Medicinski pregled
-
Review
[Takotsubo cardiomyopathy: report of the first case series in Serbia and review of the literature].
Takotsubo cardiomyopathy is a relatively novel cardiac syndrome that is characterized by transient left ventricular asynergy involving apical and mid-ventricular segments. ⋯ Complete recovery usually occurs after dramatic presentation, frequently complicated with acute heart failure. Therapy is empiric and directed towards supportive measures against cardiogenic shock, acute heart failure, dysrhythmias. In-hospital mortality rate is less than 1%, but long-term prognosis is still unknown. In addition to the review of the literature on takotsubo cardiomyopathy, we present the first series of patients with this syndrome detected in Clinical Hospital Center Zemun.
-
Thin rubber gloves were used for the first time in the history of medicine at the end of 1889. On the occasion of the 120th anniversary of that event at the end of 2009, the great importance of that discovery for the development of surgery in general should be emphasized once again. The surgical gloves were invented and introduced by a famous American surgeon Dr. William Halsted from Johs Hopkins Hospital in Baltimore (USA). DR. WILLIAM HALSTED AND MISS CAROLINE HAMPTON: This significant innovation actually occured thanks to the romance between Dr. W. Halsted and his scrub nurse Miss Caroline Hampton, later his wife, Mrs C. Halsted. According to the antiseptic practice of that hospital the hands of the operating personnel had to be desinfected in mercuric chloride which damaged the skin of nurse Caroline who developed a bad case of dermatitis, and because of that she considered abandoning the hospital. This prompted Dr. Halsted to contract Goodyear Rubber Company to produce thin rubber gloves to protect Caroline's hands and to keep her in his vicinity. They proved to be very satisfactory and soon Dr. Halsted's assistants too began to wear sterilized rubber gloves routinely. ⋯ Although it was not until later that the importance of rubber gloves in preventing infection was realized these "gloves of love" soon entered into general surgical practice and proved to be of the greatest importance for the development of asepsis and aseptic surgical work.
-
Most of the history of appendicitis and appendectomy has been made during the past two centuries. Jacopo Berengario da Carpi gave the first description of this structure in 1522. Gabriele Fallopio, in 1561, appears to have been the first writer to compare the appendix to a worm. ⋯ Charles McBurney proposed his original muscle splitting operation in 1893 and this was modified by Robert Fulton Weir in 1900. Today we have a multiplicity of signs and symptoms, helping to diagnose appendicitis, and there are a lot of techniques for operation with little essential difference throughout. Kurt Semm performed the first laparoscopic appendectomy in 1981 which became a new gold standard in surgical treatment of acute and chronic appendicitis.
-
Randomized Controlled Trial
[Endotracheal intubation without the use of muscle relaxants in patients with myasthenia gravis].
Although muscle relaxants have been widely used to facilitate endotracheal intubation, the administration of these drugs in myasthenic patients may be associated with adverse events. ⋯ Both propofol and sevoflurane, supplemented with fentanyl, provide good intubating conditions without the use of muscle relaxants in patients with myasthenia gravis.
-
Arachnoid cysts are congenital fluid-filled compartments within the cerebrospinal fluid cisterns and major cerebral fissure, between two layers of the arachnoid membrane. They can develop anywhere within the subarachnoid space, most frequently located within the Sylvian fissure in the middle fossa. In young patients with the arachnoid cyst and history of head trauma chronic subdural hematoma is present up to 4.6%. ⋯ We conclude that a chronic subdural hematoma and reccurrent chronic subdural hematoma in patients with the arachnoid cyst in the fossa media should be drained by applying the method of burr-hole trepanation. In the patient with no subjective complaints and neurological disorders, the operative treatment of the arachnoid cyst is not considered necessary.