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European journal of intensive care medicine最新文献

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Intravenous nitrition of babies and infants. 婴幼儿静脉营养。
European journal of intensive care medicine Pub Date : 1976-01-01 DOI: 10.1007/BF00571897
M Panter-Brick
{"title":"Intravenous nitrition of babies and infants.","authors":"M Panter-Brick","doi":"10.1007/BF00571897","DOIUrl":"https://doi.org/10.1007/BF00571897","url":null,"abstract":"<p><p>Intravenous nutrition of the newborn has, in the past, been troubled with metabolic and infective complications. The metabolic disorders have been minimised with newer solutions and by careful administration, particularly when using infusion pumps. Greater awareness and experience has reduced infection to levels associated with conventional intravenous therapy. Intravenous feeding is now a practical and safe form of therapy for minimising weight loss in newborns who cannot feed by mouth, and may be life-saving in the post-surgical infants and in those with malabsorption syndromes.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"2 1","pages":"45-51"},"PeriodicalIF":0.0,"publicationDate":"1976-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00571897","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12008048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Left ventricular function after acute myocardial infarction. 急性心肌梗死后左心室功能。
European journal of intensive care medicine Pub Date : 1976-01-01 DOI: 10.1007/BF00571890
P Limbourg, H Just, K F Lang
{"title":"Left ventricular function after acute myocardial infarction.","authors":"P Limbourg,&nbsp;H Just,&nbsp;K F Lang","doi":"10.1007/BF00571890","DOIUrl":"https://doi.org/10.1007/BF00571890","url":null,"abstract":"<p><p>10 patients with their first AMI were studied within the first 48 hours and again after 3 weeks. Central and peripheral haemodynamics (CI, SV, SW, TPR) were examined, including indices of contractility (dp/dtmax) and wall stiffness (deltaP/deltaV, relation deltaP/deltaV to P) of the left ventricle. In the early phase CI and SW, as well as LV dp/dtmax were depressed in accordance with symptoms of LV failure. deltaP/deltaV was increased. Elevation of LVEDP correlated well with ventricular gallop rhythm, but less consistently with LV functional disturbance. During convalescence CI increased uniformly, both in digitalized and non-digitalized individuals. In contrast heart rate, aortic pressure, LVEDP and dp/dtmax remained unchanged. The increase of CI, SV and SW was accompanied by a fall of TPR and deltaP/deltaV. LV wall stiffness was still elevated above normal after 3 weeks. The improvement of cardiac pumping during infarct convalescence may have been effected through a fall of TPR and LV wall stiffness. Recovery of depressed contractile performance was generally not observed, and does therefore not seem to contribute to recuperation.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"2 1","pages":"7-11"},"PeriodicalIF":0.0,"publicationDate":"1976-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00571890","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12137648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Syndrome of depressed vital functions in the immediate post-operative period of surgical patients: some aspects of its pathogenesis. 手术患者术后直接期生命功能低下综合征:其发病机制的一些方面。
European journal of intensive care medicine Pub Date : 1976-01-01 DOI: 10.1007/BF00571896
L N Rao, H Venkatakrishna-Bhatt
{"title":"Syndrome of depressed vital functions in the immediate post-operative period of surgical patients: some aspects of its pathogenesis.","authors":"L N Rao,&nbsp;H Venkatakrishna-Bhatt","doi":"10.1007/BF00571896","DOIUrl":"https://doi.org/10.1007/BF00571896","url":null,"abstract":"<p><p>Fifty adult male and female surgical patients (age 25--40 years) undergoing elective and emergency surgical procedures were subjected to isocapnoeic, hypocapnoeic and hypercapnoeic ventilation during anaesthesia; the PaCO2 ranged between 22--90 mm Hg. Three developed the syndrome of depressed vital functions in the post-surgical period by scoring less than 7 out of 10, the others recovered normally with complete resotration of reflex activity, consciousness and skeletomuscular tone, scoring on an average 8 out of 10 points. The role of muscle relaxant drugs in this syndrome and also the depression of the central nervous system is discussed.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"2 1","pages":"41-3"},"PeriodicalIF":0.0,"publicationDate":"1976-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00571896","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12137782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Management of bleeding disorders in traumatic-haemorrhagic shock states with deep frozen fresh plasma. 深冻新鲜血浆治疗创伤性失血性休克的出血障碍。
European journal of intensive care medicine Pub Date : 1976-01-01 DOI: 10.1007/BF00624608
H J Hehne, D Nyman, H Burri, G Wolff
