Anaesthesia, Pain, Intensive Care and Emergency Medicine -- A.P.I.C.E.: Proceedings of the 16th Postgraduate Course in Critical Care Medicine Trieste,

ISBN-13: 9788847001763 / Angielski / Miękka / 2001 / 1747 str.

A. Gullo; A. Gullo

Opis

Basic research, progress in technology and informatics, and the success of clinical pharmacology are the fundamental bases of this interesting field of medicine. Nowadays, critical care medicine is no longer for experts only, but it is a field in which researchers and clinicians, nurses and technical staff work in an interdisciplinary way, each offering their own skills. The volume is divided in six sections, devoted to critical care key issues, to lung diseases, to trauma, to acid-base equilibrium, to perioperative medicine, and to obstetrics.

Spis treści

Focus on Key Points on Critical Care.- One Clinicians Lifetime of Bringing Technology into Medicine and its Impact upon Critical Care Patients.- Monitoring in Acute Brain Injury.- Brain Protection.- Respiratory Effects of Anaesthesia.- Aspiration of Airway Dead Space: A New Method to Enhance CO2 Elimination.- Myocardial Preservation during Cardiopulmonary Resuscitation.- Reduced Post Resuscitation Myocardial Dysfunction after Low-Energy Biphasic Waveform Defibrillation.- Myocardial Dysfunction in the Perioperative Period.- Trauma Resuscitation.- Monitoring of Intra-Abdominal Pressure and Clinical Challenges in Intensive Care Unit Patients.- Experimenting on Your Fellow Humans in 2001. Update of the Declaration of Helsinki and Progress from the International Conference on Harmonisation.- Ethical, Legal, Practical and Scientific Challenges in Perioperative Medicine.- The WHO and Pain.- High Frequency Percussive Ventilation.- Lung.- Experimental Models of Acute Lung Injury.- Animal Models of Asthma.- Optimization of Ventilation and Perfusion Matching.- Alveolar Recruitment.- How to Open an Atelectatic Lung.- Clinical Experience with Open Lung Management Experience in Trauma Patients.- Semirecumbency Prevents Nosocomial Pneumonia in Mechanically Ventilated Patients.- Acute Bronchial Asthma: Indications for Intensive Care.- Esophageal Pressure in Anaesthetized Patients: Difficulties and Frequent Mistakes.- Haemodynamic and Metabolic Evaluations by Rebreathing Methods.- Monitoring Pulmonary Capillary Blood Flow and Alveolar Dead Space Using the Combined Methods of Volumetric Capnography and “Partial CO2 Rebreathing” (Nico2).- Application of “Single Breath Volumetric Capnography” Analysis in Open Lung Strategy: Description of a Monitoring Tool.- How Permissive Should Hypercapnia Be?.- Capnography and Cardiac Output Determination.- Improvements in Percutaneous Tracheostomy: the Single-Step Rotational Dilation.- Trauma.- The Challenges of Delivering Acute Medical Services to Trauma Patients in Remote Locations.- Trauma — Stabilization, Assessment and Transportation.- Trauma Intensive Care: Early and Late Challenges.- Trauma Scoring Systems.- Blast Injury.- Prognosis in Cerebral Dysfunction in Patients with Head Trauma.- Respiratory Failure in Brain Injured Patients.- Blunt Chest Trauma.- Chest Trauma: Invasive Thoracic Procedures and Vascular Cannulation.- Abdominal Trauma.- Visceral Trauma: Diagnostic Imaging and Interventional Radiology.- Trauma Operative Procedures: Timing of Surgery and Priorities.- Trauma in Children.- Trauma in Pregnancy.- Trauma in the Elderly.- Trauma Anaesthesia and Pain Management.- Metabolic Pathways in Trauma.- Cardiopulmonary Resuscitation in Trauma and Early Defibrillation.- Acid-Base Disorders.- Homeostasis: Basics, Definitions, Clinical Evidence.- Physical Chemistry and Clinical Acid-Base Physiology.- A “Post-Copernican” Analysis of Intracellular pH.- Physiological Consequences of Acid-Base Disorders.- Clinical Approach to Acid-Base Balance.- Using Base Excess.- Intraoperative Fluid Management.- Fluid Management in GI Surgery.- Postoperative Fluid Management.- Treatment of Acidosis: Sodium Bicarbonate and Other Drugs.- Lactic Acidosis.- Acid-Base Balance During Renal Replacement Therapies.- iPH and Splanchnic Dysfunction Management.- Crystalloids / Colloids: Controversies.- Perioperative Medicine.- Preoperative Assessment.- Patient Informed Consent.- Coordination and Responsibilities in the Operating Theatre.- How to Plan Anaesthesia.- Monitoring and Assessment of Perioperative Vital Functions in Major Non-Cardiac Surgery.- How to Balance General Anaesthesia.- Decision-Making during Anaesthesia.- Anaesthesia for Abdominal Surgery.- Total Intravenous Anaesthesia.- Dobutamine and Esmolol, Opposite Action or Sometime Synergetic Therapeutic Actions.- Intraoperative Spinal Cord Monitoring: Evoked Potentials and Cerebrospinal Fluid Oxygenation.- Spinal Cord Injury in Thoracoabdominal Aneurysm Surgery: Methods of Intraoperative Protection of the Spinal Cord.- Ischaemic Spinal Cord Injury Following Thoracoabdominal Aneurysm Surgery.- The Elderly: From Physiopathology to Surveillance in the Perioperative Period.- Priorities and Optimization of Care in the Elderly — Minimizing Disability.- Surgery in the Elderly — Outcome and Complication Pattern.- Perioperative Challenges in Mentally Handicapped Patients.- Controversial Aspects in Perioperative Medicine.- Postoperative Pain Challenge.- The Challenge of Postoperative Analgesia.- The Management of Postoperative Pain — Drugs and Anaesthetic Techniques.- Postoperative Analgesia in Ambulatory Surgery.- Cost-Effectiveness of Postoperative Pain Management.- Neurologic Complications in Cardiac Surgery, is it Predictable?.- Myocardial Revascularization with Laser.- Advances in Anaesthesia Techniques for Children.- Pain Management in Children.- How Can Anaesthetists Modify Stress Response During the Perioperative Period?.- Obstetrics.- Trends in Obstetric Anaesthesia.- Inhalation Anaesthesia for Caesarean Section.- Principles of Epidural Dosing in Labour.- Epidural, Spinal or Combined Spinal Epidural for Caesarean Section.- Do We Need a Test Dose for Epidural Anaesthesia and Analgesia in Obstetrics?.- Complications in Obstetric Anaesthesia.- The Obstetric Patient in Intensive Care: Causes of Admission and Important Considerations.- High Dependency Unit in the Obstetric Department.- Obstetric Anaesthesia and Maternal Morbidity and Mortality.- Disseminated Intravascular Coagulation in the Obstetric Patient.- Cardiopulmonary Resuscitation in the Parturient.- Cardiopulmonary Resuscitation in the Newborn.- Legal and Ethical Implications of Obstetric Anaesthesia.