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European journal of intensive care medicine最新文献

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Urinary catecholamine excretion and thyroid hormone blood level in the course of severe acute brain damage. 重症急性脑损伤过程中尿儿茶酚胺排泄及血甲状腺激素水平的变化。
European journal of intensive care medicine Pub Date : 1975-11-01 DOI: 10.1007/BF00571658
W Haider, H Benzer, G Krystof, F Lackner, O Mayrhofer, K Steinbereithner, K Irsigler, A Korn, W Schlick, H Binder, F Gerstenbrand
{"title":"Urinary catecholamine excretion and thyroid hormone blood level in the course of severe acute brain damage.","authors":"W Haider,&nbsp;H Benzer,&nbsp;G Krystof,&nbsp;F Lackner,&nbsp;O Mayrhofer,&nbsp;K Steinbereithner,&nbsp;K Irsigler,&nbsp;A Korn,&nbsp;W Schlick,&nbsp;H Binder,&nbsp;F Gerstenbrand","doi":"10.1007/BF00571658","DOIUrl":"https://doi.org/10.1007/BF00571658","url":null,"abstract":"<p><p>Urinary catecholamine excretion and thyroid hormone blood level were studied in 16 patients following severe cerebral trauma. Increased excretion rates of epinephrine and norepinephrine were found. There was no significant difference in the catecholamine excretion when compared with generally traumatized patients. The relationships between catecholamine excretion, increased metabolic rates, and negative nitrogen balance indicate that in patients with a midbrain syndrome there exists an additional diencephalic metabolic factor, which leads to a rise in fat oxidation and perpetuation of catabolism. Early high caloric parenteral nutrition seems to inhibit the initial increase of catecholamine excretion and thus protects the body from an unnecessary breakdown of its own reserves. If the course is classified according to neurological stages, it can be shown that patients with a traumatic apallic syndrome in poor condition have a high increase of catecholamine excretion. Secretion of thyroid hormones is not influenced significantly by cerebral trauma.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"1 3","pages":"115-23"},"PeriodicalIF":0.0,"publicationDate":"1975-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00571658","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11999563","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: 15
Haemodynamic performance and weaning from mechanical ventilation following open-heart surgery. 心内直视手术后的血流动力学表现和机械通气脱机。
European journal of intensive care medicine Pub Date : 1975-11-01 DOI: 10.1007/BF00571656
G Wolff, E Grädel
{"title":"Haemodynamic performance and weaning from mechanical ventilation following open-heart surgery.","authors":"G Wolff,&nbsp;E Grädel","doi":"10.1007/BF00571656","DOIUrl":"https://doi.org/10.1007/BF00571656","url":null,"abstract":"<p><p>In 38 patients ventilated after open-heart surgery the effect of a 20 minutes spontaneous breathing period on right atrial pressure (RAP), left atrial pressure (LAP), pulmonary artery pressure (PAP), aortic pressure (AoP), ECG and cardiac index (CI) was monitored. Arterial bloodgas analysis before and during spontaneous breathing ruled out any respiratory failure. The test period of spontaneous breathing provoked an increase in systemic and pulmonary vascular resistance. By this and by a direct aggravation of cardiac failure the work of both ventricles dropped inspite of an increase in enddiastolic ventricular pressure. If these hemodynamic effects of a spontaneous breathing test period are taken as a guide for deciding, if a patient after open-heart surgery is ready for being extubated, the need for reintubation will be extremely rare. The study encourages us to sue mechanical ventilation as an additional instrument for treating heart failure even if no respiratory failure is present.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"1 3","pages":"99-104"},"PeriodicalIF":0.0,"publicationDate":"1975-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00571656","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12381197","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
Regional lung function following prosthetic hip replacement surgery. 人工髋关节置换术后局部肺功能。
European journal of intensive care medicine Pub Date : 1975-11-01 DOI: 10.1007/BF00571660
K Wulff, M Aborelius, B Rosberg
{"title":"Regional lung function following prosthetic hip replacement surgery.","authors":"K Wulff,&nbsp;M Aborelius,&nbsp;B Rosberg","doi":"10.1007/BF00571660","DOIUrl":"https://doi.org/10.1007/BF00571660","url":null,"abstract":"<p><p>With a Xenon133 radiospirometric technique the regional lung function was evaluated before and after prosthetic hip arthroplasty performed in the lateral decubitus position with either respirator-controlled neuroleptic anesthesia or epidural anesthesia with spontaneous breathing. Regional lung function measured in a supine position 1, 20 and 72-96 hours postoperatively revealed a reduction of the perfusion, ventilation and volume of ventilated alveoli on the dependant lung. The reduction was most pronounced immediately postoperatively, especially following respirator-controlled anesthesia. There was also an increase of pulmonary blood volume and a decrease of total lung volume in this group. The changes of lung function are probably caused by congestive atelectasis, secondary to impaired ventilation of the dependent lung. Peroperatively induced microembolism might have potentiated the effect.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"1 3","pages":"129-36"},"PeriodicalIF":0.0,"publicationDate":"1975-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00571660","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12381194","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
