Read e-book online 6th International Symposium on Intensive Care and Emergency PDF

By A. F. Junod (auth.), Dr. J. L. Vincent (eds.)

ISBN-10: 3540165088

ISBN-13: 9783540165088

ISBN-10: 3642828019

ISBN-13: 9783642828010

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Read Online or Download 6th International Symposium on Intensive Care and Emergency Medicine: Brussels, Belgium, April 15–18, 1986 PDF

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Extra resources for 6th International Symposium on Intensive Care and Emergency Medicine: Brussels, Belgium, April 15–18, 1986

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Boysen 3-5 minutes. This change in arterial oxygen tension results in severe arterial oxygen desaturation and the consequences of hypoxemia. During asphyxia, then, even without aspiration of foreign material into the airway, there must be rapid reversal of the subsequent hypoxemia to prevent mortality or irreversible cerebral damage. This emphasizes the need for immediate initiation of resuscitative efforts for the near-drowned patient at the scene of the accident. The cardiovascular consequences of asphyxia can be viewed in a number of different ways.

Mediators and Predictors in Posttraumatic Lung Failure 29 Table 1. OI The importance of PMN stimulation and accumulation is corroborated by our study with Goris et al. [12], where the levels of circulating granulocyte elastaseproteinase inhibitor correlated well with the injury severity (Table 1). The neutrophil elastase appears to be the best predictor of ARDS, which persisted also after 24 hours. Elastase correlates also with the severity of injury (injury severity score - ISS) as well as with the occurrence and severity of the multiple organ failure syndrome (MOF) according to Goris et al.

Conclusion In the evaluation of the likelihood of lung injury a history of predisposing factors is of paramount importance. Lung injury may occur in the absence of any change in symptoms, signs, chest radiographs or in any of the traditional respiratory function tests. The most sensitive new test of lung injury appears to be a change in clearance rate from lung to blood of 99mTcDTPA. This test supplemented by a measure of aggregation of labelled protein in the lung seems to be the simplest, quickest and least invasive method of producing precise information about lung injury.

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6th International Symposium on Intensive Care and Emergency Medicine: Brussels, Belgium, April 15–18, 1986 by A. F. Junod (auth.), Dr. J. L. Vincent (eds.)


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