Red for danger

[cactus1972]

В декабрьском выпуске BMJ попалась такая вот статья

[Ссылки доступны только зарегистрированным пользователям ]

Мне она показалась интересной. А какие мнения по поводу "опасности" рыжеволосых пациентов для хирурга есть у коллег?

[Gallen]

Ещё один повод для шовинизма

[andreymaltsev]

ни один из подобных субъектов ничем примечательным не запомнился. надо будет обратить внимание)). у нас таких немного...

[Valeriy]

Похоже, это продолжение темы об эффективности парашютов?

[michmed]

Легче вызвать ожог йодом.

[Valeriy]

Правда имеется склонность к образованию гипертрофических и келоидных рубцов?

[Dr.IrMa]

Мои 5 копеек. Чисто не EBM. Рыжеволосые девушки в акушерстве склонны к гипотоническим кровотечениям после родов. Эта байка ходит уже много лет.
Всё ж специальность у нас хирургическая немного. )))

Надеюсь, за флуд в меня помидором не кинут коллеги.

[ostanin_senior]

Сообщение от cactus1972

А какие мнения по поводу "опасности" рыжеволосых пациентов для хирурга есть у коллег?

Как хирург, никогда разницы не видел. Анестезиологи наши - да, относятся с опасением к рыжим пациентам. Но тоже не помню каких-либо статистически достоверных проблем.

[Valeriy]

Вот, в комментарии серьезный товарищ всерьез о рубцах:

Fear of red-heads is NOT surgically fatuous!
Peter J Mahaffey, consultant plastic surgeon
Bedford Hospital

Cunningham et al dismiss the possibility that we in the surgical community need fear the red-head, although of course we may all be a bit nervous of their well known emotional potential! However, the authors seem to have completely overlooked the one surgical area where this colour hair certainly SHOULD give cause for pause. For most plastic surgeons, the appearance of a red-head in the consultation room strikes fear into the heart. They have a widely accepted genetic tendency to produce troublesome hypertrophic scar responses and not infrequently keloids as well. This problem has assumed greater significance with Govt encouragement to general practitioners to retain 'minor' surgical procedures within the community. Most plastic surgeons are now seeing increasing numbers of cries for help with keloids resulting from the excision of minor lesions where it might have been better to advise the patient to leave well alone. And they're very tough to deal with!

[anooly]

Моя преподаватель по неонатологии в университете, всегда говорила: "Бойся рыжих и своих."

[michmed]

Сообщение от Gallen

впрочем так и не вспомнил подтверждение сему...

Кожа, однозначно, светлее. Видно лучше!

[cactus1972]

Меня, как анестезиолога, больше всего вот этот пункт заинтересовал:

Anaesthesia
More conclusive perhaps is the relation between red hair and requirements for anaesthesia. Mice carrying mutant MC1R and humans with red hair (both with non-functional MC1Rs) were shown to have a reduced sensitivity to noxious stimuli and an increased responsiveness to opiate based analgesia.

One study focused on the increased need of patients with red hair for anaesthetic agents during surgery. This study was limited by its small sample size but showed that the need for desflurane was significantly higher in the group of patients with red hair than in the group with other coloured hair. Moreover, this study showed that of the cohort of 10 patients in the red haired group, nine were either homozygous or compound heterozygous for mutations on the MC1R gene. Supplementary work by these authors in a larger study population looked at the difference in local anaesthetics requirements between people with red hair and a control group of people with black or brown hair. Subcutaneous lidocaine (lignocaine) was significantly less efficacious in the red haired cohort. That cohort were also more sensitive to the perception of pain from cold and heat than the control group. The authors postulated that the dysfunction of the MCIR gene associated with red hair triggers the release of more of the α-melanocyte stimulating hormone that stimulates these cells, but this particular hormone also stimulates a brain receptor related to pain sensitivity (both of these hormones are derived from the same precursor molecule pro-opiomelanocortin).

Но и для гинекологов здесь есть информация:

Endometriosis
An association was observed between natural red hair and the incidence of laparoscopically confirmed endometriosis in women with no known infertility. This was the only association found (including parity, race, and body mass index) at 10 year follow-up

А вот насчет повышенного риска кровотечений сведения противоречивы:

Haemorrhage
One study attempted to show a link between red hair and bleeding after tonsillectomy (together with full moons and Friday the 13th). The incidence of post-tonsillectomy bleed was almost 7% but this was indistinguishable from that of the control group. In another study, the bleeding tendencies between 50 women (half of whom had red hair and half black or brown hair) by using objective coagulation testing did not differ, despite the red haired women reporting significantly more subjective bruising in the perioperative period

(выделение и смайлик мои).

P.S. Конечно же, статья предновогодняя. Улыбнитесь, коллеги!

[XMbIPb]

A про "эффективность парашютов" тот же журнал хорошо написал. Эта одна из моих любимых статей...
:-)