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  • 1995-1999  (2)
  • 1999  (2)
Materialart
Erscheinungszeitraum
  • 1995-1999  (2)
Jahr
  • 1
    Digitale Medien
    Digitale Medien
    Springer
    Intensive care medicine 25 (1999), S. 481-485 
    ISSN: 1432-1238
    Schlagwort(e): Key words Central venous cannula ; Liver diseases ; Coagulopathy ; Fresh frozen plasma
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Objective: To determine the incidence of vascular complications associated with central venous cannulation in patients with liver disease and coagulopathy. Design: A prospective audit of all cannulation episodes in patients with liver disease and a prothrombin (INR) more than 1.5 and/or platelet count of 150 × 109/l or less. Setting: A specialist liver unit between January 1996 and September 1997. Patients: Patients with acute or chronic liver diseases and patients undergoing liver transplantation or other hepatobiliary surgery. Measurements and results: Vascular complications of central venous cannulation were classified as major (any haemodynamically significant haemorrhage) or minor (superficial oozing or haematoma). We recorded 658 cannulations (subclavian, 352, and internal jugular, 306). The median INR was 2.4 (range 1–16) in the subclavian group and 2.7 (1–17) in the internal jugular group (p 〈 0.05); median platelet counts were 81 × 109/l (range 9–1088) and 83 × 109/l (10–425), respectively (difference not significant). One patient developed a haemothorax after accidental subclavian artery puncture (INR was 1.5, platelets 68 and regional prostacyclin therapy was being given for haemofiltration). There were no other major vascular complications. Risk factors for minor vascular complications included internal jugular cannulation, more than one needle pass into the vein, failure to pass any guidewire, a high INR and low platelets for haematoma formation, and low platelets and heparin therapy for superficial oozing. Conclusions: The incidence of major vascular complications following central venous cannulation in patients with liver disease and coagulopathy was low in this audit. In liver disease the presence of a raised INR alone should not be considered a contra-indication to central venous cannulation.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    Digitale Medien
    Digitale Medien
    Springer
    Journal of thermal analysis and calorimetry 56 (1999), S. 42-49 
    ISSN: 1572-8943
    Schlagwort(e): evolved gas analysis ; FTIR ; MS ; pyrolysis-GC-MS ; thermogravimetry
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Chemie und Pharmazie
    Notizen: Abstract The thermal decomposition of sodium ethyl xanthate (SEX) was used to compare the techniques of pyrolysis-gas chromatography-mass spectrometry (py-GC-MS), thermogravimetry-Fourier transform infrared spectroscopy (TG-FTIR), and TG-MS. In the py-GC-MS analysis, SEX was pyrolysed at 400°C in an inert atmosphere. Major gases evolved were carbon disulfide, diethyl sulfide, ethanol, and carbonyl sulfide. The TG of SEX exhibited a sharp mass loss at 201°C (42.3%) and a gradual mass loss at 217-325°C (20.8 %). The MS spectra of the evolved gases were complex due to overlapping of molecular, isotope, and fragment ion signals. Using the MS in selected ion monitoring mode, the major gases evolved were found to be carbon disulfide and carbonyl sulfide. The FTIR spectra of the evolved gases displayed vibrational frequencies due to alkanes, carbonyls, carbonyl sulfide, and carbon disulfide. From the analyses it was concluded that py-GC-MS provided unambiguous gas identification. Interpretation of the MS results was reliant on the py-GC-MS results, and the FTIR data was limited to identifying gases with very characteristic vibration frequencies.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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