摘要:

To solve the problem of data management, a digital computer was introduced in this ICU in 1977. Data are manually entered at the bedside alpha-numeric keyboards; two beds are directly connected to the computer. The system was especially designed to work in the 11-bed ICU; its functions are: (1) admission, discharge, and transfer data of patients; (2) management of doctors' and nurses' notes in a free text form; (3) management of the problem-oriented record; (4) management of physical and bio chemical variables, medical disorders, and fluid balance; and (5) diagnostic and therapeutic decision-making.Since 1977, the authors have computerized over 2600 patients and now conclude: (1) data management and communication have improved, thus, allowing nurses more time for direct patient care; (2) teaching of the residents and nurses has been facilitated and minimizes disparities from their diverse experience; (3) it has contributed to the development of protocols for many of the procedures; and (4) it has led to a more systematic approach to patient care. The assistance of a professional computer programmer and continuous maintenance of the software are essential.

ISSN:0090-3493    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

In the present study, the highest success rate in suctioning of the left main bronchus was achieved when curved-tip catheters of both Portex (40%) (Portex Limited, Hythe, Kent, England) and Rüsch (50%) (Willy Rüsch Gmph & Co. KG, West-Germany) were inserted with the patient's head in the midline position. The second most successful rate in reaching the left main stem bronchus occurred when the head was turned to the right using straight catheters of both Portex (31%) and Rüsch (29%). The third but lesser success rate in suctioning the left main stem bronchus was achieved with the head turned to the right, using curved-tip catheters of both Portex (25%) and Rüsch (23%). The lowest success rate in suctioning the left main stem bronchus was with the head in the midline position using straight catheters of both Portex (19%) and Rüsch (15%). The possible factors which influence success or failure in introducing suction catheters into the bronchi selectively were discussed.

ISSN:0090-3493    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

In most breathing circuits, ventilation of a patient requires some device to occlude the expiratory limb during inflation. Usually one or another modification of a mushroom exhalation valve is employed. Such valves are found in the Bourns Bear 1 ventilator, the Bennett MA-1 and MA-2 ventilators, and the Emerson postoperative ventilator, as well as in the Frumen valve for manual ventilation. Recently, the authors observed a defect that might cause permanent occlusion, raising the patient's airway pressure to the level of the limiting safety pop-off and effectively applying a prolonged Valsalva maneuver without ventilation. The defect responsible for this malfunction was a half-centimeter laceration in the mushroom valve. Although the defect occurred on a Bourns Bear 1 ventilator, the authors were able to reproduce it on other ventilators of different manufacturers.

ISSN:0090-3493    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

Thirty-five investigators representing the fields of anatomy, anesthesiology, biophysics, chest medicine, nuclear medicine, pathology, physiology, radiology, and surgery met to discuss the current status and future direction of the measurement of extravascular lung water. This report was prepared by the co-organizers and reviewed by the four session chairmen.

ISSN:0090-3493    

出版商:OVID    

年代:1980

数据来源: OVID

ISSN:0090-3493    

出版商:OVID    

年代:1980

数据来源: OVID

ISSN:0090-3493    

出版商:OVID    

年代:1980

数据来源: OVID

ISSN:0090-3493    

出版商:OVID    

年代:1980

数据来源: OVID

ISSN:0090-3493    

出版商:OVID    

年代:1980

数据来源: OVID

ISSN:0090-3493    

出版商:OVID    

年代:1980

数据来源: OVID