perioperative management and critical care

Ngày tải lên: 13/08/2014, 08:20

... Respiratory Management in Critical Care Edited by MJD Grifths Unit of Critical Care, Imperial College of Science, Technology and Medicine, Royal Brompton Hospital, London, UK TW Evans Unit of Critical Care, ... Intensive Care, Royal Prince Alfred Hospital, Sydney, Australia AK Simonds Sleep and Ventilation Unit, Royal Brompton and Hareeld NHS Trust, London, UK AS Slutsky Department of Critical Care and Department ... sepsis and experimental endotoxaemia the oxygen extraction ratio is reduced and the critical DO2 increased to a greater extent in splanchnic tissue than Respiratory Management in Critical Care...

Ngày tải lên: 29/06/2014, 11:20

... Neuroanaesthesia and Critical Care Page ii DEDICATION To our patients Page iii Textbook of Neuroanaesthesia and Critical Care Edited by Basil F Matta MB BCh BA BOA DA FRCA Consultant in Anaesthesia and Neuro -Critical ... Neurosurgical and Neurological Intensive Care 20 Management of Acute Head Injury: Pathophysiology, Initial Resuscitation and Transfer Mark J Abrahams, David K Menon, Basil F Matta 283 21 Intensive Care ... Ross-Russell 319 23 Intensive Care Management of Intracranial Haemorrhage Leisha S Godsiff, Basil F Matta 329 24 Postoperative Care in the Neurointensive Care Unit Helen L Smith 343 25 Management of Acute...

Ngày tải lên: 10/08/2014, 00:21

... protection and cerebral resuscitation have been an area of intensive research over the last 20 years and the pathophysiological and biochemical processes responsible for the development and propagation ... pressure effects to underlying and distant brain regions, shift of vital structures and axonal disruption, reductions in cerebral blood flow and metabolism, hydrocephalus and herniation However, metabolic ... including Na+K+, Na+–Ca++, and Ca++–H+, as well as Cl– and HCO3– leakage fluxes, maintain electrical and concentration gradients for various ions across the cell membrane and hence generate the resting...

Ngày tải lên: 10/08/2014, 00:21

... blood and indicator, λb and λi the specific heat of blood and indicator, and ρb and ρi the density of blood and indicator If time is brought into the equation, the volumes become flows and: Figure ... venous flow, and hence CBF, are then calculated using the equation: where Tb, Ti and Tm are the temperature of blood, indicator and mixture of blood and indicator respectively, Vb and Vi the volumes ... CBF and portable units are available The technique is relatively simple and is reliable and reproducible Patient and operator radiation exposure is low, enabling repeated studies on a patient, and...

Ngày tải lên: 10/08/2014, 00:21

... disease should be sought by careful history and thorough examination, noting the presence of angina and its severity, previous myocardial infarction and symptoms and signs of cardiac failure ... physiological environment during surgery and this requires a thorough understanding of the pathophysiology of carotid artery disease and careful anaesthetic management Research directed at areas ... radiography to detect suture separation and computed tomography Management Management depends on the underlying cause and the degree of ventricular dilatation Medical management includes the use of acetazolamide...

Ngày tải lên: 10/08/2014, 00:21

... initial resuscitation and transfer, intraoperative management, and intensive care and rehabilitation This chapter concentrates on the initial resuscitation and intraoperative management of such ... injury and clinical signs and symptoms A practical protocol for the assessment and management of the head-injured patient was recently outlined by Arienta et al50 and is given in Box 20.1 The management ... thin and very fragile with loss of connective tissue Osteoporosis and bone fractures are common and care is needed when gaining vascular access and positioning the patient Wound healing is slow and...

Ngày tải lên: 10/08/2014, 00:21

... United States Crit Care Med 1995; 23: 560–567 20 Matta BF, Menon DK Severe head injury in the United Kingdom and Ireland: a survey of practice and implications for management Crit Care Med 1996; ... falls and motor vehicle accidents can produce axonal dysfunction and injury, brain contusions and axial and extraaxial haematomas Such macroscopic injury is associated with microscopic and ultramicroscopic ... intracranial pressure and lateral displacement of the brain Crit Care Med 1998; 26: 440–446 83 Simma B, Burger R, Falk M, Fanconi S A prospective, randomized, and controlled study of fluid management in...

Ngày tải lên: 10/08/2014, 00:21

... pneumonia and pulmonary embolism followed by dehydration and renal failure, UTI's and sepsis and other comorbidities for example, ischaemic heart disease and cancer Severe Strokes and Intensive Care ... amplitudes and normal sensory amplitudes References Fink ME, Rowland LP Respiratory care: diagnosis and management In: Rowland LP (ed) Merritt's textbook of neurology, 9th edn Williams and Wilkins, ... respiratory care, cardiac care and intracranial pressure management The stroke subtypes would most likely be acute and severe proximal middle cerebral artery (MCA) occlusions, basilar thromboses and...

Ngày tải lên: 10/08/2014, 00:21

... central nervous system and the techniques of doing so and their applications continue to expand Anaesthetists are increasingly involved in both anaesthesia and sedation for adults and children in this ... bioeffects, safety and patient management Raven Press, New York, 1994 12 Shellock FG, Kanal E MRI safety committee Policies, guidelines and recommendations for MR imaging safety and patient management ... continued high standard of nursing care, the use of invasive monitoring and prompt treatment to preserve organ function will increase the chances of successful organ donation The patient management...

