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E R Schmid

Publications and source records attributed to E R Schmid.

At least 19 recordsLinked to original sources
PubMed1997

Effects of chronic beta-blockade on compensatory mechanisms during acute isovolaemic haemodilution in patients with coronary artery disease.

We have compared compensatory mechanisms during acute isovolaemic haemodilution of 12 ml/kg body weight of blood with hydroxyethyl starch (450,000/0.7) exchange, in non-beta-blocked and beta-blocked patients with coronary artery disease. During haemodilution, mean concentrations of haemoglobin decreased from 12.8 (SEM 0.2) to 10.1 (0.1) g dl-1 (P < 0.01). Only beta-blocked patients had an increase in cardiac index (P < 0.01); in non-beta-blocked patients, cardiac index remained constant. In both groups oxygen extraction increased (P < 0.01), but the increase tended to be greater in non-beta-blocked patients (P = 0.06). Oxygen consumption was maintained in both groups. There were no ECG signs of myocardial ischaemia. We conclude that beta-blocked and non-beta-blocked patients with coronary artery disease tolerated well moderate haemodilution to a haemoglobin value of approximately 10 g dl-1, however, compensatory haemodynamic mechanisms differed fundamentally between the two groups.

Adrenergic beta-Antagonists↗
PubMed1996

Hemodilution tolerance in elderly patients without known cardiac disease.

Hemodilution tolerance is not well defined in elderly patients. In 20 patients older than 65 yr and free from known cardiovascular disease, hemodynamic variables, ST segment deviation, and O2 consumption were determined prior to and after 6 and after 12 mL/kg isovolemic exchange of blood for 6% hydroxyethyl starch. The mean age of the patients was 76 +/- 2 yr (mean +/- SEM, range 66-88 yr). During hemodilution, hemoglobin decreased from 11.6 +/- 0.4 to 8.8 +/- 0.3 g/dL (P < 0.05). With stable filling pressures, cardiac index increased from 2.02 +/- 0.11 to 2.19 +/- 0.10 L.min-1.m-2 (P < 0.05) while systemic vascular resistance decreased from 1796 +/- 136 to 1568 +/- 126 dynes.s.cm-5 (P < 0.05) and O2 extraction increased from 28.0% +/- 0.9% to 33.0% +/- 0.8% (P < 0.05) resulting in a stable O2 consumption during hemodilution. No alterations in ST segments were observed in lead II during hemodilution. In lead V5, ST segment deviation became slightly less negative during hemodilution from -0.03 +/- 0.01 to -0.02 +/- 0.01 mV (P < 0.05). The moderate decrease in hemoglobin was fully compensated by both an increase in cardiac index and in O2 extraction. Electrocardiographic signs of myocardial ischemia were not observed in this population. In conclusion, isovolemic hemodilution to a hemoglobin value of 8.8 +/- 0.3 g/dL is well tolerated in elderly patients free from known cardiac disease at the ages of 65-88 yr.

Abdomen↗
PubMed1996

Hemodilution tolerance in patients with coronary artery disease who are receiving chronic beta-adrenergic blocker therapy.

Hemodilution tolerance is not well defined in patients with coronary artery disease receiving beta-adrenergic blockers chronically. Ninety patients scheduled for coronary artery bypass graft (CABG) surgery were randomized to a hemodilution (n = 60) and a control group (n = 30). During midazolam-fentanyl anesthesia, hemodynamic variables, ST segment deviation, and O2 consumption were determined prior to and after 6 and 12 mL/kg isovolemic exchange of blood for 6% hydroxyethyl starch. Hemoglobin decreased from 12.6 +/- 0.2 to 9.9 +/- 0.2 g/dL (mean +/- SEM, P < 0.05). With stable filling pressures, cardiac index increased from 2.05 +/- 0.05 to 2.27 +/- 0.05 L.min-1.m-2(P < 0.05) and O2 extraction from 27.4% +/- 0.6% to 31.2% +/- 0.7% (P < 0.05), resulting in stable O2 consumption. No alterations in ST segments were observed in leads II and V5 during hemodilution. Individual increases in cardiac index and O2 extraction were not linearly related to age and left ventricular (LV) ejection fraction (P = 0.841, P = 0.799). We conclude that isovolemic hemodilution to a hemoglobin value of 9.9 +/- 0.2 g/dL is well tolerated and fully compensated in patients with coronary artery disease receiving beta-adrenergic blockers chronically. Within the investigated ranges, the compensatory mechanisms during hemodilution are largely independent of age (35-81 yr) and LV ejection fraction (26%-83%).

