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Medical Journal
No. 3-4 2011
Replacement of the Ascending Aorta and the Aortic Arch for Acute Type A Aortic Dissection
A 53-year old female patient was admitted in our Service for acute type A aortic dissection (confirmed on a CT scan made at a local hospital). The cardiac echography confirm the diagnostic and showed cardiac effusion with tamponade and severe aortic regurgitation.

The patient underwent emergency surgery: replacement of the aortic valve, replacement of the ascending aorta and of the 2/3 of the aortic arch, associated with reconnection of the coronary arteries, the brachiocephalic trunk and the left common carotid artery to the aortic graft using also prosthetic grafts (For the replacement of the ascending aorta we performed Bentall procedure associated with Mills technique).

Trends in Bacterial Pathogens of Lower Respiratory Tract Infections in Children
Objectives: The objectives of this study were to identify bacterial pathogens of LRTIs in children and to study their antibiotic susceptibility.

Material and methods: We reviewed the medical charts and microbiological reports of children (0-18 years) with LRTIs admitted to Louis Turcanu Children Emergency Hospital Timişoara from December 2007 to March 2009. Bacterial pathogens were isolated from sputum, tracheal or bronchial aspirates and pleural effusion, and their susceptibility was tested using standard bacteriological techniques.

One hundred twenty bacterial strains were isolated from 69 children (43 males and 26 females). There were 22 (31.88%) newborns, 18 (26.08%) toddlers, and the rest children and adolescents. [...]

The Role of Multimodal Analgesia in Patients With Tubal Pathology Treated by Laparoscopic Surgery
Objective: The aim of the study is to highlight the benefits of multimodal analgesia in the treatment of postoperative pain in patients with tubal pathology operated by laparoscopic surgery compared to classical postoperative pain management.

Material and method: This study is a prospective one and included a number of 44 patients operated by laparoscopic surgery for tubal pathology. The patients were randomly divided into two groups: the study group (22 patients) received pre- and intraoperative multimodal analgesia, which included a COX-2 inhibitor (parecoxib) i.v. before induction of anesthesia, levobupivacaine infiltration before skin incision and intraperitoneal administration of levobupivacaine at the beginning and at the end of the procedure [...]

"Victor Babes" Publishing House "Victor Babes" University of Medicine and Pharmacy Romanian Academy of Medical Sciences National Council of Scientific Research in Higher Education (B+) Index Copernicus
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