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Biomedical subjects

M Abel

Publications and source records attributed to M Abel.

114 records · Page 7Linked to original sources
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[Arterial catheterism and Doppler sonographic registration of blood flow in infancy].

Catheterization of certain arteries offers the possibility of very helpful continuous arterial monitoring in intensive care patients. The lower risk of thromboembolic complications and advantages in disaster or operative situations favored punction of larger arterial vessels, e.g. A. axillaris. We advise the use of Doppler-sonography blood flow measurements for arterial catheterism and catheter control in pediatric intensive care. By a case report this technic is described and recommended in percutaneous axillary artery cannulation and surveillance of possible occlusive catheter complications.

Axillary Artery↗
PubMedDate not supplied

[Therapeutic recommendations for the resuscitation of children].

The general management and steps of cardiopulmonary cerebral resuscitation are the same for infants, children and adults: Airway management; Breathing, Cardiac compressions and Drugs to restart circulation and maintain cerebral and myocardial oxygen supply. However, priorities and techniques differ somewhat because of variations in size, physiology and cause of circulatory arrest. In pharmacological support there are several new aspects: The immediate correction of acidosis is not necessary in CPR and iatrogenic alkalosis has deleterious effects. Beta-receptor stimulators and calcium should not be used furthermore in CPR after cardiac arrest. Epinephrine was and is still the drug of choice in resuscitation. Drugs for cerebral resuscitation are still in a state of development.

Bicarbonates↗
PubMedDate not supplied

[Respiratory failure in a newborn infant following repeated sedation for computerized tomography].

In very young pediatric patients, computed tomography can only be performed successfully after adequate immobilization with sedatives. The special age- and maturity-related features of the premature and neonatal period have to be considered when selecting the drug and the form of administration. Oral, intramuscular, or rectal premedication cannot be recommended for CT sedation of premature and newborn children. Likewise, multiple or repeated medication with different forms of administration should be avoided. A case report of a newborn with respiratory arrest following repeated sedation for computed cranial tomography illustrates the risks associated with such measures. Recommendations concerning drugs and procedure for the sedation of high-risk neonates for CT examinations are given.

Bradycardia↗
PubMedDate not supplied

[Epidural hematoma as the initial manifestation of moderately severe hemophilia A].

Epidural haematomas are rarely found in children; diagnosis can be difficult, as their symptoms are often atypic in the first years of life. Very few epidural haematomas were seen as the first manifestation of haemophilia. Ekchymoses of the skin, bleedings in the mouth and after trauma are usually observed here. As a consequence of the case reported here, we want to emphasize the importance of routine preoperative coagulation tests to discover a disorder of haemostasis unknown up to this point. Also the indication to hospitalize a child in order to survey him on the ward should be decided more often after head trauma, even if the symptoms the patient presents are not typical for epidural haematoma.

Blood Coagulation Tests↗
PubMedDate not supplied

[Determination and clinical significance of colloid osmotic pressure in pediatric patients].

The clinical significance of colloid osmotic pressure (COP) in transcapillary fluid exchange and water homeostasis in health and disease is described. Under pathophysiological circumstances measurement of COP should be preferred to COP value calculation. After extensive COP experiences in critically ill adults and numerous refinements in COP monitoring technology, COP studies in neonates and paediatric intensive care patients have been published recently. In these patients hypovolaemia and need of volume replacement therapy are often associated with an increase in capillary permeability. Therefore prevention of general and interstitial colloid and fluid overload is a permanent challenge in the care of the young critically ill patient; e.g. in a case report. Consequently regular COP measurements should be considered in paediatric intensive care, especially in case of oncotic volume replacement therapy.

Capillary Permeability↗