Suitability of non-glucose-carbohydrates for parenteral nutrition. 非葡萄糖碳水化合物肠外营养的适宜性。
European journal of intensive care medicine Pub Date : 1975-11-01 DOI: 10.1007/BF00571657
F W Ahnefeld, K H Bässler, B L Bauer, G Berg, H Bergmann, I Bessert, W Dick, G Dietze, R Dölp, R Dudziak, H Förster, C A Geser, J Grunst, M Halmagyi, A Heidland, L Heller, K Horatz, H Kuhlmann, J Kult, H Lutz, F Matzkies, H Mehnert, P Milewski, K Paulini, J Pesch, K Peter, P Rittmeyer
{"title":"Suitability of non-glucose-carbohydrates for parenteral nutrition.","authors":"F W Ahnefeld,&nbsp;K H Bässler,&nbsp;B L Bauer,&nbsp;G Berg,&nbsp;H Bergmann,&nbsp;I Bessert,&nbsp;W Dick,&nbsp;G Dietze,&nbsp;R Dölp,&nbsp;R Dudziak,&nbsp;H Förster,&nbsp;C A Geser,&nbsp;J Grunst,&nbsp;M Halmagyi,&nbsp;A Heidland,&nbsp;L Heller,&nbsp;K Horatz,&nbsp;H Kuhlmann,&nbsp;J Kult,&nbsp;H Lutz,&nbsp;F Matzkies,&nbsp;H Mehnert,&nbsp;P Milewski,&nbsp;K Paulini,&nbsp;J Pesch,&nbsp;K Peter,&nbsp;P Rittmeyer","doi":"10.1007/BF00571657","DOIUrl":"https://doi.org/10.1007/BF00571657","url":null,"abstract":"<p><p>Postoperative parenteral nutrition can only be optimally effective if the characteristics of post-traumatic metabolism are taken into account. Two main possibilities are discussed for the carbohydrate component of parenteral nutrition during this phase: glucose with high doses of insulin or non-glucose carbohydrates (sugar substitutes) possibly in a suitable combination with glucose. The risks as well as the technical and organisational problems involved in the use of them are discussed and the authors prefer the second of the two alternatives. Possible side effects of non-glucose carbohydrates are pointed out and it is shown how these can be avoided by observing dose guidelines. So far a combination of frucose : glucose : xylitol in a ratio of 2 : 1 :1 with a total dose of 0.50 g/kg/hour has been studied most thoroughly. This combination normalises the fat metabolism and improves glucose tolerance without requiring exogenous insulin. Experiences with this combination as well as individual non-glucose carbohydrates on operated patients have been given continuously for up to 7 days and in some cases even for several weeks. No side effects, no deviations from a steady state and no abnormal changes of the laboratory values occurred. The authors are of the opinion that non glucose carbohydrates are necessary if the facilities for frequent blood sugar controls are not available.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"1 3","pages":"105-13"},"PeriodicalIF":0.0,"publicationDate":"1975-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00571657","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11999562","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
The suitability of maltose for parenteral nutrion. 麦芽糖肠外营养的适宜性。
European journal of intensive care medicine Pub Date : 1975-11-01 DOI: 10.1007/BF00571662
H Förster, I Hoos
{"title":"The suitability of maltose for parenteral nutrion.","authors":"H Förster,&nbsp;I Hoos","doi":"10.1007/BF00571662","DOIUrl":"https://doi.org/10.1007/BF00571662","url":null,"abstract":"<p><p>Maltose infusion were performed in rats and normal human subjects. Utilisation of maltose in a rat is fairly good. Blood glucose and lactic acid concentrations are elevated during the high dose of maltose in the rat and renal loss is limited to less than 5% of the total amount infused. In the human subject no steady state is reached during the 4 hour continuous infusion and the renal loss of maltose and glucose was 31% of the intravenous load. In contrast to the rat the blood glucose concentration in man did not increase. The metabolic utilisation of maltose in man was however demonstrated by a decrease in inorganic phosphate and serum free fatty acid concentration. It is concluded that maltose is not suited as a fuel for parenteral nutrition because of its low metabolic rate in the human being.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"1 3","pages":"141-4"},"PeriodicalIF":0.0,"publicationDate":"1975-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00571662","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11999564","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
Respiratory failure after liver transplantation. 肝移植后呼吸衰竭。
European journal of intensive care medicine Pub Date : 1975-11-01 DOI: 10.1007/BF00571661
R S Howell, S Bayley, R Y Calne
{"title":"Respiratory failure after liver transplantation.","authors":"R S Howell,&nbsp;S Bayley,&nbsp;R Y Calne","doi":"10.1007/BF00571661","DOIUrl":"https://doi.org/10.1007/BF00571661","url":null,"abstract":"<p><p>A rapidly growing haemangioendothelial sarcoma of the liver in a twenty-two year old woman was treated by liver transplantation. Disseminated intravascular coagulation resulted in massive blood loss during surgery, and contributed to the death of the patient from respiratory failure on the fourth post-operative day, despite continuous post-operative intermittent positive-pressure ventilation. Other factors leading to her respiratory failure are discussed. There was no evidence of dysfunction in the transplanted liver.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"1 3","pages":"137-40"},"PeriodicalIF":0.0,"publicationDate":"1975-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00571661","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12286905","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: 2