Adrenergic beta-Antagonists↗
PubMed1996

Primary structure of cyanelle peptidoglycan of Cyanophora paradoxa: a prokaryotic cell wall as part of an organelle envelope.

The peptidoglycan layer surrounding the photosynthetic organelles (cyanelles) of the protist Cyanophora paradoxa is thought to be a relic of their cyanobacterial ancestors. The separation of muropeptides by gel filtration and reverse-phase high-performance liquid chromatography revealed four different muropeptide monomers. A number of muropeptides were identical in retention behavior to muropeptides of Escherichia coli, while others had remarkably long retention times with respect to their sizes, as indicated by gel filtration. Molecular mass determination by plasma desorption and matrix-assisted laser desorption ionization mass spectrometry showed that these unusual muropeptides had molecular masses greater by 112 Da or a multiple thereof than those of ones common to both species. Fast atom bombardment-tandem mass spectrometry of these reduced muropeptide monomers allowed the localization of the modification to D-glutamic acid. High-resolution fast atom bombardment-mass spectrometry and amino acid analysis revealed N-acetylputrescine to be the substituent (E. Pittenauer, E. R. Schmid, G. Allmaier, B. Pfanzagl, W. Löffelhardt, C. Quintela, M. A. de Pedro, and W. Stanek, Biol. Mass Spectrom. 22:524-536, 1993). In addition to the 4 monomers already known, 8 dimers, 11 trimers, and 6 tetramers were characterized. An average glycan chain length of 51 disaccharide units was determined by the transfer of [U-14C]galactose to the terminal N-acetylglucosamine residues of cyanelle peptidoglycan. The muropeptide pattern is discussed with respect to peptidoglycan biosynthesis and processing.

Amino Acid Sequence↗
PubMed1996

N-acetylputrescine as a characteristic constituent of cyanelle peptidoglycan in glaucocystophyte algae.

Cyanelle peptidoglycan from the glaucocystophyte algae Glaucocystis nostochinearum and Cyanoptyche gloeocystis was investigated by high-performance liquid chromatography of muropeptides, supported by matrix-assisted laser desorption-ionization mass spectrometry. The peptidoglycans of both species are modified with N-acetylputrescine, as has been demonstrated for cyanelle peptidoglycan of Cyanophora paradoxa.

Chromatography, High Pressure Liquid↗
PubMed1995

Limitations of forehead pulse oximetry.

During initial clinical tests to calibrate our reflectance pulse oximetry system, we observed serious physiologic limitations to the use of pulse oximetry in the forehead region. We present a case of simultaneous reflectance and transmission mode pulse oximetry monitoring in a child undergoing cardiac surgery for congenital cyanotic heart disease with a large intracardiac shunt. During general anesthesia, when the patient was endotracheally intubated and mechanically ventilated, the transmission mode saturation agreed well with arterial oxygen saturation measurements; but, our reflectance pulse oximeter, with the sensor applied to the forehead, displayed spuriously lower (-18%) oxygen saturations. Before and after anesthesia and surgery, there was fine agreement between reflectance and transmission mode saturation values. We suggest that the difference was caused by vasodilatation and pooling of venous blood due to compromised venous return to the heart, and a combination of arterial and venous pulsations in the forehead region. This means that the reflectance pulse oximeter measured a mixed arterial-venous oxygen saturation.

Anesthesia, General↗
PubMed1995

Normothermia versus hypothermia during cardiopulmonary bypass: a randomized, controlled trial.

To evaluate the influence of perfusion temperature on systemic effects of cardiopulmonary bypass (CPB), 30 patients undergoing elective coronary artery bypass grafting were randomly assigned to either normothermic (warm, n = 14, 36 degrees C) or hypothermic (cold, n = 16, 28 degrees C) CPB. Serial hemodynamic measurements and blood samples were obtained before, during and after the CPB procedure. During CPB, there were no differences between both groups in the need for vasopressors (norepinephrine, phenylephrine), urinary output, or fluid balance. In the early postoperative period, normothermic CPB patients had significantly lower systemic vascular resistance and higher cardiac index measurements (mean +/- standard error: systemic vascular resistance, 880 +/- 27 versus 1,060 +/- 57 dyne.s.cm-5, p = 0.025; cardiac index, 3.6 +/- 0.1 versus 2.9 +/- 0.1 L.min-1.m-2, p = 0.01) without differences in the administration of vasoactive drugs. Blood loss was significantly higher in patients after hypothermic CPB (median [range] body surface area: 370 [180-560] versus 490 [280-2,120] mL/m2, p = 0.0006), with a greater need for transfusion of erythrocytes and fresh frozen plasma. Plasma levels of tumor necrosis factor and soluble tumor necrosis factor receptors increased during and after CPB, independent of perfusion temperature. This study suggests a significant influence of CPB temperature and respective perfusion management on postoperative hemodynamics and blood loss. Normothermic CPB is not associated with additional systemic adverse effects.

