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  • 1
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    German Medical Science GMS Publishing House; Düsseldorf
    In:  DAV 2007; 25. Jahrestagung der deutschsprachigen Arbeitsgemeinschaft für Verbrennungsbehandlung; 20070110-20070113; St. Anton am Arlberg; DOC07dav06 /20080625/
    Publication Date: 2008-06-25
    Keywords: ddc: 610
    Language: German
    Type: conferenceObject
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  • 2
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    German Medical Science GMS Publishing House; Düsseldorf
    In:  DAV 2007; 25. Jahrestagung der deutschsprachigen Arbeitsgemeinschaft für Verbrennungsbehandlung; 20070110-20070113; St. Anton am Arlberg; DOC07dav01 /20080625/
    Publication Date: 2008-06-25
    Keywords: ddc: 610
    Language: German
    Type: conferenceObject
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  • 3
    ISSN: 1435-2451
    Keywords: Amputation ; Lower extremity ; Intractable ischemia ; Occlusive arterial disease
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die bis vor kurzer Zeit geltende Meinung, daß die Oberschenkelamputation bei chronisch arterieller Verschlußkrankheit im Stadium IV die Methode der Wahl sei, ist überholt. Bei Patienten mit peripheren Verschlüssen ist die Bestimmung der Amputationshöhe schwierig und sie bedarf besonderer Erfahrung. Die prothetische Versorgung und die Rehabilitation nach einer Amputation hängt nicht nur vom Allgemeinzustand und von der seelischen Verfassung des Patienten ab, sondern auch von der angewandten Operationstechnik. Je distaler die Amputation, desto größer sind die Aussichten für eine zufriedenstellende prothetische Versorgung und für die Reintegration in der Gesellschaft. Wir haben in einem Zeitraum von 48 Monaten 280 Amputationen an 268 Patienten durchgeführt. Bei 181 Patienten (68%) kam es zu einer komplikationslosen primären Wundheilung. Die Gesamtletalität betrug 10% und war hauptsächlich in der Gruppe der Oberschenkelamputierten zu finden. Die meisten lokalen Wundkomplikationen traten bei transmetatarsalen Resektionen und bei Unterschenkelamputationen auf. 42 Patienten (15%) mußten nachamputiert werden. Prothetische Versorgung und Rehabilitation waren bei oberschenkelamputierten Patienten nur in der Hälfte der Falle möglich. Die weiter distal Amputierten konnten fast zur Gänze zufriedenstellend prothetisch versorgt werden.
    Notes: Summary The until recently held opinion that above-knee amputations were the method of choice for treating stage IV chronic occlusive arterial disease, is outdated. Determining the appropriate level for amputation in patients with peripheral arterial obstruction is difficult, and requires much experience. Successful fitting of a prosthetic device and subsequent rehabilitation depend not only on the patient's bodily and emotional reserves, but also on the operative technique employed. The more distal the amputation, the better is the prognosis for satisfactory prosthetic function and social reintegration. A total of 280 amputations on 268 patients was performed over a 48-month period. In 181 patients (68%) primary healing occurred without complications. Total mortality was 10%, occurring mainly in the group of above-knee amputees. The majority of local wound complications was found in transmetatarsal resections and below-knee amputations. A total of 42 patients (15%) underwent re-amputation. Only half of the above-knee amputees could be fitted with a prosthesis and rehabilitated, whereas nearly all patients amputated more distally experienced satisfactory outcomes in this respect.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1432-1238
    Keywords: Key words Acute lung injury ; Partial liquid ventilation ; Kinetic therapy ; Lung function ; Hemodynamic monitoring
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objective: To investigate the effect of the combination of kinetic therapy (KT) with partial liquid ventilation (PLV) on gas exchange, lung mechanics and hemodynamics in acute lung injury (ALI). Design: Prospective, randomized, controlled pilot study. Setting: University research laboratory. Subjects: Eleven piglets weighing 8.3 ± 0.9 kg. Intervention: ALI was induced by the infusion of oleic acid (0.08 ml/kg) and repeated lung lavages with 0.9 % NaCl (20 ml kg−1). Thereafter the animals were randomly assigned either for PLV or a combination of PLV with KT (PLV/KT). The dose of perfluorocarbon administered was 30 ml/kg, evaporative losses were substituted with 5 ml/kg per h. Measurements and main results: Airway pressures, tidal volumes, dynamic compliance (Cdyn), expiratory airway resistance and arterial blood gases were measured. Hemodynamic monitoring included right atrial, mean pulmonary artery, pulmonary capillary wedge and mean systemic arterial pressures, and continuous flow recording of the pulmonary artery. In both groups the induction of ALI significantly reduced PaO2/FIO2 Cdyn and cardiac output, and significantly increased pulmonary artery pressure. After the initiation of PLV there was a significant increase of PaO2/FIO2, and Cdyn, and a significant decrease of pulmonary artery pressure in both groups. Except the PaCO2, which showed significantly lower values in the PLV/KT group, no variables showed any differences between the two groups. Conclusion: The additional use of KT did not show beneficial effects on oxygenation and lung mechanics during PLV. However, at constant minute ventilation PaCO2 levels were significantly lower during PLV/KT, indicating some positive influence on the ventilation/perfusion distribution within the lung. Extreme body positions during PLV/KT did not show any significant hemodynamic side effects.
    Type of Medium: Electronic Resource
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  • 5
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    German Medical Science GMS Publishing House; Düsseldorf
    In:  37. Jahrestagung der Deutschsprachigen Arbeitsgemeinschaft für Verbrennungsbehandlung (DAV 2019); 20190109-20190112; Schladming, Österreich; DOC35 /20190108/
    Publication Date: 2019-01-09
    Keywords: ddc: 610
    Language: German
    Type: conferenceObject
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