[Acute pulmonary edema during general anesthesia in a young woman treated with epirubicin]. / Akut lungeødem under generel anaestesi hos en epirubicinbehandlet ung kvinde.

The use of the anthracycline doxorubicin is restricted by its cardiac toxicity. Another anthracycline, epirubicin, is probably less cardiotoxic. A case is reported, where a 30 year-old woman with breast cancer, treated with epirubicin, developed pulmonary oedema during surgery and anaesthesia. The patient had no previous cardio-pulmonary disorders, and had only received 10% of the usual maximum dose of epirubicin. The different clinical presentations of anthracycline-induced cardiac toxicity are described.

[Hydrogen sulfide poisoning in a farmer]. / Svovlbrinteforgiftning hos en landmand.

A case of hydrogen sulfide intoxication in a farmer is described. He collapsed in a mobile tank, recently used for spreading manure and was comatose on arrival at the hospital. He survived, but still suffers from a toxic/anoxic psychosyndrome. On site measurements showed high concentrations of hydrogen sulfide. The treatment is controversial and is discussed.

[Intra-atrial ECG via a central venous catheter]. / Intra-atrialt ekg via centralt venekateter.

The authors registered measurements of ECG via the saline column in a central venous catheter in a prospective investigation. The P-waves in the atrial ECG from various heights in the atrium and low down in the superior vena cava were compared with lead II in surface ECG and this revealed significantly larger P-waves in the invasive ECG. In patients with tachyarrhythmia, who have or require a central venous catheter, the atrial ECG will thus present an alternative to the oesophageal ECG in the diagnostic elucidation. The method is found to be easy to carry out and it is without risks or discomfort for the patient and it provides good information about atrial activity.