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  • Key words: Alendronate — Treatment — Bone mineral density — Osteoporosis — Elderly women.  (1)
  • Offenes Foramen ovale  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Der Anaesthesist 48 (1999), S. 236-241 
    ISSN: 1432-055X
    Keywords: Schlüsselwörter Paradoxe Luftembolie ; Venöse Luftembolie ; Offenes Foramen ovale ; Systemische Zirkulation ; Hyperbare Oxygenierung ; Key words Venous air embolism ; Paradoxical air embolism ; Pulmonary hypertension ; Patent foramen ovale ; Transpulmonary passage
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Abstract Paradoxical air embolism may occur with any venous air embolism. Air may either enter the systemic circulation through a patent foramen ovale or through transpulmonary passage of air. While small venous air emboli are mostly well tolerated, even the smallest paradoxical air emboli can have fatal consequences in the systemic circulation. Therapy and prophylaxis of paradoxical air embolism equal those of venous air embolism. This is especially true, since paradoxical air embolism may not become obvious under general anesthesia. More specific therapeutic regiments, such as hyperbaric oxygenation and the infusion of perfluorocarbons, are still in an experimental stage.
    Notes: Zusammenfassung Paradoxe Luftembolien können im Rahmen einer jeden venösen Luftembolie auftreten. Dabei gelangt die Luft entweder über ein offenes Foramen ovale in die systemische Zirkulation, oder aber transpulmonal. Während kleine venöse Luftembolien oftmals gut toleriert werden, können schon kleinste paradoxe Embolien fatale Folgen haben. Die Prophylaxe und Therapie der paradoxen Embolie entspricht weitgehend der der venösen Embolie. Dies gilt insbesondere deswegen, weil der paradoxe Anteil einer Luftembolie unter Allgemeinanästhesie nicht sofort erkennbar wird. Spezifischere Therapieansätze stellen die hyperbare Oxygenierung sowie die Infusion von Perfluorokarbonen dar, allerdings befinden sie sich noch im tierexperimentellen Stadium.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0827
    Keywords: Key words: Alendronate — Treatment — Bone mineral density — Osteoporosis — Elderly women.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine , Physics
    Notes: Abstract. We have recently reported the results of a 24-month, double-blind, placebo-controlled study in 359 elderly osteoporotic women who were treated with daily oral alendronate (ALN) 1, 2.5, or 5 mg or placebo (PBO). We report the results of a 12-month, open-label, extension study during which 246 patients from the original study were treated with ALN 10 mg/day. Significant increases in lumbar spine bone mineral density (BMD) were observed in patients who had previously received PBO or ALN 1 and 2.5 mg/day for 24 months. Significant gains in trochanter BMD were seen in all treatment groups. Small changes were observed in femoral neck, total body, and forearm BMD during the course of this extension study. In general, the greatest increases in BMD during the open-label extension year occurred in patients who received either PBO or the lower doses of ALN during the previous 2-year blinded study. The frequencies of all categories of upper gastrointestinal adverse experiences (AEs) were less during months 25–36 (open-label extension) than during months 0–24 (original study). In conclusion, treatment with ALN 10 mg/day for 12 months in elderly women with osteoporosis who were previously treated for 24 months with PBO or ALN 1, 2.5, or 5 mg/day increased or maintained BMD of the spine, trochanter, and forearm, and was generally safe and well tolerated, especially in the upper gastrointestinal tract.
    Type of Medium: Electronic Resource
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