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Biomedical subjects

J Eklund

Publications and source records attributed to J Eklund.

At least 55 records · Page 3Linked to original sources
PubMed1981

Lipid infusion in critically ill patients. Acute effects on hemodynamics and pulmonary gas exchange.

Hemodynamics, pulmonary diffusing capacity (DLCO) blood gases, oxygen consumption (VO2) and carbon dioxide excretion (VCO2) were studied in healthy volunteers and ventilator-treated, critically ill patients before and during infusion of lipid emulsion for 4 h. Triglyceride levels rose from 1.0 mmole/L to 8.5 mmole/L in the volunteers and from 1.4 mmole/L to 6.3 mmole/L in the patients after h. No adverse effects on cardiovascular performance were observed. Increases in VO2, and VCO2 and cardiac output were found in both groups, while RQ remained constant. No changes in DLCO and blood gases occurred.

Adolescent↗
PubMed1981

Hemodynamic effects of hyperosmolal glucose infusion in the critically ill patient.

A 30% glucose solution was infused for 4 h at a rate of 1.53 ml . kg-1, corresponding to 10 g . kg-1 . 24 h-1 in 8 critically ill patients requiring parenteral nutrition. The osmotic load resulted in an expanded blood volume due to hemodilution. Stroke volume (SV) increased, while peripheral vascular resistance (PVR) and pulmonary capillary wedge pressure (WP) decreased. Otherwise, no major effects on the circulation were observed. Thus, during these experimental conditions, the heart seems to cope very well with the increased osmotic load.

Adolescent↗
PubMed1978

Renal function during neurolept anaesthesia.

Renal function and central haemodynamics were studied in eight patients, without known histories of renal or cardiovascular disease, during and immediately after upper abdominal surgery under neurolept anaesthesia. Inulin and PAH clearance, fractional sodium and fractional osmolar excretion decreased, while fractional free water reabsorption increased under anaesthesia. Cardiac output, mean systemic arterial pressure and systemic vascular resistance remained virtually unchanged both per- and postoperatively. Renal haemodynamics were promptly restored postoperatively, while fractional sodium and fractional osmolal excretion were unaltered and antidiuresis increased. It is concluded that neurolept anaesthesia, as far as renal function is concerned, is well suited for the anaesthetic management of the poor-risk patient.

Abdomen↗
PubMed1978

Effects of positive end-expiratory pressure on renal function.

The effects were studied positive end-expiratory pressure (PEEP) on renal function in eight patients with acute respiratory failure, requiring mechanical ventilation. On application of PEEP + 10 cm H2O, central venous pressure increased, systolic blood pressure decreased, urine flow and PAH-clearance were reduced, while inulin clearance remained stable. There was a marked increase in fractional sodium reabsorption and a concurrent decrease in fractional osmolal excretion. Fractional free-water clearance and the ratio UOsm/POsm did change.

Adolescent↗
PubMed1978

Production of plasma with high anti-D concentration in Rh-negative volunteers.

63 Rh-negative male volunteers were immunized with D-positive red cells. 28 (44%) produced anti-D. To provide sustained levels of high concentration of anti-D, 18 of the 28 male volunteers have received repeated antigenic stimuli at individual intervals of 2-9 months. In all but 1 case the level of anti-D rose to between 30 and 300 microgram/ml and persisted at this level for several years. There was no evidence of a decrease in antibody response with an increase in the number of stimuli. 24 Rh-negative women immunized by pregnancy were restimulated. 16 achieved anti-D concentrations over 21 microgram/ml. The levels achieved were not influenced by the different D-positive cells injected, nor were larger antigenic doses of any benefit. No untoward clinical reactions occurred as a result of the repeated injections of antigenic material or of long-term plasmapheresis. 2 volunteers developed unwanted antibodies outside the Rh-system. Beginning in 1968, the programme to obtain anti-D plasma has yielded more than 70,000 doses of 250 microgram each, permitting the treatment of all Rh-negative women at risk.

Antibody Formation↗
PubMed1977

Genetic analysis of a strain of mice plateaued for litter size.

A strain of mice (S1) was successfully selected for large litter size for 31 generations, increasing the mean by 4.2 young per litter. After generation 31, there was no further progress and it was concluded that a selection plateau had been reached. Realized heritability decreased during the course of the experiment from 0.16+/-0.06 for the first 15 generations to 0.00+/-0.03 for generations 30 through 45.--In order to explore the nature of the selection plateau, the following groups were derived from line S1 at generation 34 or 35: Upward selection with inbreeding (SF), random (relaxed) selection (SO), and downward selection (SR). Selections were carried out for 10 to 11 generations. The means of SO and SF were similar to those of S1, ruling out any major effect of natural selection or overdominance. SR decreased, the mean averaging 2.3 young per litter below that of S1 during the last three generations. The fact that SR responded to selection indicates that genetic variance was still present in the plateaued population. The SF sublines were crossed when the inbreeding was 95% and a new line, SX, was formed. SX was maintained for three generations and the difference of +0.7 young per litter above the contemporary generations of S1 was significant. The results from this experiment suggest that the selection plateau in line S1 was caused by reduction of additive genetic variance to a very low level. Some nonadditive genetic variance remained, however, and was attributed to recessive alleles at low frequency. In agreement with results reported by Falconer (1971), inbreeding with selection followed by crossing of the inbred sublines proved to be effective in overcoming a selection plateau in litter size.

Animals↗
PubMed1977

A comparison between the influence of halothane or fentanyl and droperidol anaesthesia on the adrenergic receptor response in human adipose tissue in vitro.

A comparison was made between the adrenergic receptor response in vitro in human adipose tissue obtained under halothane and neuroleptanaesthesia. In both groups the net release of glycerol was significantly stimulated (P less than 0.01) by the combined alpha- and beta-adrenergic agonist, 1-noradrenaline. In the halothane group, the lipolysis was further increased by the addition of phentolamine (an alpha-adrenergic blocking agent). No such effect could be demonstrated in specimens from the fentanyl/droperidol group. This difference in response was most probably explained by the fact that droperidol had quite a long-lasting alpha-adrenergic blocking property, which totally obliterated the effect of another alpha-adrenergic blocking agent. The findings stress the importance of using a standardized procedure, including the choice of anaesthetic agents, when human adipose tissue is sampled for metabolic studies in vitro. The results also indicate the possibility of a difference in metabolic effects in vivo between the two procedures.

Adipose Tissue↗
PubMed1975

Total disappearance of a fatal pulmonary embolus during streptokinase therapy of an iliofemoral thrombosis.

During streptokinase treatment of an iliofemoral thrombosis, a formerly healthy man developed clinical signs of major pulmonary embolism. In spite of all attempts at resuscitation, the patient died after 1.5 hours. The autopsy showed no signs of remaining thrombus or emboli. The probable explanation is that the thrombus had partially been lysed and that the remaining parts formed an embolus large enough to cause considerable haemodynamic changes which could not be influenced. Lysis continued pre- and postmortally and was complete at the time of autopsy.

Aged↗