Download Anaesthesia, Pain, Intensive Care and Emergency A.P.I.C.E.: by P. Di Giacomo, M. A. De Vita (auth.), Antonino Gullo M.D. PDF

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. improving medical functionality, sufferer defense, hazard administration and audit represents the cornerstone for elevating the standard of care in ICU sufferers. communique is the platform from the place to begin to arrive a consensus in an exceptionally crowded zone, a special multidisciplinary and multiprofessional surroundings during which caliber of care and, finally, sufferer survival have to be ameliorated.

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Additional resources 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

Example text

Bendjelid K, Romand JA (2003) Fluid responsiveness in mechanically ventilated patients: a review of indices used in intensive care. Intensive Care Med 29:352-360 3. Cannesson M, Slieker J, Desebbe O et al (2006) Prediction of fluid responsiveness using respiratory variations in left ventricular stroke area by transoesophageal echocardiographic automated border detection in mechanically ventilated patients. Crit Care 10:R171 4. Michard F, Boussat S, Chemla D et al (2000) Relation between respiratory changes in arterial pulse pressure and fluid responsiveness in septic patients with acute circulatory failure.

In this study, we analyzed DPP and DPOP in 22 mechanically ventilated patients in the intensive care unit. A pulse oximeter was attached to the index or middle finger of either the right or left hand. POP waveforms were recorded using a M3150A monitor (Philips France). The plethysmographic gain factor was held constant throughout the procedure as the bedside monitor enables a choice between manual and automatic gain control. POP waveform amplitude was measured on a beat-to-beat basis as the vertical distance between a peak and the preceding valley of the waveform and was expressed in millimetres.

In such cases, LV diastolic filling is insufficient and LV stroke is reduced. The inadequacy of volume status should be rapidly detected and corrected in patients with sepsis. Indeed, blood volume expansion has been shown to improve prognosis significantly. Evaluation of LV Systolic Function Septic shock has long been considered as hyperkinetic shock. Even if this concept remains largely true, a hypokinetic state of septic shock is now well recognized, as illustrated by a significant decrease in LV systolic function measured by echocardiography.

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