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Biomedical subjects

B T Burton

Publications and source records attributed to B T Burton.

At least 37 records · Page 2Linked to original sources

The federal governments's role in management of end-stage renal disease.

This presentation traces the history of the Federal government's support of research and development related to the therapeutic modalities dialysis and renal transplantation. A description is presented of the Federal government's role in introduction of these new treatment methods into medical practice and of the gradual assumption by the government of responsibility for funding of the cost of dialysis and transplantation in the United States. Current issues and problems related to the federally subsidized End-State Renal Disease Program are discussed. The concept of "technology assessment" is introduced followed by discussion of the vital role it must play in any future federal development and support of new medical treatment technologies which must be paid for with public moneys because of their high cost.

Financing, Government↗

Nutritional implications of renal disease. I. Current overview and general principles.

Treatment exclusively by nutritional means does not appear to provide a therapeutic answer for the patient with complete loss of renal function. Clearly, however, rational dietary treatment prior to ultimate loss of renal function is a valuable, ameliorating therapy in chronic progressive renal failure and--once the patient is on maintenance dialysis--it is a major deciding factor in the success of this life-maintaining regimen.

Dietary Proteins↗

Airway compromise and delayed death following attempted central vein injection of propylhexedrine.

Propylhexedrine is a potent alpha-adrenergic drug available as a nasal decongestant, which drug abusers sometimes extract and inject into a central vein. A 25-year-old white male presented to a local emergency department 32 h after attempting to inject his right internal jugular vein with "home-made crank." Following injection, he noted right neck pain, followed by fever and chills. On emergency department admission, he had inspiratory stridor and respiratory distress. Massive edema of his right neck extended from his anterior chest to the right parotid. Neck radiographs showed extensive paracervical swelling with displacement of the trachea. The patient was taken to surgery for nasotracheal intubation with fiberoptic guidance and surgical exploration. The neck contained extensive necrotic tissue that was surgically debrided. In spite of treatment with antibiotics, he developed progressive renal failure and hypotension unresponsive to fluid therapy, followed by cardiopulmonary arrest and death.

Adult↗