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  • 1
    Electronic Resource
    Electronic Resource
    The physiological effects of vasopressin when used to control intra-abdominal bleeding (1988)
    Springer
    Intensive care medicine 14 (1988), S. 526-531 
    Details
    ISSN: 1432-1238
    Keywords: Vasopressin ; Abdominal bleeding ; Cardiovascular measurements ; Renal failure
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Vasopressin was used in ten critically ill patients with massive intra-abdominal bleeding unresponsive to conventional therapy. Vasopressin controlled bleeding in four patients, three of whom had continued to bleed following laparotomy for haemostasis; in two other patients, bleeding was reduced. All the patients were intensively monitored throughout the period of the vasopressin treatment; this enabled other physiological effects of vasopressin to be documented and reported. Mean arterial pressure and central venous pressure increased following the administration of vasopressin and there was a decrease in heart rate. Core body temperature rose significantly. Although all the patients had impaired renal function before receiving vasopressin, five had a prompt diuresis following its administration. Eight patients died but only three of intra-adbominal bleeding; two patients survived to leave hospital. Four patients had post-mortem evidence of ischaemia in the heart, liver and gastrointestinal tract; vasopressin may have contributed to the development of this. Vasopressin may have a place in the management of patients with life-threatening intra-abdominal haemorrhage but its use should be confined to those patients in whom conventional therapy has failed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00263525
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    A nomogram for rapid calculation of metabolic requirements on intubated patients (1984)
    Springer
    Intensive care medicine 10 (1984), S. 147-148 
    Details
    ISSN: 1432-1238
    Keywords: Calorimetry, indirect ; Energy metabolism ; Ventilation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract There is a need for estimating the calorific requirements of patients undergoing or about to undergo total parenteral nutrition (TPN) other than by complicated direct calorimetry or by guesswork. We describe a simple, cheap, indirect calorimetric method for determining energy requirements from the measurement of mixed expired carbon dioxide tension (PĒCO2) in patients who are intubated, and in whom the breathing circuit characteristics allow collection of pure expired gas. This can be achieved by collection of expired gas from ventilators where an on-demand fresh gas flow rather than a continuous flow occurs during spontaneous or intermittent positive pressure ventilation, such as with the Siemens Servo 900C.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00265804
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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