0000000000089186

AUTHOR

Annette Herweling

showing 8 related works from this author

Initiation of high-frequency oscillatory ventilation and its effects upon cerebral circulation in pigs: an experimental study

2006

BACKGROUND: Current practice at high-frequency oscillatory ventilation (HFOV) initiation is a stepwise increase of the constant applied airway pressure to achieve lung recruitment. We hypothesized that HFOV would lead to more adverse cerebral haemodynamics than does pressure controlled ventilation (PCV) in the presence of experimental intracranial hypertension (IH) and acute lung injury (ALI) in pigs with similar mean airway pressure settings. METHODS: In 12 anesthetized pigs (24-27 kg) with IH and ALI, mean airway pressure (P(mean)) was increased (to 20, 25, 30 cm H(2)O every 30 min), either with HFOV or with PCV. The order of the two ventilatory modes (cross-over) was randomized. Mean art…

Mean arterial pressureIntracranial PressureSwinePartial PressureHigh-Frequency VentilationLung injuryMean airway pressureCerebral circulationAnimalsMedicineNormocapniaCerebral perfusion pressureIntracranial pressureAir PressureRespiratory Distress SyndromePulmonary Gas Exchangebusiness.industryHemodynamicsBrainCarbon DioxideRespiration ArtificialOxygenDisease Models AnimalAnesthesiology and Pain MedicineCerebral blood flowCerebrovascular CirculationAnesthesiaIntracranial HypertensionbusinessBritish Journal of Anaesthesia
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Controlling diffusion of 3He by buffer gases: a structural contrast agent in lung MRI.

2006

Purpose: To study the influence of admixing inert buffer gases to laser-polarized 3 He in terms of resulting diffusion coefficients and the consequences for image contrast and resolution. Materials and Methods: The diffusion coefficient of 3 He was altered by admixing buffer gases of various molecular weights ( 4 He, N2, and SF6). The influence of the pulse sequence and the diffusion coefficient on the appearance of MRI of (laserpolarized) gases was analyzed by comparison of basic theoretical concepts with demonstrative experiments. Results: Excellent agreement between theoretical description and observed signal in simple gradient echoes was observed. A maximum signal gain can be predicted …

InertMaterials sciencePhantoms ImagingDiffusionPhysics::Medical PhysicsBuffer gasResolution (electron density)Contrast MediaReproducibility of ResultsPulse sequenceImage EnhancementSignalMolecular physicsHeliumSensitivity and SpecificityDiffusion Magnetic Resonance ImagingIsotopesRestricted DiffusionEffective diffusion coefficientHumansRadiology Nuclear Medicine and imagingGasesLungJournal of magnetic resonance imaging : JMRI
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A novel technique to follow fast PaO2 variations during experimental CPR

2003

An ultrafast responding fluorescent-quenching PO2 probe allows time-resolved, in vivo measurement of PO2. This study describes several validation experiments of this new device in vitro, and reports its first use during cardiopulmonary resuscitation in an animal model of cardiac arrest.The influence of CO2, temperature and motion artefacts on the signal response of the PO2 probe was analysed in vitro by systematic variation of these values. Thereafter, with approval of the Review Board for the care and use of animals, CPR was performed in four pigs. The PaO2 course was recorded continuously at time resolution of80 ms in the abdominal aorta using an uncoated fluorescence-quenching probe (Fox…

Novel techniquemedicine.medical_specialtySwineDefibrillationPartial Pressuremedicine.medical_treatmentEmergency NursingSignalAnimal modelIn vivoIntensive caremedicineAnimalsFiber Optic TechnologyCardiopulmonary resuscitationFluorescent Dyesbusiness.industryTemperatureTime resolutionEquipment DesignCarbon DioxideCardiopulmonary ResuscitationHeart ArrestSurgeryOxygenDisease Models AnimalEmergency MedicineArtifactsCardiology and Cardiovascular MedicinebusinessBiomedical engineering
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The Hemodynamic Effects of Ephedrine on the Onset Time of Rocuronium in Pigs

2004

Several studies have found a correlation between the onset time of muscle relaxants, cardiac index, and muscle blood flow. Ephedrine increases these hemodynamic variables and shortens onset time of rocuronium in humans. Our aim in this animal study was to determine the effect of ephedrine on the onset time of rocuronium, cardiac index, and muscle blood flow after administration of thiopental. At predefined measuring points, mean arterial blood pressure and cardiac index were measured invasively and onset time was determined mechanomyographically. Twenty-four pigs were randomly assigned to three groups. Group I received etomidate and subsequently rocuronium (2 x 95% effective dose). Instead …

MaleCardiac outputSwineCardiac indexHemodynamicsBlood PressureEtomidatemedicineAnimalsHypnotics and SedativesVasoconstrictor AgentsEtomidateAndrostanolsCardiac OutputThiopentalEphedrineRocuroniumMuscle SkeletalEphedrinebusiness.industryHemodynamicsMyographyBlood flowMedian NerveAnesthesiology and Pain MedicineBlood pressureRegional Blood FlowAnesthesiaFemaleRocuroniumbusinessNeuromuscular Nondepolarizing Agentsmedicine.drugAnesthesia & Analgesia
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Quantifizierung von Atelektasen bei kontrollierter Beatmung: Spiral-CT versus dynamische Einzelschicht-CT

