Anesthesia, Pain, Intensive Care and Emergency Medicine -- A.P.I.C.E.: Proceeding of the 14th Postgraduate Course in Critical Care Medicine Trieste, I

ISBN-13: 9788847000957 / Angielski / Miękka / 1999 / 585 str.

Antonino Gullo; A. Gullo

Opis

The end of the second millenium is distinguished for the increasing interest in the field of critical care medicine, not only among physicians and clinical scientists but also on the part of the mass media. This is an interdisciplinary area of medicine drawing upon the specialties of anesthesiology, internal medicine and surgery, and relying upon the essential contributions and support from basic research. Advances in critical care medicine depend on the application of new technologies to the clinic, the full integration of computers and informatics, the continual training of physicians and technicians, and the consideration of ethical issues in the clinical setting. Within this complex panorama of complementary approaches and viewpoints, it is apparent that critical care medicine is one of the best examples of evidence-based medicine.

Spis treści

Respiratory Care.- Principles of Laboratory Research on Respiratory Mechanics.- Static and Dynamic Pressure — Volume Curves.- Lung Function Evaluation by Capnography.- Clinical Implications of the Mechanical Effects of Heat and Moisture Exchangers.- Pulmonary Hypertension in ARDS: Management Strategies.- Focus on Pathophysiology, Diagnosis and Management of Chronic Thromboembolic Disease.- Rationale for Exogenous Surfactant in Acute Respiratory Distress Syndrome.- Surfactant in the Airways: Function and Relevance in Asthma.- Alveolar Surfactant and Inflammatory Mediators.- Role of Surfactant in Ventilation-Induced Lung Injury.- Has ARDS Epidemiology Changed in the Last 30 Years?.- Mechanism of ARDS.- Dynamics of Recruitment and Collapse of the Lung in Models of ARDS.- Regional Lung Blood Flow and Inhalation of Nitric Oxide.- Mechanisms and Detection of Tidal Expiratory Flow Limitation.- Clinical Consequences of the Airflow Limitation.- Mechanisms of Intrinsic PEEP.- Static and Dynamic Intrinsic PEEP and Respiratory Mechanics in Mechanically Ventilated COPD Patients.- Respiratory Rehabilitation.- Perioperative Medicine.- Clinical Biochemistry of N2O: Recent Advances.- Anticholinergics: Towards Selective Antimuscarinic Agents?.- Evolution of the Use of Anaesthetic Drugs: Neuromuscular Blocking Agents.- Working Mechanisms of Anaesthetic Agents.- Fast-Track Anaesthesia in Cardiac Surgery and Postoperative Care.- Fast-Track Program for Abdominal Surgery.- Fast-Track Anaesthesia and Postoperative Care: Orthopaedic Surgery.- Failure to Regain Consciousness After Anaesthesia.- New Insights into Mechanical Ventilation During Paediatric Anaesthesia.- Perioperative Management Strategy for Cardiac Surgery in Paediatrics.- Anaesthetic Management of Obstetric Emergencies.- Neonatal Resuscitation.- Preoperative Cardiovascular Assessment.- Perioperative Haemodynamic Monitoring: Invasive Vs. Non-Invasive.- Extracorporeal Circulation: Prevention and Management of Complications.- Beta Blockers and General Anaesthesia: Prevention of Myocardial Ischaemia.- Heart and Electrolytes.- Patient-Assessment in the Postanaesthesia Care Unit (PACU).- How to Set Up Acute Pain Services.- Central Nervous System.- Neural Development in the CNS: Biochemical Mechanisms of Cell Fate Determination.- Cellular Mechanisms of Brain Damage.- Repair Mechanisms in the CNS.- Stroke in the Young: Epidemiology.- Pathogenesis of Stroke in Young Adults.- Trauma Operative Procedures.- Update on Trauma Scoring.- Trauma Management: From the Field to the Emergency Department.- Intensive Care for Trauma Patients: The First 24 Hours.- Intensive Treatment of the Patient with Hepatic Trauma.- Mistakes in the Management of Trauma Patients.- Integrated Intensive Care Management of Severe Head Injury.- Metabolism, Artificial Nutrition, CRRT.- Organ Transplantation and Metabolism.- Clinical Aspects of Nutrition in Acute Renal Failure.- The Tricks and Traps of Enteral Nutrition.- Update on CRRT Therapy.- Haemofiltration in Neonates.- Drugs in ICU — Use, Abuse and Misuse.- Use, Abuse and Misuse of Drugs in ICU: Muscle Relaxants.- Use of Corticosteroids in the Severely Ill Patient.- Advances in CPR.- On Field Resuscitation.- The Chain of Survival: Focus on Early Defibrillation.- Evidence-Based Medicine and Policy in the ICU.- Evidence-Based Medicine in the ICU.- The Performance of an ICU.- Care of Dying Patients in ICU.- Cost-Effectiveness in the ICU.