A. Gullo's Anaesthesia, pain, intensive care and emergency A.P.I.C.E.: PDF

By A. Gullo

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. improving medical functionality, sufferer safeguard, threat administration and audit represents the cornerstone for elevating the standard of care in ICU sufferers. conversation is the platform from the place to begin to arrive a consensus in an exceptionally crowded zone, a special multidisciplinary and multiprofessional atmosphere during which caliber of care and, eventually, sufferer survival have to be ameliorated.

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Extra resources for Anaesthesia, pain, intensive care and emergency A.P.I.C.E.: proceedings of the 22st postgraduate course in critical medicine: Venice-Mestre, Italy - November 9-11, 2007

Example text

The plethysmographic gain factor was held constant throughout the procedure as the bedside monitor enables a choice between manual and automatic gain control. POP waveform amplitude was measured on a beat-to-beat basis as the vertical distance between a peak and the preceding valley of the waveform and was expressed in millimetres. Maximal POP (POPmax) and minimal POP (POPmin) were determined over the same respiratory cycle. The respiratory variations in POP waveform amplitude were calculated using a formula similar to that proposed to assess DPP: DPOP (%) = 100 x {(POPmax – POPmin)/([POPmax + POPmin]/2)}.

An abnormal movement of the interventricular septum is often the first signal of RV failure. The septum bellows to the LV and maintains a convex curve toward the RV. With the increase in RV volume, the septum flattens and assumes a paradoxical movement toward LV during the end-diastolic phase. In the case of pressure overload (pulmonary hypertension), this paradoxical movement is maximal during the end-systolic phase. The study of the RV should be completed with an evaluation of the tricuspid valve, which is mostly insufficient.

Crit Care 9:R562-R568 12. Natalini G, Rosano A, Franschetti ME et al (2006) Variations in arterial blood pressure and photoplethysmography during mechanical ventilation. Anesth Analg 103:1182-1188 13. Shelley KH, Jablonka DH, Awad AA et al (2006) What is the best site for measuring the effect of ventilation on the pulse oximeter waveform? Anesth Analg 103:372-377, table of contents 14. Cannesson M, Desebbe O, Lehot JJ et al (2007) Fluid responsiveness using non-invasive predictors during major hepatic surgery.

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Anaesthesia, pain, intensive care and emergency A.P.I.C.E.: proceedings of the 22st postgraduate course in critical medicine: Venice-Mestre, Italy - November 9-11, 2007 by A. Gullo


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