Hartmut Kern

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INTRODUCTION There are no universally accepted diagnostic criteria for gastrointestinal failure in critically ill patients. In the present study we tested whether the occurrence of food intolerance (FI) and intra-abdominal hypertension (IAH), combined in a 5-grade scoring system for assessment of gastrointestinal function (the Gastrointestinal Failure [GIF](More)
In Ergänzung zu den Untersuchungen an den Partnern einer genetischen Transformation zwischen Agrobacterium tumefaciens (Donator) und Rhizobium leguminosarum (Acceptor) und einem hierdurch entstandenen Transformanten werden vergleichende Analysen an entsprechenden DNA-Präparaten durchgeführt. Bei gleichen physikalischen Eigenschaften und ähnlicher chemischer(More)
BACKGROUND AND OBJECTIVE The incidence of postoperative complications and death is low in the general population, but a subgroup of high-risk patients can be identified amongst whom adverse postoperative outcomes occur more frequently. The present study was undertaken to describe the incidence of postoperative complications, length of stay, and mortality(More)
To investigate the differences in incidence, time course and outcome of primary versus secondary intra-abdominal hypertension (IAH), and to evaluate IAH as an independent risk factor of mortality in a presumable risk population of critically ill patients. Prospective observational study. General intensive care unit of a university hospital. A total of 257(More)
BACKGROUND While gastrointestinal problems are common in ICU patients with multiple organ failure, gastrointestinal failure has not been given the consideration other organ systems receive. The aim of this study was to evaluate the incidence of gastrointestinal failure (GIF), to identify its risk factors, and to determine its association with ICU mortality.(More)
Neonatal spontaneous aortic arch thrombosis without an anatomical correlate is an extremely rare disorder of unknown etiology. A 1-day-old newborn was admitted with suspicion of the coarctation of the aorta. Angiography revealed congenital occluding thrombosis of the ascending aorta and the aortic arch. Surgery was considered impossible because of(More)
BACKGROUND High volumes of haemofiltration are used in septic patients to control systemic inflammation and improve patient outcomes. We aimed to clarify if extended intermittent high volume online haemodiafiltration (HVHDF) influences patient haemodynamics and cytokines profile and/or has effect upon sublingual microcirculation in critically ill septic(More)
Pharmacokinetics (PK) of doripenem was determined during high volume hemodiafiltration (HVHDF) in patients with septic shock. A single 500 mg dose of doripenem was administered as a 1 hour infusion during HVHDF to 9 patients. Arterial blood samples were collected before and at 30 or 60 minute intervals over 8 hours (12 samples) after study drug(More)
BACKGROUND The measurement of cardiac output in critically ill patients is complicated by rapid pathophysiological changes. The aim of this study was to compare the recently developed Arterial Pressure Cardiac Output algorithm (APCO) with transpulmonary thermodilution (TDCO). Clinical and hemodynamic parameters were tested for their impact on the(More)
Der auf der bakteriellen Umwandlung von Lactose in 3-Ketolactose basierende Test von Bernaerts u. de Ley (1963 a) zum Nachweis von Agrobacterium tumefaciens ist nicht spezifisch und bedarf zusätzlicher Sicherungen. Die Korrelation zwischen Virulenz und Bildung von 3-Ketoglykosiden erscheint anfechtbar. The test for Agrobacterium tumefaciens by means of a(More)