{"title":"Management of bleeding disorders in traumatic-haemorrhagic shock states with deep frozen fresh plasma.","authors":"H J Hehne,&nbsp;D Nyman,&nbsp;H Burri,&nbsp;G Wolff","doi":"10.1007/BF00624608","DOIUrl":"https://doi.org/10.1007/BF00624608","url":null,"abstract":"<p><p>Coagulation disorders in traumatic-haemorrhagic shock need not represent a simple coagulation problem. They may also occur as a complex of local and disseminated intravascular consumption, dilution, extravascular loss and depressed synthesis of coagulation factors. In the severely bleeding patient with a haemorrhagic diathesis heparin is contrainedicated because it does not normalize coagulability immediately. Therefore, it fails to stop haemorrhage and the shock becomes untreatable. Fresh frozen plasma, however, has proved to be suitable as a simultaneous substitution therapy for the coagulation disorder and the hypovolaemic shock. 25 patients suffering from severe traumatic-hemorrhagic shock associated with coagulation disorders and haemorrhagic diathesis were successfully treated with fresh frozen plasma, after conventional shock therapy had failed over a period of 2 hours. The success was documented clinically and by numerous laboratory tests. Thrombocytopenia has only a secondary responsibility for the haemorrhagic state.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"2 4","pages":"157-61"},"PeriodicalIF":0.0,"publicationDate":"1976-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00624608","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12181364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
The role of the anaesthesiologist in the intra- and post-operative management of kidney transplant patients. 麻醉师在肾移植患者术中及术后管理中的作用。
European journal of intensive care medicine Pub Date : 1976-01-01 DOI: 10.1007/BF00571898
O Mayrhofer, J Krenn, P Sporn, V Draxler
{"title":"The role of the anaesthesiologist in the intra- and post-operative management of kidney transplant patients.","authors":"O Mayrhofer,&nbsp;J Krenn,&nbsp;P Sporn,&nbsp;V Draxler","doi":"10.1007/BF00571898","DOIUrl":"https://doi.org/10.1007/BF00571898","url":null,"abstract":"<p><p>Based on experiences with 256 kidney transplant operations in 239 patients over a period of ten years (18.6. 1965 to 15.4. 1975) the role of the anaesthesiologist as it had developed in our institution has been described. Some problems with regard to the anaesthetic management of living donors were discussed. The care of patients who, due to their deteriorating cerebral function, are potential donors was also described. An outline of the own anaesthetic management of the recipient has been given and alternative methods were mentioned. Some special points were specifically stressed like the choice of relaxants, fluid replacement, blood transfusion, diuretic treatment starting already intraoperatively. Good intensive care of the potential donor is of great importance for the function of the transplanted organ. Very important is also the postoperative treatment of the recipient, which in our institution is performed in a teamwork between anaesthesiologist, surgeon and nephrologist. Finally, the functional results of our series are briefly demonstrated.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"2 1","pages":"53-7"},"PeriodicalIF":0.0,"publicationDate":"1976-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00571898","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11976094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Therapeutic properties.of haemodialysis and blood exchange transfusion in organophosphate poisoning. 治疗属性。血液透析与换血在有机磷中毒中的应用。
European journal of intensive care medicine Pub Date : 1976-01-01 DOI: 10.1007/BF00571891
S Okonek, G Boelcke, H Hollmann
{"title":"Therapeutic properties.of haemodialysis and blood exchange transfusion in organophosphate poisoning.","authors":"S Okonek,&nbsp;G Boelcke,&nbsp;H Hollmann","doi":"10.1007/BF00571891","DOIUrl":"https://doi.org/10.1007/BF00571891","url":null,"abstract":"<p><p>Human blood was contaminated with nitrostigmine, dimethoate and demeton-S-methyl sulfoxide. It was then dialysed, concentrations of organophosphates were determined and dialysance values calculated. The influence of blood exchange transfusion on poison elimination as well as on the cholinesterase activity of blood, brain and muscle was studied in rats poisoned with nitrostigmine. Haemodialysis was found to be quite an effective method for eliminating demeton-S-methyl sulfoxide and dimethoate, dialysance values of 52.98 ml/min and 59.07 ml/min being found for demeton-S-methyl sulfoxide and dimethoate respectively. Nitrostigmine could not be removed by haemodialysis. These findings suggest that haemodialysis could be of therapeutic value in the treatment of severe demeton-S-methyl sulfoxide and dimethoate poisoning in man. By blood exchange transfusion only 0.06% of the injected dose of nitrostigmine could be removed from the body of poisoned rats. Acetylcholinesterase activity increased only briefly in the period of blood exchange transfusion and decreased gradually afterwards. The enzymatic activity of brain and muscle was unaffected. Therefore, blood exchange transfusion has, if any at all, only poor therapeutic properties in nitrostigmine intoxication.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"2 1","pages":"13-8"},"PeriodicalIF":0.0,"publicationDate":"1976-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00571891","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12137776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Studies in cerebrospinal acid base values in intensive care patients. 重症监护患者脑脊液酸碱值的研究。
