RESUMO
A new intravenous safflower oil emulsion (Liposyn, Abbott) was administered to 23 patients receiving total parenteral nutrition. In a prospective clinical trial, 500 ml of the 10% emulsion was administered each day for a minimum of 10 days. Plasma fatty acid estimations showed a rise in linoleic acid in 22 patients, and a fall in triene/tetraene ratio ( a guide to the presence of essential fatty acid deficiency), in 17 patients within four days of commencement of the infusion. Administration of Liposyn prevented the development of biochemical evidence of essential fatty acid deficiency. There were no clinical side effects attributable to the emulsion. Elevation of serum triglyceride and liver enzyme concentrations occurred in some patients.
Assuntos
Emulsões Gordurosas Intravenosas , Óleos/uso terapêutico , Nutrição Parenteral Total , Nutrição Parenteral , Óleo de Cártamo/uso terapêutico , Adulto , Idoso , Pressão Sanguínea , Temperatura Corporal , Ácidos Graxos/sangue , Ácidos Graxos não Esterificados/sangue , Feminino , Humanos , Ácidos Linoleicos/sangue , Lipídeos/sangue , Masculino , Pessoa de Meia-Idade , Pulso ArterialRESUMO
A venomous King Island tiger snake (Notechis ater humphreysi)bit a herpetologist on the hand on the forty-eight floor of a Sydney city building. Prompt first-aid treatment, comprising the application of a wide constrictive bandage the length of the limb, combined with immobilisation, delayed central movement of the venom until resuscitative care and antivenom were available. The patient had received tiger-snake antivenom 16 years previously, and also suffered from atopic eczema. Administration of 6000 units of tiger-snake antivenom after parenteral administration of an antihistamine was uneventful. A transient rash on the second day and a mild urticarial rash on the twelfth day after envenomation may have been either serum reactions or allergic response to other medication.
Assuntos
Antivenenos/uso terapêutico , Primeiros Socorros , Doenças Profissionais/terapia , Mordeduras de Serpentes/terapia , Adulto , Austrália , Bandagens , Humanos , Imobilização , Masculino , Pressão , Venenos de SerpentesRESUMO
A case of acute traumatic tetraplegia during pregnancy resulting in maternal death is presented, and problems of management are discussed. Difficulties experienced by the mother were intractable urinary tract infection and respiratory insufficiency; those in the neonate were prematurity and the effects of drugs administered to the mother.
