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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Intensive care medicine 15 (1989), S. 272-273 
    ISSN: 1432-1238
    Keywords: Minitracheotomy ; Cricothyroid membrane ; Dystrophic calcification ; Heterotopic bone formation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We describe a case in which a repeat minitracheotomy (MT) could not be performed 2 months after the first. The cricothyroid membrane seemed calcified and histological examination showed scar formation with dystrophic calcification and heterotopic bone formation. Scar formation following MT may have caused these alterations making repeat access to the airway through the membrane impossible.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1238
    Keywords: Minitracheotomy ; Intensive care ; Indication ; Complication
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Patients with imminent respiratory failure due to sputum retention were assessed for minitracheotomy (MT). MT was considered potentially useful in 79 patients but only attempted in 73, 54 men and 19 women, aged 23–81 years (median 65 years). Insertion of the cannula failed in 4 cases. Sputum retention and atelectasis were successfully treated in 87% (N=60). Treatment by MT in medical and neurological patients seems as effective as in surgical patients (success rate 81% versus 90%). The frequency of complications was 16%. Most complications were insignificant and occurred during cannulation, but a few severe complications were seen. To minimize the number of these it is essential that MT is done only by doctors who are familiar with the procedure. MT can be recommended for treatment of sputum retention and atelectasis in surgical and medical/neurological intensive care patients with preserved cough function.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1434-6079
    Keywords: 36.40 ; 35.20.Wg ; 03.65.-w
    Source: Springer Online Journal Archives 1860-2000
    Topics: Physics
    Notes: Abstract Measurements of the mass abundance spectra of sodium clusters containing up to 600 atoms are presented. The clusters are produced in a seeded supersonic expansion of Ar or Kr gas, and the spectra are obtained by a time-of-flight technique. The sawtooth features in the spectra are interpreted as evidence of a regular spherical shell structure with magic numbers,N 0, scaling approximately with the cube root of the number of sodium atoms. Altogether twelve shell closings are observed,N 0=2, 8, 20, 40, 58, 92, 138, 196, 260, 344, 440 and 558. There is also a pronounced odd-even staggering all the way up toN=70. The experimentally observed intensity changes for the clusters around the magic numbers are discussed in terms of the electronic free energy,F(N), calculated at finite temperature, and the second differences of the free energy Δ2 F(N)=F(N−1)−2F(N)+F(N+1). The processes behind the non-uniform abundance distributions, and the thermodynamics of finite electron systems with non-uniform level spacings are discussed on this basis.
    Type of Medium: Electronic Resource
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