Publications by authors named "Frank Bremer"

Article Synopsis
  • Hyperglycemia and diabetic ketoacidosis are critical emergencies in diabetes that require quick recognition and management.
  • Effective treatment includes rehydration, insulin therapy, electrolyte replacement, and addressing the underlying causes.
  • The case study presents an 83-year-old male who experienced severe blood gas abnormalities after hand surgery and successfully received intensive care treatment.
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During the COVID 19 pandemic, advanced age, scoring systems, and a shortage of ICU beds were used as cut-offs for ICU admission. This case report describes the epicrisis of an elderly patient who was almost mistakenly not treated in an ICU.

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Objective: Information is lacking on whether the CYP3A5 genotype affects the disposition and effects of midazolam during the long-term intensive care sedation of patients. This study was undertaken to estimate whether the CYP3A5 genotype can explain a relevant portion of pharmacokinetic interindividual variability.

Methods: We determined the CYP3A5 genotype in 71 Caucasian patients who underwent long-term sedation during intensive care treatment.

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During a 5-year period, 1997 to 2002, therapeutic drug monitoring of midazolam plasma concentrations in combination with the level of sedation as assessed by the Ramsay sedation scale was performed in 648 critically ill patients requiring artificial ventilation. In a subgroup of 189 patients sepsis-related organ failure assessment procedure was additionally performed. A total number of 3354 samples were analyzed.

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Objective: To determine perioperative changes in circulating (BVI) and central blood volume (CBVI) by a new dye dilution technique using pulse dye densitometry.

Design And Setting: Prospective observational study in the cardiac anesthesia and intensive care unit of a university hospital.

Patients: Sixty-six patients undergoing coronary artery bypass surgery.

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Objective: To determine the time course of histocompatibility leukocyte antigen (HLA)-DR expression in peripheral blood mononuclear cells and their relationship to markers of inflammation, organ function, and outcome during severe sepsis.

Design: Prospective, longitudinal study.

Setting: University hospital intensive care unit.

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Objective: To evaluate the agreement between cardiac output (CO) measurements obtained by a new dye dilution technique using pulse dye densitometry (PDD) and thermodilution (TD) and the direct Fick method (F).

Design And Setting: Prospective clinical study in a university hospital, cardiac surgery intensive care unit.

Patients: Fifty-eight cardiac surgery patients after admission to the intensive care unit (six were excluded due to a low pulse signal quality using the PDD method).

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