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H Krekeler

Publications and source records attributed to H Krekeler.

At least 19 recordsLinked to original sources

[Investigations on neurotoxicity of chemical substances at the workplace. II. Determination of the motor and sensory nerve conduction velocity in persons occupationally exposed to pentachlorophenol (author's transl)].

We examined eighteen workers (three women, 15 men) in a pentachlorophenol (PCP) processing factory, with a mean activity of 12 years. PCP in blood and urine samples was analyzed by gas chromatography. To evaluate the peripheral nervous system the maximal motor as well as sensory nerve conduction velocities of the ulnar and/or median nerve were measured. The PCP-levels in plasma ranged between 0.02 and 1.5 ng/l, median 0.25 ng/l, and in urine between 13 and 1,224 micrograms/l, median 112 micrograms/l, or between 11 and 2,111 micrograms/g creatinine, median 111 micrograms/g creatinine. The median values of the neurophysiological parameters showed a mild degree of slowing in the PCP-collective. In the case of the sensory nerve conduction velocities, this decrease was significant. A dose-effect relationship between internal PCP-load and the different nerve conduction velocities could not be demonstrated. The individual evaluation of the toxicological and neurophysiological results gave hints that in some cases decreased nerve conduction velocity is caused by chronic exposure to PCP.

Adult↗

[Respiratory gas exchange during breathing of O2 in different inert gases (author's transl)].

In 15 patients with chronic bronchitis with or without emphysema breathing of room air was compared with breathing of 20.9% O2 in helium and in argon. Minute ventilation and alveolar ventilation showed no differences, whereas the alveolar and arterial pO2 and PCO2 showed an improvement of the CO2 gas exchange and a deterioration of the O2 gas exchange. This contradictory behaviour cannot be explained by shunts or inhomogeneities or influence of gaseous or alveolo-capillary diffusion. Perhaps the physicochemical properties of the alveolo-capillary membrane change by the depletion of nitrogen. The recommendation of helium-oxygen breathing, proposed by other authors for patients with obstructive airway diseases, cannot be supported, when the gas exchange for O2 is deteriorated.

Adult↗

Respiratory gas exchange and lung perfusion in man during and after head-out water immersion.

The respiratory gas exchange for O2, CO2, and CO has been studied in nine healthy male subjects before, during, and after head-out water immersion. Distribution of lung perfusion and ventilation were determined by quantitative double nuclide scintigraphy (131J and 99mTc) and by argon washout, respectively. The well-known decrease of PaO2 and increase of AaDO2 during immersion is accompanied by a decrease of the CO-transfer factor. Ventilation in relation to functional residual volume does not change significantly, whereas distribution of lung perfusion becomes more even, with an increase in the apical lung zones. Immediately after the end of immersion, PaO2 increases rapidly, exceeding the initial value under dry conditions. At the same time, lung perfusion is shifted markedly more towards the basal lung regions, exceeding the gravity-induced blood pooling in the erect subject under dry conditions. The observed changes tend to normalize within 2 min. The changes of respiratory gas exchange during and immediately after immersion can be explained by changes of the inequality of the ventilation-perfusion ratios.

Adult↗

Measurement of partial pressure of gases in liquids by mass spectrometry.

The experimental setup of mass spectrometric determination of gas contents in liquids has been modified for continuous and discontinuous measurement of partial pressure of gases in liquids. The inlet system consists of a stainless steel capillary with slits covered by a silicone rubber membrane. Several gases can be measured simultaneously under static conditions and in flowing liquids. The measurement and calibration procedure is described. Results of the analysis of the test criteria, reproducibility, detection limit, response time, and depletion are presented. The difficulties in discontinuous measurement of oxygen in blood are explained by the complex permeation-diffusion process at the membrane and the form of the dissociation curve. With regard to solubility, physically dissolved gases can be determined without problems down to tensions of about 0.01 mm Hg. Continuous measurement of oxygen and carbon dioxide partial pressure in liquids, including blood, is possible with the described system.

Blood Gas Analysis↗