Renal function of transplanted kidneys harvested during cardiopulmonary bypass with profound hypothermia.
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Biomedical subjects
Publications and source records attributed to A Margenet.
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Infectious complications are the highest risk in hematology. In this study, subclavian approach and tunnellization are reviewed. Four hundred (400) catheters were evaluated by the Isolator Culture method. Catheters are left in place a long time (mean time 30 days). Colonization occurs rarely (about 10.5%). In hematology, subclavian tunnelized catheter occurs to be a safe and reliable central venous catheter.
Two hundred and fifty polytrauma patients (mean age: 30 years) had been hospitalizated in the same trauma center, along a period of two years. Hospital mortality rate was 33% (11% in the first day). The mean I.S.S. of alive patients was 25, and 35 for dead patients. Long term survey was analysed by three questionnaires (before one year, between one and two years and after two years). Answer rate was about 80%. Sixty hundred p. cent of patients worked less than one year after multiple trauma, and 80% between one and two years; 75% noted that their family life was normal less than one year after injury; 80% presented sequelae two years after; they were subjective in 60% of cases. These sequelae did not interfere with family life or work. There was no parallelism between objective sequelae and duration of work stop in one side and gravity of lesions (I.S.S.) in other side.
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The Monitor of Cerebral Function, the first apparatus designed for continual cerebral monitoring for prolonged periods, is used frequently as an aid during revival. Due to its ease of operation and its straight-forward displaying of the data, it can supply continual information on the state of cerebral activity. Wem used it in various situations where there was a risk of cerebral circulatory insufficiency. Besides this role in the prevention of emergency, we used the M.C.F. as a diagnostic tool in the assessment of brain death. An early confirmation of the presence of stage IV allows of a more efficient removal and grafting of the kidneys. Finally, we also use the M.C.F. in the study of abnormalities of behaviour in patients whose revival to consciousness is slow.
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After a brief description of the different phases of physiological sleep, the reasons for employing a new appatus, the Monitor of Cerebral Function, are discussed. This instrument, the first designed for continual monitoring of cerebral activity may be employed in neurophysiology. The results obtained are presented, i.e. the demonstration of a perfect correlation between the Monitor of Cerebral Function recording and the polygraphic methods. The paradoxal and rapid phases of sleep are easily distinguished. The study of paradoxal sleep, both in physiology and in pharmacology, could profit greatly from the use of the MCF due to the great advantage of its ease of operation.
Micro-climate tents (pulsed filtered air) are frequently used in burns departments. In the Surgical and Traumatological Intensive Care Unit of the Department of Anaesthesia and Intensive Care of the Henri Mondor Hospital, these tents are used in two types of indications: --placing of a tent over the head end of patients following tracheotomy with free spontaneous ventilation;--placing tents over irregular wounds. In these two categories of use, the aim is to isolate the zone under the tent by protecting it against secondary infection, but also to limit to this micro-climate any possible dissemination from the injured individual placed under the tent. Comparative study of the bacterial flora of the biotopes thus enclosed by micro-climate tents has been attempted.
--A purely bacteriological presentation of the information on the infections of 567 patients hospitalized for 18 months (January 1977 to the end of 1978) in a resuscitation unit for cases of trauma. -- 975 organisms were isolated and identified. 75 p. 100 Gram negative bacilli. -- The various specimens are analysed. Lung infections were present in: 54.6 p. 100 -- urinary infections are rare, giving rise to 10 p. 100. One remarks the low number of septicaemias, only 29 or 5 p. 100 of those hospitalized compared with the 942 vascular catheters that were introduced and all bacteriologically tested.
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