Blood Loss, Surgical↗
PubMed1995

MS-UTIL: a program for interpretation and manipulation of mass spectra and chemical structures.

A computer program for personal computers has been developed, which enables the user of interpret fragmentation processes in electron impact mass spectrometry more easily. Starting with a low resolution mass spectrum and a selected chemical structure, fragments of the molecule which are related to the spectral data can be created interactively. Some frequently occurring fragmentation reactions can be performed automatically. An included editor allows the user to draw chemical structures and to create or modify mass spectra. Fragments of a molecule can be displayed as a tree. One aim of the program is to facilitate learning of fragmentation reactions. Furthermore, the program serves as a tool for verifying fragmentation mechanisms proposed and for checking presumptive chemical structure formulas of unidentified compounds.

Image Interpretation, Computer-Assisted↗
PubMed1995

Acute lung injury during cardiopulmonary bypass. Are the neutrophils responsible?

To test the hypothesis that acute lung injury during cardiopulmonary bypass (CPB) is related to the activation of neutrophils and the body temperature during bypass, we determined the differential WBC count, plasma elastase concentrations, and lung function before, during, and after CPB in 38 patients undergoing elective coronary artery bypass surgery. The patients were randomly assigned to receive either normothermic (n = 19, rectal temperature: 35.9 +/- 0.1 degrees C, mean +/- SE) or hypothermic (n = 19, 29.2 +/- 0.5 degrees C) CPB. The cellular response to the extracorporeal circulation was significantly delayed in the hypothermic group with a later onset of neutrophilia and a later increase in plasma elastase levels during bypass. Lung function deteriorated significantly after CPB as assessed by respiratory index, alveolar-arterial oxygen gradient, and intrapulmonary shunt, independent of bypass temperature. There was a positive correlation between peak elastase concentrations and postoperative respiratory index as well as intrapulmonary shunt (R2 = 0.5, p = 0.002 and R2 = 0.45, p = 0.003, respectively). Besides peak plasma elastase levels, multiple regression revealed no significant influence of other independent factors on postoperative lung dysfunction in our patients.

Body Temperature↗
PubMed1994

252Cf-plasma desorption mass spectrometry. II--A perspective of new directions.

The 252Cf-PDMS method is a 'mature' technique, having survived 20 years of research, development and application. Recent advances in the application of the method have led to the use of the technique in clinical quantitation studies, the development of a microscopic method for measuring chemical homogeneity, in situ applications where serial modifications can be made and studied in a sequential fashion and the utilization of the primary fragmentation patterns to correlate with primary structure. Future directions in research, development and application will focus more attention on the chemistry of the 252Cf-PDMS process and the understanding and control of gas-phase reactions that occur in the ejection plume. Predictions are that the application of the in situ modification technique could lead to a new approach to pharmacokinetic studies as well as cell surface interactions where 252Cf-PDMS is effectively used to expand the capabilities of in vitro studies of biological processes.

Californium↗
PubMed1994

High-frequency ventilation: oscillatory dynamics.

