By W. A. Zin (auth.), Prof. Antonino Gullo M.D. (eds.)
The finish of the second one millenium is distinct for the expanding curiosity within the box of severe care drugs, not just between physicians and scientific scientists but in addition at the a part of the mass media. this can be an interdisciplinary zone of medication drawing upon the specialties of anesthesiology, inner drugs and surgical procedure, and depending upon the fundamental contributions and help from easy examine. Advances in severe care drugs rely on the applying of recent applied sciences to the medical institution, the entire integration of pcs and informatics, the continuous education of physicians and technicians, and the respect of moral concerns within the medical atmosphere. inside of this advanced landscape of complementary ways and viewpoints, it really is obvious that severe care medication is likely one of the most sensible examples of evidence-based medicine.
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Extra info 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
Carlon GC, Ray C, Klein R et al (1988) Capnography in mechanically ventilated patients. Crit Care Med 16:550-556 Lung Function Evaluation by Capnography 55 19. Clark JS, Votteri B, Ariano RL et al (1992) Noninvasive assessment of blood gases. Am Rev Respir Dis 145:220-232 20. Gudipati CV, Weil MH, Bisera J et al (1988) Expired carbon dioxide: a noninvasive monitor of cardiopulmonary resuscitation. Circulation 77:234-239 21. Hatle L, Rokseth R (1974) The arterial to end-expiratory carbon dioxide tension gradient in acute pulmonary embolism and other cardiopulmonary diseases.
Technical aspects Capnometry is the technique which supplies digital, that is numerical, values of the carbon dioxide partial pressure throughout the respiratory cycle. Capnography, on the other hand, is the continuous graphical representation of the CO2 concentration (ordinate axis) expressed as a function of time (abscissa). If values of expired volume are expressed on the abscissa, the result is volumetric capnography. A capnograph is the instrument which provides the measurement of the concentrations of CO 2 in digital form and allows their contemporaneous graphic (analogic) visualization in real time.
BRIENZA Pulmonary hypertension (PH) is the consequence of either acute or chronic diseases resulting in the loss of the low pressure-high flow characteristics of pulmonary circulation. 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.
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.)