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Signa Vitae

Journal of Intensive Care and Emergency Medicine

Category: Volume 2 Number 2 (Page 2 of 2)

Early morning upper airway discomfort and appearance on two X ray films


We reported a case of reversible but severe upper airway stenosis. The patient complained of only slight discomfort in her throat after waking: she had a history of allergic reaction to contrast medium. Her X ray films showed severe edema in her pharynx. Epiglottitis was diagnosed and we started treatment. It should not be forgotten, that even mild symptoms, such as discomfort in the throat, could indicate the existence of severe epiglottitis.

Key words: airway discomfort, airway stenosis, edema, epinephrine, ste-roids, epiglottitis


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Recombinant factor Vlla therapy in a patient on long term anticoagulant treatment with a bleeding and acute subdural hematoma


In this paper we report on the successful correction of a coagulopathy with activated recombinant factor seven (rFVIIa) therapy which enabled surgical removal of a life threatening subdural hematoma. The severe coagulopathy developed due to long term warfarin therapy, which followed heart valvular reconstruction and replacement. The coagulopathy failed to improve following fresh frozen plasma and vitamin K therapy. Activated recombinant factor VII therapy became the treatment of choice, which enabled the life saving surgical removal of the subdural hematoma.

Key words: activated recombinant factor seven, subdural hematoma, anticoagulant therapy, neurosurgery.


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