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  • 1
    Electronic Resource
    Electronic Resource
    Per- and postoperative changes in the arterio-venous oxygen content difference (AVDO2) in patients subjected to craniotomy for cerebral tumours (1989)
    Springer
    Acta neurochirurgica 101 (1989), S. 9-17 
    Details
    ISSN: 0942-0940
    Keywords: Arterio-venous oxygen content difference ; cerebral blood flow ; cerebral metabolism ; halothane anaesthesia ; luxury perfusion ; neuroanaesthesia ; postoperative recovery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Sixteen patients with supratentorial cerebral tumours were subjected to craniotomy under thiopentone, fentanyl, nitrous oxide, halothane anaesthesia during moderate hypocapnia (PaCO2 level 4.0 kPa). The arterio-venous oxygen content difference (AVDO2) was measured peroperatively, and repeatedly during the first three hours after extubation. Peroperatively the level of AVDO2 averaged 8.0 vol% during opening of the dura, and decreased to 7.0 vol% during closure of the dura (P〈0.05). Immediately after extubation the AVDO2 decreased to 4.3 vol% (P〈0.05), and during the next 3 hours a gradual increase to 5.8 vol% (P〈0.05) was disclosed. In individual cases the postoperative changes in AVDO2 correlated fairly well with changes in mean arterial blood pressure (MABP), but other factors including duration of the operation, age of the patients, size of the tumour, level of PaCO2 and adaptation to prolonged hyperventilation during operation are supposed to be responsible for the low levels of AVDO2 observed in the postoperative period.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01410062
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Epidural blockade in the treatment of preterm labour (1988)
    Oxford, UK : Blackwell Publishing Ltd
    Anaesthesia 43 (1988), S. 0 
    Details
    ISSN: 1365-2044
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: A case of premature labour induced by necrosis in a fibromyoma followed by laparotomy is described. Unsuccessful treatment with ritodrine was followed by successful treatment with epidural analgesia. The possible role of a sympathetic blockade is discussed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1365-2044.1988.tb05481.x
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Ossification of the cricothyroid membrane following minitracheotomy (1989)
    Springer
    Intensive care medicine 15 (1989), S. 272-273 
    Details
    ISSN: 1432-1238
    Keywords: Minitracheotomy ; Cricothyroid membrane ; Dystrophic calcification ; Heterotopic bone formation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We describe a case in which a repeat minitracheotomy (MT) could not be performed 2 months after the first. The cricothyroid membrane seemed calcified and histological examination showed scar formation with dystrophic calcification and heterotopic bone formation. Scar formation following MT may have caused these alterations making repeat access to the airway through the membrane impossible.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00271066
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Is minitracheotomy a simple and safe procedure? A prospective investigation in the intensive care unit (1991)
    Springer
    Intensive care medicine 17 (1991), S. 333-335 
    Details
    ISSN: 1432-1238
    Keywords: Minitracheotomy ; Intensive care ; Indication ; Complication
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Patients with imminent respiratory failure due to sputum retention were assessed for minitracheotomy (MT). MT was considered potentially useful in 79 patients but only attempted in 73, 54 men and 19 women, aged 23–81 years (median 65 years). Insertion of the cannula failed in 4 cases. Sputum retention and atelectasis were successfully treated in 87% (N=60). Treatment by MT in medical and neurological patients seems as effective as in surgical patients (success rate 81% versus 90%). The frequency of complications was 16%. Most complications were insignificant and occurred during cannulation, but a few severe complications were seen. To minimize the number of these it is essential that MT is done only by doctors who are familiar with the procedure. MT can be recommended for treatment of sputum retention and atelectasis in surgical and medical/neurological intensive care patients with preserved cough function.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01716191
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    Paper (German National Licenses)
    Fulltext
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