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  • 1
    Electronic Resource
    Electronic Resource
    Lung resection in pediatric patients (1997)
    Springer
    Pediatric surgery international 13 (1997), S. 10-13 
    Details
    ISSN: 1437-9813
    Keywords: Key words Thoracoscopy ; Pediatric surgery ; Lung resection ; Lobectomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract An evaluation of all pediatric patients with primary or secondary pulmonary disease operated upon from January 1993 to July 1996 by the same senior surgeon was carried out. The inclusion criterion was a lung resection in patients aged less than 14 years. Children were divided into two categories according to the neoplastic or non-neoplastic nature of their disease. In the first group a lobectomy was performed for primary lesions and wedge resection for secondary ones. In the second group lobar emphysema and cystic dysplasia were the major indications for lobectomy, while diagnostic wedge resections were performed for interstitial/infiltrative lesions. Several groups of techniques were identified according to the type of approach and the suture method. Video-assisted thoracoscopic surgery and a muscle-sparing approach were compared to classic posterolateral thoracotomy. The mechanical stapler-suturing method was compared to the manual suturing. Our results demonstrate the importance of mechanical suturing, particularly in decreasing anesthesia time and reducing the risk of dehiscence. The minimally invasive approach associated with mini-thoracotomy was particularly useful for patients with reduced oxygen saturation due to ventilatory and gas-exchange problems. The roles of staplers in lung parenchymal resection and minimally invasive procedures for improving the postoperative thoracic compliance of pediatric patients are stressed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003830050232
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  • 2
    Electronic Resource
    Electronic Resource
    Atenolol in dilated cardiomyopathy: A clinical instrumental study (1990)
    Springer
    Cardiovascular drugs and therapy 4 (1990), S. 505-507 
    Details
    ISSN: 1573-7241
    Keywords: congestive heart failure ; beta blockers ; dilated cardiomyopathy ; atenolol
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The usefulness of beta blockers in the treatment of congestive heart failure has been questioned. We selected 11 patients, mean age 47.1±13.8, affected by dilated cardiomyopathy in NYHA class III, who had been taking digoxin and diuretics for a long time. Atenolol 50 mg was added to conventional therapy. Both before and 3 months after treatment a clinical evaluation, chest x-ray, an exercise test, and an echocardiogram were performed. We observed an improvement of NYHA class in five patients. However, the exercise test showed no improvement: 2310±1299 vs. 2902±983 total kgm (ns). The echocardiogram showed improvements of the end-systolic diameter (from 6.3±1 cm to 5.9±0.8 cm; p〈0.02), the fractional shortening (from 13.6±6.3% to 15.2±5.6%; p〈0.05) the radius/thickness ratio (from 4.14±0.5 to 3.5±0.5; p〈0.05), and the wall stress (from 208±49 g/cm2 to 163.5±41 g/cm2; p〈0.02). The inotropic state index did not show any changes. We conclude that in some patients with dilated cardiomyopathy beta blockers may improve the clinical status and left ventricular performance.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01857761
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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