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  • 1
    Digitale Medien
    Digitale Medien
    Springer
    Intensive care medicine 19 (1993), S. 290-293 
    ISSN: 1432-1238
    Schlagwort(e): Acute renal failure ; Cardio-pulmonary bypass ; Haemofiltration
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Objective To study the impact of continuous veno-venous haemofiltration on survival in patients with acute renal failure (ARF) following cardio-pulmonary bypass (CPB) surgery. Design A retrospective study of all patients requiring haemofiltration after CPB over a 2 year period. Setting A 20 bedded, adult cardothoracic intensive care unit in a postgraduate teaching hospital. Patients 35 patients (26 male, age range 24–74 years) required haemofiltration (2.7% of the total number of patients undergoing CPB). Main results Cardiovascular failure post CPB was the commonest causes of ARF (n=16). Indications for haemofiltration were ureamia (21), oligo-anuria (11), volume overload (2) and hyperkalaemia (1). Mean time from CPB to the initiation of haemofiltration was 8 days (range 0–15 days). Mean urea was 30 mmol/l and creatinine 362 μmol/l immediately prior to treatment. Urea was well-controlled in all patients, although 2 needed haemodiafiltration. Twenty-six patients died during their admission to the ICU (74% mortality). A further 3 patients died during their hospital admission, following discharge from ICU. Outcome was particularly poor in patients with cardiovascular failure following CPB (16 cases, 0 survivors). Survivors tended to commence filtration earlier (mean of 4 vs 7 days for non-survivors) and required treatment for a mean period of 8 days (range 1–26 days). Survival was determined by the number of failed organ systems at the start of haemofiltration. Thus, 100% of patients with single system failure survived, compared to only 10% with 3 or more system failure. Conclusions Despite the theoretical advantages of haemofiltration and the effective control of uraemia the mortality associated with ARF following CPB remains high and is probably determined by the number of failed organs systems.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    Digitale Medien
    Digitale Medien
    Hoboken, NJ : Wiley-Blackwell
    AIChE Journal 20 (1974), S. 950-958 
    ISSN: 0001-1541
    Schlagwort(e): Chemistry ; Chemical Engineering
    Quelle: Wiley InterScience Backfile Collection 1832-2000
    Thema: Chemie und Pharmazie , Werkstoffwissenschaften, Fertigungsverfahren, Fertigung
    Notizen: Experiments were designed to identify the mechanism of the secondary nucleation of ice in a vigorously agitated crystallizer. It has been shown that the nucleation rate is proportional to the product of two factors, one characterizing crystal morphology and the other the rate of removal of potential nuclei from the surfaces of the existing crystals. Consequently, the nucleation rate attributable to different mechanisms is additive and the rate is proportional to the number of collisions per crystal. The contribution to the secondary nucleation of ice, by collisions of crystals with the impeller, baffles, and other crystals in an agitated crystallizer have been identified by measurements in a batch crystallizer in which each of the different collision mechanisms could be suppressed.
    Zusätzliches Material: 11 Ill.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 3
    Digitale Medien
    Digitale Medien
    Hoboken, NJ : Wiley-Blackwell
    AIChE Journal 20 (1974), S. 855-862 
    ISSN: 0001-1541
    Schlagwort(e): Chemistry ; Chemical Engineering
    Quelle: Wiley InterScience Backfile Collection 1832-2000
    Thema: Chemie und Pharmazie , Werkstoffwissenschaften, Fertigungsverfahren, Fertigung
    Notizen: The kinetics of secondary nucleation have been determined from measurement of the supersaturation as a function of time following the addition of seed nuclei to a supercooled solution in a well-stirred batch crystallizer. Population balance mathematics have been used to show that the secondary nucleation kinetics may be inferred from the supersaturation-time curve. The method has been applied to the determination of the kinetics of the secondary nucleation of ice and found to give results in excellent agreement with those obtained from tedious particle counts. In addition, it has been shown that the moment of the particle size distribution that best correlates the nucleation rate data can be inferred from the initial transient of the supersaturation-time history.
    Zusätzliches Material: 7 Ill.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 4
    Digitale Medien
    Digitale Medien
    Hoboken, NJ : Wiley-Blackwell
    AIChE Journal 20 (1974), S. 959-966 
    ISSN: 0001-1541
    Schlagwort(e): Chemistry ; Chemical Engineering
    Quelle: Wiley InterScience Backfile Collection 1832-2000
    Thema: Chemie und Pharmazie , Werkstoffwissenschaften, Fertigungsverfahren, Fertigung
    Notizen: The rate of secondary nucleation of ice, assumed to be proportional to the product of collision frequency and impact energy, has been quantitatively modeled using idealized representations of collisions between crystals and either other crystals or surfaces in the crystallizer. The crystal-crystallizer collisions were assumed to be driven by either steady or turbulent fluid motion and the crystal-crystal collisions were assumed to be driven by either gravitational forces or turbulent eddies. The models predict to a good approximation the experimentally determined dependence of the secondary nucleation of ice on crystal size, ice concentration, and agitation power.
    Zusätzliches Material: 6 Ill.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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