Update in intensive care and emergency medicine. 10, Update 1990

This book presents a comprehensive survey in which internationally recognized experts discuss specific topics. The wide spectrum of experimental and clinical investigations include the pathophysiologic, diagnostic and therapeutic aspects. Update 1990 represents the series' continuous effort to combine the most recent developments in one reference source for all those involved in cardiology, internal medicine, pediatrics, anesthesia, intensive care and emergency medicine. Front Matter....Pages I-XX Front Matter....Pages 1-1 Synergetic Order and Chaotic Malfunctions of the Circulatory Systems in Multiple Organ Failure....Pages 3-21 Multiple Organ Failure Syndrome: Patterns and Effect of Current Therapy....Pages 22-31 Selective Gut Decontamination in Ventilated Patients....Pages 32-39 Adult Respiratory Distress Syndrome (ARDS): A Systemic Disease?....Pages 40-49 Front Matter....Pages 51-51 Foreign Body Infections: From Intravenous Catheters to Hip Prosthesis....Pages 53-59 The Role of Amino Acid Changes in Septic Encephalopathy....Pages 60-68 Endotoxins and Gram-negative Septicemia....Pages 69-75 Human and Canine Septic Shock: Studies of Cardiovascular Abnormality, Mediators, and Therapies....Pages 76-86 Myocardial Dysfunction in Sepsis....Pages 87-99 Manipulation of the Immunoinflammatory Cascade in Sepsis: Facts and Perspectives....Pages 100-108 Immunotherapy of Gram-negative Septic Shock....Pages 109-120 Therapy of Septic Shock: New Strategies....Pages 121-127 Front Matter....Pages 129-129 The Influence of Mixed Venous PO 2 on Arterial Oxygenation....Pages 131-137 Determination of Lung-Ventilation and Perfusion by Isotope Technique....Pages 138-145 Measurement of Alveolar-Capillary Permeability....Pages 146-157 Host Defense Mechanisms in Acute Lung Injury — Smoke Inhalation in Fire Victims....Pages 158-165 Respiratory Changes Induced by Upper Abdominal and Cardiac Surgery....Pages 166-173 Front Matter....Pages 175-175 Diaphragm Pacing....Pages 177-184 Pressure Release Ventilation....Pages 185-195 Tracheobronchial Suctions During Mechanical Ventilation....Pages 196-200 Front Matter....Pages 175-175 High-Frequency Ventilation....Pages 201-213 Patients’ Experiences of Mechanical Ventilation....Pages 214-220 Front Matter....Pages 221-221 Respiratory Mechanics in Chronic Obstructive Pulmonary Disease....Pages 223-230 Lung Mechanics in ARDS....Pages 231-238 Work of Breathing During Mechanical Ventilation....Pages 239-251 Measurement of the Work of Breathing in the Mechanically Ventilated Patient....Pages 252-259 PEEP in Mechanically Ventilated COPD Patients....Pages 260-265 Front Matter....Pages 267-267 Pulmonary Hypertension in Bronchopulmonary Dysplasia....Pages 269-276 Pulmonary Hypertension in ARDS....Pages 277-283 Thrombolytic Therapy in Massive Pulmonary Embolism....Pages 284-290 Cardiorespiratory Interactions....Pages 291-304 The Role of Ventricular Interaction in Critical Illness....Pages 305-317 Front Matter....Pages 319-319 The Role of α 1 - and α 2 -Adrenoceptors in the Regulation of the Cardiovascular System....Pages 321-331 Ventricular Dysfunction: Ischemic Versus Non-ischemic....Pages 332-340 Role of Subendocardial Ischemia in the Pathogenesis of Heart Failure....Pages 341-349 Management of Severe Heart Failure....Pages 350-357 Cardiac Arrhythmias in Patients Treated with Antiarrhythmic Agents....Pages 358-364 Front Matter....Pages 365-365 Myocardial Preservation During Cardiac Surgery....Pages 367-377 Prevention of the Postperfusion Syndrome After Cardiopulmonary Bypass....Pages 378-382 Management of Heart Failure After Cardiac Surgery....Pages 383-390 Front Matter....Pages 365-365 Diagnosing Myocardial Ischemia in the Operation Room....Pages 391-404 Front