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Biomedical subjects

K Steinbereithner

Publications and source records attributed to K Steinbereithner.

At least 73 records · Page 4Linked to original sources
PubMed1977

[Patterns of renal and haemodynamic functions in cadaver kidney donors under dopamine (author's transl)].

Haemodynamics and renal function have been examined before and during i.v. infusion of dopamine (175 microgram/min) in 11 patients admitted as potential kidney donors to an intensive care unit. The findings of the control period revealed an extreme decrease of renal tubular function which points to a cessation of central regulation. The cardiovascular system showed a slight increase of blood pressure and heart rate during dopamine. Urine flow and renal blood flow increased significantly as well as the excretion of sodium while inulin-clearance showed only a minimal rise. The functional renal impairment under conditions of brain death as well as the influence of dopamine on circulation and renal function are discussed. The results indicate that dopamine may exert a favourable effect in preparation of kidney donors for the withdrawal of the organs.

Adolescent↗
PubMed1976

[The diagnostic value of CK-isoenzymes in suspected acute myocardial infarction (author's transl)].

CK-isoenzymes were measured in 31 patients hospitalised for suspected myocardial infarctions who had an increase in serum creatine kinase (CK) above 50 U/l. Of 26 patients with definite evidence of myocardial infarction, MB-isoenzyme--specific for myocardial necrosis--was demonstrated in 24. MB-isoenzyme was no longer detectable in two patients hospitalised 48 hours after the onset of symptoms. In the remaining five patients only MM-isoenzyme was found, the elevated CK activity in three patients having been due to an intramuscular injection, and in two others due to pulmonary embolism. Measurement of CK isoenzymes proved of great diagnostic value in three patients with sudden circulatory arrest of, at first, unknown cause after successful resuscitation. Acute myocardial infarction was proven by the presence of MB-isoenzyme. In one of these patients an additional BB-isoenzyme was seen, possibly due to concomitant cerebral ischaemia. In all other patients (with angina, after cardioversion, or after major surgical operations) only MM-isoenzyme was detected. MB-CK-isoenzyme was found to be a highly specific, as well as sensitive, indicator of myocardial necrosis. This being a rather difficult method, its use is not justified in the routine diagnosis, but in doubtful instances its value can hardly be overestimated.

Adult↗
PubMed1976

Surface properties of amniotic fluid and fetal lung maturity.

Surface activity of 75 amniotic fluid samples from pregnancies which ended before term or at term with small-for-date newborns was measured in the surface balance. The results were correlated with the clinical symptomatology and the birth weight of the newborn. The surface properties of the lungs of those infants who had died were assessed by the buble stability method (Pattle), by recording of pressure-volume diagram and by measurements of surface activity of lung extracts. The results indicate that gamma-min is the essential parameter in determining the degree of fetal lung maturity. In cases with gamma-min values of amniotic fluid above 27 dyn/cm, a 100% respiratory distress syndrome (RDS) incidence is to be expected; values between 23 and 27 dyn/cm have a 70% values between 17 and 23 dyn/cm have a 30% incidence of RDS and in all cases with values below 17 dyn/cm, RDS may be rules out. When induced delivery before term is considered, this method of determining the degree of fetal lung maturity is, therefore, of significant prognostic reliability.

Amniotic Fluid↗
PubMed1976

[A simple method to produce defined standard gas samples of volatile anaesthetics (author's transl)].

A simple procedure enabling defined (standard) gas concentrations of volatile anaesthetics to be prepared for gas chromatographic analyses in a short time is described. Results obtained with this technique, showing excellent reproducibility (coefficients of variation: 1 per cent or less), are presented. Sources of error inherent in the method theoretically (dilution effect of repeated sampling; not taking into account nonideality of gas mixtures) are discussed, these errors, as easily may be proven, being within the limits of accuracy of the analytical method.

Anesthesia, Inhalation↗
PubMed1976

[Lung in shock].

Explore the source record for details and available documents.

Abdomen, Acute↗
PubMed1976

[Urinary enzymes in the early detection of rejection reactions after renal transplantation (author's transl)].

Urinary enzymes were studied in 15 patients subjected to kidney transplantation. The investigation was initiated immediately after operation and was continued for a period of between 2 and 8 weeks. There was a significant increase in urinary MDH activity in 94.2% of cases, of LDH activity in 95,65% and of gamma-GT activity in 95,17% of the cases. This detected increase in urinary enzyme activities preceded the clinical diagnosis of rejection by activities preceded the clinical diagnosis of rejection by at least 24 hours. Determination of these enzymes provides a reliable tool for the early detection of rejection crises.

Enzymes↗
PubMed1975

Surface properties of the amniotic fluid in normal pregnancy.

The surface properties of the amniotic fluid were determined in 96 normal pregnancies between weeks 23 and 41. The y-max, y-min, hysteresis areaa, and stability index were used as parameters for evaluation of the surface tension are diagrams. These results were plotted against the gestation week and a curve for the normal course of surface tension of the amniotic fluid during the second half of gestation was obtained. The influence of addition of blood, vernix, and meconium to amniotic fluid as well as that of changes in the pH and dilution were examined. The results were unaffected by either blood, vernix, or pH changes. The slight scatter of the y-min values makes this parameter particularly suitable for determining fetal lung maturity.

Amniotic Fluid↗
PubMed1975

Urinary catecholamine excretion and thyroid hormone blood level in the course of severe acute brain damage.

Urinary catecholamine excretion and thyroid hormone blood level were studied in 16 patients following severe cerebral trauma. Increased excretion rates of epinephrine and norepinephrine were found. There was no significant difference in the catecholamine excretion when compared with generally traumatized patients. The relationships between catecholamine excretion, increased metabolic rates, and negative nitrogen balance indicate that in patients with a midbrain syndrome there exists an additional diencephalic metabolic factor, which leads to a rise in fat oxidation and perpetuation of catabolism. Early high caloric parenteral nutrition seems to inhibit the initial increase of catecholamine excretion and thus protects the body from an unnecessary breakdown of its own reserves. If the course is classified according to neurological stages, it can be shown that patients with a traumatic apallic syndrome in poor condition have a high increase of catecholamine excretion. Secretion of thyroid hormones is not influenced significantly by cerebral trauma.

Adolescent↗
PubMed1975

[Ophthalmodynamographic and ophthalmodynamometric findings following irreversible loss of cerebral function (author's transl)].

In 12 patients with irreversible cessation of cerebral function (so-called "brain death") ophthalmodynamographic (ODG) measurements were made. In 8 of these ophthalmodynamometric (ODM) investigations were also made. ODG results were abnormal in all cases, pulsation volumes showing a deep decrease (x:16.8 mm3;x of mean arterial pressure 79,1 mm Hg). ODM measurements revealed highly scattered results, ophthalmic artery pressure being normal in 3, increased in 1, severely reduced in 2 patients.--In 2 other cases mere touching of the eye bulb by the ophthalmodynamometer caused a sudden complete collapse of the central retinal artery. Whereas the ODG results might already be considered as useful auxiliary findings, for definite evaluation of the clinical significance of ODG and ODM in diagnosing an intracranial circulatory, additional comparative investigations may be necessary.

Aneurysm↗