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  • 1
    Electronic Resource
    Electronic Resource
    Extracorporeal CO2-removal with a heparin coated artificial lung (1988)
    Springer
    Intensive care medicine 14 (1988), S. 578-584 
    Details
    ISSN: 1432-1238
    Keywords: Acute respiratory failure ; Anticoagulation ; Artificial lung ; Extracorporeal gas exchange
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Treatment of severe acute respiratory failure with extracorporeal gas exchange necessitating near complete systemic anticoagulation requires a delicate balance to be maintained between disseminated intravascular coagulation and hemorrhagic complications. The present study describes our first experience using a heparin coated extracorporeal artificial lung and circuitry during clinical extracorporeal CO2 removal. In spite of a partial thromboplastin time and activated clotting time within or close to the normal range, neither laboratory evidence for disseminated intravascular coagulation induced by the extracorporeal circuit nor thrombi in the pulmonary vasculature were found. Scanning electron microscopy of the heparin coated hollow fiber gas exchanger demonstrated only minor deposits on the surface. Use of a heparin coated artificial lung may enhance the margin of safety of extracorporeal gas exchange and ultimately broaden its indications.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00263533
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Laparoscopic cholecystectomy (1993)
    Springer
    Surgical endoscopy and other interventional techniques 7 (1993), S. 537-538 
    Details
    ISSN: 1432-2218
    Keywords: Laparoscopy ; Cholecystectomy ; Laparoscopic cholecystectomy ; Abscess ; Surgery ; Gallstones
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Stones are sometimes spilled at the time of cholecystectomy. Retrieval may be difficult, especially during laparoscopic cholecystectomy. Little is known about the natural history of missed stones which are left behind in the peritoneal cavity. We present a case in which a patient developed an intraabdominal abscess around such a stone. The abscess recurred after drainage and removal of the stone was needed for resolution. This case suggests that care should be taken to avoid stone spillage, and that stones which are spilled into the abdomen should be retrieved.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00316699
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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