C Savelkoul

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Post-splenectomy sepsis is a serious condition with high mortality rates. We present a case of a 64-year-old patient with a medical history of splenectomy who was referred to the Emergency Department with a fever, shivers, and an altered mental state. The symptoms had started twelve hours before. Upon arrival in the hospital the patient was tachypnoeic,(More)
A 51-year-old diabetic patient was intubated and supported by mechanical ventilation because of severe pancreatitis with ARDS. The total ICU length of stay was 91 days. He was ventilated in the prone position with an ETT for 6 days and for another 16 days in the supine position after which a tracheostomy was performed. One year after ICU discharge, he still(More)
BACKGROUND Legionella species cause 5% of all community acquired pneumonias. However, Legionella pneumonia results relatively often in admission to the intensive care unit (ICU). A significant complication is the development of acute respiratory distress syndrome (ARDS). The ICU mortality rate for Legionella pneumonia is > 30% with conventional treatments.(More)
To cite: Veltcamp Helbach M, Savelkoul C, Festen-Spanjer B, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016216738 DESCRIPTION An 83-year-old woman with Crohn’s disease presented at the emergency department with severe abdominal pain. Diagnostic colonoscopy confirmed sigmoid stenosis and pneumodilatation was(More)
- 5-10% of all oncological patients will be admitted to ICU at some point.- Medical oncological patients are usually admitted due to respiratory insufficiency or sepsis.- Mortality among medical-oncological ICU patients has decreased to an average of 40%, with a wide spread per tumour type.- The main prognostic factors for ICU survival are: clinical(More)
End-of-life decision-making in the Intensive Care Unit is a common and complex process. The step-by-step process of decision-making leading to withdrawal of life-sustaining treatment is illustrated in this paper by a clinical case. A variety of factors influences the decision to adjust the initial curative treatment policy towards withdrawal of(More)
A 39-year-old pregnant woman (G3P2, gestational age 28 weeks) visited her general practitioner with a three-day history of fever, malaise and flu-like symptoms. A common flu was suspected and a re-evaluation was planned for the next day. The next day the symptoms were rapidly progressive and she was seen by her obstetrician. Physical examination at that(More)
Suffering and death are an inevitable part of life. In our increasingly multicultural society, healthcare professionals are frequently confronted with ideas on suffering and death that are different from their own. As Muslims are the largest migrant group in the Netherlands, this article focuses specifically on their perspective, illustrated by a clinical(More)
Acute intensive care (IC) triage involves a challenging decision-making process. Physicians are required to make life or death decisions about an unfamiliar patient within a short time frame. An 84-year-old female was admitted to the stroke unit following an extensive cerebral infarction. The intensive care unit (ICU) physician was consulted because of a(More)
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