By C. Parsloe (auth.), Prof. Antonino Gullo M.D. (eds.)

The curiosity of researchers, clinicians, practitioners and surgeons in serious care drugs is transforming into. scientific pharmacology and new applied sciences now enable extra applicable remedies, and the dedication of all these considering this box is of primary significance for achieving excessive interventional criteria, in either the prevention and therapy of serious stipulations, but additionally for enjoyable the idea that of cost-effectiveness in severe care. during this quantity advances in severe care drugs are defined, together with the appliance of recent applied sciences within the scientific environment, the complete integration of desktops and informatics, and the continuous education of physicians and technicians.

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Extra resources for Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.: Proceedings of the 15th Postgraduate Course in Critical Care Medicine Trieste, Italy — November 17–21, 2000

Sample text

Gastric tonometry remained poorly used due to a series of questions: is gastric tonometry really indicative of splanchnic perfusion? Is pH derived from the PC02 of saline indicative of mucosal perfusion? Experiments demonstrated that during low flow, intestinal mucosal pH measured with the tonometer of FiddianGreen was very similar to that measured directly [8]. A study of Gutierrez et al. [9] clearly demonstrated that intensive care patients monitored with the tonometer had a reduced hospital stay or, in other words, a better evolution.

The COX inhibitors seem to act on the MC by restoring the responsiveness to catecholamines. Increase of prostanoids, arachidonic acid intermediates, and increased defenses against oxygen radicals [16] have been taken into account to explain this phenomenon. In conscious rats the reduced responsiveness to exogenous epinephrine is restored by the infusion of neuropeptide Y, a 36-amino acid peptide that is located in adrenal medulla, central sympathetic neurons, and in postganglionic sympathetic nerve fibers [17].

The more they know, the more they can cooperate. It is not a time for gentle lies. The case of children is paramount. In this particular age group it is the parents that need to be informed in order to become our allies in allaying fear risen out of ignorance and parental separation. The more the family is well structured, the less preanaesthetic medication is needed. The more the anaesthesiologist dedicates sufficient time to understand the family realm, the more the child will trust him. There simply is no medication or equipment that will substitute for loving parents and reassuring anaesthesiologists.

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