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Biomedical subjects

M Wietlisbach

Publications and source records attributed to M Wietlisbach.

7 recordsLinked to original sources
PubMed1997

[Resuscitation].

By the measures of basic life support (BLS) as well as those of advanced cardiac life support (ACLS) a large portion of the 8,000 to 10,000 victims of sudden circulatory arrest in Switzerland might be resuscitated successfully without permanent neurological deficits. Prerequisites are an early installation of measures as well as the control of the rationale and the individual techniques by trained personnel. The single most important measure is electric defibrillation of ventricular fibrillation. With the aid of automatic defibrillators it can be made available to a wider range of users. Pharmacotherapy is of minor importance.

Algorithms↗
PubMed1996

[Venous access and methods of drug application in ACLS (Advanced Cardiac Life Support)].

After initiation of cardiopulmonary resuscitation [CPR] with ventilation, chest compression and defibrillation when necessary, venous access, which allows administration of drugs and fluids, is the next measure. A large diameter peripheral vein should be the first choice and should be cannulated with a plastic catheter. If this is delayed or impossible, alternative routes such as central iv lines, intraosseous infusion or endobronchial drug administration should be considered.

Catheterization, Peripheral↗
PubMed1996

[Pharmacotherapy in resuscitation].

Although pharmacologic intervention has traditionally been a mainstay in the treatment of circulatory collapse and cardiac arrest, a critical reappraisal of the relevant literature does not support this stance in every case. During cardiac arrest, medications take second place to other forms of intervention: initiation of basic life support with ventilation [100% oxygen!], chest compression and defibrillation if indicated. Epinephrine is still the drug of choice in all types of cardiac arrest. Atropine is recommended for asystole and pulseless electrical activity [PEA] with bradycardia, while lidocaine has a place in the therapy of persistent ventricular fibrillation. Sodium bicarbonate is of only limited benefit in special cases.

Adrenergic Agonists↗
PubMed1994

[Results of 35 ambulatory gamete transfers: evaluation of a successful method using regional anesthesia].

Thirty-five ambulatory gamete transfers were performed in 29 patients, resulting in a pregnancy rate of 40% and a take-home baby rate of 26%. Upon request 10 transfers in 9 patients were done under epidural anesthesia. The avoidance of general anesthesia allows the patient to consciously participate in her treatment and improves postoperative recovery. Our results suggest that gamete transfer procedures can be carried out under epidural anesthesia with no adverse effects on the pregnancy rate.

Anesthesia, Epidural↗