Acute Care: Based on the Proceedings of the Sixth International Symposium on Critical Care Medicine (Anaesthesiologie und Intensivmedizin Anaesthesiology and Intensive Care Medicine Book 116)

This volume contains the results of the 7th International Symposium on Acute Care, held in Rio de Janeiro from 21st to 24th November 1977. I would like to thank all the participants for their wonderful cooperation which made this Symposium a real success. I am especially grateful to the excellent speakers from all special­ ist fields and from all nations: I assure you, we all learned a great deal! I would also like to thank the members of the organizing and scientific committees whose combined efforts ensured the smooth running of the Symposium, a meeting with a high-level discussion of scientific and philosophic problems as its goal. But first and foremost, we should like to express profound gratitude to the man whose idea it was to hold an annual conference in Rio: Dr. Brenildo Tavares, the Director of the Rio Symposia on Acute Care. He is one of the great pioneers of intensive, critical, acute, and emergency care, not only in.south America, but allover the world. The secret of the success of his symposia lies in his interdisciplinary and international approach. The symposia have brought together a great number of people who have since become close friends and continue to meet throughout the world. We all congratulate and thank him and wish him much success in the future. Front Matter....Pages I-XVI Front Matter....Pages 1-1 Comparison of Hyper-Iso- and Hypotonic Electrolyte Solutions in Therapy of Severe Burns, Major Operations and Trauma....Pages 3-5 Neuropsychiatric Manifestations of Hypokalemia....Pages 6-8 Base Excess: A Questionable Parameter in Metabolic Estimation During Low Tecidual Perfusion States — A Clinical and Experimental Study....Pages 9-13 Metabolic Acidosis and the Use of Buffers in the Critically III....Pages 14-23 Safety of Vitamins When Used for Acute Care in Emergencies....Pages 24-26 Front Matter....Pages 27-27 Tissue pO 2 Monitoring. A New Method in the Care of the Critically Ill Patient....Pages 29-33 Non-Invasive Monitoring of Blood Pressure: Patient Studies....Pages 34-34 Indwelling Central Venous Catheter. Statistical Analysis of Factors Influencing the Risk of Microbial or Fungal Contamination....Pages 35-55 Monitoring Tissue in Patients Under Arteriosclerosis Occlusive Surgery....Pages 56-59 Improved Clinical Practice in Cholecystectomy-Postoperative Period....Pages 60-60 Hormonal Dysregulation in Stress Following Operation and Trauma....Pages 61-69 Cerebral Prognosis Determined During Cardiopulmonary Resuscitation....Pages 70-85 Remote Medical Diagnosis System....Pages 86-87 Computer-Assisted Analysis of Intracranial Pressure for Clinical Applications....Pages 88-94 Stabilization of the Spine in Vertebral Tumors and Trauma by Means of Spondylodesis with Harrington Rods and Bone Cement....Pages 95-100 Front Matter....Pages 101-101 The Border Between Life and Death in Critical Care Medicine....Pages 103-104 Regular and Special Engineering Types of Intensive Care Units....Pages 105-119 Analysis of the Flow of Patients and the Therapeutic Efficiency of an Emergency Department....Pages 120-127 Problem-Oriented Medical Record in Intensive Care....Pages 128-132 Portable Life Support Stretcher....Pages 133-134 Front Matter....Pages 101-101 Non-Urgent Usage of Emergency Departments: New Concepts and Statistical Methods....Pages 135-139 Mobile Intensive Care Units....Pages 140-142 The Organization of Emergency Care. Emphasis on Mobile Emergency Care....Pages 143-148 Front Matter....Pages 149-149 Prophylaxis of the