Fortschritte der Medizin
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Fortschritte der Medizin · May 1979
[Utilization of Raoul Hoffman's Fixateur externe: indications and results].
In the Berufsgenossenschaftliche Unfallklinik Murnau (a Workmen's Association Emergency Hospital) 101 patients were treated with the Raoul Hoffmann-Fixateur externe. In patients with fresh bone fractures this system was very useful in cases with large soft tissue damages, with compound fractures and when the fractures were located very close to a joint. ⋯ Even with the Raoul Hoffmann-apparatus still in the bone physical therapy and the general care of the patient was easily possible. According to our experiences the Fixateur externe proved to be a valuable aid in traumatology besides the usage of plates and medullary nails.
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Review of 1000 continuous peridural anesthesias during labor and delivery. Reasons and conditions for the application of this analgetic procedure in our delivery rooms are discussed. The duration of labor and delivery is reduced by this method. ⋯ No adverse effects on the fetus were found. We obtained complete analgesia in 93 per cent of the cases. Severe complications were not observed.
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Fortschritte der Medizin · Mar 1979
Case Reports[Pathophysiology and therapy of perinatal asphyxia in a mature newborn].
Based on modern knowledge about the pathophysiology of perinatal asphyxia a new concept of therapy is discussed. Besides cardiopulmonary resuscitation for the initial shock reaction the therapy of secondary complications according to the multi-system-reaction is emphasized. After the description of the correlation of partial asphyxia and the development of neurological defect syndromes in animal models the necessity of a "cerebral resuscitation" is mentioned.
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In almost every pregnancy feto-maternal transfusions occur. From the 6th week of pregnancy, blood containing Rhesus antigens may be infused into the maternal circulation and cause sensitization. In case of miscarriage, abortion, ectopic pregnancy and cystic mole the chance of fetomaternal transfusion followed by sensitization of the mother is significantly increased. Therefore immunoprophylaxis with anti-D-immunoglobins should be performed in all these cases.