Biomedical subjects

H Stopfkuchen

Publications and source records attributed to H Stopfkuchen.

75 records · Page 5Linked to original sources

PubMedDate not supplied

[Results of cardiopulmonary resuscitation in children].

We retrospectively evaluated the outcome from cardiopulmonary resuscitation (CPR) in 149 children of all age groups. Only 7 children experienced ventricular fibrillation. 47 children (31.5%) died immediately. Further 47 children died within 24 hours of their arrest, 24 (16.1%) survived longer than 24 hours after CPR but not until discharge. Only 31 children (20.8%) survived to discharge, 5 with severe neurologic sequelae, attributable to the arrest or resuscitation efforts. Cardiopulmonary arrests in the Pediatric Intensive Care Unit carried the worst prognosis. Better results were obtained out-of-hospital, in the OR or on the pediatric floor. Long-term survival rate did not correlate with age, or type of administered catecholamine. None of the children receiving calcium survived. This large study confirms the poor outcome of CPR in children.

Calcium↗

PubMedDate not supplied

[Pubertal status of pupils in orientation classes with reference to school sports].

Tanner scores of pubertal development were determined in 194 girls and 190 boys of the fifth and sixth grades. There was a wide scatter of Tanner scores both within and between sexes, reflecting considerable variability of pubertal development in these age cohorts. Physical performance depends on muscle mass and muscle strength. Since these variables are related to pubertal development, training programs and training goals must take the stage of pubertal development into consideration. A comparison of Tanner scores and sport ratings showed that the factor "pubertal development" is usually accounted for in daily practice.

Adolescent↗

PubMedDate not supplied

Pathophysiologic principles relevant for therapeutic procedures in persistent pulmonary hypertension of the newborn.

Though the various pathophysiologic mechanisms underlying persistent pulmonary hypertension of the newborn (PPHN) necessitate rather specific therapeutic concepts, in the majority of infants with PPHN management is mainly focused on the treatment of the symptoms respiratory failure and cardiovascular abnormalities. For the few neonates with severe PPHN who fail to respond to optimized conventional ventilatory support, high-frequency oscillatory ventilation and extracorporeal membrane oxygenation are available. Treatment of cardiovascular abnormalities should be based on knowledge of the pathophysiologic events in the heart and in the pulmonary and systemic circulation of the newborn with PPHN at least as far as these events are known or suspected based on animals studies. The primary goals of therapy in PPHN must be reduction of right ventricular afterload and support of myocardial function. In this context inhalational nitric oxide therapy may be effective as a new therapeutic strategy to decrease pulmonary vascular resistance.

Critical Care↗