2004

Ziel: Dynamische CT-Untersuchungen (dCT) erlauben die Darstellung und Quantifizierung ventilierter Lungenflache und Atelektasenbildung wahrend kontinuierlicher Beatmung. Diese Studie ­vergleicht eine quantitative Auswertung einer infrakarinalen dCT-Einzelschicht mit der einer Spiral-CT der gesamten Lunge, um zu untersuchen, ob eine dynamisch gemessene Einzelschicht bezuglich der intrapulmonalen Atelektasenverteilung reprasentativ fur die Gesamtlunge ist. Material und Methoden: An 8 gesunden Schweinen erfolgte eine dCT (Schichtdicke 1 mm, zeitliches Inkrement 100 ms) wahrend kontinuierlicher Beatmung, gefolgt von einer Spiral-CT der gesamten Lunge (Schichtdicke 2 mm; Pitch 1,5; Inkrement 2 m…

Mechanical ventilationPathologymedicine.medical_specialtyLungbusiness.industrySlice thicknessSoftware toolmedicine.medical_treatmentAtelectasismedicine.diseasemedicine.anatomical_structureLung segmentationmedicineHigh temporal resolutionRadiology Nuclear Medicine and imagingDynamic ctNuclear medicinebusinessRöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren
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Diffusion-weighted MRI of the lung with hyperpolarized helium-3: A study of reproducibility

2005

Purpose To determine the reproducibility of several parameters of the ADC measurement by calculating the scan-to-scan intrasubject variability. Materials and Methods Measurements were performed using a gradient-echo sequence with a bipolar gradient for diffusion weighting (b = 3.89 sec/cm2). Five patients with pulmonary emphysema, and six healthy-lung volunteers were included in the study. Images were acquired after inspiration of 3He during a single inspiratory breath-hold. To assess the reproducibility, the measurement was performed twice (time between measurements = 20 minutes) without repositioning the subjects. Analysis was performed on the basis of region-of-interest (ROI) analysis an…

AdultMalePercentileHyperpolarized Helium 3HeliumStatistics NonparametricStandard deviationAdministration InhalationImage Processing Computer-AssistedHumansMedicineRadiology Nuclear Medicine and imagingAgedReproducibilityLungDiffusion weightingbusiness.industrySignificant differenceReproducibility of ResultsMiddle AgedDiffusion Magnetic Resonance Imagingmedicine.anatomical_structurePulmonary EmphysemaFemaleNuclear medicinebusinessDiffusion MRIJournal of Magnetic Resonance Imaging
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Analysis of atelectasis, ventilated, and hyperinflated lung during mechanical ventilation by dynamic CT.

2005

Study objective: To study the dynamics of lung compartments by dynamic CT (dCT) imaging during uninterrupted pressure-controlled ventilation (PCV) and different positive end-expiratory pressure (PEEP) settings in healthy and damaged lungs. Design: Experimental animal investigation. Setting: Experimental animal facility of a university department. Interventions: In seven anesthetized pigs, static inspiratory pressure volume curves were obtained to identify the individual lower inflection point (LIP) before and after saline solution lung lavage. During PCV, PEEP was adjusted 5 millibars (mbar) below the individually determined LIP (LIP - 5), at the LIP, and 5 mbar above the LIP (LIP + 5). Mea…

Pulmonary and Respiratory MedicineArtificial ventilationARDSPulmonary AtelectasisSwinemedicine.medical_treatmentAtelectasisCritical Care and Intensive Care MedicinePositive-Pressure RespirationmedicineImage Processing Computer-AssistedTidal VolumeAnimalsTherapeutic IrrigationLungPositive end-expiratory pressureMechanical ventilationRespiratory Distress SyndromeLungbusiness.industryPulmonary Gas ExchangeHemodynamicsrespiratory systemCarbon Dioxidemedicine.diseaseRespiration Artificialrespiratory tract diseasesOxygenPulmonary Alveolimedicine.anatomical_structureAnesthesiaBreathingPulmonary shuntmedicine.symptomCardiology and Cardiovascular MedicinebusinessTomography X-Ray ComputedChest
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Mikrostruktur der Lunge: Untersuchung mittels Diffusionsmessung von hochpolarisiertem 3Helium

2006

Imaging methods to study the lung are traditionally based on x-ray or on radioactive contrast agents. Conventional magnetic resonance imaging (MRI) has only limited applications for lung imaging because of the low tissue density of protons concentration of hydrogen atoms, which are usually the basis for the imaging. The introduction of hyperpolarized noble gases as a contrast agent in MRI has opened new possibilities for lung diagnosis. The present paper describes this new technique. Diffusion-weighted MRI for assessment of the lung microstructure is presented here as an example of the new possibilities of functional imaging. Studies to determine the sensitivity of the diffusion measurement…

ReproducibilityMaterials scienceRadiological and Ultrasound Technologymedicine.diagnostic_testBiophysicsMagnetic resonance imagingTissue densityFunctional imagingNuclear magnetic resonanceHealthy volunteersLung imagingmedicineRadiology Nuclear Medicine and imagingDiffusion MRIZeitschrift für Medizinische Physik
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