By A. Gullo

ISBN-10: 8847002885

ISBN-13: 9788847002883

ISBN-10: 8847003512

ISBN-13: 9788847003514

In glossy drugs the main useful methodologies are taking an expanding significance in spreading informations, rendering it credible whereas whilst utilizing trustworthy info to concentration interplay among uncomplicated technology and scientific medication. severe care drugs embraces those wishes and greater than the other self-discipline thrives and develops because of interdisciplinary touch. APICE 2004 has been organised to supply specified solutions to those concerns. specifically, substantial emphasis has been given to the reports in regards to the most vital facets - or the main major scientific advancements - within the sectors related to number of services: neurological, respiration and cardiovascular, gastrointestinal, metabolism and perfusion; trauma infections, sepsis and organ failure; perioperative drugs and lifestyles aid recommendations; details know-how devoted to medical medication, but in addition as a way of knowledge and schooling. The contributing authors are all a part of prime learn teams on the overseas point within the quite a few sectors offered within the quantity.

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Additional info for Anaesthesia, Pain, Intensive Care and Emergency Medicine - A.P.I.C.E.: Proceedings of the 19 th Postgraduate Course in Critical Care Medicine. Trieste, Italy - November 12-15, 2004

Example text

C. ‘P wave asystole’), even if there is no pulse there are still possible ways of performing immediate successful pacing. The other main point is to differentiate the ventricular ‘coarse’ fibrillation from the ventricular tachycardia, because the former is always responsible for a dynamic arrest while the latter is frequently associated with mechanical activity (pulse present). The normal ventricular rate is quite an abstract statement, as the heart rate (HR) should always be evaluated in context (think of the ‘normal’ cardiac response to acute hypovolaemia); in any case careful evaluation is needed in the case of any HR <50 or >120/min, because coronary perfusion and ventricular filling and ejection can be badly affected by such HRs.

Thus, when a subject is in the prone position densities are seen in the anterior part and dorsal regions are aerated [32]. Similarly, in the lateral position densities should be expected in the dependent lung and less in the upper lung. In early papers on lung collapse in the prone position published by the Cationic group, reduced atelectasis was not an explicit conclusion [32, 33]. In a more recent study, Lim et al. [34] showed less atelectasis/consolidation in patients suffering from extra pulmonary ARDS when in the prone position, whereas pulmonary ARDS was less affected by changes in the body position.

Similarly, in the lateral position densities should be expected in the dependent lung and less in the upper lung. In early papers on lung collapse in the prone position published by the Cationic group, reduced atelectasis was not an explicit conclusion [32, 33]. In a more recent study, Lim et al. [34] showed less atelectasis/consolidation in patients suffering from extra pulmonary ARDS when in the prone position, whereas pulmonary ARDS was less affected by changes in the body position. Why atelectasis may be less marked in the prone position is not fully clear.

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Anaesthesia, Pain, Intensive Care and Emergency Medicine - A.P.I.C.E.: Proceedings of the 19 th Postgraduate Course in Critical Care Medicine. Trieste, Italy - November 12-15, 2004 by A. Gullo


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