Carcinoma of the oesophagus and obstructive airway disease.
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Biomedical subjects
Publications and source records attributed to R D Cane.
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In this report a 7-week-old infant with stage 1 rickets, profound hypocalcaemia and recurrent apnoea is described. The patient responded initially to calcium supplementation, and subsequently to therapy with vitamin D.
Seventy-four patients were admitted after cardiac resuscitation to a general intensive care unit; 19, of whom 14 were neurologically normal, were utimately discharged from hospital. It is suggested that elderly patients, those who have had prolonged resuscitation, and patients with a combination of hypothermia, coma, dilated pupils, and apnoea have a very poor prognosis. It is doubtful whether such patients benefit from admission to an intensive care unit.
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A case of repeat mitral valve replacement during the same pregnancy is reported. Pre and post-operative care of the patient and her pregnancy are discussed. The hazards of anticoagulation during pregnancy are reviewed.
The management of 50 children with acute laryngotracheobronchitis (LTB) in a general I.C.U. in a developing country is presented. The overall mortality was 16%, with no patient demising from LTB. It is stressed that LTB in developing countries is a very different disorder to that seen in Western societies, due to complicating factors such as bronchopneumonia, malnutrition and measles. Guidelines for therapy are proposed.
Drug utilization in 200 general ICU patients was retrospectively studied. One hundred and two different drugs were prescribed with a mean of 7.0 +/- 4.6 drugs/patient. The potential for polypharmacy and drug interactions is discussed, as is the cost of such therapy.
The clinical features and treatment of 34 patients with myocardial contusion is presented. The value of specific clinical features for diagnosis is discussed. Guidlines for therapy are presented.
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The stresses associated with nursing in an intensive care unit were assessed. A comparison was drawn between a group of Black and a group of White nurses. Proposals aimed at reducing the observed stress patterns are suggested.
The occurrence of symmetrical gangrene of all 4 extremities after the use of dopamine, subsequent to the administration of egometrine, is described. It is suggested that the concomitant use of these 2 agents should be avoided.
The nutritional status of 11 patients with severe mitral valve disease was investigated pre-operatively and 3 months post-operatively. It was shown that they were malnourished pre-operatively, and that this appeared to be related mainly to anorexia.
A patient with gross pulmonary oedema secondary to inhalation of paint fumes is described. Treatment with mechanical ventilation and positive end expiratory pressure was required.
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