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Neurogenic Thoracic Outlet Syndrome Associated with Cervical Rib

Millan, G; Casal, D; Sagaribay, A; Marques, V; Estrela Martins, J
Fonte: Sociedade Portuguesa de Reumatologia Publicador: Sociedade Portuguesa de Reumatologia
Tipo: Artigo de Revista Científica
Publicado em //2013 ENG
Relevância na Pesquisa
27.03%
A true neurogenic thoracic outlet syndrome (TOS) associated with a cervical rib is considered extremely rare. The authors present their experience with 5 cases of true neurogenic TOS associated with a cervical rib. All patients were female and had a cervical rib confirmed radiographically pre-operatively. Average age was 34,8 years. Although all patients had been treated with several combinations of diverse drugs and a rehabilitation program before referral to surgery, all described their pain as intense and debilitating before surgical treatment. All patients had pre-operative electromyographic abnormalities. Patients were operated on via a supraclavicular approach and the cervical rib was resected. No intra-operative or postoperative complications were noted. Two years postoperatively, all patients mentioned improvement. However, only 2 were symptomless, and on no medication. In one patient there was significant improvement, and in the remaining 2 patients some residual pain persisted that had to be dealt with pharmacologically. All patients were able to resume their daily life activities. Recovery was poorer in the 2 patients that had been referred to surgery after a longer period of time since the beginning of symptoms.

Neurogenic Thoracic Outlet Syndrome Associated with Cervical Rib

Millan, G; Casal, D; Sagaribay, A; Marques, V; Estrela Martins, J
Fonte: Sociedade Portuguesa de Reumatologia Publicador: Sociedade Portuguesa de Reumatologia
Tipo: Artigo de Revista Científica
Publicado em //2013 ENG
Relevância na Pesquisa
27.03%
A true neurogenic thoracic outlet syndrome (TOS) associated with a cervical rib is considered extremely rare. The authors present their experience with 5 cases of true neurogenic TOS associated with a cervical rib. All patients were female and had a cervical rib confirmed radiographically pre-operatively. Average age was 34,8 years. Although all patients had been treated with several combinations of diverse drugs and a rehabilitation program before referral to surgery, all described their pain as intense and debilitating before surgical treatment. All patients had pre-operative electromyographic abnormalities. Patients were operated on via a supraclavicular approach and the cervical rib was resected. No intra-operative or postoperative complications were noted. Two years postoperatively, all patients mentioned improvement. However, only 2 were symptomless, and on no medication. In one patient there was significant improvement, and in the remaining 2 patients some residual pain persisted that had to be dealt with pharmacologically. All patients were able to resume their daily life activities. Recovery was poorer in the 2 patients that had been referred to surgery after a longer period of time since the beginning of symptoms.

Armazenamento de Medicamentos num Serviço Clínico. Normas e Sinalética de Segurança

Silva, S; Terra, M; Correia, AL
Fonte: Unidade Vértebro-Medular/Unidade de Fracturas e Serviços Farmacêuticos do Hospital de S. José, Centro Hospitalar de Lisboa Central, EPE Publicador: Unidade Vértebro-Medular/Unidade de Fracturas e Serviços Farmacêuticos do Hospital de S. José, Centro Hospitalar de Lisboa Central, EPE
Tipo: Outros
Publicado em //2015 POR
Relevância na Pesquisa
26.88%
1º Prémio no Encontro Histórias da Segurança do Doente; INTRODUÇÃO Os erros de medicação e as suas consequências negativas constituem actualmente um grave problema de saúde pública. As consequências clínicas em meio hospitalar são mais graves em relação às que ocorrem em ambulatório devido à complexidade e à agressividade das terapêuticas instituídas. Estratégias de prevenção do erro demonstraram melhorar a segurança na preparação da medicação, nomeadamente a utilização de sinalética nos locais de armazenamento dos medicamentos nos serviços clínicos. OBJETIVOS Descrever as etapas da aplicação das normas de segurança e de sinalética no armazenamento de medicamentos num serviço clínico. Analisar as normas do Centro Hospitalar Lisboa Central (CHLC) relacionadas com a segurança no armazenamento de medicamentos relativamente às recomendações nacionais e internacionais. DESENVOLVIMENTO O processo iniciou-se pela verificação do cumprimento dos procedimentos internos multissectoriais relacionados com a segurança dos medicamentos. Foram identificados todos medicamentos LASA (“Look Alike, Sound Alike”) existentes no serviço de acordo com a lista de medicamentos confundíveis anexa ao procedimento SDO.118 – Gestão do risco na utilização de medicação LASA. Os locais de armazenamento dos medicamentos “Sound Alike” foram rotulados utilizando a metodologia “tall man”. Quanto aos medicamentos “Look Alike”...