Abraham Oppenheim

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OBJECTIVE To assess physician decision-making in triage for intensive care and how judgments impact on patient survival. DESIGN Prospective, descriptive study. SETTING General intensive care unit, university medical center. INTERVENTIONS All patients triaged for admission to a general intensive care unit were studied. Information was collected for the(More)
Excitatory amino acids (EAA), mainly glutamate and aspartate, are released in excessive amounts from terminals of ischemic or traumatically injured neurons. These excessive levels of EAAs initiate a cascade of events believed to lead to secondary delayed damage to the surrounding brain. The N-methyl-D-aspartate receptor antagonists MK-801 and ketamine are(More)
Gastric cells were obtained from 795 individuals who were participating in a program of achlorhydria and hypochlorhydria detection by tubeless analysis (Diagnex Blue). Cellular changes were classified into 4 grades, according to the degree of gastric cell maturation impairment present. Cell maturation disorders of Grades II–IV were present in 347(More)
OBJECTIVE To investigate the effect of positive and-expiratory pressure (PEEP) on the longitudinal distribution of pulmonary vascular resistance in patients immediately after coronary artery bypass grafting. DESIGN Prospective, intervention study. SETTING Postcardiac surgery intensive care unit in a teaching institution. PATIENTS Twenty patients after(More)
OBJECTIVE To evaluate and compare the effect of tracheal gas insufflation using two gases with different physical properties, helium and oxygen, as an adjunct to conventional mechanical ventilation in patients with respiratory failure. DESIGN Prospective, intervention study. SETTING General intensive care unit in a tertiary university medical center. (More)
Tension pneumoperitoneum is a known although rare complication of barotrauma, which can accompany blast injury. We report two patients who suffered from severe pulmonary blast injury, accompanied by tension pneumoperitoneum, and who were severely hypoxemic, hypercarbic, and in shock. After surgical decompression of their pneumoperitoneum, respiratory and(More)
Bleeding due to coagulopathy is a frequent complication of severe sepsis, especially in burn patients. The primary treatment is aimed at the underlying cause but additional supportive measures, consisting mainly of coagulation factor replacement, are frequently necessary. We describe the salutary effect of continuous veno-venous haemofiltration (CVVH) with(More)