A comparison of two methods for the computer analysis of arterial blood pressure waveforms. 计算机分析动脉血压波形的两种方法的比较。
European journal of intensive care medicine Pub Date : 1975-11-01 DOI: 10.1007/BF00571659
J Endresen, A Gamble, D W Hill
{"title":"A comparison of two methods for the computer analysis of arterial blood pressure waveforms.","authors":"J Endresen,&nbsp;A Gamble,&nbsp;D W Hill","doi":"10.1007/BF00571659","DOIUrl":"https://doi.org/10.1007/BF00571659","url":null,"abstract":"<p><p>Two different methods, one analogue and one digital, for the analysis of the arterial blood pressure waveform are described and compared. Little difference was found in the systolic and diastrlic pressures determined by the two methods.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"1 3","pages":"125-8"},"PeriodicalIF":0.0,"publicationDate":"1975-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00571659","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12381193","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: 4
Report on the First World Congress on Intensive Care, London, June 24-27, 1974. 第一届世界重症监护大会报告，伦敦，1974年6月24-27日。
European journal of intensive care medicine Pub Date : 1975-11-01 DOI: 10.1007/BF00571655
A Gilston
{"title":"Report on the First World Congress on Intensive Care, London, June 24-27, 1974.","authors":"A Gilston","doi":"10.1007/BF00571655","DOIUrl":"https://doi.org/10.1007/BF00571655","url":null,"abstract":"","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"1 3","pages":"93-7"},"PeriodicalIF":0.0,"publicationDate":"1975-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00571655","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12381196","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: 2
Haemodynamic response to slow plasma volume expansion in uncomplicated myocardial infarction. 无并发症心肌梗死血流动力学对缓慢血浆容量扩张的反应。
European journal of intensive care medicine Pub Date : 1975-11-01 DOI: 10.1007/BF00571663
J F Enrico, M Reynaert, F Grimbert, M Reif, C Perret
{"title":"Haemodynamic response to slow plasma volume expansion in uncomplicated myocardial infarction.","authors":"J F Enrico,&nbsp;M Reynaert,&nbsp;F Grimbert,&nbsp;M Reif,&nbsp;C Perret","doi":"10.1007/BF00571663","DOIUrl":"https://doi.org/10.1007/BF00571663","url":null,"abstract":"<p><p>Left ventricular performance in 16 patients with uncomplicated acute myocardial infarction (AMI) has been estimated, by measuring the haemodynamic response to a moderate increase in left ventricular filling pressure (LVFP), obtained by an espansion in blood volume with a slow infusion of 250 ml of plasma. In 9 cases the infusion was repeated. This represents a total of 25 tests. In 17 tests (group A) cardiac index (CI) and left ventricular stroke work index (LVSWI) did not increase significantly and sometimes decreased. In 8 tests (group B) The same plasma volume expansion (PVE) induced a moderate but significant increase in CI(p less than 0.001) and LVSWI (p less than 0.001). A higher incidence of inferior wall infarction was present in group B. Control CI and LVFP did not differ between the two groups and there was no correlation between the initial LVFP and the type of response to PVE. For the same volume load, the increase in pulmonary capillary wedge pressure (CWP) showed large individual variations (+1 to +8 mm Hg). As a general rule when CI improved, the increment in CWP was minimal (+1 mm Hg). It is concluded that there is no unique optimal LVFP and that PVE must be carefully monitored, in all cases.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"1 3","pages":"145-51"},"PeriodicalIF":0.0,"publicationDate":"1975-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00571663","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12381195","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
The psychiatric aspects of cardiac intensive therapy: a review. 心脏强化治疗的精神病学方面:综述。
European journal of intensive care medicine Pub Date : 1975-05-01 DOI: 10.1007/BF00626431
P Bowden
{"title":"The psychiatric aspects of cardiac intensive therapy: a review.","authors":"P Bowden","doi":"10.1007/BF00626431","DOIUrl":"https://doi.org/10.1007/BF00626431","url":null,"abstract":"<p><p>The post cardiotomy state is typically delirious and although organic factors are important it is multi-determined. Cerebral ischaemia has been implicated in the development of psychological disorder after resuscitation but longer term neurotic disorders also occur. Affective disturbances, particularly depression, are associated with the coronary care experience. The following conditions are directly related to an increased incidence of psychological disorder: age, loss of sleep, sensory deprivation, stressful experiences, pre-operative morbidity (both physical and mental), the severity of both surgical trauma and the post-operative medical state. For both the staff who administer intensive therapy and the patient who receives it there are unique psychological hazards, the management of which depends largely on mutual understanding and support.</p>","PeriodicalId":75836,"journal":{"name":"European journal of intensive care medicine","volume":"1 2","pages":"85-91"},"PeriodicalIF":0.0,"publicationDate":"1975-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00626431","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12281782","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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