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  • 1
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    German Medical Science GMS Publishing House; Düsseldorf
    In:  Deutscher Kongress für Orthopädie und Unfallchirurgie; 71. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie, 93. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie, 48. Tagung des Berufsverbandes der Fachärzte für Orthopädie; 20071024-20071027; Berlin; DOCP19-831 /20071009/
    Publication Date: 2007-10-10
    Keywords: ddc: 610
    Language: German
    Type: conferenceObject
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Hernia 3 (1999), S. 81-83 
    ISSN: 1248-9204
    Keywords: Inguinal hernia ; Quality assurance ; Data base
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Despite improvements in hernia surgery, there are still unsolved problems, especially when operations are performed outside dedicated hernia centres: reduction of recurrence rates, selection of the optimal anesthesia, reduction of length of stay and formulation of evidence based convalescence recommendations. Most of these problems can only be solved through collaboration and multicenter studies. By setting up a national clinical data base for hernia surgery, we aim to establish a scientific basis for the surgical practise in hernia surgery, based on two parallel strategies: 1) to collect nation wide information on the relation between the procedures performed and rates of operation for recurrence, choice of anesthesia and length of stay and 2) to use the data base collaboration to establish multicenter prospective clinical trials. A simple, inexpensive and functional data base was developed and started registration on 1. Jan 1998, with current participation of departments and outpatient clinics, performing approximately 95% of hernia repairs in Denmark. Presently, 3 prospective multicenter studies are under development. A national Danish hernia data base is in function and has the potential to monitor and improve current practise in hernia surgery.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Intensive care medicine 10 (1984), S. 165-167 
    ISSN: 1432-1238
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1432-2218
    Keywords: Key words: Gallbladder — Microlaparoscopic cholecystectomy — Pain — Randomized controlled trial
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Laparoscopic cholecystectomy (LC) is traditionally performed with two 10-mm and two 5-mm trocars. The effect of smaller port incisions on pain has not been established in controlled studies. Methods: In a double-blind controlled study, patients were randomized to LC or cholecystectomy with three 2-mm trocars and one 10-mm trocar (micro-LC). All patients received a multimodal analgesic regimen, including incisional local anesthetics at the beginning of surgery, NSAID, and paracetamol. Pain was registered preoperatively, for the first 3 h postoperatively, and daily for the 1st week. Results: The study was discontinued after inclusion of 26 patients because five of the 13 patients (38%) randomized to micro-LC were converted to LC. In the remaining 21 patients, overall pain and incisional pain intensity during the first 3 h postoperatively increased in the LC group (n= 13) compared with preoperative pain levels (p 〈 0.01), whereas pain did not increase in the micro-LC group (n= 8). Conclusions: Micro-LC in combination with a prophylactic multimodal analgesic regimen reduced postoperative pain for the first 3 h postoperatively. However, the micro-LC led to an unacceptable rate of conversion to LC (38%). The micro-LC instruments therefore need further technical development before this surgical technique can be used on a routine basis for laparoscopic cholecystectomy.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1432-0428
    Keywords: Diabetes ; functional diabetic microan-giopathy ; glucagon ; kidney function
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Kidney function was studied in six normal males before and during a 2 h glucagon (10 ng/kg/min) infusion. The following variables were determined during each 20 min clearance period; glomerular filtration rate (GFR), renal plasma-flow (RPF), filtration fraction (FF), urinary albumin andβ 2-microglobulin-excretion rates. Glucagon infusion resulted in a fourfold increase in plasma glucagon concentration. The infusion induced a significant increase in GFR (+9%), FF (+ 9%) and urinaryβ 2-microglobulin excretion rate (+ 32%), (p〈0.01). RPF and urinary albumin excretion rates were not significantly changed. We suggest that glucagon may contribute to the reversible kidney function alterations typically found in poorly regulated juvenile diabetes, a state with relative or absolute hyperglucagonaemia.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1365-2044
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Thirteen patients were monitored for nocturnal body position (supine vs. side) and arterial oxygen saturation pre-operatively and on the second postoperative night after major abdominal surgery. The number of positional changes were significantly decreased after operation (p 〈 0.05) with a trend towards more time spent in the supine position (p = 0.1). Individual mean arterial oxygen saturation decreased postoperatively (p 〈 0.05) but without a difference between the supine and side positions (p = 0.9). Pre-operatively, episodic desaturations were significantly more frequent in the supine position than on the side (p 〈 0.05) but not postoperatively. Pain was the most frequent reason for decreased nocturnal movements.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    Anaesthesia 52 (1997), S. 0 
    ISSN: 1365-2044
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Twenty-six healthy volunteers were monitored simultaneously with the Nellcor N-200 and N-3000 pulse oximeters during nonhypoxaemic simulated postoperative activity. The overall number of registered events (hypoxaemic episodes or loss of signal) was fewer with the N-3000 than with the N-200 (8 vs. 32, p 〈 0.00005). Episodes of ‘desaturation’ of ≥5% from baseline were significantly fewer with the N-3000 than with the N-200 (5 vs. 19, p =0.0001), and lowest values below 90% occurred nine times on the N-200, but were not seen with the N-3000 (p 〈0.00005). Furthermore, episodes owing to loss of signal were significantly rarer with the N-3000 than with the N-200 (3 vs. 13, p =0.001). The Nellcor N-3000 oximeter may offer an advantage over the N-200 model when monitoring patients in the postoperative period.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Anaesthesia 40 (1985), S. 0 
    ISSN: 1365-2044
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The clinical presentation is described of partial rupture of a colonic anastomosis two hours after surgery during epidural analgesia. The unusually early presentation of this complication is possibly due to removal of normal intestinal sympathetic activity by epidural analgesia resulting in normal or increased colonic motility. It is not known whether epidural analgesia may precipitate anastomotic breakdown due to increased contractions and strain on the anastomosis, or lead to an earlier presentation of a disruption caused by failure of surgical technique or other factors.
    Type of Medium: Electronic Resource
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  • 9
    ISSN: 1365-2044
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Episodic oxygen desaturation is frequent in the late postoperative period and seems most pronounced on the second and third postoperative nights. However, the ventilatory pattern has not been described systematically during this period. We studied the ventilatory pattern and associated arterial oxygenation using the Edentrace II equipment (impedance pneumography and pulse oximetry) on the second and third postoperative nights in 28 patients undergoing major abdominal surgery. Ventilatory disturbances were common and included periods of hypopnoea, and obstructive, central and mixed apnoeas. Overall, the median (range) respiratory disturbance index (apnoeas + hypopnoeas per h) was 12 (0–121), with the patients spending 6% (0–65%) of the night in some kind of ventilatory disturbance. It was not possible from pre-operative snoring habits to predict patients who developed postoperative ventilatory disturbances. Overall, 23% (0–100) of the hypopnoeas and 7% (0–100) of the apnoeas were associated with episodic hypoxaemia. In conclusion, ventilatory disturbances were common in the late postoperative period in the general surgical ward and often associated with episodes of oxygen desaturation.
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Anaesthesia 51 (1996), S. 0 
    ISSN: 1365-2044
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Twelve patients had their arterial oxygen saturation measured pre-operatively and on days 1, 4 and 7 after laparotomy. Measurements were performed in the supine, sitting and standing positions on each day. Arterial oxygen saturation was significantly higher during sitting and standing on days 1 and 4 after operation compared with the supine position (p 〈 0.05). These results give further evidence for the benefits of patient mobilisation after major surgery.
    Type of Medium: Electronic Resource
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