1,721,136 research outputs found
Problematiche anestesiologiche.
il paziente anziano con frattura di femore costituisce per l’anestesista una occasione importante per mettere a punto molte tematiche di competenza , dalla valutazione del rischio e delle coomorbilità preoperatorie all’impiego di tecniche di anestesia , di monitoraggio e di trattamento intensivo evolute e successivamente di valutazione di qualità della cura che rispettino le regole fondamentali della medicina dell’evidenza
Surfactant therapy for acute respiratory failure after drowning: two children victim of cardiac arrest.
This report suggest that surfactant therapy may
improve respiratory function in drowning victims and its early use,
together with prompt induction of hypothermia, may have contributed
to the high-quality neurological survival of one of these
two childre
Combined metabolic parameters and gas exchange to predict morbidity after extracorporeal circulation.
Combined gas exchange and pulse wave monitoring for detecting anaerobic metabolism in critically ill patients.
Influence of Cardiovascular Risk Factors on Aortic Wall Motion After Repair of Type A Aortic Dissection: An Electrocar- diography-Gated Computed Tomography Study
Background: We aimed to evaluate size changes of the thoracic aorta during the cardiac cycle with dynamic computed tomographic angiography (CTA) at specific anatomic landmarks in patients who previously under- went ascending aorta repair because of type A dissec- tion, and to correlate aortic wall motion with several cardiovascular risk factors. Methods: From December 2008 to December 2010, 18 patients (14 men and 4 women, mean age 64 12 years) with previous aortic repair underwent electrocardiography-gated CTA fol- low-up. Aortic systolic and diastolic diameter and cross-sectional area were measured at 4 levels: 1 cm proximal (level A) and 1 (B), 3 (C), and 10 cm (D) distal to the origin of the left subclavian artery. Results were assessed according to age and presence of diabetes, hypertension, and smoking. Results: This morpho-functional evaluation of aortic wall motion demonstrated a significant influence (P < 0.05) of hy- pertension at level A and D and diabetes at level D. Smoking had a borderline significance at level C and D. No significant correlation with age was evident, with results not significantly different in patients < 55 and > 55 years. Conclusions: Smoking, diabetes, and hyper- tension play a role in impairing aortic size variations. These variations might predict wall structural altera- tions due to cardiovascular risk factors before they
become morphologically evident. This might influence timing of surveillance following repair of acute dissec- tion, allowing it to be specifically tailored for any single
subject
The Pressure Recording Analytical Method (PRAM):Technical Concepts and Systematic Review
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