis and treatment of chest injuries is a very important determinant of the outcome. Video-assisted thoracic surgery (VATS) is gaining increasing importance as a diagnostic and therapeutic procedure. Especially in cases of traumatic hemothorax, this new method is very advantageous because of its simplicity, safety and efficacy in the acute phase of haemorrhage, after stabilisation of the patient, as well as in the treatment of complications.