Download e-book for kindle: Anaesthesia, Pain, Intensive Care and Emergency A.P.I.C.E.: by P. Di Giacomo, M. A. De Vita (auth.), Antonino Gullo M.D.

By P. Di Giacomo, M. A. De Vita (auth.), Antonino Gullo M.D. (eds.)

ISBN-10: 8847007720

ISBN-13: 9788847007727

ISBN-10: 8847007739

ISBN-13: 9788847007734

Improving criteria of care is a true problem in in depth Care medication. enhancing scientific functionality, sufferer defense, probability administration and audit represents the cornerstone for elevating the standard of care in ICU sufferers. verbal exchange is the platform from the place to begin to arrive a consensus in an incredibly crowded quarter, a special multidisciplinary and multiprofessional setting during which caliber of care and, eventually, sufferer survival have to be ameliorated.

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Additional resources for Anaesthesia, Pain, Intensive Care and Emergency A.P.I.C.E.: Proceedings of the 22nd Postgraduate Course in Critical Care Medicine Venice-Mestre, Italy — November 9–11, 2007

Sample text

The first noninvasive oximeter was invented by Carl Matthes in 1935 and was nonpulsatile. In 1970, engineers from Hewlett Packard developed the first commercially available device that allowed arterial oxygen saturation to be obtained noninvasively from the ear. This system required warming the tissues in order to increase local blood flow. In 1974, Takuo Aoyagi noted that the plethysmographic saturation in oxygen can be measured using the analysis of pulsatile light signals. This major discovery gave birth to the modern pulse oximeters we now know and use daily in intensive care units and operating rooms.

Cardiac tamponade reduces compliance of the various cardiac chambers affecting filling and their systolic and diastolic functions. Transvalvular and transpulmonary vein filling patterns can be interrogated with Doppler echo. TOE in Septic Patients Septic shock is associated with important haemodynamic alterations, including an absolute or relative decrease in central blood volume, systolic alterations of LV and RV function, and severe peripheral vasodilatation responsible in part for alterations in regional blood flow distribution and probably linked to outcome [30, 31].

Feissel et al [20] found that a DPOP value of 14% discriminates between responders and non responders to volume expansion with a sensitivity of 100% and a specificity of 94% in patients in the intensive care unit. Our team studied patients in the operating room and found that a threshold DPOP value of 13% predicted fluid responsiveness with an 80% sensitivity and a 90% specificity [19]. Interestingly, all of these studies found similar DPOP threshold values and were published within the same year.

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Anaesthesia, Pain, Intensive Care and Emergency A.P.I.C.E.: Proceedings of the 22nd Postgraduate Course in Critical Care Medicine Venice-Mestre, Italy — November 9–11, 2007 by P. Di Giacomo, M. A. De Vita (auth.), Antonino Gullo M.D. (eds.)


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