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  • 1
    Electronic Resource
    Electronic Resource
    Cardiopulmonary resuscitation in the prone position: Kouwenhoven revisited (1996)
    Springer
    Intensive care medicine 22 (1996), S. 1272-1272 
    Details
    ISSN: 1432-1238
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01709349
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Buflomedil poisoning: five cases with cardiotoxicity (1996)
    Springer
    Intensive care medicine 22 (1996), S. 57-61 
    Details
    ISSN: 1432-1238
    Keywords: Buflomedil ; Cardiotoxicity ; Intoxication ; Vasodilator agents ; Convulsions ; Intensive care
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objective To report cardiotoxicity of buflomedil. Setting Medical intensive care unit of a university hospital. Patients Five patients admitted to the hospital since 1985 for buflomedil poisoning. The amount ingested was known for only three patients (3–10.8 g). Results The five young women were admitted to the hospital because of generalized seizures or myoclonic jerks. Cardiac arrest (asystole) occurred for two of them on admission, 1 and 3 h after ingestion. Electrocardiogram revealed atrio-ventricular and intraventricular conduction abnormalities, increased QT interval and flattened T wave, decreasing after sodium bicarbonate infusion in two cases. The patients received mechanical ventilation, gastric lavage, oral activated charcoal, and clonazepam or valproic acid for convulsions or myoclonic jerks. Epinephrine was administered for cardiac arrest. Sodium bicarbonate was infused in one patient on the basis of slightly prolonged QRS duration and in two patients due to cardiac arrest. Clinical outcome was good and withoutsequelae for all five patients after a few days in the intensive care unit. Conclusion Clinical and electrocardiographic symptomatology of buflomedil poisoning suggests direct cardiotoxicity, which could be related to possible sodium antagonist properties.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01728332
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Right-to-left interatrial shunt in ARDS: dramatic improvement in prone position (1999)
    Springer
    Intensive care medicine 25 (1999), S. 412-414 
    Details
    ISSN: 1432-1238
    Keywords: Key words ARDS ; Hypoxemia ; Mechanical ventilation ; Patent foramen ovale ; Prone position ; Pulmonary hypertension ; Doppler transcranial sonography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The mechanisms leading to shunting through a patent foramen ovale include high right-sided cardiac pressures and respiratory factors due to mechanical ventilation and also anatomical changes in the right atrium as described in the platypnea-orthodeoxia syndrome. We report a patient with the adult respiratory distress syndrome (ARDS) who had a right-to-left atrial shunt which decreased in the prone position, after which oxygenation improved. The patient was admitted to the intensive care unit because of ARDS due to an invasive fungal infection. He had a history of chronic lymphocytic leukemia and paradoxical embolisms through a patent foramen ovale. Despite mechanical ventilation and antifungal treatment he developed severe ARDS. He was therefore turned to the prone position. Blood gas values improved dramatically (arterial oxygen tension/fractional inspired oxygen ratio increasing from 59 to 278 torr). Transcranial Doppler sonography was performed with bubble study, which confirmed a massive right-to-left shunt in the supine position and which instantaneously decreased in the prone position. This case suggests that a decrease in right-to-left shunt in patients who have a patent foramen ovale could partly explain the improvement in hypoxemia in the prone position.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001340050868
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  • 4
    Electronic Resource
    Electronic Resource
    Severe non-infectious circulatory shock related to hypopituitarism (1999)
    Springer
    Intensive care medicine 25 (1999), S. 865-868 
    Details
    ISSN: 1432-1238
    Keywords: Key words Hypopituitarism ; Intensive care ; Septic shock ; Adrenocorticotropic insufficiency ; Oxygen consumption ; Hemodynamics
