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Biomedical subjects

E Rügheimer

Publications and source records attributed to E Rügheimer.

14 recordsLinked to original sources
PubMed1991

[Artificial feeding].

An infusion rate above 3 g/kg BW per day glucose leads to a reduction of oxidative metabolism of the energy sources glucose, free fatty acids, and exogenous triglycerides. Simultaneously splanchnic lipogenesis is stimulated and visceral protein utilization inhibited. During the 1st to 4th day after trauma Xylitol (3 g/kg BW per day) is superior to glucose with regard to oxidative metabolism of energy sources and stimulation of visceral protein synthesis. A comparable metabolic effect can be achieved by a glucose/xylitol mixture (1:1); (6 g/kg BW per day) during long-term nutrition.

Blood Glucose↗
PubMed1990

[Long-term intubation and tracheotomy].

Benefits and disadvantages of long-term nasal and oral endotracheal intubations vs. tracheotomy are discussed. The incidence and severity of complications is higher following prolonged endotracheal intubation than tracheotomy. Laryngeal injury is more serious than tracheal. Tracheotomy therefore is advantageous in all patients requiring long-term ventilatory support. The optimal timing for tracheotomy is ranging from 48 to 120 hours following endotracheal intubation. Tracheal stenosis secondary to trachestomy depends on tracheal wall perfusion. The risk of tracheal stenosis may be minimized by diligent performance of tracheostomy, and by sewing the trachea to the skin, and by using solidly fixed tracheal cannulas with high-volume low-pressure cuffs.

Airway Resistance↗
PubMed1987

[Multimodal evoked potentials and heart rate variability in comatose patients--1: Method of measuring and normal values].

Multimodal EPs and heart rate variability-measurements in comatose patients have been performed for few years at the university hospitals of Graz and Erlangen. The following data and parameters are analysed and discussed: brainstem auditory evoked potentials, mechanical evoked long-latency SEP, VEP recorded over the central and occipital region and heart rate variability (HRV). The method of data acquisition and processing is described and normative data are introduced. For the long-latency EP-components a signal-to-noise-ratio (SNR) is calculated. SNR is defined as ratio of the largest EP peak-to-peak amplitude and the mean amplitude (standard deviation) of a period prior to the stimulation. An unmeasurable or questionable EP is defined when SNR less than 2.6. For the vertex-SEP the following mean +/- standard deviation was obtained: SNR = 10.6 +/- 4.6; the vertex VEP was calculated with SNR = 7.0 +/- 3.0. The SNR of the bipolar recorded occipitally VEP was 3.9 +/- 2.0. Heart rate variability measurements in normal persons revealed the following mean +/- standard deviation at a heart rate of 67.8/min +/- 10.8/min: HRV = 7.8% +/- 2.5%.

Brain Death↗
PubMedDate not supplied

Anesthesia training in West Germany.

The specialty of anesthesia was established in German medicine in 1953 with the founding of the Germany Society of Anaesthesia and the inclusion of a "specialist in anesthesia" as part of the German medical training requirements. Anesthesia training is offered to students and residents and as a part of continuing education. A residency training program lasts at least 4 years, including 6 months of intensive care unit (ICU) training, and ends with an oral examination. About 900 anesthesia departments in West Germany are accredited for residency training programs. Of those, about 320 are fully accredited. Continuing education in West German anesthesia is very similar to that offered in the United States.

Anesthesiology↗