New PDF release: Anaesthesia, pain, intensive care and emergency A.P.I.C.E.:

By A. Gullo

ISBN-10: 8847007720

ISBN-13: 9788847007727

ISBN-10: 8847007739

ISBN-13: 9788847007734

Improving criteria of care is a true problem in in depth Care medication. improving scientific functionality, sufferer security, probability 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 a very crowded quarter, a distinct multidisciplinary and multiprofessional setting during 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 22st postgraduate course in critical medicine: Venice-Mestre, Italy - November 9-11, 2007

Sample text

Previous studies have shown a correlation between respiratory variations in POP waveform peaks and arterial systolic pressure [10], demonstrating that decreased preload resulted in waveform variation of the plethysmographic signal similar to the variation observed in the arterial waveform. However, like systolic pressure, POP waveform peaks also depend on the transmission of the intrathoracic pressure. Therefore, POP waveform amplitude analysis should be more accurate. Pulse pressure and POP waveform amplitude are related to stroke volume and vascular tone.

G. w. 7-11 kDa). This has become possible when using microdialysis catheters with large pore membranes and a molecular cut-off of 100,000 Da or higher [12, 13]. Furthermore, microdialysis emerges as a truly unique tool for monitoring the free fraction of drugs in catheters placed in tissues and organs or in the blood using intravenous microdialysis catheters. It becomes possible to evaluate the penetration of drugs over the blood brain barrier both when it is intact and when it is damaged [14] and the extent to which antibiotics, for example, reach an infected organ.

Natalini et al [21] studied patients in intensive care and found that a DPOP threshold value of 15% predicted fluid responsiveness with a positive predictive value of 55% and a negative predictive value of 100%. Feissel et al [20] found that a DPOP value of 14% discriminates between responders and non responders to volume expansion with a sensitivity of 100% and a specificity of 94% in patients in the intensive care unit. Our team studied patients in the operating room and found that a threshold DPOP value of 13% predicted fluid responsiveness with an 80% sensitivity and a 90% specificity [19].

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Anaesthesia, pain, intensive care and emergency A.P.I.C.E.: proceedings of the 22st postgraduate course in critical medicine: Venice-Mestre, Italy - November 9-11, 2007 by A. Gullo


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