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The authors report a case of refractory non-infectious circulatory shock with catecholamine and massive fluid loading-resistant features related to hypopituitarism. A 76-year-old man was admitted for shock after suffering from gastroenteritis for 3 days. He was pale and had sparse axillary and pubic hair and small testes. Right catheterization showed shock with low preload pressure and a low oxygen extraction ratio relevant for septic shock. Ultrasound tomography revealed a distended gallbladder due to a stone without peritoneal effusion. A non-inflammatory hydrops of the gallbladder was removed surgically. No microorganism was isolated. Cerebral computed tomography (CT) scan showed a pituitary mass. In the post-surgical period the shock became uncontrollable. Cortisol replacement therapy was instituted and clinical and hemodynamic improvement occurred after 2 h. Hormonal screening on admission before catecholamine administration showed a major decrease in all the hypothalamic-pituitary hormone concentrations. The patient died on day 15 with multiple organ failure. Hypopituitarism, probably owing to pituitary adenoma, was the only disease identified in this case. Hormone replacement therapy dramatically improved the clinical and hemodynamic status, although the role of an abdominal sepsis could not be eliminated. Arguments that pituitary hormone deficiency might increase the hemodynamic consequences of adrenal deficiency are discussed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001340050968
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  • 5
    Electronic Resource
    Electronic Resource
    Possible role of Chaetomium globosum in infection after autologous bone marrow transplantation (1999)
    Springer
    Intensive care medicine 25 (1999), S. 124-125 
    Details
    ISSN: 1432-1238
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001340050801
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    Paper (German National Licenses)
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  • 6
    Electronic Resource
    Electronic Resource
    Rupture of pulmonary artery induced by Swan-Ganz catheter: success of coil embolization (1997)
    Springer
    Intensive care medicine 23 (1997), S. 198-200 
    Details
    ISSN: 1432-1238
    Keywords: Key words Pulmonary artery rupture ; Swan-Ganz catheter ; Embolization ; Coil
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A 75-year-old woman suffered severe haemoptysis after insertion of a Swan-Ganz catheter in an intensive care unit. Control of the pulmonary artery haemorrhage was quickly and successfully achieved with stainless steel coils as the embolic material.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001340050316
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    Paper (German National Licenses)
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  • 7
    Electronic Resource
    Electronic Resource
    Necrosis of pheochromocytoma presenting initially as isolated quadriparesis (1999)
    Springer
    Intensive care medicine 25 (1999), S. 123-123 
    Details
    ISSN: 1432-1238
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001340050800
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    Paper (German National Licenses)
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  • 8
    Electronic Resource
    Electronic Resource
    Septicemia and meningitis due toStreptococcus zooepidemicus (1998)
    Springer
    European journal of clinical microbiology & infectious diseases 17 (1998), S. 290-291 
    Details
    ISSN: 1435-4373
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A case of septicemia and meningitis due toStreptococcus zooepidemicus in an immunocompetent patient is reported. This organism is an uncommon human pathogen that sometimes causes severe infection, usually in immunocompromised patients. In the reported case, the patient required to be mechanically ventilated for one week and was treated with intravenous ampicillin and gentamicin. He recovered and was discharged from hospital three weeks after the initial presentation.Streptococcus zooepidemicus sensitive to all penicillins, was isolated from all blood cultures and the cerebrospinal fluid.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01699990
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  • 9
    Electronic Resource
    Electronic Resource
    Septicemia and Meningitis due to Streptococcus zooepidemicus (1998)
    Springer
    European journal of clinical microbiology & infectious diseases 17 (1998), S. 290-291 
    Details
    ISSN: 1435-4373
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  A case of septicemia and meningitis due to Streptococcus zooepidemicus in an immunocompetent patient is reported. This organism is an uncommon human pathogen that sometimes causes severe infection, usually in immunocompromised patients. In the reported case, the patient required to be mechanically ventilated for one week and was treated with intravenous ampicillin and gentamicin. He recovered and was discharged from hospital three weeks after the initial presentation. Streptococcus zooepidemicus sensitive to all penicillins, was isolated from all blood cultures and the cerebrospinal fluid.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01699990
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    Paper (German National Licenses)
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