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  • Coagulopathy  (1)
  • Key words Central venous cannula  (1)
  • activated carbon  (1)
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  • 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 49 (1997), S. 1399-1408 
    ISSN: 1572-8943
    Schlagwort(e): activated carbon ; adsorption ; sodium ethyl xanthate ; thermal decomposition
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Chemie und Pharmazie
    Notizen: Abstract The thermal decomposition of SEX in a nitrogen atmosphere was studied by coupled thermogravimetry-Fourier transform infrared spectroscopy (TG-FTIR), and by pyrolysis-gas chromatography-mass spectrometry (py-GC-MS). The TG curve exhibited two discrete mass losses of 45.8% and 17.8% respectively, at 200 and 257–364°C. The evolved gases identified as a result of the first mass loss were carbonyl sulfide (COS), ethanol (C2H5OH), ethanethiol (C2H5SH), carbon disulfide (CS2), diethyl sulfide ((C2H5)2S), diethyl carbonate ((C2H5O)2CO), diethyl disulfide ((C2H5)2S2), and carbonothioic acid, O, S, diethyl ester ((C2H5S)(C2H5O)CO). The gases identified as a result of the second mass loss were carbonyl sulfide, ethanethiol, and carbon disulfide. Hydrogen sulfide was detected in both mass losses by py-GC-MS, but not detected by FTIR. The solid residue was sodium hydrogen sulfide (NaSH). SEX was adsorbed onto activated carbon, and heated in nitrogen. Two discrete mass losses were still observed, but in the temperature ranges 100–186°C (7.8%) and 186–279°C (11.8%). Carbonyl sulfide and carbon disulfide were now the dominant gases evolved in each of the mass losses, and the other gaseous products were relatively minor. It was demonstrated that water adsorbed on the carbon hydrolysed the xanthate to cause the first mass loss, and any unhydrolysed material decomposed to give the second mass loss.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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