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F P Schmidt, N J Glaser, O Schreiner, T Münzel, M Weber
INTRODUCTION: DNR orders have been used internationally since the 1970 s. Despite the growing importance of patient preference in German law, there is little data on DNR orders in Germany Methods: The prevalence of DNR orders was assessed on the hospital wards. Healthcare were asked about their experiences and opinions in two polls. The charts of all deceased patients were reviewed for DNR notes for 9 month before and after introduction of the new DNR order sheets. RESULTS: The prevalence of DNR orders remained constant at 8% of patients...
July 2015: Deutsche Medizinische Wochenschrift
Maik Faisst, Ute Willenbrock, Dirk-Stefan Rust, Stefan Lönnecker, Markus Stuhr
We report on the case of a multiply injured 14-year-old girl with severe open brain trauma, prehospital cardiopulmonary rescuscitation and immediate decompressive craniectomy. Despite the extremely poor prognosis, a very good outcome has been achieved. We discuss the influence of the time management on the outcome.
March 2013: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
H-R Arntz
No abstract text is available yet for this article.
February 2009: Deutsche Medizinische Wochenschrift
H H Klein
No abstract text is available yet for this article.
February 2009: Deutsche Medizinische Wochenschrift
Karsten Knobloch, Marcus Spies, Peter M Vogt
No abstract text is available yet for this article.
February 2008: Interactive Cardiovascular and Thoracic Surgery
Jerzy Sadowski, Bogusław Kapelak, Krzysztof Wróbel, Jacek Piatek, Paweł Rudziński, Karol Wierzbicki, Grzegorz Marek, Rafał Drwiła, Dorota Sobczyk, Grzegorz Grudzień
OBJECTIVES: Comparison analysis of indications for operation, early clinical outcomes and hospital mortality between patients reoperated for valvular prosthesis dysfunction urgently and electively. MATERIAL AND METHODS: Retrospective data analysis of 94 patients (pts) reoperated for valve prosthesis dysfunction at Department of Cardiovascular Surgery and Transplantology in Kraków, Poland between January 1999 and December 2002. RESULTS: Valvular reoperation was elective procedure in 69 pts (73...
2004: Przegla̧d Lekarski
J L Goëb, A Galloyer-Fortier, J M Dupuis, J Victor, B Gohier, J B Garré
The implantable automatic defibrillator has completely changed the prognosis of potentially fatal ventricular arrhythmias by the delivery of an electric shock in the event of ventricular tachycardia or fibrillation. This vital device is sometimes poorly accepted from the psychological point of view by patients having been traumatised by experiences of sudden death from which they have been rescuscitated. Anxiety and depression are common and they have an important effect on the quality of life. The unpredictable occurrence of painful, multiple and uncontrollable electrical shocks may induce a state of acute stress with stunning, the resemblance of which to the model of learned helplessness described experimentally in the animal by Seligman, is discussed...
December 2003: Archives des Maladies du Coeur et des Vaisseaux
Murray J Bartlett, Michael Bynevelt
Consultant radiologists and trainees must possess knowledge of optimal acute management of anaphylactic/anaphylactoid contrast reactions because patient survival depends upon prompt initial management. The aim of the present study is to assess the knowledge of first-line management of these reactions among radiologists. Within one working day, and without prior knowledge, radiology consultants and trainees within four teaching hospitals in a major Australian capital city were asked to complete a confidential questionnaire regarding acute resuscitation management...
December 2003: Australasian Radiology
Anupama Upadya, Visvanathan Muralidharan, Natalya Thorevska, Yaw Amoateng-Adjepong, Constantine A Manthous
This study examines understanding of living wills by patients, family members, and physicians. Questionnaires were used to examine whether each cohort understood patients' living wills regarding endotracheal intubation and cardiopulmonary rescuscitation (CPR). Of 4,800 patients admitted during the study period, 206 reported having living wills, all of which precluded intubation and CPR for "terminal conditions." Of 140 admitted to the general hospital wards, 17 (12%) wanted their living wills to preclude intubation/mechanical ventilation and 12 (8...
December 1, 2002: American Journal of Respiratory and Critical Care Medicine
Xian-Yang Zhong, Ren Luo, Zuo-Xi Lei
OBJECTIVE: To understand the features of renal ischemic-reperfusion injury after hemorrhagic shock in rats. METHODS: Models of hemorrhagic shock were established in 36 Sprague-Dawley rats that were divided into 6 groups (with 6 rats in each group), 5 groups of which received subsequent resuscitation measures. Another 6 untreated normal rats served as normal control. Renal pathomorphology and the distribution of dendritic cells (DCs) were observed to determine their correlation in the resuscitation groups (at 3, 6, 12, 24 and 48 h respectively after resuscitation), the control and shock groups...
May 2002: Di 1 Jun Yi da Xue Xue Bao, Academic Journal of the First Medical College of PLA
P N Nguema, P B Matsiegui, D N Nsafu
This retrospective study was carried out over five years (August 1993 to August 1998) and included 104 patients admitted to the intensive care unit for heat-induced or electrical burns affecting more than 10% of their total body surface area. Most of the patients were children or young adults and the mean age of the group was 24 years. Seventy-eight of the patients were the victims of domestic fires. The other 26 cases involved work-related burns and car accidents. Most of the burns observed were caused by fire or scalding, but there were also two cases of electrical burns...
January 2000: Santé: Cahiers D'étude et de Recherches Francophones
J Richter, M Eisemann, B Bauer, H Kreibeck
Health care decision making in incompetent severely ill patients presents many difficult medical, ethical, and legal problems for the physician. At the same time nurses represent the group of medical professionals who have the closest contact with the patient and who have to carry out most of the decisions and instructions. Treatment decisions and their determinants have been assessed by means of a questionnaire based on three case scenarios offering three different levels of available information of the patient's wishes (no information, DNR-order, advance directive)...
April 1999: Zeitschrift Für Gerontologie und Geriatrie
G Schierhout, I Roberts
OBJECTIVE: To determine the effect on mortality of rescuscitation with colloid solutions compared with resuscitation with crystalloids. DESIGN: Systematic review of randomised controlled trials of resuscitation with colloids compared with crystalloids for volume replacement of critically ill patients; analysis stratified according to patient type and quality of allocation concealment. SUBJECTS: 37 randomised controlled trials were eligible, of which 26 unconfounded trials compared colloids with crystalloids (n = 1622)...
March 28, 1998: BMJ: British Medical Journal
O Paut, L Mély, L Viard, M A Silicani, J M Guys, J Camboulives
PURPOSE: Major gastric distension in the left hemithorax can threaten life in patients with congenital diaphragmatic hernia (CDH) presenting after the neonatal period. After presentation of two pediatric cases, guidelines for the optimal care of these patients are given. CLINICAL FEATURES: Both children had respiratory and cardio-circulatory compromise on arrival. The diagnosis of late presenting CDH was made and the severity of symptoms was related to a voluminous distension of an intrathoracic stomach...
June 1996: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
H Hillman
No abstract text is available yet for this article.
December 1973: Resuscitation
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