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  • Bewegungssystem  (1)
  • Capillary leak syndrome Critical illness Sepsis Blood volume determination Bioelectric impedance Osmotic pressure  (1)
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  • 1
    Electronic Resource
    Electronic Resource
    Evaluation of noninvasive determinants for capillary leakage syndrome in septic shock patients (2000)
    Springer
    Intensive care medicine 26 (2000), S. 1252-1258 
    Details
    ISSN: 1432-1238
    Keywords: Capillary leak syndrome Critical illness Sepsis Blood volume determination Bioelectric impedance Osmotic pressure
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Objective: Capillary leakage syndrome (CLS) is a frequent complication in sepsis, characterized by loss of intravasal fluids leading to generalized edema and hemodynamic instability despite massive fluid therapy. In spite of its importance no standardized diagnostic criteria are available for CLS. Design: Prospective clinical study. Setting: 1800-bed university hospital Patients: Six septic shock patients with CLS were compared to six control patients. Measurements and results: CLS was clinically determined by generalized edema, positive fluid balance, and weight gain. Plasma volume was measured by indocyanine green, red blood cell volume by chromium-51 labeled erythrocytes, and colloid osmotic pressure before and 90 min after the administration of 300 ml 20% albumin. Extracellular water (ECW) was measured using the inulin distribution volume and bioelectrical impedance analysis. Red blood cells averaged 20.2±1.0 ml/kg body weight in CLS patients and 23.3±4.1 in controls. ECW was higher in CLS patients than in controls (40.0±6.9 vs. 21.7±3.7 l; p〈0.05). ECW of inulin was correlated with that measured by bioelectrical impedance analysis (r=0.74, p〈0.01). The increase in colloid osmotic pressure over the 90 min was less in CLS patients than in controls (1.1±0.3 vs. 2.8±1.3 mmHg; p〈0.05). Conclusion: These results suggest that measurements of an increased ECW using bioelectrical impedance analysis combined with a different response of colloid osmotic pressure to administration of albumin can discriminate noninvasively between patients with and those without CLS.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001340000601
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Über die Zusammenarbeit mit der Kieferorthopädie und Zahnheilkunde in der manuellen Medizin (2000)
    Springer
    Manuelle Medizin 38 (2000), S. 342-345 
    Details
    ISSN: 1433-0466
    Keywords: Schlüsselwörter Kraniomandibularsystem ; Bewegungssystem ; Testverfahren aus manueller Medizin ; Chirotheraphie ; Osteopathie ; Effekte kieferorthopädischer/zahnärztlicher Therapie ; Keywords Craniomandibular system ; Musculoskeletal system ; Testing methods manual medicin ; Chirotherapy ; Osteopathy ; Effects of dental therapy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Abstract The craniomandibular system has an outstanding position within the musculoskeletal system. This is widely accepted by manual medicine, chirotherapy and osteopathy. Craniomandibular dysfunction has dominant effects on the musculoskeletal system (primary lesion). Five testing methods of manual medicine are described for examining this influence rapidly and reproducibly. In the same way, dentists can check to see whether their therapy has any negative influence on the musculoskeletal system with regard dysfunction or a positive influence on regular function.
    Notes: Zusammenfassung Das kraniomandibuläre System hat innerhalb des muskuloskeletalen Systems eine Sonderstellung. Von der manuellen Medizin, der Chirotherapie und Osteopathie wird das allgemein akzeptiert. Funktionsstörungen aus diesem System wirken sich dominant auf das Bewegungssystem aus (primäre Läsion). Beschrieben werden 5 bewährte Testverfahren aus der manuellen Medizin, die diese Störeinflüsse schnell und exakt reproduzierbar nachweisen. Entsprechend lassen sich kieferorthopädische und zahnärztliche Aufbissbehelfe und Bissnahmen prüfen. Verursachen sie bei den beschriebenen Testverfahren keine pathologischen Ergebnisse, so können sie als funktionsgerecht gelten.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003370070006
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
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