European journal of intensive care medicine Pub Date : 1976-01-01 DOI: 10.1007/BF00571892
N Buchanan, R D Cane
{"title":"Studies in cerebrospinal acid base values in intensive care patients.","authors":"N Buchanan,&nbsp;R D Cane","doi":"10.1007/BF00571892","DOIUrl":"https://doi.org/10.1007/BF00571892","url":null,"abstract":"<p><p>CSF acid base homeostasis was studied in 22 patients in an Intensive Care Unit, to ascertain whether an assessment of this parameter was of any prognostic value. The only significant findings were a lower CSF bicarbonate concentration in those patients who demised, as well as a poor correlation between CSF pH and both CSF PCO2 and bicarbonate. It was concluded that an assessment of CSF acid base balance was of no prognostic value in this particular group of patients.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"2 1","pages":"19-21"},"PeriodicalIF":0.0,"publicationDate":"1976-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00571892","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12137777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Influence of early mobilisation of pulmonary function in surgical patients. 手术患者早期肺功能活动的影响。
European journal of intensive care medicine Pub Date : 1976-01-01 DOI: 10.1007/BF00571895
D Scheidegger, L Bentz, G Piolino, C Pusterla, J P Gigon
{"title":"Influence of early mobilisation of pulmonary function in surgical patients.","authors":"D Scheidegger,&nbsp;L Bentz,&nbsp;G Piolino,&nbsp;C Pusterla,&nbsp;J P Gigon","doi":"10.1007/BF00571895","DOIUrl":"https://doi.org/10.1007/BF00571895","url":null,"abstract":"<p><p>This work confirms the generally known decrease in arterial oxygen following surgery. On the basis of a more rapid restitution of pulmonary function the superiority of mobilization to the usual respiratory exercises is clearly shown.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"2 1","pages":"35-40"},"PeriodicalIF":0.0,"publicationDate":"1976-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00571895","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12137781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
In vivo measurements of oxyhaemoglobin saturation by a fiberoptic catheter. The effects of variations in pH and haematocrit. 用光纤导管测量体内氧合血红蛋白饱和度。pH值和红细胞压积变化的影响。
European journal of intensive care medicine Pub Date : 1976-01-01 DOI: 10.1007/BF00624612
F Tremolieres, F Lecompte, M Sinet, A Chirico, J Bech, J M Vallois, M C Blayo, J J Pocidalo
{"title":"In vivo measurements of oxyhaemoglobin saturation by a fiberoptic catheter. The effects of variations in pH and haematocrit.","authors":"F Tremolieres,&nbsp;F Lecompte,&nbsp;M Sinet,&nbsp;A Chirico,&nbsp;J Bech,&nbsp;J M Vallois,&nbsp;M C Blayo,&nbsp;J J Pocidalo","doi":"10.1007/BF00624612","DOIUrl":"https://doi.org/10.1007/BF00624612","url":null,"abstract":"<p><p>The development of plastic fiberoptic catheters, cheaper and less fragile than glass ones, has enabled the more widespread use of oxyhaemoglobin saturation (SO2) monitoring. They allow direct determinations of SO2 to be made, using reflection spectrophotometry. The purpose of the present work was to evaluate the accuracy of SO2 measurements as provided by these catheters. The studies were performed in dogs, with large variations of SO2, acid-base balance and haematocrit levels.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"2 4","pages":"177-80"},"PeriodicalIF":0.0,"publicationDate":"1976-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00624612","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11235931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The occurence and significance of microaggregates in stored blood. 储血中微聚集体的发生及意义。
European journal of intensive care medicine Pub Date : 1976-01-01 DOI: 10.1007/BF00624609
O F James
{"title":"The occurence and significance of microaggregates in stored blood.","authors":"O F James","doi":"10.1007/BF00624609","DOIUrl":"https://doi.org/10.1007/BF00624609","url":null,"abstract":"<p><p>During storage whole blood progressively forms microaggregates by adhesion of platelets and leucocytes. This occurs from the second day of storage and the presence of such potential microemboli can be demonstrated by light microscopy of smears of blood samples. They cause an increase in the viscosity of the blood as measurable by the screen filtration pressure method. If infused into a patient they, by causing microvascular occlusion, result in multiple organ dysfunction, primarily of the lung. It is recommended that, if whole blood greater than 4 days in storage is to be infused, an in-line microfilter be used to remove the microaggregates from the transfusion. Alternatively, early separation, or the use of fresh blood is recommended.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"2 4","pages":"163-6"},"PeriodicalIF":0.0,"publicationDate":"1976-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00624609","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12181365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
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