Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.: Proceedings of the 13th Postgraduate Course in Critical Care Medicine Trieste, Italy — November 18–21, 1998

Front Matter....Pages II-XIX
Front Matter....Pages 21-21
A Life in Critical Care....Pages 23-28
Clinics, Technology, Ethics, and Humane Patient-Physician Relationships and Critical Care....Pages 29-45
Cerebral Resuscitation 2000 A.D.....Pages 47-57
Early Goal-Directed Invasive and Noninvasive Monitoring of High Risk Postoperative and Septic Surgical Patients Improves Outcome....Pages 59-68
Postresuscitation Myocardial Dysfunction....Pages 69-75
Telemedicine: Steps into the Future....Pages 77-85
Evidence-Based Medicine in the ICU....Pages 87-96
Front Matter....Pages 97-97
The Problem of Informed Consent in Critically Ill Patients....Pages 99-104
Progress in Scoring Systems, Safety and Quality of Care in the ICU....Pages 105-112
Is Mortality the Only Outcome Measure in ICU Patients?....Pages 113-117
Front Matter....Pages 119-119
Perioperative Care: Physiology and Practicality....Pages 121-134
Coagulation Disorders....Pages 135-140
Neuromuscular Disorders and Anaesthesia....Pages 141-145
Anaesthesia and Coexisting Diseases: Chronic Obstructive Pulmonary Disease....Pages 147-156
Optimization of the Perioperative Period in High-Risk Patients....Pages 157-169
Front Matter....Pages 171-171
Standards in Anaesthetic Practice....Pages 173-183
Hypnotics....Pages 185-191
Analgesics....Pages 193-215
Muscle Relaxants in Clinical Anaesthesia: An Update....Pages 217-226
Total Intravenous Anaesthesia....Pages 227-236
Front Matter....Pages 237-237
Perioperative Care of Cardiac Risk Patients: New Pharmacological Strategies....Pages 239-244
Biochemical Markers of Myocardial Cell Injury....Pages 245-250
Postoperative Intensive Care Therapy — In Which Patients and for How Long?....Pages 251-259
Diagnosis in the Early Phase of Aortic Dissection....Pages 261-268
Surgical Strategies in the Management of Acute Aortic Dissection....Pages 269-277
Early Complications and Management After Bypass Circulation....Pages 279-289
New Concepts of Antiarrhythmic Strategies....Pages 291-297
Emergency Treatment of Bradycardic and Tachycardic Arrhythmias....Pages 299-305
Perioperative Arrhythmias and Outcome....Pages 307-311
Therapeutic Monitoring in the Perioperative Period....Pages 313-319
Front Matter....Pages 321-321
Uncommon Diseases in Pregnancy....Pages 323-333
Complications of Obstetric Anaesthesia....Pages 335-342
Anaesthesia for Emergency Caesarean Section....Pages 343-346
Obstetric Complications: Consumption Coagulopathy....Pages 347-353
Perioperative Management of Hypertension....Pages 355-365
Maternal and Foetal Mortality Rates During Pregnancy, Delivery and Puerperium....Pages 367-372
Front Matter....Pages 373-373
Dimension of Fluid Compartments in Severely Ill Patients....Pages 375-382
Pathophysiology of Acid Base Regulation....Pages 383-392
Fluid and Electrolyte Management in Intensive Care....Pages 393-410
Respiratory Acidosis and Alkalosis....Pages 411-419
Front Matter....Pages 373-373
Metabolic Acidosis and Metabolic Alkalosis in the Critically Ill....Pages 421-428
Differential Diagnosis and Treatment of Acidosis....Pages 429-439
Albumin: Is It a Play-Maker, a Carrier or Both?....Pages 441-455
Front Matter....Pages 457-457
Capnography....Pages 459-469
New Insights into Cardiovascular Monitoring: Continuous Arterial Thermodilution and Intrathoracic Blood Volume....Pages 471-477
Echo Doppler Monitoring for the Evaluation of Cardiovascular Performances in Anaesthesia and in the Intensive Care Units....Pages 479-485
Front Matter....Pages 487-487
Pathophysiology of Brain Temperature....Pages 489-493
Exploring Cerebral Metabolism by Microdialysis....Pages 495-499
Epidemiology and Diagnosis of Polyneuropathy in Critical Illness....Pages 501-507
Polyneuropathy in Patients Undergoing a Neuromuscular Junction Blockade....Pages 509-515
Muscular Wasting as a Consequence of Sepsis....Pages 517-522
Front Matter....Pages 523-523
Epidemiology of Trauma....Pages 525-529
Nitric Oxide in Sepsis and Nitric Oxide in Sepsis and ARDS....Pages 531-547
Management of Shock Complicating Acute Myocardial Infarction....Pages 549-556
Management of Acute Ischaemic Stroke....Pages 557-559
Role of Heat Shock Proteins in Cytoprotection....Pages 561-570
Front Matter....Pages 571-571
Evidence-Based Hyperbaric Oxygen Therapy....Pages 573-587
Intrinsically Safe Hyperbaric Centres....Pages 589-594
Front Matter....Pages 595-595
Lung Function Monitoring in the ICU: Available Techniques and Future Requirements....Pages 597-600
Mechanical Ventilation and Lung Mechanics....Pages 601-610
Front Matter....Pages 595-595
Pulmonary Gas Exchange in the Intensive Care Unit....Pages 611-620
Pulmonary Haemodynamics in the Intensive Care Unit....Pages 621-627
PET and Other Nuclear Medicine Techniques....Pages 629-633
Lung Function Monitoring: Data Provided by CT Scan....Pages 635-639
Bedside Replacement of Computed Tomography by Electrical Impedance Tomography....Pages 641-645
Front Matter....Pages 647-647
Volume Distribution and Ventilatory Modes in Patients with Acute Respiratory Distress Syndrome....Pages 649-667
Problems Associated with Clinical Determination of Pulmonary Shunting....Pages 669-677
Pulmonary Hypertension....Pages 679-689
Front Matter....Pages 691-691
Pathophysiology of Unresolving ARDS: The Role of the Host Defense Response....Pages 693-710
Pathophysiology of Ventilator-Associated Pneumonia....Pages 711-719
How to Diagnose Ventilator Associated Pneumonia....Pages 721-726
Can Hygienic Measures Prevent Pneumonia?....Pages 727-731
Ventilatory Support in Different Stages of Lung Dysfunction....Pages 733-737
Strategies to Minimize Alveolar Stretch Injury During Mechanical Ventilation....Pages 739-747
Modes of Ventilation and Weaning Strategies....Pages 749-768
Proportional Assist Ventilation: Technique and Implementation....Pages 769-776
Back Matter....Pages 777-786