The incidence of nephrocalcinosis in very low birthweight (less than 1500 g) premature infants was assessed by ultrasound scan and analysis of urine. Three of 36 infants had nephrocalcinosis. All had been receiving long term frusemide for bronchopulmonary dysplasia with simultaneous fluid restriction. Urinary investigations showed no consistent findings in babies with nephrocalcinosis.

BACKGROUND & AIMS A fast-track program is a multimodal approach for patients undergoing colonic surgery that combines stringent regimens of perioperative care (fluid restriction, optimized analgesia, forced mobilization, and early oral feeding) to reduce perioperative morbidity, hospital stay, and cost. We investigated the impact of a fast-track protocol on postoperative morbidity in patients a...

introduction: social inequality may have a significant negative effect on health. there are some evidences that social inequality and stressful conditions could lead to development and progression of various disorders. on the other hand, the results of some research studies have shown that reducing the consumed calorie could prolong the lifetime. in addition, limiting the consumed calorie could...

Oral food and fluid restriction and parenteral fluid substitution are unanimously accepted in the therapy of acute pancreatitis. Most other measures are controversial. The pros and contras of the modern therapeutical recommendations are discussed: gastric tube, antacids, atropine, cimetidine, glucagon, calcitonin, somatostatin, antienzymtherapy with aprotinin, and phospholipase A inhibition, th...

Communications to the Editor infusion of fluid, in our experience, even 5 to 10 mg/kg cannot always be administered due to the development ofhypotension and cardiovascular depression during the infusion. This could be explained by the fact that the typical neurosurgical patient requiring pentobarbital coma is significantly dehydrated by fluid restriction, mannitol administration, and diuretic t...

Evidence for optimal perioperative care in colorectal surgery is abundant. By avoiding fasting, intravenous fluid overload, and activation of the neuroendocrine stress response, postoperative catabolism is reduced and recovery enhanced. The specific measures that can be used routinely include no bowel preparation, epidural anaesthesia/analgesia continued for one to two days postoperatively, no ...

Cerebral salt wasting syndrome (CSW-cerebral salt wasting) was first described in 1950 by Peters. This syndrome can occur in patients who have sustained damage to the central nervous system (e.g. patients with subarachnoid bleeding, bacterial meningitis or after neurosurgery). Patients present with excessive natriuresis and hyponatremic dehydration. Differentiating this syndrome with the syndro...