Intensive Care and Emergency Medicine: 4th International Symposium

ISBN-13: 9783540134121 / Angielski / Miękka / 1984 / 192 str.

J. L. Vincent

Opis

The significance of a change in Pa02 occuring in a patient with cardiovascular instability cannot be ascertained unless the values for PV0 and CV02 are known. A fall in Pa02 could 2 reflect worsening of pulmonary function or deterioration of cardiac output (with resultant increase in systemic oxygen extraction). PEEP/CPAP would be an appropriate therapy in the former case but frankly deleterious in the latter if applied prior to cardiovascular stabiliza- tion. References 1. Douglas ME, Downs JB, Dannemiller FJ et al (1976) Change in pulmonary venous admixture with varying inspired oxygen. Anesthesia and Analgesia 55:688-695 2. Kelman GR, Nunn JF, Prys-Roberts C et al (1967) The influence of cardiac output on arterial oxygena- tion. A theoretical study. Br J Anaesth 39:450-458 3. Kirby RR (1986) Respiratory vs cardiovascular dysfunction - How can we differentiate? ASA Refresher Course Lectures, 102 4. Nunn JF (1977) Applied respiratory physiology (2nd ed). Butterworth et Co 5. Van Aken H, Lawin P (1981) Der EinfluB des Herzminutenvolumens auf die arterielle Oxygenation.

Spis treści

Treatment of Respiratory Failure Due to Advanced Chronic Obstructive Lung Disease.- Non-Invasive Monitoring of the Respiration.- Role of Eicosanoids in the Development of ARDS.- Circulating Mediators of the Adult Respiratory Distress Syndrome.- Adult Respiratory Distress Syndrome: Treatment in the Next Decade.- The IMV Controversy: Full VS Partial Ventilatory Support.- Kidney Function in Response to Various Modes of Mechanical Ventilation.- Wave Form Analysis as a Means of Controlling the Barometric Considerations Associated with Diffusive and Convective Intrapulmonary Ventilation.- The Scientific Basis for PEEP Therapy.- Barotrauma.- Extracorporeal Support in ARDS: Update in 1984.- The Swan-Ganz Catheter, a Tool in Intensive Care Medicine.- The Role of Central and Peripheral ?- and ?-Adrenoceptors in the Control of Cardiovascular Function.- Update in the Treatment of Acute Circulatory Failure.- CPR: Calcium or Calcium-Antagonists?.- Contractile Function of the Ischemic Myocardium.- Arterial Hypoxia: Respiratory Versus Cardiovascular Dysfunction.- Gram-Negative Bacterial Infections in the Critically Ill: Pathophysiological and Clinical Aspects.- Prevention of Infection and Colonisation in Cardiac Surgical Intensive Care Patients.- Safety Aspects of ?-Blockade in Acute Myocardial Infarction: Experiences from the Gothenburg Metoprolol Trial.- Is Optimal Streptokinase Treatment Possible for Every Patient with Myocardial Infarction?.- Pre- and In-Hospital Antiarrhythmic Prevention of Ventricular Fibrillation Complicating Acute Myocardial Infarction.- Echocardiography in the Coronary Care Unit.- Intensive Treatment of Acute Pancreatitis.- Drugs in Prevention and Treatment of Acute Gastrointestinal Bleeding.- Utilization of Energy Substrate in Critically Ill Patients.- Management of Hepatic Coma.- Computer-Assisted Triage System for Large Volume Emergency Rooms.- Fluid Repletion: Colloids and Crystalloids.- Fluid and Electrolyte Management in the Critically Ill.- Can Acute Renal Failure (“Acute Tubular Necrosis”) be Prevented?.- Cerebral Oedema in Head-Injured Patients.- Factors Influencing Outcome after Multiple Trauma.- Phased Disaster Response in University and Teaching Hospitals.- Influence of Temperature on Arterial Blood Gases.- Cardiovascular Function and Pulmonary Gas Exchange.- Gas Exchange Alterations in Pulmonary Embolism.- Pharmacokinetic Principles for Toxin Elimination in Poisoning.- Antidotes in the Treatment of Acute Poisoning.- Diagnosis and Treatment of Herpes Simplex Encephalitis in Adults.- Management of Status Epilepticus.- Imaging of the Critically Ill.- Improving the Use of Intensive Care.