0000000000413600

AUTHOR

Walter Roth

showing 3 related works from this author

Early postoperative substitution procedure of the antioxidant ascorbic acid.

2005

Postoperatively reduced concentration of ascorbic acid (AA) in plasma (or =45.5 micromol/l (or =800 microg/dl)) is commonly interpreted as increased metabolic requirements, but it is not shown yet that the patient benefits from a substitution toward normal levels of AA. This is due to the missing knowledge on how to substitute AA effectively to normal plasma values in postoperative patients. Therefore, a postoperative AA substitution procedure "overnight" to normal values in plasma was investigated on a postoperative intensive care unit (ICU) in a university hospital.Fifty-seven operated patients were randomly assigned to a control- or intervention group (CG and IG, respectively). In all pa…

medicine.medical_specialtyAntioxidantEndocrinology Diabetes and Metabolismmedicine.medical_treatmentClinical BiochemistryIntervention groupNormal valuesAscorbic AcidBiochemistryGastroenterologyAntioxidantslaw.inventionlawInternal medicinePreoperative CareMedicineHumansMolecular BiologyPostoperative CareNutrition and Dieteticsbusiness.industryAscorbic acidUniversity hospitalIntensive care unitIntensive Care UnitsReduced concentrationAnesthesiaPlasma concentrationbusinessThe Journal of nutritional biochemistry
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Adrenalectomy for Bilateral and Recurrent Pheochromocytoma: Increased Intraoperative Risk?

2006

Adrenalectomy for pheochromocytoma is per se associated with a specific intraoperative cardiovascular risk caused by catecholamine secretion during manipulation of the tumor. Bilateral or multiple, and recurrent chromaffine tumors are special subentities with a potentially more intensified and longer surgical preparation. The aim of our study was to examine these effects on hemodynamic changes compared with those observed for primary, solitary tumors. Of the 82 studied interventions between February 1992 and May 2005, 58 were seen to involve primary, unilateral tumors, 17 involved bilateral (1 trilateral) findings, and there were 7 cases of recurrency. The hemodynamic changes related to pri…

AdultMalemedicine.medical_specialtymedicine.medical_treatmentAdrenal Gland NeoplasmsUrologyHemodynamicsBlood PressurePheochromocytomaHypertension MalignantPheochromocytomaCatecholaminesMaximum blood pressureRisk FactorsmedicineHumansIntraoperative ComplicationsVeinLigatureAgedRetrospective StudiesAdrenal glandbusiness.industryAdrenalectomyAdrenalectomyGeneral MedicineMiddle Agedmedicine.diseaseSurgerymedicine.anatomical_structureBlood pressureFemaleNeoplasm Recurrence LocalbusinessFollow-Up StudiesThe American Surgeon
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Intraoperative tramadol reduces shivering but not pain after remifentanil–isoflurane general anaesthesia. A placebo-controlled, double-blind trial

2008

Background and objective Postoperative shivering and pain are frequent problems in patients recovering from anaesthesia with particularly high incidences being observed after remifentanil–isoflurane-based general anaesthesia. The opioid tramadol is generally effective in preventing shivering and treating pain, but its effects are not characterized after remifentanil-based general anaesthesia. This randomized, placebo-controlled, double-blind study evaluated the effects of intraoperative intravenous tramadol on postoperative shivering and pain after remifentanil-based general anaesthesia. Methods After Ethics Committee approval, 60 patients scheduled for lumbar disc surgery were included. Su…

Malemedicine.medical_specialtyanimal structuresSedationRemifentanilAnesthesia GeneralPlaceboRemifentanilDouble-Blind MethodPiperidinesHumansMedicineGeneral anaesthesiaIntervertebral DiscTramadolPain PostoperativeIntraoperative CareLumbar VertebraeIsofluranebusiness.industryShiveringMiddle AgedSurgeryAnalgesics OpioidTreatment OutcomeAnesthesiology and Pain MedicineIsofluraneAnesthesiaAnesthetics InhalationPostoperative Nausea and VomitingShiveringFemaleTramadolmedicine.symptombusinessPostoperative nausea and vomitingmedicine.drugEuropean Journal of Anaesthesiology
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