Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E. de A. Gullo

Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.: Proceedings of the 15th Postgraduate Course in Critical Care Medicine Trieste, Italy — November 17–21, 2000

A. Gullo

en Limba Engleză Paperback – 30 noi 2000

The interest of researchers, clinicians, practitioners and surgeons in critical care medicine is growing. Clinical pharmacology and new technologies now allow more appropriate therapies, and the commitment of all those involved in this field is of fundamental importance for reaching high interventional standards, in both the prevention and treatment of critical conditions, but also for satisfying the concept of cost-effectiveness in critical care. In this volume advances in critical care medicine are described, including the application of new technologies in the clinical setting, the full integration of computers and informatics, and the continual training of physicians and technicians.

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Cuprins

Anaesthesia and Critical Care: Technology and Standards of Care.- Experimental Models in Hemodilution.- New Insight Into the Role of Microcirculation in Shock.- The Electrocardiogram.- Myocardial Contractility. Mechanism — Diagnosis — Therapy. Focus in General Anesthesia — Linked Problems.- Hypocynetic and Hypercynetic Arrhythmias: Diagnosis, Management, Prevention.- Clinical Applications of the Transpulmonary Thermodilution Technique.- Respiratory Function — Monitoring and Modalities at the Bedside.- Respiratory Physiology during Artificial Ventilation.- Capnography: Basic Concepts.- Capnography in Patients with Acute Respiratory Distress Syndrome.- Volumetric Capnography in Anaesthesia.- Disturbances of Alveolar Capillary Permeability Pathomechanisms and Pharmaceutical Interactions.- Local and Systemic Effects of Hypercapnia.- Monitoring Respiratory Mechanics by Forced Oscillation in Ventilated Patients.- Optimizing Patient Interface with Ventilation.- Prevention of Acute Respiratory Failure by Optimal Ventilator Settings: The Open Lung Concept.- Prevention of Acute Respiratory Failure by Early Surfactant Application.- Optimization of Oxygenation During One-Lung Ventilation.- Management of Lung Separation: The Difficult Airway.- Use of Alternative Techniques in a Difficult Tracheal Intubation.- Outcome of Patients Treated with Non-Invasive Ventilation in Intensive Care Unit.- Detection of Respiratory Muscle Fatigue: Diagnostic Tests in Intensive Care Unit.- Inspiratory Capacity, Exercise Tolerance, Respiratory Failure in Chronic Obstructive Pulmonary Disease.- Chest Roentgenology in the Intensive Care Unit.- Metabolic Changes with Surgery — Lessons to be Learned.- Monitoring of Substrates in Catabolic Patients.- Renal Dysfunction in the Perioperative Period.- Patient Selection, Timing and Stopping of Continuous Renal Replacement Therapy.- Fluid and Electrolyte Dynamics in the Body.- Monitoring of Blood Volume.- Volume Replacement — Crystalloids vs. Colloids vs. Colloids Controversy.- Sedatives — Pharmacological Advances and Clinical Use.- Advances in Clinical Pharmacology of the Muscle Relaxants.- Recommendations on the Appropriate Use of the Muscle Relaxant.- Muscle Relaxants: Side Effects and Complications.- Opioid Pharmacology.- New Narcotics.- Target-Controlled Infusion: Definition, Methods, Limits.- Target-Controlled Infusion: Clinical Use in Anesthesia and Intensive Care.- Decision Making in Patients Undergoing CABG.- Perioperative Period in the Elderly.- Inflammatory Response to Cardiopulmonary Bypass Cardiac Operations The Role of Anaesthesia and Steroid Treatment.- Fast Track Cardiac Surgery The Italian Multicenter Study on Steroids in Coronary Bypass Surgery.- Postoperative Morbidity — What the Anaesthetist Needs to Know.- Basic Concepts of Closed-Loop Anesthesia Delivery Systems.- Clonidine Smoothing Anesthesia.- Anaphylactic and Anaphylactoid Reactions During Anesthesia.- Combined Epidural and General Anesthesia in High-Risk Patients.- Critical Point in Perioperative Medicine: Anaesthesia for Day Surgery.- Challenges for Perioperative Management of Obese Patients: How to Manage the Airways.- Respiratory Management in Obese Patients.- Challenges for Perioperative Management of Obese Patients — How to Manage Complications.- Gero-Anesthesia: Functional Reserve, Cardiovascular Changes, and Postoperative Complications.- Management of the Hopelessly Ill Patient: To Stop or Not to Start? Assessment and Decisions in the Perioperative Period.- Pre- and Intraoperative Methods to Reduce Immediate Postoperative Pain.- Strategies to Maintain Homeostasis in Major-Risk Pediatric Surgery.- Useful Guide for Management of Postoperative Pain.- Recommendations on Paediatric Basic Life Support.- What’s New in Acute Respiratory Distress Syndrome in Infants and Children.- Heart Disease and Pregnancy.- Risk Assessment for Obstetric Anesthesia.- Fetal Complications During Complicated Delivery.- Function and Dysfunction of the Liver: An Overview.- Pathophysiology of Liver Dysfunction.- Acute Pancreatitis in the ICU.- Management of Consumption Coagulopathy.- Liver Transplantation — Anesthesia and Intensive Care.- Challenges in Perioperative Care Transplantation: Heart Transplant.- Challenge in Perioperative Care Transplantation: Lung Transplant.- Bad and Good News From the Emergency Department.- Cerebral Blood Flow and Metabolism in Neurotrauma.- Neurotrauma: Monitoring and Management of Early and Late Complications.- Anaesthesia Management Problems in Trauma.- Imaging of Neurotrauma.- Prevention and Reduction of Pneumonia Associated with Ventilation in Intensive Therapy.- New Perspectives in the Management of Gram-Positive Infections.- Focus on Peritonitis: Diagnostic Procedures.- Early Defibrillation.- Outcome and Cost-Effectiveness of Cardiopulmonary Resuscitation.- Epidemiology of Epilepsy.- Local Area Network Videoconferencing for Continuous Anesthesia Quality Improvement.- Monitoring of Performance in Anaesthesia and Intensive Care.- Albumin in Critical Care — Use, Abuse, or Misuse.- Real-Time Monitoring of the Process of Care.- Anesthesia Residency Education in America.- Education in Intensive Care.- Errors in the Intensive Care Unit.- Error Prevention in Anesthesia and Critical Care Medicine.- Evidence-Based Medicine: An Effective Guide to Intelligent Physician.- Long-Term Outcome of Intensive Care: How Well Are the Survivors?.