Thrombo-Embolic Disease with Subcutaneous Low Doses of Heparin and Intrapulmonary Application of Heparin with Aerosol Inhalation....Pages 151-155 The Influence of Colloidal Plasma Substitutes on Spontaneous and Induced Platelet Aggregation....Pages 156-160 The Incidence of Pulmonary Insufficiency Following Major Trauma: Its Relation to Blood Transfusion, Thrombocytopenia, and Proteolytic Enzyme Inhibition....Pages 161-166 New Considerations in the Treatment of the Hemolytic-Uremic Syndrome....Pages 167-171 Prophylactic Antiplatelet Therapy in Children with Cyanotic Heart Disease....Pages 172-177 Disseminated Intravascular Coagulation in Newborn Streptococcal Sepsis. Report on l3 Cases....Pages 178-181 Effect of Ethanol Intoxication on Hemostasis in Rats After Liver-Resection....Pages 182-182 Front Matter....Pages 183-183 Gas Exchange and Hemodynamic Effects of Continuous Positive Pressure Ventilation (CPPV) in Patients with Bacterial Bronchopneumonia....Pages 185-193 Pathophysiology in Pulmonary Embolism....Pages 194-197 Avoidable Complication of the MOBIN UDDIN Umbrella for Pulmonary Embolism....Pages 198-199 Viral Bronchopneumonia....Pages 200-200 Continuous Positive Pressure Ventilation (CPPV) in the Treatment of Adult Respiratory Distress Syndrom....Pages 201-202 Serial Inspiratory and Expiratory Spirometry in Status Asthmaticus....Pages 203-203 Oxygen Diffusion Velocity — A New Parameter of Early Diagnosis of Pulmonary Oedema....Pages 204-208 A New, Airway Pressure Regulated, Atraumatic Endotracheal Cuff: Experimental and Clinical Evaluation....Pages 209-218 Inhalation Therapy with Bronchosecretolytis Drugs....Pages 219-221 Computers in Lung Function Tests....Pages 222-232 Front Matter....Pages 233-233 Acute Gastroduodenal Lesions During Severe Infections....Pages 235-236 Diagnostic Peritoneal Lavage in Acute Abdominal Disease....Pages 237-239 Management and Comparative Results of Massive Gastro Duodenal Hemorrhage. Are Highly Selective Examinations Necessary?....Pages 240-246 Non Lithiasic Acute Cholecystitis After Shock....Pages 247-249 Front Matter....Pages 251-251 Isotopic Diagnosis of Critical Asymptomatic Coronary Artery Disease....Pages 253-257 Quantification of Pericardial Effusion by Echocardiography....Pages 258-261 Nitroglycerin Effects Upon Haemodynamics, Inotropism, Coronary Blood Flow and Myocardial Oxygen Consumption During Depressed Cardiac Performance. — An Experimental Study....Pages 262-267 Pre- and Postoperative Care of the Open Heart/Vascular Surgery Patient....Pages 268-273 Predictive Value of Core — Toe Temperature and Mixed Venous Oxygen Saturation After Cardiac Surgery....Pages 274-278 Emergency Surgery for the Management of Acute Coronary Insufficiency....Pages 279-281 Computer Monitoring of Cardiac Performance from Patients Recovering from Cardiac Surgery....Pages 282-286 Metabolic Alterations in Cardiac Surgery with Total Cardiopulmonary Bypass....Pages 287-295 Front Matter....Pages 297-297 Clinical Aspects and Treatment of Toxic-Infectious Shock....Pages 299-305 Problems of Streptokinase Therapy in Critically Ill Children....Pages 306-313 Hypertonic Balanced Sodium Solution in Burn Shock....Pages 314-314 Front Matter....Pages 315-315 Management of Septicemia in Intensive Care Units....Pages 317-322 Control of Infection in Wounds and Burns by Silver-Zinc and Cerous Sulfadiazine....Pages 323-325 Prophylaxis and Therapy of Infection with Open Head Injuries, Rhinoliquorrhea and Otoliquorrhea....Pages 326-330 Nosocomial Infections in Intensive Care Units Attributed to Acinetobacter Strains....Pages 331-337 Front Matter....Pages 339-339 Acute Drag-Induced Diseases in Patients in a Medical Clinic....Pages 341-341