ISSN:0952-7907    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

New devices for cardiopulmonary cerebral resuscitation ate under investigation. To increase perfusion pressures and blood flow during cardiopulmonary cerebral resuscitation, a hand-held suction device for active compression-decompression has shown promising preliminary results. Circumferential compression of the chest by use of a pneumatic vest and interposed abdominal compression could also contribute to enhanced blood flow. High-dose adrenaline application remains controversial. Implementation of a prehospital do-not-resuscitate programme is possible. Such a programme may help to respect the patient's will, and to reduce costs near the end of life.

ISSN:0952-7907    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Prehospital trauma care is a very controversial area. The system used in the USA by paramedics is based on the 'scoop and run' theory, which considers prehospital advanced trauma life support to be a waste of time. In many European countries, on the other hand, advanced trauma life support is mandatory. The question of which of these systems is the better remains a issue of debate. In common with all complex medical controversies there is no straightforward answer; the best system of prehospital trauma care is probably not limited to either of these extremes.

ISSN:0952-7907    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Preventing and treating cerebral ischaemia is the most important goal in the acute management of head-trauma patients. Prevention of cerebral ischaemia may be achieved through carrying out initial assessment and resuscitation according to life support principles at the site of the accident. Current treatment is based on a pathophysiological approach aiming to ensure adequate cerebral oxygen delivery. Recent research into biochemical disorders such as acidosis, lipid peroxidation, and toxicity of neurotransmitters has resulted in new perspectives on therapy.

ISSN:0952-7907    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

If appropriately implemented, new diagnostic and therapeutic interventions for thoracic injury can reduce preventable death and disability. A global trauma epidemic increasingly involves anesthesia critical care specialists in the prehospital, emergency, intraoperative, and intensive care of victims of blunt and penetrating thoracic injury.

ISSN:0952-7907    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Identification of 'silver bullets' in trauma care continues to be elusive. The positive effects of hypertonic resuscitation fluids — improved mortality, macro and micro hemodynamics, and reduction of cerebral edema — in animal models is equivocal in adult human series and untested in children. No single intervention has yet reduced morbidity in brain injury. Breakthroughs appear close but will require validation in children.

ISSN:0952-7907    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Management of the patient with hypovolaemic shock remains a difficult challenge, especially when hypovolaemia is associated with severe trauma. The mortality and morbidity among these critically ill and often young patients can be reduced significantly by optimal management. This should include rapid surgical control of the bleeding source, early detection and correction of tissue hypoxia by increasing oxygen delivery and consumption, and attenuation of the traumatic neural response and inflammatory reaction by adequate analgesia and early operative repair.

ISSN:0952-7907    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Care of the severely burned patient is multidisciplinary. Nevertheless, the initial management of these critically ill victims, which has a major effect on the final outcome, is in the hands of anaesthesiologists. Recent publications have focused mainly on the importance of early adequate resuscitation and monitoring, which aim to improve the management of initial haemodynamic disturbances. The understanding of the role of systemic inflammatory response mediators, such as cytokines, could induce new therapeutic perspectives. Many studies of the effect and the management of smoke inhalation injury are also of special interest for optimization of the outcome. Specific problems during general anaesthesia linked with precarious status or bleeding during surgery have been investigated. Thus in the near future, with the improvement of early intensive therapy and the developments of effective skin substitutes, the prognosis of even the most critically burned victims could be markedly better.

ISSN:0952-7907    

出版商:OVID    

年代:1995

数据来源: OVID