Obstetric anesthesia 1988-1996 in Northrhine/Germany: results of the Perinatal Survey at the Chambers of Physicians.
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Adult↗
Biomedical subjects
K U Josten
Publications and source records attributed to K U Josten.
Home monitoring in children at risk of sudden infant death.
Electronic home monitoring has been advocated as a means of preventing sudden infant death syndrome (SIDS). Special emphasis has been placed on apnoea monitoring. The evaluation of the preventive aspect of home monitoring is exceedingly difficult considering the ethical and statistical implications. Major problems arise as the monitoring is done by the parents in a situation different from the one in the intensive care unit. The relative advantages of pulse oximetry and inductance plethysmography are outlined in comparison with other techniques like impedance pneumography, apnoea mattress and apnoea capsule.
Electrocardiography↗
Impedance pneumography for apnea detection.
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Home Nursing↗
["Experience with longterm indwelling peridural catheterization--peridural morphine analgesia in cancer patients" and "Peridural morphine analgesia. II. Respiratory depression].
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Catheterization↗
[Changes in the secretion of growth hormone in severely injured persons (author's transl)].
The secretion of growth hormone was studied in 25 severely injured persons during the adaptive and convalescent stage. The ages of the patients varied between 9--65 years. During the first few days after the trauma hormone concentrations rose to up to 7--15 times their normal upper limits (about 10 mU/l). In some cases the hormone levels subsequently fell to the lower limits of normal. No attempt was made to calculate average values and the reasons for the omission are stated. The results are discussed with reference to the metabolic condition of the severely injured persons.
Adolescent↗
[Antacids for preventing aspiration pneumonia (Mendelson syndrome) in obstetric anaesthesia (author's transl)].
The risk of aspiration pneumonia attendant on obstetric anaesthesia and the importance of the pH value of the aspirated gastric juice in the development of aspiration pneumonia are emphasized. The use of antacids and other agents as a preventive measure is reviewed.
Anesthesia, Obstetrical↗
[Home monitoring following sudden infant death--report of the personal experiences of an anesthesist].
An infant boy (brother of a SIDS victim) was followed up for the first 6 months of life by home cardiorespiratory monitoring. The case reports of both the two children are presented. Some of the problems arising after the subsequent pregnancy as there are selection of the kind of monitor, preparations for cardiopulmonary resuscitation and home situation are discussed. The personal decisions made in this context by the author are presented.
Electrocardiography↗