The risk of developing post-operative urinary retention is approximately 5% in the present general surgical population studied, and co-existing diabetes mellitus and administration of atropine intraoperatively are pre-disposing factors.
It is unclear which anaesthetic technique is superior - TIVA or inhalational - for transabdominal robotic assisted surgery in urology, gynaecology and gastroenterology, as existing evidence is scarce, is of low quality and has been generated from exclusively male patients undergoing robotic radical prostatectomy.An ongoing trial, which includes participants of both genders with a focus on quality of recovery, might have an impact on future evidence related to this topic.
Four cases of lemierre's disease, or post-anginal (anaerobic) sepsis, are presented. All of the patients had polymicrobial infections. Two of the patients had serologically confirmed infectious mononucleosis. All patients required intubation and mechanical ventilation due to severe respiratory insufficiency. Two patients died after the development of severe septic shock with multiple organ dysfunction. The pathogenesis and clinical manifestations as well as the management of post-anginal sepsis are discussed.
We evaluated the effect of non-invasive nocturnal ventilation with the bi-level positive airway pressure (BiPAP) ventilator in 12 overweight patients with verified obstructive sleep apnoea syndrome (OSAS) and nocturnal hypercapnia. All patients exhibited subsequently less overnight CO2 accumulation (p < 0.0001), the desaturation event frequency was reduced (p < 0.002), daytime O2 tension rose (p < 0.001), daytime CO2 tension was reduced (p < 0.01), and apnoeas were eliminated. All symptoms characterising the syndrome, when present at the beginning of the therapy, were eliminated during the treatment. Patient compliance was high. This study showed that OSAS patients with hypercapnia can be effectively treated by BiPAP ventilation during sleep.
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