Advances in Critical Care Testing: The 1996 Ifcc-Avl Award

ISBN-13: 9783540625902 / Angielski / Miękka / 1997 / 238 str.

List; Werner F. List; W. F. List

Opis

This volume on scientific advances in critical care testing com piles a number of clinical and laboratory studies related to criti cally ill patients that involve new technology, therapy options, application or interpretation of new tests, patient management and cost benefits. There were a total of 340 applicants for this first International Federation of Clinical Chemistry-AVL Award, and from these, National Winners were selected in 26 member countries of the IFCC. This publication presents the full papers of the ten finalists among the National Winners selected for the international final held in London in July 1996. These ten were chosen by the Inter national Awards Committee of the IFCC. In addition, the editors have decided also to include their choice of the best abstracts from the National Winners, thus giving a broad overview of cur rent research being conducted in the field of critical care medi cine among IFCC members. In keeping with the title of this volume, all major fields of in tensive care medicine are represented, including inflammation, infection, stress, hypoxia, ischaemia, cardiology, haemodynamics, blood gases, electrolytes, trace -elements, nephrology, gastroenter ology and haematology. In addition, there is also a chapter on new technology in critical care testing and on miscellaneous top ics."

Spis treści

List of Contents.- Winner of the 1996 IFCC-AVL Award.- Biochemical Diagnosis of Acute Aortic Damage - Diagnosis of Aortic Dissection and Traumatic Aortic-Rupture Using an Immunoassay 'of Smooth Muscle Myosin Heavy Chain.- Inflammation - Infection - Stress.- Finalists.- Leucocyte Motion During Gravity Sedimentation of Whole Blood.- Is Ventilator-Associated Pneumonia the Result of Exposure to Host-Derived Inflammatoy Mediators?.- Glucose Metabolism Modifies Experimental Endotoxin Shock.- Neutrophil Elastase, C-Reactive Protein and Platelet Count After Severe Multiple Trauma Indicate the Risk for Late Multiple Organ Failure Following Secondary Operations.- National Winners.- Monitoring of Serum Cytokeratin 18 in Patients with Burns..- Intermittent Bolus Dosing of Ceftazidime in Critically III Patients.- Biochemical Prognostic Markers in Critically Ill Patients.- Other Abstracts.- Decreased L-Selectin Expression on Polymorphonuclear Leucocytes Following Dexamethasone Treatment: Another Possible Anti-Inflammatory Mechanism.- Thrombocytopaenia Associated with the Systemic Inflammatory Response Syndrome: Involvement of the Haemophagocytosis Process.- Use of Cortisol, Glucagon and Nitrogen Balance Measurements to Assess Stress Levels in Critically III Patients.- Prognostic Implications from Measurement of Cytokines in Bronchoalveolar Lavage in Critically Ill Patients with Pneumonia.- Hypoxia - Ischaemia.- National Winner.- Changes in Serum and Cerebrospinal Fluid Superoxide Dismutase and Neurone-Specific Enolase Following Acute Cerebral Ischaemia.- Other Abstracts.- Human Polymorphonuclear Leucocyte Metabolism and Lipoperoxidation During Adult Respiratory Distress Syndrome.- Cardiology - Haemodynamics.- Finalist.- Left Ventricular Assist Device Powered by a Balloon Counterpulsation Console.- National Winner.- Alterations in Serum Haptoglobin Concentration During the Early Phase of Myocardial Infarction.- Other Abstracts.- Association of Interleukin-2 Receptor with Acute Myocardial Infarction.- Changes in Expression of Interleukin-2 Receptor and Interleukin-2 Production on Peripheral Blood Mononuclear Cells in Cardiac Surgery Patients.- Interrelationship Between Serum and Cerebrospinal Fluid Enzymes in Comatose Patients.- Role of Transoesophageal Echocardiography in Patients with Severe Blunt Chest Trauma for the Diagnosis and Management of Traumatic Disruption of the Aorta.- Haemodynamic Effects of Different Modes of Positive-Pressure Mechanical Ventilation.- Coronary Reserve and Myocardial Metabolism in Patients with Angina and Normal Coronary Arteriogram.- Early Detection of Successful Coronary Reperfusion Based on Serum Levels of Human Heart-Type Cytoplasmic Fatty Acid-Binding Protein.- Cardiac Troponin I as a Marker for Perioperative Myocardial Ischaemia in Non-cardiac Surgery Patients.- Endogenous Nitric Oxide and the Low Systemic Vascular Resistance Syndrome Following Cardiac Surgery.- Blood Gases - Electrolytes - Trace Elements.- Finalists.- Towards Clinically Useful Expert Systems in Critical Care: Locally Managed Interpretation of Arterial Blood Gas Data.- Computer-Assisted Evaluation of Oxygen and Acid-Base Status of the Blood.- National Winners.- Pattern of Ionised Versus Total Magnesium Concentration in Peri-Operative Cardiac Surgery Patients: Influence of Preoperative Diuretic Therapy.- Role of Blood Gas Measurement in the Management of Acute Asthma.- Relevance of End-Tidal Carbon Dioxide Monitoring in Ventilated Neonates.- Other Abstracts.- Trace Element Deficiency in Critically Ill Patients.- Electrolyte and Acid-Base Balance in Respiratory and Metabolic Acidosis.- Point-of-Care Testing of Haemoglobin Derivatives by Co-Oximetry with Simultaneous Blood Gas Measurements.- Changes in Body Water Compartments in Children with Meningitis.- Surfactant as a Marker of Disease Severity in Critically Ill Patients with Respiratory Failure.- Reliability of the Pulse Oximeter.- Nephrology.- Other Abstracts.- Evidence of Oxidant Injury in Patients with Post-Diarrhoeal Acute Renal Failure.- Gastroenterology.- National Winners.- Sensitivity and Specificity of Different Plasma Enzyme Assays in the Diagnosis of Acute Pancreatitis.- Urinary Trypsinogen-2 Test Strip - A New Rapid Test for Acute Pancreatitis.- Gastrointestinal Mucosal Permeability in Critically Ill Patients.- Haematology - Haemostasis.- Other Abstracts.- Altered Coagulability in Ischaemic Heart Disease.- Plasminogen Activator Inhibitor in Acute Myocardial Infarction: A Predictor of Spontaneous Lysis and Patency of Infarct-Related Artery.- Rapid Detection of Plasma Glycocalicin by a Latex Agglutination Test and Its Use in the Differential Diagnosis of Thrombocytopaenia.- New Technology.- Finalist.- Monitoring of Multiple Pathophysiological Parameters in the Severely Head-Injured Patient.- Miscellaneous.- Finalists.- An Epidemiological Study to Evaluate the Incidence of Activated Protein C Resistance in the General Population Using a Polymerase Chain Reaction-Mediated Restriction Fragment Length Polymorphism Assay: Implications for the Critical Care Patient.- National Winners.- Use of Thrombin Inhibitors Ex Vivo Allows Critical Care Clinical Chemistry and Haematology Testing on the Same Specimens.- Other Abstracts.- A Clinical Case of Transitory Diabetes Mellitus During Lyell Syndrome.- Parenteral Nutrition in Pre-Term Infants: Influence on the Development of Nephrocalcinosis.- Arterial to Intramucosal pH Gradient Does Not Predict Mortality in the Intensive Care Unit.- Stapedial Reflex in Cephalic Tetanus.