Static electricity and corrective measures in operating rooms. II.
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The Authors assess the utility of the on-line monitoring of SvO2 during 156 measurements of pulmonary capillary wedge pressure (PCWP) done on 52 Intensive Care Unit patients. The measurement was always right when the SvO2 increased more than 90%. The Authors found a good correlation between the SvO2 monitored during the measurement of the PCWP and the saturation of pulmonary capillary blood measured by cooximeter. These data suggest that the complex procedure to confirm the reliability of the measurement recommended by Gardner can be simplified by the observation of the trend of SvO2 on the monitor oximetrix. This allows to obtain saving time for the staff, saving blood for the patients, reduction of risk for the transmission of infective diseases due to the handling of blood and guarantees a further routinary control of reliability on the measure of PCWP.
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There are numerous reports on the morphological results after hypospadia operation whereas only few reports do exist on sexual behaviour after this operative treatment. In our experience every fifth patient (18.5%) had psychogenic disturbances of sexual life. The marriage rate was 20% lower than in an age-related group of the normal population and 24% of the patients have had not any sexual contact as yet. Morphological causes of these disturbances were severe penile deviations (3 out of 16 patients); slight deviation occurred in 13 patients. Therefore, an intraoperative artificial erection has been recommended. In two thirds of the patients with psychogenic inhibitions a morphological cause could be verified. In conclusion, patients with hypospadia operation should controlled up to the sexually active life, if necessary under participation of a psychologist.
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