OBJECTIVES: To determine the influence of the dynamic properties of the oscillator on the oscillatory volume delivered through the endotracheal tube to the lung or lung surrogate (delivered volume) under conditions of high-frequency ventilation. In particular, the relation between the tidal volume of the pump (oscillator) and the delivered volume was analyzed. PaCO2 was measured further as a function of the delivered volume in a number of experiments performed with healthy dogs. DESIGN: Laboratory study. SETTING: Engineering and animal laboratory. SUBJECTS: Lung surrogates and healthy dogs. INTERVENTIONS: An experimental oscillatory system was connected to various lung surrogates. In addition, six beagle dogs received high-frequency ventilation with different delivered volumes during the study. Control of the mean airway pressure was achieved by a peripheral pressure chamber located at the exhaust port of the bias flow tube. RESULTS: The delivered volume, which is the quantity of interest from a physiologic point of view, can deviate considerably from the tidal volume of the pump due to dynamic (particularly resonance) effects. Because the delivered volume and the mean airway pressure have to be controlled independently, two independent quantities are necessary for control purposes (e.g., the tidal volume of the pump and the mean pressure at the exhaust port). Furthermore, it was found that a minimal condition for adequate gas exchange is a delivered volume that exceeds the machine-related deadspace. For this reason, and in order to maximize the CO2 gradient, the exhaust tube must be as short as possible. CONCLUSIONS: a) The delivered volume has to be monitored under clinical conditions; b) however, because the impedance of the endotracheal tube in general considerably exceeds the impedance of the lung, the influence of the impedance of the lung on the delivered volume is generally small, and thus an in vitro calibration may serve as a useful approximation; c) at least two independent quantities are needed for an adequate oscillatory control; d) a necessary (not necessarily sufficient) condition for adequate CO2 removal is that the delivered volume must exceed the machine-related deadspace; e) in a clinical environment involving extremely pathologic lung conditions, e.g., adult respiratory distress syndrome, mechanical lung characteristics may deviate substantially from those characteristics used in this study (i.e., the results obtained may not necessarily be applicable under all clinical situations).

Animals↗
PubMed1993

Molecular weight-determination of biosynthetically modified monomeric and oligomeric muropeptides from Escherichia coli by plasma desorption-mass spectrometry.

The presence of certain D-amino acids in the growth media of Escherichia coli results in the accumulation of 2 major and 3-5 minor new muropeptides in the murein sacculus. Preliminary data suggested that the major muropeptides correspond to a monomer and a cross-linked dimer with one residue of D-amino acid per molecule. We have analyzed several D-amino acid-modified muropeptides by plasma desorption-mass spectrometry. Our results confirmed that the general structures of the major modified muropeptides are: GlucNAc-MurNAc-L-Ala-D-Glu-m-A2pm-D-X, and GlucNAc-MurNAc-L-Ala-D-Glu-m-A2pm-D-Ala; GlucNAc-MurNAc-L-Ala-D-Glu-m-A2pm-D-X, being X a residue of the D-amino acid. These results corroborate the usefulness of this technique for the structural analysis of muropeptides.

Amino Acids↗
PubMed1993

Quantitative determination of N-acetyl(-L-)cysteine derivatives in human urine by tandem mass spectrometry.

Collision-induced dissociation (CID) methods are described for the quantification of nanogram per millilitre (ppb) concentrations of 2-acetamido-3-(3'-hydroxypropylthio)-propanoic acid (I) and 2-acetamido-3-phenylthiopropanoic acid (II) in human urine extracts. I and II are potential detoxification products of acrolein and benzene in conjugation with N-acetyl(-L-)cysteine derived from glutathione. We have studied the potential of tandem mass spectrometry (MS/MS) under electron impact (EI) and chemical ionization (CI) conditions as a confirmatory screening technique for these compounds. Our main goals were high selectivity and low detection limits along with little or no sample clean-up. The effects of the mode of ionization and of collision conditions on the CID spectra have been investigated. Direct insertion probe without any derivatization or short-column gas chromatographic separation techniques are used. Total instrument and data analysis time is about 15 min for direct insertion probe MS/MS and about 30 min for short-column gas chromatography (GC)/MS/MS. Detection limits are: direct insertion probe MS/MS (EI mode), 50 ppb (100 pg) for compound I; short-column GC/MS/MS (EI mode), 1.5 ppb (5 pg) for compound II; and short-column GC/MS/MS (CI mode), 0.6 ppb (2 pg) for the methyl ester of compound II. Results are compared with non-mass spectrometric methods. The MS/MS methods were applied for the determination of I (EI mode) and II (CI mode) in urinary samples of a smoker and eight non-smokers. After smoking, the urinary levels of I and II were elevated, whereas no increase was observed after experimental passive smoking.

Acetylcysteine↗
PubMed1993

Structural characterization of the cyanelle peptidoglycan of Cyanophora paradoxa by 252Cf plasma desorption mass spectrometry and fast atom bombardment/tandem mass spectrometry.

