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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Intensive care medicine 25 (1999), S. 406-409 
    ISSN: 1432-1238
    Keywords: Key words Subarachnoid haemorrhage ; Vasospasm ; Papaverine ; Barbiturate ; therapeutic use
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objective: To document the outcome of patients treated with barbiturate coma for severe symptomatic angioplasty-resistant vasospasm. To compare mortality with that predicted by admission APACHE II score, and neurological outcome with that of historical controls treated with barbiturate coma for vasospasm, and with historical controls with delayed ischaemic deficits from vasospasm treated with nimodipine. Design: Cohort study. Setting: Neurosurgical Intensive Care Unit of tertiary referral university teaching hospital. Patients: Eleven (6.7 %) of 164 consecutive patients with aneurysmal SAH managed according to our protocol who were treated with thiopentone-induced burst suppression coma for severe symptomatic, angioplasty-resistant vasospasm. Interventions: Chart, database and literature review. Measurements and results: All 11 patients survived to hospital discharge (mortality 0 %) compared with first-day APACHE II predicted mortality of 30.6 % (p = 0.15). Outcome at 6 months was: good recovery 8/11 (72.7 %), moderate disability 2/11 (18.2 %), vegetative survival 1/11 (9.1 %). Ten of 11 (90.9 %) had a good neurological outcome compared with 50.6 % of historical controls with delayed ischaemic deficit from vasospasm (odds ratio 9.78, 95 % confidence interval 1.24–77.0, p = 0.02), and 0 % of previously reported patients treated with barbiturate coma for vasospasm (p 〈 0.01). Conclusion: Our results are better than previously published outcomes and suggest formal evaluation of barbiturate coma in the treatment of severe resistant symptomatic vasospasm following SAH is warranted.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0703
    Source: Springer Online Journal Archives 1860-2000
    Topics: Energy, Environment Protection, Nuclear Power Engineering , Medicine
    Notes: Abstract. This study was conducted to ascertain the subacute and reproductive effects in mink (Mustela vison) resulting from exposure to moniliformin, a toxic mycotoxin produced by Fusarium fungi. In a preliminary trial, adult mink were presented diets that contained targeted concentrations of 10, 20, 40, 80, 160, or 240 ppm moniliformin provided by F. fujikuroi culture material (M-1214). The mink fed diets that contained more than 40 ppm moniliformin refused to eat significant quantities of feed. Feeding adult mink diets that contained 8.1 or 17.0 ppm (wet weight) moniliformin, provided by F. fujikuroi culture material, in a 30-day subacute trial produced no significant adverse effects on feed consumption, body weights, hematologic parameters, or serum chemical values, and notable histologic changes in tissues that were examined. In the reproduction trial, female mink were exposed to the same dietary concentrations of moniliformin provided by F. fujikuroi culture material as in the subacute test from 2 weeks prior to the breeding season until their offspring (kits) were 8 weeks old. Consumption of the high-dose (17 ppm) diet resulted in significant neonatal mortality and reduced kit body weights at birth and at 8 weeks of age. Necropsy of 8-week-old kits from the control and high-dose groups revealed no gross or histologic lesions or alterations in liver, lung, or heart tissues that could account for the mortality observed in the kits exposed to the culture material. These results indicate that long-term (105–135 days) dietary exposure to F. fujikuroi culture material containing 17 ppm moniliformin is not lethal to adult female mink, but can have adverse effects on neonatal mink.
    Type of Medium: Electronic Resource
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