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Biomedical subjects

H Bergmann

Publications and source records attributed to H Bergmann.

At least 217 records · Page 12Linked to original sources

Frequency dynamics of arterial autoregulation.

In anesthetized dogs the low-frequency input impedances (0.001 to 0.1 Hz) of different arterial beds were measured. The following arteries were perfused with blood by a servocontrolled pump in different experiments: Femoral, renal, superior mesenteric, and circumflex branch of the left coronary artery. Step and sinusoidal flow changes were used as input patterns. Furthermore, in the femoral artery the high-frequency input impedance was calculated from pulsatile pressure and flow. The pressure reactions to flow changes were interpreted by assuming a lead-lag autoregulatory control system consisting of two opposing components. The time constants of the two components were found to have characteristic values in different arterial beds and may vary depending on the condition of the experiment. The magnitude of the response usually depends on the mean perfusion pressure, indicating a nonlinear behaviour of the system. Furthermore in the renal artery a characteristic delayed pressure increase was observed after short flow impulses. It is interesting to compare the general pattern of the pressure reaction to the input flow with the force response to stretch which, according to the literature, can be observed in certain striated muscle preparations. The mechanisms underlying the autoregulatory reactions described in this study appear to be, at least in part, a general feature of contractile tissues.

Animals↗

Suitability of non-glucose-carbohydrates for parenteral nutrition.

Postoperative parenteral nutrition can only be optimally effective if the characteristics of post-traumatic metabolism are taken into account. Two main possibilities are discussed for the carbohydrate component of parenteral nutrition during this phase: glucose with high doses of insulin or non-glucose carbohydrates (sugar substitutes) possibly in a suitable combination with glucose. The risks as well as the technical and organisational problems involved in the use of them are discussed and the authors prefer the second of the two alternatives. Possible side effects of non-glucose carbohydrates are pointed out and it is shown how these can be avoided by observing dose guidelines. So far a combination of frucose : glucose : xylitol in a ratio of 2 : 1 :1 with a total dose of 0.50 g/kg/hour has been studied most thoroughly. This combination normalises the fat metabolism and improves glucose tolerance without requiring exogenous insulin. Experiences with this combination as well as individual non-glucose carbohydrates on operated patients have been given continuously for up to 7 days and in some cases even for several weeks. No side effects, no deviations from a steady state and no abnormal changes of the laboratory values occurred. The authors are of the opinion that non glucose carbohydrates are necessary if the facilities for frequent blood sugar controls are not available.

Adenine Nucleotides↗

[The influence of hydroxyethyl starch on postoperative alterations of blood coagulation (author's transl)].

The influence of hydroxyethyl starch (HES) on postoperative hypercoagulaemia was examined in a double blind study. One group of 10 patients received 500 ml HES during surgery and on the following three days. A comparable group received the same amount of isotonic saline solution. In some respects, hypercoagulaemia was significantly diminished in the HES-group. The diminution could, however, be mainly explained by the diluting effect of the plasma expander.

Adult↗