Textbook of Neuroanaesthesia and Critical Care - part 10 ppt

... and sedation for adults and children in this 'unfriendly' and often isolated environment and it is now possible to safely monitor critically ill patients for MRI. The use of high-strength ... Group of Conference of Medical Royal Colleges and their Faculties in the United Kingdom. Diagnosis of death. BMJ 1976; ii: 1187 – 1188. 8. Working Group of Conference of...

Ngày tải lên: 10/08/2014, 00:21

... adenoma of corticotrophic cells of the anterior pituitary. Physiologically, corticotrophin-releasing hormone (CRH) from the hypothalamus stimulates the synthesis and release of ACTH and other pro-opiomelanocortin ... sources. 15,16 Ph y sical Findin g s Symptoms and signs depend on the degree and duration of disease and are caused by: • endocrine effects of ACTH on cortis...

Ngày tải lên: 10/08/2014, 00:21

... Perkins WJ, Karlsson BR et al. The effects of dizocilpine maleate (MK-801), an antagonist of the N-methyl-D- aspartate receptor, on neurologic recovery and histopathology following complete cerebral ... desflurane and propofol anesthesia. Anesthesiology 1995; 83: 66 – 76. 80. Matta BF, Mayberg TS, Lam AM. Direct cerebrovascular effects of halothane, isoflurane and desflurane duri...

Ngày tải lên: 10/08/2014, 00:21

... patients. 82 E vidence for the Efficacy of Specific Monitoring and Management of Stroke Patients on Intensive Care There have been several small non-randomized studies of stroke intensive care units but to date, ... amplitudes. References 1. Fink ME, Rowland LP. Respiratory care: diagnosis and management. In: Rowland LP (ed) Merritt's textbook of neurology, 9th edn. W...

Ngày tải lên: 10/08/2014, 00:21

... doses (3 mg/kg) of morphine and moderate doses of fentanyl (15 μg/kg) have little effect on CBF and CMR, high doses of fentanyl (50 100 μg/kg) 89 and sufentanil 90 depress CMR and CBF. Results ... aqueduct of Sylvius through the dorsal aspect of the midbrain to open out into the diamond-shaped fourth ventricle. This has the cerebellum as its roof and the dorsal aspect...

Ngày tải lên: 10/08/2014, 00:21

... out of 76 patients in one study of head-injured patients and 11 of the 18 died. 39 Tindall et al 40 showed that a transient rise in PaCO 2 often preceded the development of an A wave and ... 1.5 MAC end-tidal concentrations of sevoflurane were compared with MAC-equivalent concentrations of enflurane and halothane, significant increases in ICP were found only with enflur...

Ngày tải lên: 10/08/2014, 00:21

... indicator respectively, Vb and Vi the volumes (ml) of blood and indicator, λ b and λi the specific heat of blood and indicator, and ρ b and ρi the density of blood and indicator. If time is ... in part at least, is due to the lack of non-invasive, easy-to-use, reliable equipment that can measure CBF with well-defined thresholds. However, the benefits of monitorin...

Ngày tải lên: 10/08/2014, 00:21

... spinal surgery and craniofacial operations. Systolic blood pressures of 50 mmHg and above are well tolerated by children under the age of 10 and of 70 mmHg and above in children over 10. Techniques ... Evidence of cardiac disease should be sought by careful history and thorough examination, noting the presence of angina and its severity, previous myocardial infar...

Ngày tải lên: 10/08/2014, 00:21

... replaced. von Willebrand Disease: Treatment The mainstay of treatment for type 1 vWD is 1-deamino-8-D- arginine vasopressin (DDAVP, or desmopressin), which results in release of vWF and FVIII from ... using it. In patients who respond well (increase in values of two- to fourfold), it can be used for procedures with minor- to-moderate risk of bleeding. Depending on the procedure,...

Ngày tải lên: 07/07/2014, 04:20