Ngày tải lên: 10/08/2014, 00:21

... balance of supply and demand between health care providers and the public; a balance between the health care the public needs and that which its want; and a balance between what health care providers ... Critical Care February 2002 Vol No Hawryluck and Crippen involved in the design and/ or funding of a project, then what are the responsibilities and obligations of the investigator ... field We also need to think critically about our ability to reconcile the interests of society, patients, their families, and critical care practitioners, using logic and reaching agreement on...

Ngày tải lên: 12/08/2014, 18:21

... Critical Care February 2002 Vol No Ramakrishnan of hyperglycaemia in critically ill patients A total of 1548 medical and surgical patients were randomised on admission ... pituitary failure in patients who are critically ill for protracted periods intensive care: that of harm minimisation and risk management Microcirculation and oxygen delivery Dr Can Ince of the ... cutting edges of science and the wisdom of experts in all aspects of critical care. …’ The Congress provided a forum in which researchers and clinicians could come together and look at the questions...

Ngày tải lên: 12/08/2014, 18:21

... post-anesthesia care unit (PACU), which is adjacent to the GICU In addition, nine medical intensive care beds are available The GICU is part of the Department of Anesthesiology and Critical Care Medicine ... available on site from general surgery, orthopedic surgery and anesthesiology/ critical care medicine and hospital administration As events evolve and more senior personnel arrive they will take charge ... Society of Intensive Care Medicine Intensive Care Med 1998, 24:864-877 Weiss YG, Pollak A, Gilon D: Transesophageal echocardiography in critical care medicine Curr Opin Crit Care 1997, 3:232-237...

Ngày tải lên: 12/08/2014, 22:22

... and coworkers [30] compared efficacy and safety of remifentanil and fentanyl for analgesia and sedation in 152 mechanically ventilated patients Both remifentanil and fentanyl were effective and ... support, CPAP, and T-piece (n = 20 each) During weaning, plasma insulin and glucose as well as urinary vanilmandelic acid increased with pressure support and T-piece but not with CPAP, and plasma ... Using a retrospective methodology in a single, non-teaching 519 Critical Care October 2005 Vol No Brander and Slutsky hospital, Seymour and coworkers [19] studied the impact of failed (defined as...

Ngày tải lên: 12/08/2014, 22:22

... delivery of critical care during an influenza pandemic must include the ability to deal with excessive demand, high and possibly extreme mortality, and the risk to the health of critical care staff ... may need to be redeployed and receive training in the management of critical care patients to support fully trained staff, permitting a dilution of the standard critical care nurse to patient ratio ... bombings Crit Care Med 2005, 33: S107-S112 37 Agency for Healthcare Research and Quality: Altered Standards of Care in Mass Casualty Events Rockville: Agency for Healthcare Research and Quality;...

Ngày tải lên: 13/08/2014, 03:20

... Education in Anaesthesia, Critical Care & Pain, 5(2), 45À8 Sinclair, R C F & Luxton, M C (2005) Rapid sequence induction Continuing Education in Anaesthesia, Critical Care and Pain, 5(2), 45À8 Smith, ... Anaesthesia and Critical Care, eds Brian Smith, Paul Rawling, Paul Wicker and Chris Jones Published by Cambridge University Press ß Cambridge University Press 2007 35 36 N Wright and to prevent ... technique of cricoid pressure and start training programmes for those who teach and practise this technique This would help to reduce errors and poor techniques and ensure future patient safety...

Ngày tải lên: 13/08/2014, 03:21

... different from adults and their responses to disease and injury may differ both physically and psychologically The differences in the anatomy and physiology of neonates, infants and children have ... dorsum of the hands or feet and is covered with an adhesive plastic dressing and sometimes bandaged The cream or gel needs to be covered to allow for the anaesthetic to be absorbed and effectively ... child and parent, together with the demands of inducing anaesthesia is a challenge and requires great skill especially if the lack of co-operation of the child is predictable and requires a management...

Ngày tải lên: 13/08/2014, 03:21

... perioperative and acute -care settings and is used to aid diagnosis and to monitor the progress of the patient and the response to any interventions It is essential that staff working in the perioperative ... little if at all from standard anaesthetic monitoring and adheres to the recommendations of the Association of Anaesthetists of Great Britain and Ireland (AAGBI, 2000) and OAA The AAGBI regard ... gases It is important to collect and handle the ABG sample carefully in order to reduce the possibility of inaccurate readings The relevant local policies and health and safety precautions relating...

Ngày tải lên: 13/08/2014, 03:21

... patient • How to care for the patient having electro-convulsive therapy • Discuss current standards in electro-convulsive therapy and understand the proposed changes in patient care The practice ... Anaesthesia and Critical Care, eds Brian Smith, Paul Rawling, Paul Wicker and Chris Jones Published by Cambridge University Press ß Cambridge University Press 2007 154 Anaesthesia and electro-convulsive ... assessment and evaluation measures, ECTAS offers guidance on the number and training of staff required in a centre, on medico-legal matters such as the gaining of consent and follow-up, and on the care...

Ngày tải lên: 13/08/2014, 03:21

... for transfer of the critically ill patient London: Intensive Care Society Juniper, M (1999) Ventilator-associated pneumonia: risk factors, diagnosis and management Care of the Critically Ill, 15(6), ... Intensive and Critical Care Nursing, 20, 358À65 Dreyfuss, D & Saumon, G (1998) Ventilator-induced lung injury: lessons from experimental studies American Journal of Respiratory Critical Care Medicine, ... case-controlled prospective study Intensive Care Medicine, 29(11), 2077À80 Urden, L., Stacy, K., & Lough, M (1998) Thelan’s Critical Care Nursing Diagnosis and Management, 3rd edn., Mosby Inc Woodruff,...

Ngày tải lên: 13/08/2014, 03:21