By P. Di Giacomo, M. A. De Vita (auth.), Antonino Gullo M.D. (eds.)

Improving criteria of care is a true problem in extensive Care drugs. enhancing medical functionality, sufferer defense, hazard 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 incredibly crowded zone, a special multidisciplinary and multiprofessional setting within which caliber of care and, finally, sufferer survival have to be ameliorated.

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Extra info for Anaesthesia, Pain, Intensive Care and Emergency A.P.I.C.E.: Proceedings of the 22nd Postgraduate Course in Critical Care Medicine Venice-Mestre, Italy — November 9–11, 2007

Sample text

In view of the great local differences in brain pathology the placement of the catheters became of vital importance. 4. The gold tip of the microdialysis catheter is visible on CT and shows that one catheter is positioned in the penumbra of the haematoma and the other in normal tissue contralateral to the lesion. The dramatic rise in the lactate/pyruvate ratio was due to an inadequate CPP. This was corrected by a blood transfusion which caused lactate/pyruvate to decrease and finally reach the normal level of the contralateral side.

5). Inadequate recovery of tissue chemistry after reperfusion will be noted and may lead to reopening the vessels and a renewed anastomosis. After surgery the microdialysis catheter is left in place during the critical post-surgical period effectively alerting the staff to any change in the perfusion of the flap. Microdialysis is of particular value in buried flaps where it is difficult or impossible to visually inspect the flap. An added advantage of microdialysis is that patients can be mobilized without being tied to tubing or electrical wires.

Simmons LA, Weidemann F, Sutherland GR et al (2002) Doppler tissue velocity, strain, and strain rate imaging with transesophageal echocardiography in the operating room: a feasibility study. J Am Soc Echocardiogr 15:768-776 9. Hartmann T, Kolev N, Blaicher A et al (1997) Validating of acoustic quantification colour kinesis for detection of left ventricular regional wall motion abnormalities: a transoesophageal echocardiography study. Br J Anaesth 79:482-487 10. Poelaert J, Schmidt C, Van Aken H et al (1999) A comparison of transoesophageal echocardiographic Doppler across the aortic valve and the thermodilution technique for estimating cardiac output.

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