ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Studies examining alternate methods of cardiopulmonary resuscitation, alternatives to bicarbonate and epinephrine, and the use of end-tidal carbon dioxide to monitor the effectiveness of resuscitation predominated in the past year's resuscitation literature.

ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

The initial management of traumatic injuries is of interest to the anesthesiologist, the surgeon, and the emergency physician. A review of recent information on field management issues, long-distance transport of critically ill patients, acute care of pediatric trauma victims, and airway management in victims with suspected cervical spine injuries will be presented, with special attention given to publications from the last 18 months.

ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Despite major advances in fluid resuscitation, several related topics continue to generate intense research interest. Recent animal and human data of clinical interest pertain to the effects of orthostatic challenge on systemic hemodynamics, trauma-induced changes in the distribution of sodium and water, selection of colloid versus non-colloid fluids, use of hyperosmotic resuscitation fluids, administration of oxygen-carrying red cell substitutes, and the use of sodium bicarbonate in the management of systemic acidosis.

ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Selection of safe blood donors continues to be an essential element in transfusion medicine. A great improvement is the test for hepatitis C virus antibodies. Removal of leucocytes from red cell and platelet preparations reduces refractoriness to platelet transfusion and the risk of virus transmission. Autologous transfusion is useful in elective surgery but requires an effective organization.

ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

The advances in the pathophysiology of shock revolve around further understanding of mediators and their interactions with tissue. Therapeutically blocking these mediators and recruitment of interstitial volume into the intravascular compartment are the major advances.

ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

This article focuses on quality of initial care, particularly immediate airway control and fluid therapy. The dangers of hypoxia combined with trauma in head injuries are emphasized as are the risks involved in patient transport, both between and inside hospitals. Secondary brain damage post-injury is largely a question of multifocal ischaemia; specific protective measures are also reviewed.

ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

The molecular basis of injury is a major focus of study in the 1990s. In the area of burn care, the roles of mediators and mediator antagonists in the pathogenesis of tissue and pulmonary edema, hypermetabolism and infection are being actively investigated in an effort to develop new approaches to resuscitation and care.

ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID

ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Cytokines are mediators released by inflammatory cells in response to injury or infection which play a major role in the onset of the acute-phase response and in the stimulation of host defense mechanisms. Among these substances, tumor necrosis factor seems to be intimately involved in exacerbating the host response leading to septic shock. Its unique pivotal role, however, remains a matter of debate. High levels of other cytokines such as interleukin-1, interferons or colony-stimulating factors are not found in the serum of patients in sepsis, except interleukin-6, the levels of which could be correlated with the severity of the illness.

ISSN:0952-7907    

出版商:OVID    

年代:1991

数据来源: OVID