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Biomedical subjects

K G Lieding

Publications and source records attributed to K G Lieding.

5 recordsLinked to original sources

Malignant hyperthermia. Cause and treatment.

Malignant hyperthermia (MH) is one of the most devastating crises encountered in medicine, and it frequently occurs unexpectedly. Since a patient's survival depends on early detection and treatment, a high index of suspicion must be maintained not only by the anesthesiological but also by all surgical personnel in the operating room. Physical stigmata and historical findings can help surgeons to detect those patients who may be at risk for the development of MH. The surgical procedure should be promptly stopped, and medical therapy should be started. Step-by-step treatment of this threatening complication of anesthesia is necessary.

Anesthesia↗

Urodynamic studies in anesthetized children.

Urodynamic study was done on 31 neurologically normal children with urinary infection and/or severe voiding disturbances. The evaluation was performed with the child under anesthesia because awake testing proved unsatisfactory. Detrusor contraction occurred in 29 children under anesthesia and sufficient data were obtained to identify accurately patterns of dysfunction and to initiate therapy. A method for anesthetic neurourologic study using enflurane is presented, which permits reliable and reproducible urodynamic observations to be made in patients in whom awake investigations are incomplete or unsatisfactory.

Anesthesia, Inhalation↗