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  • Cardiography, impedance  (1)
  • Chronic rejection, in renal transplantation  (1)
  • 1
    ISSN: 1432-2277
    Keywords: Renal transplantation, chronic rejection ; Chronic rejection, in renal transplantation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A consequence of reducing early graft failure due to acute rejection has been that more patients are at risk of chronic rejection, something which has become an increasingly important cause of graft loss. We examine the graft survival rates and reasons for failure in our unit from 1981 to 1986. Patients were divided into two series according to treatment of acute rejection episodes. From 1983 onwards, by treating acute vascular (poor prognosis) episodes with antilymphocyte globulin (ALG), we have significantly improved the 6-month actuarial graft survival rate. However, the percentage of total graft failure due to chronic rejection in this second series has significantly increased. The need for greater understanding of the aetiology of chronic rejection, together with its present unsatisfactory treatment, is discussed.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1238
    Keywords: Cardiac output ; Cardiography, impedance ; Thermodilution ; Coronary artery surgery ; Postoperative period
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Values obtained for cardiac output (CO) were compared using thermodilution (TD) with those obtained using bioimpedance (Bi) as measured using the Bomed NCCOM3 (Revision 6) in 28 consecutive patients in the first 24h after coronary artery bypass surgery (CABS). In 46 paired measurements made in the first 12 h after CABS Bi values for CO were significantly lower than TD values, the limits of agreement between the two methods were also unacceptably large (mean Bi 4.38 (SD 1.40) l/min, mean TD 5.46 (SD 1.19) l/min, limits of agreement−3.05 to +0.89). In 55 paired measurements made after 12h (all in spontaneously breathing patients) there was no significant difference between the two methods and acceptable limits of agreement, mean Bi 5.69 (SD 1.2) l/min mean TD 5.6 (SD 1.2) l/min, limits of agreement−0.99 to +1.17). The significantly lower BiCO values obtained in the first 12h after CABS show that BiCO measurement is not consistently reliable in the intensive care setting.
    Type of Medium: Electronic Resource
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