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Adult Respiratory Distress Syndrome

An Aspect of Multiple Organ Failure Results of a Prospective Clinical Study

  • Book
  • © 1991

Overview

Editors:
  1. J. A. Sturm

    1. Department of Trauma Surgery, Hannover Medical School, Hannover 61, Germany

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Table of contents (27 chapters)

  1. Front Matter

    Pages I-IX
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  2. Introduction

    1. Introduction

      • J. A. Sturm
      Pages 1-4

  3. Clinical Aspects

    1. Front Matter

      Pages 5-5
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    2. Study Protocol

      • H.-C. Pape, C.-J. Kant
      Pages 7-10

    3. Extravascular Lung Water: Clinical Methodology

      • A. Seekamp, U. Obertacke, J. A. Sturm
      Pages 11-16

    4. Bronchoalveolar Lavage

      • U. Obertacke, Th. Joka, M. Reuter, K. P. Schmit-Neuerburg
      Pages 17-21

    5. Morphometric Description of the Study Population

      • Th. Joka, J. A. Sturm, U. Obertacke, G. Regel
      Pages 22-24

    6. Development of a Linear Scoring System

      • U. Obertacke, Th. Joka, C. Neumann
      Pages 25-29

    7. Clinical Definition of ARDS An Index Based on Bedside-Derived Parameters

      • C. Neumann, J. A. Sturm, G. Regel
      Pages 30-33

    8. Treatment and Clinical Course

      • Th. Joka, U. Obertacke, J. A. Sturm, M. L. Nerlich
      Pages 34-44

    9. Progressive Organ Failure

      • M. L. Nerlich
      Pages 45-56

  5. Activation of Cellular Systems

    1. Front Matter

      Pages 89-89
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    2. Nonspecific Immune System, Plasma Proteins and Characteristics of the Erythrocyte Insulin Receptor

      • A. Dwenger, G. Regel, G. Schweitzer, G. Röllig, J. Lindena
      Pages 91-127

    3. Morphological and Functional Changes of Alveolar Cells

      • Th. Joka, U. Obertacke, J. Bruch, M. Reuter, K. P. Schmit-Neuerburg
      Pages 128-134

    4. Functional Changes in Polymorphonuclear Leukocyte Function Following Severe Polytraumatization

      • J. Seidel, J. Mirkhani, M. Behrmann, W. Stangel
      Pages 135-155

    5. Changes in Reticuloendothelial Capacity Associated with Liver Dysfunction in Multiple Trauma

      • G. Regel, K. F. Gratz, T. Pohlemann, J. A. Sturm, H. Tscherne
      Pages 156-167

    6. CD3+, CD4+, CD8+ and B Lymphocyte Numbers in Blood and Bronchoalveolar Lavage Fluid from Trauma Patients with and without ARDS

      • E. Kreuzfelder, M. Maghsudi, R. Funk, O. Thraenhart
      Pages 168-173
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Keywords

About this book

l. A. STURM In modern society, trauma remains the number one cause of death in people under 50 years, but, despite this, very little attention has been paid to trauma care compared with other diseases such as malignancy or myocardial infarction (Table 1). The efforts that have been made in medical care, however, have showed some success; for example although the frequency of traffic accidents in the Federal Republic of Germany has remained constant over the years, the number of deaths resulting from them has decreased (Fig. 1). The results of improvements in rescue systems, surgical techniques, and intensive care are evident, as shown by a review of the statistics of about 3000 multiple trauma patients treated in the last 15 years at the trauma de­ partment of Hannover Medical School which reflects the progress that has been made in medical care. After the problem posed by posttraumatic kidney failure had been solved in the 1960s and 1970s, the adult respiratory distress syndrome (ARDS) became the biggest problem in the 1970s and 1980s (Fig. 2). ARDS as a single entity disappeared in the literature in the early 1980s and was replaced by the so-called multiple organ failure (MOF) syndrome. Between 1985 and 1990 35% of the patients in our intensive care unit developed MOF, and 70% of them died. Overall MOF mortality has remained constant since 1985 at about 20% (Fig. 3).

Editors and Affiliations

  • Department of Trauma Surgery, Hannover Medical School, Hannover 61, Germany

    J. A. Sturm

Bibliographic Information

  • Book Title: Adult Respiratory Distress Syndrome

  • Book Subtitle: An Aspect of Multiple Organ Failure Results of a Prospective Clinical Study

  • Editors: J. A. Sturm

  • DOI: https://doi.org/10.1007/978-3-642-84098-2

  • Publisher: Springer Berlin, Heidelberg

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer-Verlag Berlin Heidelberg 1991

  • Softcover ISBN: 978-3-540-52180-8Published: 07 May 1991

  • eBook ISBN: 978-3-642-84098-2Published: 06 December 2012

  • Edition Number: 1

  • Number of Pages: IX, 347

  • Number of Illustrations: 8 b/w illustrations

  • Topics: Intensive / Critical Care Medicine, Traumatic Surgery

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