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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Der Anaesthesist 49 (2000), S. 1046-1053 
    ISSN: 1432-055X
    Keywords: Schlüsselwörter ARDS ; Ventilator-induzierte Lungenschädigung ; Open-lung-Konzept ; PEEP ; Protektive Beatmung
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zum Thema Das Konzept der “offenen Lunge” ist Teil der gegenwärtigen Therapiestrategie bei akuter Lungenschädigung (“acute lung injury”, ALI) und dem akuten Atemnotsyndrom des Erwachsenen (“adult respiratory distress syndrome”, ARDS). Formal besteht das Beatmungskonzept aus den Komponenten Wiedereröffnung (Rekrutierung, “recruitment”, “open up the lung”) nicht-ventilierter Alveolen und dem Offenhalten (“keep the lung open”) noch ventilierter bzw. rekrutierter Alveolen sowie der vorgeschalteten Atemwege, die inhaltlich jedoch ineinander übergehen. Kein Therapieansatz hat so viel Bewegung in die Behandlung von ALI und ARDS gebracht wie das Open-lung-Konzept, was sich in umfangreicher intensivmedizinischer, auch publikatorischer Aktivität widerspiegelt. Das Konzept ist eingebettet in eine Behandlungsstrategie aus kausalen und medikamentösen Maßnahmen, Volumenrestriktion, 4-Seiten-Lagerung, NO-Inhalation und extrakorporaler Oxygenierung sowie additiver, derzeit in der Phase der Überführung in die klinische Praxis befindlicher Ansätze wie Surfactantinstillation, Prostazyklininhalation und partielle Flüssigkeitsbeatmung (“partial liquid ventilation”).
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Intensive care medicine 23 (1997), S. 630-634 
    ISSN: 1432-1238
    Keywords: Key words Percutaneous ; Tracheostomy ; Critically ill ; Bleeding ; Tracheal injury
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objective: To evaluate the safety of percutaneous dilatational tracheostomy. Design: A prospective clinical study. Setting: The intensive care unit of a university medical clinic. Patients: 137 critically ill patients admitted between May 1993 and September 1996. Intervention: Percutaneous dilatational tracheostomy at the bedside. Results: The median duration of translaryngeal intubation prior to tracheostomy was 8 days. Tracheostomy was carried out within 12.8 min (range 7 –30 min). Acute complications were documented in 11.0 % of the patients. There was one case of severe bleeding with transient asphyxia. Four patients had tracheal mucosal laceration treated conservatively. The postoperative in-hospital complication rate was 5.1 %, the sole problem being stomal bleeding. Only two cases of stomal infection were documented. There was no procedure-related mortality. Conclusion: In the hands of the experienced, percutaneous dilatational tracheostomy is a safe and quick bedside procedure. It is also less expensive and incurs minimal stress for the patient compared with the surgical method. The technique can be easily mastered by non-surgical physicians and we feel that it is the method of choice for elective tracheostomy in the majority of intensive care patients.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Contact dermatitis 23 (1990), S. 0 
    ISSN: 1600-0536
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Der Internist 41 (2000), S. 985-994 
    ISSN: 1432-1289
    Keywords: Schlüsselwörter ARDS middot; Ventilator-induzierte Lungenschädigung ; Open-lung-Konzept ; PEEP ; Protektive Beatmung
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zum Thema Das Konzept der “offenen Lunge” ist Teil der gegenwärtigen Therapiestrategie bei akuter Lungenschädigung (“acute lung injury”, ALI) und dem akuten Atemnotsyndrom des Erwachsenen (“adult respiratory distress syndrome”, ARDS). Formal besteht das Beatmungskonzept aus den Komponenten Wiedereröffnung (Rekrutierung, “recruitment”, “open up the lung”) nicht-ventilierter Alveolen und dem Offenhalten (“keep the lung open”) noch ventilierter bzw. rekrutierter Alveolen sowie der vorgeschalteten Atemwege, die inhaltlich jedoch ineinander übergehen. Kein Therapieansatz hat so viel Bewegung in die Behandlung von ALI und ARDS gebracht wie das Open-lung-Konzept, was sich in umfangreicher intensivmedizinischer, auch publikatorischer Aktivität widerspiegelt. Das Konzept ist eingebettet in eine Behandlungsstrategie aus kausalen und medikamentösen Maßnahmen, Volumenrestriktion, 4-Seiten-Lagerung, NO-Inhalation und extrakorporaler Oxygenierung sowie additiver, derzeit in der Phase der Überführung in die klinische Praxis befindlicher Ansätze wie Surfactantinstillation, Prostazyklininhalation und partielle Flüssigkeitsbeatmung (“partial liquid ventilation”).
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Intensive care medicine 24 (1998), S. 189-189 
    ISSN: 1432-1238
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    New York, NY : Wiley-Blackwell
    International Journal of Chemical Kinetics 30 (1998), S. 721-727 
    ISSN: 0538-8066
    Keywords: Chemistry ; Physical Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: The rate coefficients for the reactions of hydrogen atoms with n-C3H7Br, s-C3H7Br, n-C4H9Br, and s-C4H9Br were determined in a discharge flow-reactor at 298 K and a pressure of 4 mbar. Molecular-beam sampling and subsequent mass-spectrometric detection with electron-impact ionisation was used for the measurement of the bromo-hydrocarbon concentration. The rate coefficients obtained are (in 1010 cm3 mol-1 s-1): 2.3±1.2 for n-C3H7Br, 2.3±1.2 for s-C3H7Br, 2.4±1.2 for n-C4H9Br, and 2.8±1.4 for s-C4H9Br. The results are compared with predictions from bond-energy bond-order (BEBO) calculations, where a reasonable agreement is found. Furthermore, also by BEBO calculations, the relative importance of bromine abstraction as compared to hydrogen abstraction is estimated. © 1998 John Wiley & Sons, Inc. Int J Chem Kinet: 30: 721-727, 1998
    Additional Material: 1 Ill.
    Type of Medium: Electronic Resource
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