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Biomedical subjects

J E Zimmerman

Publications and source records attributed to J E Zimmerman.

7 recordsLinked to original sources

The treatment of pulmonary edema in the absence of renal function. A role for sorbitol and furosemide.

In doses sufficient to induce a rapid osmotic loss of fluid from the bowel, sorbitol can provide an alternate method of removing fluid in patients who lack renal function. Two patients with acute pulmonary edema and oliguric renal failure were treated with a combined therapy of sorbitol and furosemide. Their clinical, hemodynamic, and metabolic responses were strikingly similar to those achieved with furosemide therapy alone in patients with normal renal function.

Acute Kidney Injury

Effect of mechanical ventilation and positive end-expiratory pressure (PEEP) on chest radiograph.

The effect of differing ventilator settings and positive end-expiratory pressure (PEEP) on the chest radiograph was studied in 12 patients with acute respiratory failure. Changing ventilator settings produced dramatic variations in the appearance of pulmonary infiltrates in technically identical radiographs exposed over a 10-15 min period. PEEP had the greatest effect on radiographic appearance. In seven patients, the diagnosis or estimation of severity of pulmonary infiltrates would have been altered if only the film during PEEP had been available. Knowledge of ventilator settings is vital in evaluating the severity of infiltration and radiographic diagnosis in patients with acute respiratory failure.

Humans

Human magnetic auditory evoked fields.

Magnetoencephalographic (MEG) averaged auditory evoked fields to click stimuli (N = 512) were recorded from four human subjects. The MEG was recorded with an asymmetric second derivative SQUID gradiometer located in an aluminum shielded room. Unlike conventional EEG auditory evoked potentials, which have a widespread distribution, evoked magnetic fields appear to be localized to the general area of the primary auditory cortex and diminish rapidly in amplitude as the gradiometer is moved away in any direction.

Acoustic Stimulation

Acute respiratory failure: an approach to diagnosis and management.

Acute respiratory failure can be diagnosed using clinical judgment and simple bedside measurement of physiologic function. Respiratory support is based on the pathophysiology of the disorder. Initial therapy is directed at correcting life-threatening hypercapnia, hypoxia, and acidosis. The final outcome is positively influenced by skillful intensive care and a team approach.

Acute Disease

The human magnetoencephalogram: some EEG and related correlations.

Simultaneous magnetoencephalographic (MEG) and electroencephalographic (EEG) data were recorded from six normal adult subjects. MEG signal strength and EEG voltage level appear to be linearly correlated. Spectral analysis suggested that the MEG and EEG data were produced by similar but non-identical generator systems. A vertex region magnetic averaged evoked response to flash was recorded in one (of four) subjects, consisting of a waveform similar to but out of phase with the simultaneous EEG averaged evoked response, such that cortical negativity was correlated with a magnetic field directed into the scalp. Eye movement artifact, which can seriously compromise EEG recordings, does not appear to be a major problem in MEG recordings.

Alpha Rhythm