Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.: Proceedings of the 16th Postgraduate Course in Critical Care Medicine Trieste, Italy — November 16–20, 2001

Front Matter....Pages I-XXX
Front Matter....Pages XXXI-XXXI
One Clinicians Lifetime of Bringing Technology into Medicine and its Impact upon Critical Care Patients....Pages 1-18
Monitoring in Acute Brain Injury....Pages 19-34
Brain Protection....Pages 35-50
Respiratory Effects of Anesthesia....Pages 51-66
Aspiration of Airway Dead Space: a New Method to Enhance CO 2 Elimination....Pages 67-74
Myocardial Preservation during Cardiopulmonary Resuscitation....Pages 75-85
Reduced Post-Resuscitation Myocardial Dysfunction after Low-energy Biphasic Waveform Defibrillation....Pages 87-91
Myocardial Dysfunction in the Perioperative Period....Pages 93-105
Trauma Resuscitation....Pages 107-123
Monitoring of Intra-Abdominal Pressure and Clinical Challenges in Intensive Care Unit Patients....Pages 125-136
Experimenting on Your Fellow Humans in 2001. Update of the Declaration of Helsinki and Progress from the International Conference on Harmonization....Pages 137-141
Ethical, Legal, Practical and Scientific Challenges in Perioperative Medicine....Pages 143-152
The World Health Organization and Cancer Pain....Pages 153-162
High Frequency Percussive Ventilation....Pages 163-171
Front Matter....Pages 173-173
Experimental Models of Acute Lung Injury....Pages 175-191
Animal Models of Asthma....Pages 193-204
Optimization of Ventilation and Perfusion Matching....Pages 205-213
Alveolar Recruitment....Pages 215-224
How to Open an Atelectatic Lung....Pages 225-233
Clinical Experience with Open Lung Management Experience in Trauma Patients....Pages 235-240
Front Matter....Pages 173-173
Semirecumbency Prevents Nosocomial Pneumonia in Mechanically Ventilated Patients....Pages 241-251
Acute Bronchial Asthma: Indications for Intensive Care....Pages 253-259
Esophageal Pressure in Anaesthetized Patients: Difficulties and Frequent Mistakes....Pages 261-267
Haemodynamic and Metabolic Evaluations by Rebreathing Methods....Pages 269-274
Monitoring of Pulmonary Capillary Blood Flow and Alveolar Dead Space Using the Combined Methods of Volumetric Capnography and “Partial CO 2 Rebreathing” (NiCO 2 )....Pages 275-280
Application of “Single Breath — Volumetric Capnography” Analysis in Open Lung Strategy....Pages 281-286
How Permissive Should Hypercapnia Be?....Pages 287-298
Capnography and Cardiac Output Determination....Pages 299-303
Improvements in Percutaneous Tracheostomy: The Single-Step Rotational Dilation....Pages 305-313
Front Matter....Pages 315-315
The Challenges of Delivering Acute Medical Services to Trauma Patients in Remote Locations....Pages 317-323
Trauma — Stabilization, Assessment, and Transportation....Pages 325-339
Trauma Intensive Care: Early and Late Challenges....Pages 341-349
Trauma Scoring Systems....Pages 351-361
Blast Injury....Pages 363-368
Prognosis in Cerebral Dysfunction in Patients with Head Trauma....Pages 369-380
Respiratory Failure in Brain Injured Patients....Pages 381-398
Blunt Chest Trauma....Pages 399-405
Chest Trauma: Invasive Thoracic Procedures and Vascular Cannulation....Pages 407-413
Abdominal Trauma....Pages 415-436
Visceral Trauma: Diagnostic Imaging and Interventional Radiology....Pages 437-446
Front Matter....Pages 315-315
Trauma Operative Procedures: Timing of Surgery and Priorities....Pages 447-467
Trauma in Children....Pages 469-476
Trauma in Pregnancy....Pages 477-489
Trauma in the Elderly....Pages 491-500
Trauma Anaesthesia and Pain Management....Pages 501-517
Metabolic Pathways in Trauma....Pages 519-523
CPR in Trauma and Early Defibrillation....Pages 525-535
Front Matter....Pages 537-537
Homeostasis — Basics, Definitions, Clinical Evidence....Pages 539-575
Physical Chemistry and Clinical Acid-Base Physiology....Pages 577-588
