The present study establishes normative values for an infection surveillance following transsphenoidal pituitary surgery. CRP, a convenient and reasonable priced parameter, is affected by the procedure for the first postoperative week. IL-6 is more robust and allows a close monitoring on the expense of additional pricing. ESR, WBC and LBP are sustained affected by surgery, and do not offer any advantage. Since no infections were observed, we were unable to calculate the respective sensitivity and specificity.
A 16-month-old boy suffers a massive trauma (open dislocated pelvic fracture and decollement with haemorrhagic shock) due to a traffic accident. We present the characteristics and obstacles in the prehospital and early hospital emergency care of this severe and rare trauma in a pediatric patient with an emphasis on medical-operational tactics.
Die Gabe von Adrenalin wird seit 1974 in den Reanimationsleitlinien empfohlen. Der Zeitpunkt der Adrenalingabe ist dabei in amerikanischen (AHA ? American Heart Association) und europ?ischen (ERC ? European Resuscitation Council) Leitlinien unterschiedlich, wobei sich diese Empfehlung ? aufgrund fehlender wissenschaftlicher Evidenz ? vor allem auf Expertenkonsens st?tzt.
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