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Although additional suction or irrigation was to be carried out in case of intractable abdominal distention, none of those measures were needed during ITT management in any patient.
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Decompressive craniectomy may be a useful salvage procedure in cases of intractable high ICP.
The subject may be advised to look between the pair of images in cases of intractable diplopia.
These authors suggest that in cases of intractable obstetric bleeding, where there is no other obvious case for hysterectomy, rFVIIa should be considered before resort to radical surgery.
The inclusion of a 'suicide gene' allows the engrafted cells to be selectively targeted and deleted in the host in cases of intractable GvHD.
In cases of intractable epistaxis, the decision to choose surgery or embolization is challenging because both modalities have similar high success rates.
In cases of intractable pain, shoulder arthrodesis might be regarded as the sole choice to alleviate the patient with some functional expectation [ 27].
However, at any time in both groups, additional procoagulant treatments or invasive procedures could be used in cases of intractable bleeding (PPH >2,500 mL or blood flow >500 minutesinutes).
Recombinant activated factor VII (NovoSeven®; Novo Nordisk, Denmark) has recently been used to reduce bleeding complications and to control bleeding in hemophilic patients [ 2], and also in cases of intractable postsurgical intra-abdominal hemorrhage and traumatic bleeding.
In the case of intractable low back pain and/or radiating leg pain, caused by narrowing of the neural foramina, surgical decompression and fixation may be indicated.
While he seems to agree that it would be acceptable in cases of severe, intractable physical pain, he suggests that it is not legitimate if motivated by emotional pain or depression.
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