Biomedical subjects

F L Rutten

Publications and source records attributed to F L Rutten.

4 recordsLinked to original sources

PubMed1994

[Analgetic ketamine feasible in ambulance emergency care].

OBJECTIVE: To investigate if ketamine could be a feasible analgetic in ambulance trauma care. DESIGN: Prospective. SETTING: University Hospital of Rotterdam 'Dijkzigt'. METHODS: To 51 women and 87 men in the age of 9-95 years who suffered from pain due to trauma and needed pain relief during transport to the hospital, a low dose of ketamine was given according to protocol. Their pain was measured with a descriptive verbal pain scale every 5 minutes. RESULTS: Upon arrival in the hospital 125 (90.5%) out of the 138 patients had a relief of their pain. For 101 patients the pain was only minimal or had disappeared during transport. This was reached in 74 cases with only one dose of ketamine, in 26 cases a second dose was needed, a same number needed nitrous oxide in addition and 9 times a second dose and nitrous oxide was given. Side-effects were mostly of psychic origin, such as agitation (9%), disorientation (17%), sedation (27%), and hallucinations (5%). They never lasted longer than several minutes or hindered further investigation. CONCLUSION: A low dose ketamine seems a safe and feasible analgetic in ambulance trauma care. Further research which compares ketamine with other in the ambulance trauma care current analgetics seems of value.

Adolescent↗

PubMed1994

A remarkable case of hyperventilation.

We have seen a case of hyperventilation which appeared to have been caused by contact with an insecticide. Pathophysiology, epidemiology and treatment are discussed. Familiarity with the clinical symptoms greatly facilitate diagnosis, especially in emergency situations.

Adult↗

PubMed1993

[The quality of ambulance transportation between regional hospitals and a central hospital].

We studied the quality of ambulance transport of critically ill and wounded patients between rural hospitals and a referral centre (so-called secondary transport). The study group comprised all patients transported in the course of one year from a rural hospital in the southwestern part of the Netherlands to a centre hospital in Rotterdam (n = 59). Their records were reviewed retrospectively. A distinction was made between patients whose vital functions were acutely threatened before transport and patients in whom this was not the case. Results show that 24% of all patients were transferred inadequately. The inadequately transferred patients all belonged to the group in whom vital functions were acutely threatened. Frequently occurring shortcomings concerned oxygenation and intravenous lines. It is concluded that medical assistance by a specialist is indicated with all secondary transports, because it is difficult to predict if vital functions will be threatened during transport. Further research may be directed at the question which mode of transportation (ambulance or helicopter) is suited for long-distance interhospital transport.

Adolescent↗

PubMed1993

Effect of intravenous fluid administration on recovery after running a marathon.

After the Rotterdam Marathon on 21 April 1991 (ambient temperature 5.8 degrees C, relative humidity 74%, wind velocity 5 m s-1) data from 66 athletes were analysed for information concerning total recovery and recovery from pain, stiffness, loss of appetite, sleep disturbance and fatigue. The pulse rate, body weight and temperature were measured. The athletes were divided at random into two groups. Thirty-four athletes received an intravenous infusion of 2.5 l of a 2.5% glucose/0.45% NaCl solution. Thirty-two athletes received a placebo infusion of 100 ml 0.9% NaCl. Recovery took 9.2 days in the placebo group and 10.2 days in the infusion group. All athletes had pain and/or stiffness after the marathon. The immediate replacement of 2.5 l of fluid had no significant influence on the rate of total recovery, the number of days with pain or stiffness, the appetite, sleep or fatigue. On the first day after the marathon the pulse rate was increased. The rectal temperature was not affected. The athletes were also divided into fast and slow runners without regard to fluid replacement. Fast runners (those running the race in less than 2 h 55 min) needed more time to recover than slower runners and pain and/or stiffness lasted longer in the fast group. Athletes who equalled or improved their best previous results also needed more time to recover than athletes who did not, although there were no significant differences in pain and stiffness. Athletes did not benefit from immediate fluid replacement after running the 1991 Rotterdam Marathon.

Adult↗