Matter....Pages 405-405 Reliability of Cardiac Output Measurements by the Thermodilution Method....Pages 407-412 Continuous Cardiac Output Monitoring During Cardiac Surgery....Pages 413-416 Hemodynamic Monitoring Using Aortic Doppler....Pages 417-429 Real-Time Monitoring of Gas Exchange....Pages 430-439 Continuous Assessment of Cardiopulmonary Function....Pages 440-447 Front Matter....Pages 449-449 Current Topics in the Management of Poisoning....Pages 451-459 Carbon Monoxide Intoxication....Pages 460-471 Management of the Acute Neuropsychiatric Manifestations of Cocaine Intoxication....Pages 472-477 Acute Heroin Intoxication....Pages 478-481 Mushroom Poisoning....Pages 482-493 Poisoning by Agricultural Chemicals — Organophosphates and Paraquat....Pages 494-501 Front Matter....Pages 503-503 The Shock Index Revisited....Pages 505-513 Prevention of Post-traumatic Complications....Pages 514-519 Pathophysiological Mechanisms in Severe Head Trauma....Pages 520-528 Primary Treatment in Severe Head Injury....Pages 529-534 The Role of Alcohol in Trauma....Pages 535-542 Emergency Management of Acute Lower Limb Ischemia....Pages 543-550 Emergency Medicine in France: Examples of Organization and Services Provided....Pages 551-561 Front Matter....Pages 563-563 Current Standards and Future Directions of Basic and Advanced Cardiopulmonary Resuscitation....Pages 565-585 Front Matter....Pages 563-563 Acidosis in CPR: Pathophysiology and Treatment....Pages 586-592 Modern Drug Therapy During Cardiopulmonary Resuscitation....Pages 593-602 Cardiac Arrest and the Brain....Pages 603-611 Cerebral Resuscitation in Children....Pages 612-620 Out-of-Hospital Cerebral Resuscitation....Pages 621-631 When to Stop CPR?....Pages 632-642 Teaching CPR for Citizen: Lessons from a Belgian Experience....Pages 643-653 Front Matter....Pages 655-655 Pathophysiological Mechanisms and Therapeutic Aspects in Stroke and Ischemic Brain Injury....Pages 657-665 Treatment of Experimental Central Nervous System Trauma and Ischemia: Use of a Novel 21-Aminosteroid....Pages 666-673 Current Management of Aneurysmal Subarachnoid Hemorrhage....Pages 674-685 Front Matter....Pages 687-687 Prevention of Stress Associated Gastric Mucosal Erosions....Pages 689-695 Management of Severe Acute Pancreatitis....Pages 696-705 Perioperative Management of the Liver Transplant Patient....Pages 706-719 Front Matter....Pages 721-721 Long-term Sedation in the Critically Ill....Pages 723-729 Pharmacokinetic and Pharmacodynamic Modeling of Sedation in the ICU: Future Perspectives....Pages 730-738 The Use of Benzodiazepines in Surgical Patients....Pages 739-748 The Use of Neuromuscular Blocking Agents in Intensive Care....Pages 749-757 Pain and Sedation in the Pediatric Patient: The 1990 Approach to a Very Old Problem....Pages 758-769 Liver Metabolism of Analgesic Agents....Pages 770-779 Front Matter....Pages 781-781 The Kidney — The Innocent Bystander....Pages 783-791 Front Matter....Pages 781-781 Acute Hypophosphatemia....Pages 792-797 Atrial Natriuretic Factor: Clinical Implications....Pages 798-808 Endocrine Disturbances in the Critically Ill: The Role of Growth Hormone and Cortisol....Pages 809-820 Front Matter....Pages 821-821 Intensive Care for Patients with the Acquired Immunodeficiency Syndrome and Respiratory Failure Caused by Pneumocystis carinii Pneumonia: The View from San Francisco General Hospital....Pages 823-829 Intensive Care for HIV Infected Patients: The View from Brussels St Pierre Hospital....Pages 830-835 Intensive Care for Complications of Malignant Disease: Presentation and Outcome....Pages 836-850 Audit in Intensive Care....Pages 851-856 Long-term Outcome of Premature Babies....Pages 857-864 Long-term Outcome from Intensive Care....Pages 865-869 Back Matter....Pages 871-875