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R J Bieber

Publications and source records attributed to R J Bieber.

6 recordsLinked to original sources

[Mortality differences in lung surgery].

The surgical mortality rate in a total of 1,100 patients with lung cancer was investigated. Since it was found that, in part, mortality extended to beyond 30 days, the differences to be seen on the 50th post-operative day are presented. A considerable negative bias was established for upper, as compared with lower, lobe resection, a negative bias for resection on the right side, and a special negative bias for right-sided pulmonectomy - which, till now, had also been considered to exist for bilobectomy of the lower and middle lobes. It is suggested that these differences be taken into account when assessing operability and preparing surgical statistics.

Follow-Up Studies

[Preoperative lung function data of patients dying within 50 days and of surgical patients surviving longer than 6 months].

A sequence of parameters is presented in the order of importance for functional operational ability diagnosis obtained from quotients of preoperative averages of findings in patients who dies postoperatively and in survivors. It appears that the following parameters are particularly important: pressure of a. pulmonalis under stress, perfusion scintigram and respiratory gas analyses, whereas e.g. in TGV%N, BGA under stress and FEV1 predicted via scintigram, no differences worth mentioning were seen. Reference is made to differences in respiratory and blood gas analysis before and after resection of the upper and lower lobes.

Follow-Up Studies

[Crux medicorum: Ondine's curse (author's transl)].

All known cases of the Ondine's curse syndrome with lifethreatening complications in consequence of narcosis, sedatives or oxygen-administration are reported. The avoidance of accidents requires blood gas analysis and more attention to the less well-known phenomenon--possibly a cause of the sudden-death-syndrome.

Blood Gas Analysis

[On respiratory stimulation by aminophenazol in global insufficiency due to chronic-obstructive diseases of the lungs (author's transl)].

For evaluation of a respiratory analeptic as supplementary therapy in global insufficiency blood gas analyses were performed on 19 patients under normal room air conditions as well as under oxygen breathing. It could be proved that with 2,4-diamino-5-phenylthiazol (aminophenazol; Daptazile) respiratory depression associated associated with chronic obstructive pulmonary diseases can be influenced and that here is statistically significant improvement of respiration. Effects of mechanical breathing and hyperventilatin are discussed -- basing on the present evaluation results they need not be expected. Side effects were not registered. With simultaneous and exhaustive application of all therapeutic means for the remedy of pulmonary obstruction amiphenazol is recommended for use in cases of pulmonary hypoventilation and primary central respiratory depression.

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