Download Adult Respiratory Distress Syndrome: An Aspect of Multiple by J. A. Sturm (auth.), Professor Dr. J. A. Sturm (eds.) PDF

By J. A. Sturm (auth.), Professor Dr. J. A. Sturm (eds.)

l. A. STURM In smooth society, trauma is still the number 1 reason for demise in humans less than 50 years, yet, regardless of this, little or no recognition has been paid to trauma care in comparison with different ailments resembling malignancy or myocardial infarction (Table 1). The efforts which were made in remedy, although, have confirmed a few luck; for instance even supposing the frequency of site visitors injuries within the Federal Republic of Germany has remained consistent through the years, the variety of deaths because of them has diminished (Fig. 1). the result of advancements in rescue structures, surgical options, and in depth care are glaring, as proven by way of a evaluate of the information of approximately 3000 a number of trauma sufferers handled within the final 15 years on the trauma de­ partment of Hannover clinical tuition which displays the development that has been made in treatment. After the matter posed by means of posttraumatic kidney failure were solved within the Nineteen Sixties and Seventies, the grownup breathing misery syndrome (ARDS) grew to become the most important challenge within the Nineteen Seventies and Eighties (Fig. 2). ARDS as a unmarried entity disappeared within the literature within the early Nineteen Eighties and used to be changed by way of the so-called a number of organ failure (MOF) syndrome. among 1985 and 1990 35% of the sufferers in our in depth care unit built MOF, and 70% of them died. total MOF mortality has remained consistent considering the fact that 1985 at approximately 20% (Fig. 3).

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Extra resources for Adult Respiratory Distress Syndrome: An Aspect of Multiple Organ Failure Results of a Prospective Clinical Study

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LOKA 1 , U. A. L. NERLICH 2 Common Concept for Treatment The 57 patients in this study (32/25) were treated at two centers, Essen and Hannover, following a common schematic protocol. All patients were included in all indicated types of therapy which fulfilled the requirements of this study. 9%), blood components (whole blood, fresh whole blood, packed RBC), and plasma preparations. Protein solutions (fresh frozen plasma) were administered if the patient's total protein serum level fell below 3 gil.

An average of 161 crystalloid solutions and 91 blood transfusions were needed in each case. The surviving patients spent an average of 25 days in the intensive care unit and were sustained on a respirator for an average of 14 days. The number of patients developing adult respiratory distress syndrome (ARDS) and the number of patients who died were the same in both centers. The incidence of ARDS was 44%. 5% for the Hannover group. Out of 21 patients, 17 died from ARDS, and only 4 out of the Essen group died from another organ failure (Table 4).

In a clinical study on a group of wel1-defined multiple-injured patients, the extent of organ failure was evaluated prospectively, applying scores to a large number of measured parameters. Material and Methods Thirty-eight multiple-injured patients met the study criteria, which were: 1. Severity of injury of more than 30 points on the Poly trauma Score (PTS) [14] 2. Age, 15-65 years 3. Prehospital therapy-free interval less than 60 min Department of Trauma Surgery, Hannover Medical School, Kanstanty-Gutschow-Str.

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