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Biomedical subjects

J Baublis

Publications and source records attributed to J Baublis.

4 recordsLinked to original sources

Aortic valve replacement in the elderly.

In order to determine the risk of aortic valve replacement in the elderly, 77 patients over the age of 60 who had undergone this procedure were reviewed. Hypothermic-hyperkalemic cardioplegia was used in all patients. In 55 patients with isolated aortic valve replacement there were three deaths (5.5 per cent). In the entire series of 77 patients there were 13 deaths (13 per cent). In seven patients of an organ other than the heart. In only two patients did the operative death have a myocardial cause. Ninety-two per cent of the patients were in functional class I or II following surgery. Patients should come to surgery before reaching class IV. Aortic valve replacement can be carried out safely in the elderly, and the indications should be the same as for younger patients.

Aged

Reservoirs of pseudomonas in an intensive care unit for newborn infants: mechanisms of control.

Potential reservoirs of pseudomonas within a neonatal ICU were evaluated. Colonization of infants by the same pseudomonas pyocin types could be classified as a cluster colonization (occurring over three to ten days), or serial colonization (occurring over longer times). Hands of personnel, sink surfaces, and solutions used to rinse nasopharyngeal catheters were identified as the principle reservoirs. Utilization of a liquid iodophor agent for hand washing and of acetic acid for rinsing suction catheters was associated with a significant reduction in the histologic evidence of sepsis and of pneumonia observed among autopsied infants.

Bacteriological Techniques

Intracranial pressure in Reye syndrome. Monitoring and control.

Two patients who became comatose with Reye syndrome had continuous monitoring of intracranial pressure and blood pressure. Respirations were controlled, and mannitol and urea were administered to control elevated intracranial pressure. Continuous intracranial pressure monitoring proved to be a valuable adjunct to therapy for Reye syndrome.

Blood Pressure