A “Post-copernican” Analysis of Intracellular pH....Pages 589-609
Physiological Consequences of Acid-Base Disorders....Pages 611-615
Clinical Approach to Acid-Base Balance....Pages 617-630
Using Base Excess....Pages 631-642
Intraoperative Fluid Management....Pages 643-654
Fluid Management in Gastrointestinal Surgery....Pages 655-670
Postoperative Fluid Management....Pages 671-680
Treatment of Acidosis: Sodium Bicarbonate and Other Drugs....Pages 681-693
Lactic Acidosis....Pages 695-705
Acid-Base Balance during Renal Replacement Therapies....Pages 707-713
iPH and Splanchnic Dysfunction Management....Pages 715-721
Front Matter....Pages 537-537
Crystalloids/Colloids: Controversies....Pages 723-743
Front Matter....Pages 745-745
Preoperative Assessment....Pages 747-756
Patient Informed Consent....Pages 757-762
Coordination And Responsibilities In The Operating Theater....Pages 763-769
How to Plan Anesthesia....Pages 771-776
Monitoring and Assessment of Perioperative Vital Functions in Major Non-Cardiac Surgery....Pages 777-787
How to Balance General Anesthesia....Pages 789-794
Decision-Making during Anesthesia....Pages 795-807
Anesthesia for Abdominal Surgery....Pages 809-817
Total Intravenous Anesthesia....Pages 819-823
Dobutamine and Esmolol, Opposite Action or Sometimes Synergic Therapeutic Actions....Pages 825-834
Intraoperative Spinal Cord Monitoring: Evoked Potentials and Cerebrospinal Fluid Oxygenation....Pages 835-841
Spinal Cord Injury in Thoracoabdominal Aneurysm Surgery: Methods of Intra-operative Protection of the Spinal Cord....Pages 843-851
Ischaemic Spinal Cord Injury Following Thoracoabdominal Aneurysm Surgery....Pages 853-872
The Elderly: From Physiopathology to Surveillance in the Perioperative Period....Pages 873-884
Priorities and Optimization of Care in the Elderly — Minimizing Disability....Pages 885-892
Surgery in the Elderly — Outcome and Complication Pattern....Pages 893-901
Perioperative Challenges in Mentally Handicapped Patients....Pages 903-908
Controversial Aspects in Perioperative Medicine....Pages 909-921
Postoperative Pain Challenge....Pages 923-931
Front Matter....Pages 745-745
The Challenge of Postoperative Analgesia....Pages 933-943
The Management of Postoperative Pain. Drugs and Anesthetic Techniques....Pages 945-965
Postoperative Analgesia in Ambulatory Surgery....Pages 967-972
Cost-Effectiveness of Postoperative Pain Management....Pages 973-981
Neurologic Complications in Cardiac Surgery. Is it Predictable?....Pages 983-990
Myocardial Revascularization with Laser....Pages 991-1006
Advances in Anaesthesia Techniques for Children....Pages 1007-1014
Pain Management in Children....Pages 1015-1024
How Can Anesthetists Modify Stress Response during Perioperative Period?....Pages 1025-1034
Front Matter....Pages 1035-1035
Trends in Obstetric Anaesthesia....Pages 1037-1042
Inhalation Anesthesia for Cesarean Section....Pages 1043-1057
Principles of Epidural Dosing in Labour....Pages 1059-1064
Epidural, Spinal, or Combined Spinal Epidural for Cesarean Section....Pages 1065-1080
Do We Need a Test Dose for Epidural Anaesthesia and Analgesia in Obstetrics?....Pages 1081-1093
Complications in Obstetric Anesthesia....Pages 1095-1114
The Obstetric Patient in Intensive Care: Causes of Admission and Important Considerations....Pages 1115-1126
High Dependancy Unit in the Obstetric Department....Pages 1127-1134
Obstetric Anaesthesia and Maternal Morbidity and Mortality....Pages 1135-1150
Disseminated Intravascular Coagulation in the Obstetric Patient....Pages 1151-1158
Cardiopulmonary Resuscitation in the Parturient....Pages 1159-1164
Front Matter....Pages 1035-1035
Cardiopulmonary Resuscitation in the Newborn....Pages 1165-1173
Legal and Ethical Implications of Obstetric Anaesthesia....Pages 1175-1181
Back Matter....Pages 1183-1212