By W. A. Zin (auth.), Prof. Antonino Gullo M.D. (eds.)
The finish of the second one millenium is exotic for the expanding curiosity within the box of serious care medication, not just between physicians and medical scientists but in addition at the a part of the mass media. this can be an interdisciplinary region of drugs drawing upon the specialties of anesthesiology, inner medication and surgical procedure, and depending upon the fundamental contributions and aid from uncomplicated examine. Advances in serious care drugs depend upon the applying of recent applied sciences to the health center, the total integration of desktops and informatics, the continuous education of physicians and technicians, and the honour of moral matters within the medical environment. inside this complicated landscape of complementary methods and viewpoints, it truly is obvious that serious care medication is among the most sensible examples of evidence-based medicine.
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Extra resources for Anesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.: Proceeding of the 14th Postgraduate Course in Critical Care Medicine Trieste, Italy — November 16–19, 1999
In 1977, Zapol and Snider demonstrated that PH is a physiological hallmark of ARDS as shown by the occurrence of a mean pulmonary arterial pressure (rnPAP) > 25 mmHg in 58% of patients with severe ARF in the early phase . In over 100 patients with ARDS, studied from 1-30 days after onset of symptoms, Zapol et al. observed rnPAP to be around 22-28 mmHg in absence of severe hypoxemia, and in the range of 28-35 mmHg or more in presence of severe hypoxemia . The causes of pulmonary hypertension in ARDS are multifactorial .
Berlot, A. Gullo 52 constant, and thus a higher PC02, empty later (sequential emptying), resulting in a steeper phase III slope. Other factors such as changes in cardiac output, the production of CO 2, airway resistance and functional residual capacity (FRe) can further influence the VIQ ratio of the various lung units affecting the height or slope of the phase III curve. In the last analysis, the study of the phase III slope of the volumetric capnogram gives a more accurate picture of the state of pulmonary VIQ ratio than the corresponding CO2 versus time trace.
Jubran A, Tobin MJ (1994) Monitoring gas exchange during mechanical ventilation. In: Tobin MJ (ed) Principles and practice of mechanical ventilation. Mac Grow Hill, pp 919-943 10. Mangalaboyi J, Chopin C, Chambrin MC (1992) Utilisation de la capnographie en reanimation. In: Monitorage non invasive en reanimation. Masson, Paris 11. Hess D (1990) Capnometry and capnography: technical aspects, physiologic aspects, and clinical applications. Respiratory Care, vol 35, 6:557-576 12. Hess D (1993) Capnography: technical aspects and clinical applications.
Anesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.: Proceeding of the 14th Postgraduate Course in Critical Care Medicine Trieste, Italy — November 16–19, 1999 by W. A. Zin (auth.), Prof. Antonino Gullo M.D. (eds.)