Role of disinfection as infection prophylaxis over the course of time - anesthesia, intensive care and emergency medicine, pain therapy.

It is alarming that anesthetists, just as in earlier years, have been shown to be the specialists with the poorest rate of compliance with simple, basis everyday rules of hygiene. Unfortunately, infection prophylaxis is something to which the physician ascribes importance only when he sees the consequences of his actions, that is to say when he has to diagnose and treat infections in "his" patient as a result of his "failure" to adhere to infection control regulations. That infection control measures have not been taken at the bedside highlights the need for enlightenment and education of staff and serves as the basis for their involvement.

Special problems of pacing in children.

The number of children suffering from congenital or acquired rhythm disorders, and therefore being pacemaker dependent, is very small. This is one of the reasons why a special hardware has never been developed for this cohort. Pacemaker implantation into children does not differ substantially from operations in adults.

Identification and quantification of cotton-bound, cyclic polycarboxylic acids by means of isocratic HPLC.

Cotton fabrics are modified by means of polycarboxylic acids (PCA) in combination with an inorganic catalyst in order to impart durable press properties. To evaluate the effectiveness of cyclic PCA, 100% cotton fabrics were treated with 1,2,3,4,5,6-cyclohexanehexacarboxylic acid (CH-HCA), 1,3,5-cyclohexanetricarboxylic acid (CH-TCA), 1,2,3,4-cyclopentanetetracarboxylic acid (CP-TCA), and 1,2,3,4-tetrahydrofurantetracarboxylic acid (THF-TCA) in combination with sodium hypophosphite (SHP) as catalyst. The amount of PCA that reacted with the cellulosic material was determined by means of isocratic HPLC (Aminex HPX-87-H).

Administration of oxygen before tracheal extubation worsens gas exchange after general anesthesia in a pig model.

Unlabelled: Administration of 100% oxygen before tracheal extubation is common clinical practice. We determined the effect of this technique on postoperative gas exchange in a porcine model using the multiple inert gas elimination technique. After general anesthesia with mechanical ventilation for a period of 30 min (inspiratory fraction of oxygen of 0.

Pulmonary gas exchange in coronary artery surgery patients during sevoflurane and isoflurane anesthesia.

Unlabelled: As the surgical population ages, the number of patients presenting with coronary artery disease and age-related loss of pulmonary recoil will increase. Although their influence on gas exchange in this population remains unknown, sevoflurane and isoflurane are used for an increasing variety of surgical procedures. We examined pulmonary gas exchange (multiple inert gas elimination technique) in 30 patients presenting for coronary artery bypass grafting.

Blunted erythropoietic response to anemia in multiply traumatized patients.

Objectives: To assess the relations between anemia, serum erythropoietin (EPO), iron status, and inflammatory mediators in multiply traumatized patients.

Design: Prospective observational study.

Setting: Intensive care unit.