Biomedical subjects

L Engelmann

Publications and source records attributed to L Engelmann.

24 records · Page 2Linked to original sources

PubMed1979

[Acute hypoxia and internal intensive care. IV. Results of respirator therapy in an internal intensive care unit].

In the fourth information on the topic acute hypoxia and internal intensive medicine the results of an internal intensive unit in the respiration of internal emergencies during one year are described. Issuing from this, questions of the respiration in insufficiency of the left heart, acute and chronic obstruction of the respiratory tract, restrictive disturbances of the lung, of neurological pictures of the disease, intoxications and shock lung are in the centre of the treatise.

Adult↗

PubMed1979

[Acute hypoxia and internal intensive medicine. III. Differentiated respiration].

In the third information concerning the topic "acute hypoxia and internal intensive medicine" the fundamentals of differentiated respiration are described. Current generators with constant and variable flow are best suited to remove the combined disturbances of the inhomogeneous lung or their results. In the Medivent-series a choice of types of respiratory apparatuses is at disposal by means of which a large part of respiratory disturbances may be commanded. A comprehensive possibility of the modification of the characteristics of respiration by an adjustibility of the sizes of respiration which are independent upon another is to be demanded. The PEEP is a valuable enlargement of the characteristics of respiration. Its effects are to be controlled in reaction to the circulation. In the centre of the information is the immediate practical approach in indication, choice of the parameters, adaptation of the patient to respiration and withdrawal.

Acute Disease↗

PubMed1979

[Hypoxia and internal intensive medicine. I. Clinical aspects of acute hypoxia].

The treatment of the topic acute hypoxia and internal intensive medicine with description of the fundaments--classification and definition of hypoxia and its forms, clinic, therapeutic possibilities and oxygen therapy--becomes necessary in order to get in the entity of hypoxia and to find a common language among specialists for intensive medicine. The knowledge of a differentiated treatment of different forms of hypoxia and thus also of clinical pictures seems to be necessary under the aspect of a highly developed respirator technique and the knowledge of anaesthesiology in this field. Application of the first report is the description of the factors of the oxygen transport. Respiratory, stagnation, anaemic and histotoxic hypoxia are defined and possible causes mentioned. The clinically relevant hypoxia will mostly be a mixed form, among which the respiratory insufficiency in shock lung plays an important role in intensive medicine.

Critical Care↗

PubMed1979

[Hypoxia and internal intensive medicine. II. Normobaric oxygen therapy].

The second report on the topic "acute hypoxia and internal intensive medicine" deals with the fundaments of the normobaric oxygen therapy. It consists of indication, forms of application and their effectiveness in different etiopathogenetic forms of acute hypoxia. Side effects of prolonged and highly concentrated oxygen application are described.

Critical Care↗

PubMed1978

[Removal of a foreign body from the superior vena cava by means of a urinary calculus remover].

It is reported on a successful removal of torn off or knotted parts of a heart catheter, which were extracted without difficulties from the superior vena cava and from the right atrium via the vena saphena magna by means of the catcher of ureteroliths after Dormia. One case in question was a 27-year-old male patient with pentalogy of Fallot, in whom was the danger of embolisation into the greater circulatory system on account of the torn off catheter conducting wire. In the other 57-year-old patient with acute myocardial infarction after knotting of a subclavian catheter a mechanical irritation of the endocardium with repeated appearance of ventricular fibrillation developed. Before deciding on a thoracotomy for the removal of parts of a catheter from the central vessels and the heart it should be tried before a transvasal extraction with the help of special catheters.

Adult↗

PubMed1975

[Comparison of short and protracted streptokinase therapy in acute myocardial infarction].

In numerous controlled studies the effectivity of the streptokinase therapy of the acute myocardial infarction is proved by a significant decrease of the early lethality. The main difference of the therapeutic methods lies in the duration of the application of streptokinase. Of the number of patients of an intensive therapy ward for internal diseases comparisons of the results of therapy of one year with short-term lysis (3 hours) are contrasted with one year with protracted lysis therapy (24-72 hours). The findings demonstrated plead for the fact that by means of the short-time lysis may also be achieved good, perhaps even better results. Issuing from the therapeutic mechanisms of the lysis therapy in the sense of a prevention of the formation of thrombi in disturbed microcirculation by the achieved hyperplasminaemia the short-term lysis is to be regarded as optimum introduction of an anticoagulant long-term therapy.

Clinical Trials as Topic↗