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Schwerste thrombotisch-thrombozytopenische Purpura (TTP) nach H1N1-Vakzinierung
Background:Thrombotic thrombocytopenic purpura (TTP) is a severe disease with microthrombi in various organs. The idopathic subtype is characterized...
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Invasive Beatmung und nicht-invasive Beatmung im Konflikt mit bester palliativer Versorgung bei schwerer COPD
This example of an 80-year-old patient with severe lung disease and respiratory failure demonstrates the difficult relationship between the patient's...
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Stellenwert des TISS-28-Scores in der schwierigen Entwöhnung vom Respirator
Purpose:To compare the Therapeutic Intervention Scoring System (TISS) 28 in difficult to wean patients before and after transfer to a weaning center.
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Sinnvoller Einsatz neuer Beatmungstechniken bei akutem Lungenversagen
Numerous animal experiments and clinical studies showed aggressive ventilation to injure the lungs. This led to the concept of protective...
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Der klinische Ethik-Beratungsdienst im Evangelischen Krankenhaus Bielefeld
Definition of the problemHow should an ethics consultation service be structured in order to meet the needs of clinical practice, which are required...
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Seltene Fehlanlage eines zentralen Venenkatheters in einer Fehlmündung der linken Lungenvene
In anomalous pulmonary venous drainage, one or more pulmonary veins drain into the systemic circulation or right atrium. The clinical signs of the...
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Nichtinvasive Beatmung – gestern, heute und morgen
Noninvasive mechanical ventilation (NIV) is used to treat chronic ventilatory insufficiency (CVI) and acute respiratory failure (ARF). Various...
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Frühzeitiger kombinierter Einsatz von Revaskularisation und intraaortaler Ballon-Gegenpulsation bei kardiogenem Schock im Rahmen eines akuten Myokardinfarkts
ObjectivesCardiogenic shock (CS) remains the leading cause of death in patients hospitalized for acute myocardial infarction (AMI). Historically,...
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Erweiterte arterielle Revaskularisation (T-graft-Operation) bei über 70-Jährigen
Patients, having diffusely diseased coronary arteries, severe calcifications in the wall of the ascending aorta, non-available or insufficient venous...
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Amyotrophe Lateralsklerose – wenn die Planung fast zu spät kommt
Amyotrophic lateralsclerosis (ALS) is a disease with progressive muscle weakness, also affecting respiratory muscles. In the terminal phase most...
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Symptomkontrolle und ethische Aspekte im terminalen Verlauf einer COPD
On the basis of a case study, the complex problems of the final stages of a COPD will be demonstrated and discussed. Dyspnea and anxiousness are the...
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Frühtracheotomie nach medianer Sternotomie
ObjectiveTracheotomy offers significant advantages in patients requiring long–term assisted ventilation. Percutaneous tracheotomy offers advantages...
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Abbildung der Herz-Kreislauf-Medizin im deutschen Fallpauschalen-(G-DRG)-System 2004
Based on the medical and economical data of 137 German hospitals including 12 university hospitals, the Institut für das Entgeltsystem im Krankenhaus ...
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Schwere, nicht-infektiöse Mitralklappenendokarditis nach Klappenrekonstruktion bei einer 32-jährigen Patientin mit primärem Antiphospholipid-Syndrom
Background:A 32-year old female with primary antiphospholipid syndrome presented 8 months after mitral valve reconstruction with progressive...
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Übersicht der australischen (AR-DRG) und deutschen (G-DRG) diagnosebezogenen Fallgruppen mit deren Relativgewichten für die Kardiologie
BackgroundAn adapted system of ‘Diagnosis Related Groups’ (DRG’s) will be introduced for Germany at the beginning of 2003. This article focuses...