Anaesthesia, Pain, Intensive Care and Emergency Medicine - A.P.I.C.E.: Proceedings of the 12th Postgraduate Course in Critical Care Medicine Trieste,

ISBN-13: 9788847000070 / Angielski / Miękka / 1997 / 712 str.

A. Gullo

Opis

The management of critically ill patients has, in the past few years, been a discipline at the forefront of development which continues to make progress with the support of basic and clinical research in the broadest sense. The application of biotechnology in this particular area has revealed itself to be essential in an attempt to provide the best interpretation of the bio-humoral and functional alterations present in a long series of often complex clinical conditions. The care of the critically ill is also at the forefront in the application of increasingly sophisticated clinical monitoring systems that also contribute to standardizing certain procedures, establish guidelines, and evaluate the efficacy of therapeutic interventions and their costs

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TABLE OF CONTENTS EXPERIMENTAL AND CLINICAL RSEARCH IN SHOCK Cytokine Activity in Experimental Sepsis Role of Nitric Oxide in Septic Shock Novel Approaches to Improve Tissue Oxygen Extraction Capabilities: Lessons Learned from Experimental Septic Shock Models Should Beta-Blockers Have a Place in the Treatment of Septic Shock? RESPIRATORY FLOW LIMITATION Relationship between Chronic Dyspnea and Expiratory Flow Limitation in Patients with COPD Pathophysiology of Flow Limitation Pharmacological Reversibility of Flow Limitation in Copd and Asthmatic Patients Respiratory Muscle Fatigue in COPD Patients MECHANICAL VENTILATION Patient-Ventilator Interaction Spontaneous Breathing Trial with T-Tube Continuous Flow Systems Lung Damage by Artificial Ventilation - Proof by Radiological Techniques Barotrauma, Volume Trauma and Their Relation to FRC Iatrogenic Lung Damage by Artificial Ventilation: What Is the Role of the Pulmonary Surfactant System? Side Effects of Mechanical Ventilation: Molecular Mechanisms Physiological Rationale to Prevent Ventilation-Induced Lung Injury Iatrogenic Lung Damage by Artificial Ventilation - Clinical Confirmation Mechanical Ventilation in ARDS: What a Fine Mess! Rationale for Reduction of Alveolar Ventilation in Ards CARDIOVASCULAR Perioperative Hypertension Therapy of Perioperative Myocardial Ischemia Selection of Patients for Invasive Haemodynamic Monitoring Anaesthetic Considerations for Major Cardiovascular Surgery Therapeutic Strategies in Patients Suffering from Myocardiopathy (Awaiting Transplantation) HEAD INJURIES Pathophysiology of Head Trauma Cerebral Edema in Brain Ischemia and Trauma Cerebral Blood Flow and Metabolism in Severe Head Injury Monitoring of Jugular Bulb Hemoglobin Oxygen Saturation (SjvO2) Integrated Monitoring in Intensive Care Head Injured Patients Surgical Management of Severely Head Injured Patients THERMOREGULATION - METABOLISM Heat Exchange Perioperative Hypothermia. Prevention and Treatment Alternative Strategies to Deal with Perioperative Hypothermia Hypothermia for Neuroprotection Metabolism after Injury: The Effects of G.H. KIDNEY - LIVER - ACID-BASE-BALANCE Evolution of Hemofiltration Prevention of Acute Oliguric Renal Failure High Volume Slow Continuous Venovenous Hemofiltration in Septic Nonoliguric Burned Patients The Role of the Liver in Acid-Base Regulation Acid-Base Disturbances during Fulminant Hepatic Failure Acid-Base Regulatory Mechanisms during Orthotopic Liver Transplantation SEDATION AND ACUTE PAIN MANAGEMENT Sedation and Analgesia in ICU Paediatric Patients The Strategy of Sedation and Analgesia in ICU Patients Use of Propacetamol in Postoperative Pain Tramadol - Acute Postoperative Pain Management NEUROLOGY Neurological Monitoring in the ICU Critical Neurologic Dysfunctions: Status Epilepticus and Guillain-Barr Syndrome HYPERBARIC OXYGENATION Hemodynamic Effects of Hyperoxia in Hemorrhagic Shock Hyperbaric Oxygen in the Treatment of Posthanging Cerebral Anoxia INFECTIONS SEPSIS The Problem of Fever in ICU Patients Diagnosis of Pneumonia: Do We Really Need Invasive Techniques in ICU Patients? How and Why to Prevent Respiratory Tract Infections in ICU Is Reduction in Mortality in Intensive Care Just Another Holy Grail? Clinical Assessment, Monitoring and Therapeutic Strategies for Septic Patients Receptor Blocking Agents: Why Did They Fail? HIGH-RISK PREGNANCY Risk Factors and Maternal Mortality Decision Making in High Risk Obstetric Patients Coagulation Disorders in the Obstetric Patient High Risk Patients and ICU Management CLINICAL ANAESTHESIA Biology of Aging and Anaesthesia Preoperative Assessment Options for Induction and Maintenance of Hypnosis in Anaesthesia The Role of Combined Anesthesia: Pros and Cons Preemptive Analgesia Is It Possible to Monitor the Depth of Anesthesia? Remifentanil: When and How to Use It Update on the Use of the Laryngeal Mask ANAESTHESIA AND INTENSIVE CARE Training in Anaesthesia and Intensive Care Rationing Resources in th