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By Arthur Cronwright Aspiring to best practice always
Timothy J Bristle, Shawn Collins, Ian Hewer, Kevin Hollifield
Mechanical ventilators have evolved from basic machines to complicated, electronic, microprocessing engines. Over the last 2 decades, ventilator capabilities and options for critical care and anesthesia ventilators have rapidly advanced. These advances in ventilator modalities--in conjunction with a better understanding of patient physiology and the effects of positive pressure ventilation on the body--have revolutionized the mechanical ventilation process. Clinicians today have a vast array of mechanical ventilator mode options designed to match the pulmonary needs of the critically ill and anesthetized patient...
October 2014: AANA Journal
Saman Arbabi
No abstract text is available yet for this article.
May 2015: Shock
Amelia Pickard, Walter Karlen, J Mark Ansermino
Capillary refill time (CRT) is widely used by health care workers as part of the rapid, structured cardiopulmonary assessment of critically ill patients. Measurement involves the visual inspection of blood returning to distal capillaries after they have been emptied by pressure. It is hypothesized that CRT is a simple measure of alterations in peripheral perfusion. Evidence for the use of CRT in anesthesia is lacking and further research is required, but understanding may be gained from evidence in other fields...
July 2011: Anesthesia and Analgesia
Jodie Crook, Rachel M Taylor
OBJECTIVES: To determine the agreement of fingertip and sternum capillary refill time (CRT) in children. DESIGN: Prospective, method-comparison study. SETTING: Single children's emergency department, UK PARTICIPANTS: 92 children aged 0-12 years, with clinical observations within normal ranges for their age, no relevant medical history and presenting to hospital with a minor illness or injury. MAIN OUTCOME MEASURES: Agreement between fingertip and sternum CRT measurements...
April 2013: Archives of Disease in Childhood
Virginia Harvey, Jeanmarie Perrone, Patrick Kim
No abstract text is available yet for this article.
April 2014: Annals of Emergency Medicine
Katharine Ker, Ian Roberts
No abstract text is available yet for this article.
2014: BMJ: British Medical Journal
Roland Couturier, Stanislas Grassin-Delyle
No abstract text is available yet for this article.
August 2014: Anesthesia and Analgesia
E Kirkman, S Watts
Trauma is the leading cause of death during the first four decades of life in the developed countries. Its haemodynamic response underpins the patient's initial ability to survive, and the response to treatment and subsequent morbidity and resolution. Trauma causes a number of insults including haemorrhage, tissue injury (nociception) and, predominantly, in military casualties, blast from explosions. This article discusses aspects of the haemodynamic responses to these insults and subsequent treatment. 'Simple' haemorrhage (blood loss without significant volume of tissue damage) causes a biphasic response: mean arterial blood pressure (MBP) is initially maintained by the baroreflex (tachycardia and increased vascular resistance, Phase 1), followed by a sudden decrease in MAP initiated by a second reflex (decrease in vascular resistance and bradycardia, Phase 2)...
August 2014: British Journal of Anaesthesia
Yun Hee Kim, Dong Jun Kim, Woon Young Kim
No abstract text is available yet for this article.
February 2015: Journal of Anesthesia
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