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Biomedical subjects

B Pirwitz

Publications and source records attributed to B Pirwitz.

18 recordsLinked to original sources
PubMed1998

[Risks and complications anesthesia with intubation during dental treatment].

In many hospitals and dental clinics the delivery of dental care under general anesthesia is a routine practice. Most often mentally handicapped patients and uncooperative children are concerned. In order to minimise the risk of anesthesia-related complications, an exact preoperative examination of anatomic particularities and accompanying diseases is mandatory. An analysis of 402 anesthesias performed from 1992 to 1995 revealed a 13.9% of complications. Main problems observed were difficult intubation and marked drop in blood pressure. Despite of a relatively low anesthetic risk we still limit ambulatory anesthesias to patients belonging to the ASA risk groups 1 and 2 with a maximum extent of the narcosis of 2 hours.

Ambulatory Care↗
PubMedDate not supplied

[Functional hyperbilirubinemias. Clinical, biochemical and morphological findings].

Eighty-three cases of functional hyperbilirubinaemia (non-conjugated, non-haemolytic hyperbilirubinaemia) were subjected to clinical, biochemical, and morphological analysis. Men accounted for almost 80% of patients, the mean age at time of first manifestations of the disease was 26 years. Persistent jaundice was present only in 31% of cases. The mean non-conjugated bilirubin level was 2.8 mg%. The so-called hunger test is very spectacular, but its diagnostic value must be evaluated cautiously. It was found that alkaline phosphate activity and BSP retention test were not in all cases normal. Other biochemical tests gave normal results. Percutaneous liver biopsy was carried out in 71 patients without finding any changes in 42%, while in others slight, mainly degenerative changes in 42%, while in others slight, mainly degenerative changes were demonstrated. In most cases the diagnosis of non-conjugated, non-haemolytic hyperbilirubinaemia can be made on the basis of clinical and biochemical evaluation. Only few doubtful cases should be qualified for liver biopsy.

Adolescent↗