A strategy for the structural characterization of the four major NaBH4-reduced peptidoglycan monomers derived from muramidase-digested peptidoglycan from the cyanelles of the flagellate Cyanophora paradoxa Korschikoff is described. Initial molecular weight determination of these glycopeptides was performed by positive and negative ion plasma desorption mass spectrometry. Due to the presence of two pairs of disaccharide tripeptide and disaccharide tetrapeptide monomers differing in mass by 112 units, respectively, an as yet unknown peptidoglycan modification either at the carbohydrate or at the peptide moiety was assumed. beta-Elimination of the disaccharide unit from the unreduced peptidoglycan monomers yielded the corresponding (modified) N1-lactyltripeptides and -tetrapeptides, respectively. These peptides, N-terminally blocked with lactic acid, unambiguously showed the modification to be located on the peptide moiety. By positive ion fast atom bombardment/hybrid tandem mass spectrometry of the reduced peptidoglycan monomers as well as of the corresponding deglycosylated monomers (= N1-lactylpeptides) the modification was determined to be linked to the glutamic acid moiety. Based on combined data from plasma desorption mass spectrometry, tandem mass spectrometry, accurate mass measurement and amino acid analysis of the acid hydrolysate after derivatization with o-phthaldialdehyde by high-performance liquid chromatography we could establish the structure of the modification as N-acetylputrescine. Finally, the confirmation of the linkage of the glutamic acid to diaminopimelic acid via the gamma-COOH was based on the presence of a-type peptide backbone fragment ions in the positive ion plasma desorption mass spectra of the modified N1-lactylpeptides.

Amino Acid Sequence↗
PubMed1993

Complete structure of the tyrosine-linked saccharide moiety from the surface layer glycoprotein of Clostridium thermohydrosulfuricum S102-70.

In this study, we have extended and completed a previous investigation (P. Messner, R. Christian, J. Kolbe, G. Schulz, and U. B. Sleytr, J. Bacteriol. 174:2236-2240, 1992) in which we demonstrated for the first time in prokaryotic organisms the presence of a novel O-glycosidic linkage via tyrosine. The surface layer glycoprotein of the eubacterium Clostridium thermohydrosulfuricum S102-70 is arranged in a hexagonal lattice, with center-to-center spacings of approximately 16.3 nm. Molecular weight determination by sodium dodecyl sulfate-polyacrylamide gel electrophoresis of both glycosylated and chemically deglycosylated surface layer glycoprotein showed values for the monomeric subunits of 94,000 and 87,500, respectively. Glycopeptide fractions obtained after exhaustive pronase digestion of purified, intact glycoprotein were isolated by reversed-phase liquid chromatography. One- and two-dimensional nuclear magnetic resonance studies, together with chemical analyses and plasma desorption time-of-flight mass spectrometry, were used to elucidate the structure of the hexasaccharide moiety linked by the novel O-glycosidic linkage to tyrosine. The combined evidence suggests the following structure: beta-D-Galf-(1-->3)-alpha-D-Galp- (1-->2)-alpha-L-Rhap-(1-->3)-alpha-D-Manp-(1--3)-alpha-L- Rhap-(1-->3)-beta- D-Glcp-(1-->4)-L-Tyr.

Bacterial Proteins↗
PubMed1993

Reliability of a new generation transesophageal Doppler device for cardiac output monitoring.

A new generation continuous-wave transesophageal Doppler (TED) device for cardiac output (CO) monitoring (Accucom 2, Datascope), which displays aortic blood flow velocity in real time, was evaluated by 140 simultaneous comparisons with thermodilution (TD) in 16 patients early after coronary artery bypass surgery. The aim was to determine whether this technologic advancement improves the accuracy of COTED assessment. Absolute COTED values showed a considerable scatter as compared to COTD [COTED = 1.77 + 0.75.COTD (L/min), r = 0.52]. The bias, i.e., the mean of individual CO differences (COTD-COTED) was -0.37 +/- 1.70 L/min (SD). In contrast, relative CO changes (delta CO, % of preceding value) showed a satisfactory agreement between TED and TD [delta COTED = 1.04 + 0.91.delta COTD (%), r = 0.84, n = 124], the bias (delta COTD-delta COTED) being -0.66 +/- 9.72%. In 8 of 124 situations (6.45%), however, significant COTED changes opposite in direction to that of significant COTD changes occurred. This frequency was significantly greater (P < 0.01) than the ideal frequency of 0%. The agreement between delta COTD and delta COTED improved (P < 0.05) when the aortic diameter changes induced by changes in mean arterial pressure were considered [delta COTEDMAPC = 1.10 + 0.95.delta COTD (%), r = 0.87, n = 124]. Compared with previous results, the reliability of the second generation device to monitor relative CO changes was considerably improved. Provided that the aortic blood flow velocity signal was stable and free from any disturbances, the second generation TED device may be regarded acceptable for CO trend monitoring in sedated, paralyzed patients.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