Anaesthesia, Pain, Intensive Care and Emergency Medicine - A.P.I.C.E.: Proceedings of the 12th Postgraduate Course in Critical Care Medicine Trieste, Italy - November 19–21, 1997

Front Matter....Pages II-XX
Front Matter....Pages 21-21
Cytokine Activity in Experimental Sepsis....Pages 23-32
Role of Nitric Oxide in Septic Shock....Pages 33-47
Novel Approaches to Improve Tissue Oxygen Extraction Capabilities: Lessons Learned from Experimental Septic Shock Models....Pages 49-56
Should Beta-Blockers Have a Place in the Treatment of Septic Shock?....Pages 57-65
Front Matter....Pages 67-67
Relationship between Chronic Dyspnea and Expiratory Flow Limitation in Patients with COPD....Pages 69-74
Pathophysiology of Flow Limitation....Pages 75-81
Pharmacological Reversibility of Flow Limitation in COPD and Asthmatic Patients....Pages 83-90
Respiratory Muscle Fatigue in COPD Patients....Pages 91-98
Front Matter....Pages 99-99
Patient-Ventilator Interaction....Pages 101-109
Spontaneous Breathing Trial with T-Tube....Pages 111-116
Continuous Flow Systems....Pages 117-122
Lung Damage by Artificial Ventilation Proof by Radiological Techniques....Pages 123-131
Barotrauma, Volume Trauma and Their Relation to FRC....Pages 133-139
Iatrogenic Lung Damage by Artificial Ventilation: What Is the Role of the Pulmonary Surfactant System?....Pages 141-146
Side Effects of Mechanical Ventilation: Molecular Mechanisms....Pages 147-154
Physiological Rationale to Prevent Ventilation-Induced Lung Injury....Pages 155-163
Iatrogenic Lung Damage by Artificial Ventilation Clinical Confirmation....Pages 165-169
Mechanical Ventilation in ARDS: What a Fine Mess!....Pages 171-179
Rationale for Reduction of Alveolar Ventilation in ARDS....Pages 181-189
Front Matter....Pages 191-191
Perioperative Hypertension....Pages 193-210
Front Matter....Pages 191-191
Therapy of Perioperative Myocardial Ischemia....Pages 211-221
Selection of Patients for Invasive Haemodynamic Monitoring....Pages 223-227
Anaesthetic Considerations for Major Cardiovascular Surgery....Pages 229-240
Therapeutic Strategies in Patients Suffering from Myocardiopathy (Awaiting Transplantation)....Pages 241-252
Front Matter....Pages 253-253
Pathophysiology of Head Trauma....Pages 255-263
Cerebral Edema in Brain Ischemia and Trauma....Pages 265-275
Cerebral Blood Flow and Metabolism in Severe Head Injury....Pages 277-281
Monitoring of Jugular Bulb Hemoglobin Oxygen Saturation (SjvO 2 )....Pages 283-289
Integrated Monitoring in Intensive Care Head Injured Patients....Pages 291-295
Surgical Management of Severely Head Injured Patients....Pages 297-301
Front Matter....Pages 303-303
Heat Exchange....Pages 305-311
Perioperative Hypothermia Prevention and Treatment....Pages 313-318
Alternative Strategies to Deal with Perioperative Hypothermia....Pages 319-326
Hypothermia for Neuroprotection....Pages 327-333
Metabolism after Injury: The Effects of G.H.....Pages 335-339
Front Matter....Pages 341-341
Evolution of Hemofiltration....Pages 343-352
Prevention of Acute Oliguric Renal Failure....Pages 353-364
High Volume Slow Continuous Venovenous Hemofiltration in Septic Nonoliguric Burned Patients....Pages 365-370
The Role of the Liver in Acid-Base Regulation....Pages 371-379
Acid-Base Disturbances during Fulminant Hepatic Failure....Pages 381-384
Front Matter....Pages 341-341
Acid-Base Regulatory Mechanisms during Orthotopic Liver Transplantation....Pages 385-396
Front Matter....Pages 397-397
Sedation and Analgesia in ICU Paediatric Patients....Pages 399-405
The Strategy of Sedation and Analgesia in ICU Patients....Pages 407-415
Use of Propacetamol in Postoperative Pain....Pages 417-421
Tramadol - Acute Postoperative Pain Management....Pages 423-430
Front Matter....Pages 431-431
Neurological Monitoring in the ICU....Pages 433-441
Critical Neurologic Dysfunctions: Status Epilepticus and Guillain-Barré Syndrome....Pages 443-449
Front Matter....Pages 451-451
Hemodynamic Effects of Hyperoxia in Hemorrhagic Shock....Pages 453-458
Hyperbaric Oxygen in the Treatment of Posthanging Cerebral Anoxia....Pages 459-473
Front Matter....Pages 475-475
The Problem of Fever in ICU Patients....Pages 477-484
Diagnosis of Pneumonia: Do We Really Need Invasive Techniques in ICU Patients?....Pages 485-489
How and Why to Prevent Respiratory Tract Infections in ICU....Pages 491-494
Is Reduction in Mortality in Intensive Care Just Another Holy Grail?....Pages 495-500
Clinical Assessment, Monitoring and Therapeutic Strategies for Septic Patients....Pages 501-509
Receptor Blocking Agents: Why Did They Fail?....Pages 511-519
Front Matter....Pages 521-521
Risk Factors and Maternal Mortality....Pages 523-528
Decision Making in High Risk Obstetric Patients....Pages 529-534
Coagulation Disorders in the Obstetric Patient....Pages 535-542
High Risk Patients and ICU Management....Pages 543-548
Front Matter....Pages 549-549
Biology of Aging and Anaesthesia....Pages 551-556
Front Matter....Pages 549-549
Preoperative Assessment....Pages 557-569
Options for Induction and Maintenance of Hypnosis in Anaesthesia....Pages 571-577
The Role of Combined Anesthesia: Pros and Cons....Pages 579-586
Preemptive Analgesia....Pages 587-596
Is It Possible to Monitor the Depth of Anesthesia?....Pages 597-606
Remifentanil: When and How to Use It....Pages 607-610
Update on the Use of the Laryngeal Mask....Pages 611-624
Front Matter....Pages 625-625
Training in Anaesthesia and Intensive Care....Pages 627-634
Rationing Resources in the ICU: Perspectives for the Future....Pages 635-641
Anaesthesiology and Intensive Care: Steps for the Future....Pages 643-647
Front Matter....Pages 649-649
Perioperative Management of Mentally Handicapped Patients....Pages 651-655
Management of Diabetes in the Perioperative Period....Pages 657-667
Management of Emergency Aortic Aneurysmectomy....Pages 669-679
Acute Abdomen in the Emergency Department....Pages 681-689
Metabolic Disorders and Electrolyte Derangement during Hypoperfusion Syndrome....Pages 691-696
Organization and Management of Organ Donors....Pages 697-703
Back Matter....Pages 705-712