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Showing papers by "Robert H. Bartlett published in 1987"


Journal ArticleDOI
TL;DR: A prospective controlled randomized study of the use of extracorporeal membrane oxygenation to treat newborns with respiratory failure using the "randomized play-the-winner" statistical method, which allows lung rest and improves survival compared to conventional ventilator therapy in newborn infants with severe respiratory failure.

549 citations


Journal ArticleDOI
TL;DR: Research must be directed toward cost effectiveness, timing and earlier use, alternative vascular access, cannula and circuit design, and expanded indications.

151 citations


Journal ArticleDOI
TL;DR: Investigation of the effects of shivering on oxygen consumption, carbon dioxide production, and hemodynamic performance in patients undergoing elective myocardial revascularization found suppression of the shivering response minimized increases in VO2 and VCO2, improved hemodynamic stability, and resulted in a decreased need for inotropic support.

80 citations


Journal ArticleDOI
TL;DR: The results of extracorporeal membrane oxygenation (ECMO) following repair of congenital diaphragmatic hernia (CDH) are analyzed and improved survival may depend on new methods designed to prevent bleeding.

69 citations


Journal Article
01 Apr 1987-Surgery
TL;DR: Continuous arteriovenous hemofiltration is a new method of renal replacement therapy that has several advantages in the surgical treatment of acute renal failure and is particularly advantageous for managing conditions of fluid overload in hemodynamically unstable patients.

33 citations


Journal ArticleDOI
TL;DR: It was determined that both adherence and zeta potential decreased as increasing concentrations of glutaraldehyde were used to cross-link fresh-frozen porcine skin, and it was found in which 5-hour adherence properties increased as the zetapotential became more positive.
Abstract: Early adherence of a skin substitute to the wound surface is paramount if it is to function as a skin equivalent. A surface electrical property (the zeta potential) was evaluated, and a positive correlation was found in which 5-hour adherence properties increased as the zeta potential became more positive. The following materials were tested: nylon-silicone composite (Z = -24.8 mV), Biobrane (Z = -15.2 mV), fresh-frozen porcine skin (Z = +12.5 mV), Opsite (Z = +14.9 mV), human amnion (Z = +18.2 mV), and human skin (Z = +23.0 mV). This order was also followed for increasing adherence values at 5 hours, which ranged from a low of 48.9 gm/cm2 for the nylon-silicone composite to a high of 88 gm/cm2 for human skin. Also determined was that both adherence and zeta potential decreased as increasing concentrations of glutaraldehyde were used to cross-link fresh-frozen porcine skin. Values ranged from a maximum of 85.5 gm/cm2 (0% glutaraldehyde; Z = +12.5 mV) to a minimum of 42.5 gm/cm2 (10% glutaraldehyde; Z = -26.4 mV). Additionally, deliberate biochemical modifications of porcine skin were undertaken in an attempt to increase zeta potential and adherence.

32 citations