Anaesthesia, Pain, Intensive Care and Emergency Medicine - A.P.I.C.E.

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A. Gullo
Springer Science & Business Media, Dec 7, 2004 - Medical - 760 pages
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In modern medicine the most functional methodologies are taking an increasing importance in spreading informations, rendering it credible while at the same time using reliable data to focus interaction between basic science and clinical medicine. Critical care medicine embraces these needs and more than any other discipline thrives and develops thanks to interdisciplinary contact.

APICE 2004 has been organised to provide precise answers to these issues. In particular, considerable emphasis has been given to the reviews regarding the most important aspects - or the most significant clinical developments - in the sectors involving variety of functions: neurological, respiratory and cardiovascular, gastrointestinal, metabolism and perfusion; trauma infections, sepsis and organ failure; perioperative medicine and life support techniques; information technology dedicated to clinical medicine, but also as a means of information and education. The contributing authors are all part of leading research groups at the international level in the various sectors presented in the volume.

  

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Contents

Effects of body position on ventilationperfusion matching
1
Chest pain
15
The electrocardiogram in the emergency department
25
The use of imaging to resolve difficult diagnoses
35
Assessment of pain
45
Titration of opioids for acute pain management
57
Neonatal Mechanical Ventilation
71
Extracorporeal circulation in the intensive care unit
81
Is the acute respiratory distress syndrome a systemic disease?
393
CARDIOVASCULAR CRITICAL CARE
401
Invasive versus noninvasive haemodynamic monitoring in major vascular surgery
403
Analysis of arterial pulse clinical implications
415
Beatbybeat monitoring of cardiac output with pressure recording analytical method
423
Haemodynamic standardisation procedures in highrisk surgery
435
From FrankStarling relationships to ventriculoarterial coupling
447
Pharmacology and selection of inotropic therapy
459

Clinical decisionmaking in the management of sepsis and septic shock
87
Intracranial haemorrhage the solution offered by recombinant factor Vila
99
An introduction to Open Source software licensing and use in anaesthesia department
109
MICRODIALYSIS
121
Lessons we have learnt from microdialysis in animals and humans
123
Secondary brain injury does microdialysis have a role?
137
Liver graft monitoring with intrahepatic microdialysis
145
Myocardial metabolism during open heart surgery assessed with microdialysis
155
CLINICAL PHARMACOLOGY
163
The journey of a drug to the target site what is decisive?
165
The pharmacokinetics and pharmacodynamics of antimicrobial agents in intensive care unit patients as assessed by microdialysis
175
PERIOPERATIVE MEDICINE
183
Anaesthetic effects on regional cerebral blood flow and metabolism three contemporary reasons to care
185
Why and when is inhalation anaesthesia better
193
Analysis and instrumentations for estimating cerebral activity
203
Neuroimaging pharmacology of attention and memory
215
Intracranial pressure monitoring
225
Improving quality of recovery
235
LUNG AND ARTIFICIAL VENTILATION
241
Molecular biology and lung disease What is the impact?
243
Surfactant metabolism factors affecting lipid uptake in vivo and in vitro
257
Respiratory mechanics at the bedside
277
PEEP and cardiac output
295
Expiratory flow limitation and intrinsic PEEP
315
Mechanical ventilation strategies for lung protection
321
Recruitment and oxygenation
329
Lung oedema in acute lung injury
343
Grading severity of respiratory dysfunction clinical correlates and indications for mechanical ventilation
355
Weaning as a cardiac stress test
369
Respiratory management in obese patients
377
Decisionmaking in critical care Cardiac arrhythmias and related topics
471
management for the patient with an implanted cardiac rhythm management device
481
Hypothermia in cardiac surgery
493
CARDIOPULMONARY RESUSCITATION
505
Pharmacological management of cardiopulmonary resuscitation
507
Myocardial preservation reperfusion injury and postresuscitation myocardial dysfunction
515
MICROCIRCULATION AND SHOCK
525
Regional blood flow distribution in septic cardiogenic and haemorrhagic shock
527
Orthogonal polarisation spectral imaging principles techniques human studies
533
Carbon dioxide monitoring to evaluate cell oxygenation
541
The microcirculation in distress monitoring and recruitment
555
Tissue metabolism in different types of shock
563
Organ dysfunction in circulatory shock altered perfusion metabolism or tight junctions? Do we need a shift of paradigm?
575
Haemodynamic support of paediatric patients in septic shock
585
PAEDIATRIC CRITICAL CARE
595
Recent advances in artificial ventilation in paediatric age
597
Complications in paediatric regional anaesthesia
609
Home ventilation in paediatric patients with chronic respiratory failure
617
Decisionmaking in paediatric extracranial trauma
631
Developments in the treatment of postoperative pain in paediatrics
651
TRAUMA AND EMERGENCY SYSTEM
659
Prehospital care triage and primary survey
661
Spine and spinal cord trauma
671
Treatment of acute pneumothorax in the field
681
CLINICAL STUDY DESIGN
691
Critical appraisal skills
693
Literature search
705
Study design
717
Index
747
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Page 705 - Schulman S, Rhedin AS, Lindmarker P, et al. A comparison of six weeks with six months of oral anticoagulant therapy after a first episode of venous thromboembolism. N Engl J Med 1995; 332: 16611665.

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