Septischer Schock und multiples Organversagen in der chirurgischen Intensivmedizin View Full Text


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Article Info

DATE

1993-07

AUTHORS

C. Töns, B. Klosterhalfen, U. Klinge, C. -J. Kirkpatrick, C. Mittermayer, V. Schumpelick

ABSTRACT

The study deals with an animal model for the problems of surgical intensive care patients. Following repeated applications of E. coli endotoxin W0111:134 under standard conditions, specific hemodynamic and biochemical (TNF, TXA2, PGI2, IL-6, PAF) and morphological (endothelium of the lung) alterations were detected. ARDS patterns induced by the sepsis were analyzed by high-frequency measurement of pressure and flow (385 measurements per breathing cycle). The role of the intestine in sepsis was investigated by ion-selective monitoring of surface potassium activity comparing mucosa and serosa. Every injection of endotoxin was followed by a selective increase of the potassium activity revealing relative ischemia induced by the endotoxin. The profile of the potassium levels on the surface correlates both with the cardiac output and with the prostacyclin levels. The continuous narrowing of the difference between mucosa and serosa, potassium during the period of investigation can be regarded as evidence for pathologic change in permeability fostering the septic course. More... »

PAGES

217-232

References to SciGraph publications

  • 1991. Ionenselektives on-line Monitoring der Kalium-Aktivität als Parameter für die Dünndarmischämie in CHIRURGISCHES FORUM ’91 FÜR EXPERIMENTELLE UND KLINISCHE FORSCHUNG
  • 1987-12. 6. Beatmung — Wohin geht die Entwicklung? in LANGENBECK'S ARCHIVES OF SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/bf00184364

    DOI

    http://dx.doi.org/10.1007/bf00184364

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1038700422

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/7690106


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