European journal of anaesthesiology. Supplement最新文献

Near-infrared spectroscopy (NIRS) in a piglet model: readings are influenced by the colour of the cover 小猪模型中的近红外光谱(NIRS):读数受到封面颜色的影响

European journal of anaesthesiology. Supplement Pub Date : 2017-01-01 DOI: 10.26226/morressier.58f5b033d462b80296c9dcca

N. G. Clausen, N. Spielmann, S. Ringer, M. Weiss

引用次数: 0

Acute Normovolemic hemodilution during CABG induces diastolic dysfunction: A perioperative transesophageal echocardiographic study 冠脉搭桥期间急性等容血稀释诱导舒张功能障碍:围手术期经食管超声心动图研究

European journal of anaesthesiology. Supplement Pub Date : 2011-06-01 DOI: 10.1097/00003643-201106001-00168

M. Momeni, M. Dyck, F. Aranda, C. Watremez

引用次数: 1

Clinical sedation and bispectral index in burn children receiving gamma-hydroxybutyrate. 烧伤儿童服用γ -羟基丁酸酯的临床镇静和双谱指数。

European journal of anaesthesiology. Supplement Pub Date : 2011-06-01 DOI: 10.1097/00003643-201106001-00483

A. Rousseau, N. Sabourdin, P. Richard, D. Ledoux, P. Damas, I. Constant

引用次数: 2

EuroNeuro 2010. Abstracts of the 6th EuroNeuro Congress. Porto, Portugal. February 4-6, 2010. EuroNeuro 2010。第六届欧元大会摘要。葡萄牙的波尔图街头。2010年2月4日至6日。

European journal of anaesthesiology. Supplement Pub Date : 2010-01-01 DOI: 10.1097/01.EJA.0000369255.15912.5b

引用次数: 0

End-of-life decision-making in the United States. 美国的临终决策。

European journal of anaesthesiology. Supplement Pub Date : 2008-01-01 DOI: 10.1017/S0265021507003419

R D Truog

{"title":"End-of-life decision-making in the United States.","authors":"R D Truog","doi":"10.1017/S0265021507003419","DOIUrl":"https://doi.org/10.1017/S0265021507003419","url":null,"abstract":"Decision-making at the end-of-life in the United States has evolved over the last 50 yr, beginning with the development of the concept of brain death as a criterion for permitting patients who are in a state of 'irreversible coma' to be considered as 'dead' for purposes of ventilator withdrawal and organ transplantation. Since then, a firm consensus has emerged in American law and ethics that 'Patients have a virtually unlimited right to refuse any unwanted medical treatment, even if necessary for life itself.' With regard to patients who are unable to make decisions for themselves, both Europe and the United States are converging toward a view that respects a role for surrogates in decision-making while recognizing the need to limit their authority. Beyond decisions to withdraw and withhold treatments, both the United States and Europe are experimenting with active hastening of the dying process through euthanasia and physician-assisted suicide. In the author's opinion, the next big question to be addressed in end-of-life decision-making is 'Just how bad does the neurological condition and prognosis need to be before it is acceptable to allow a decision to withdraw life support'? Although the practices described here have wide acceptance throughout the United States and Europe, the worldwide emergence of religious fundamentalism and the associated vitalistic view about the sanctity of life may result in significant changes over the next few decades.","PeriodicalId":11873,"journal":{"name":"European journal of anaesthesiology. Supplement","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0265021507003419","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27277683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 29

Therapeutic approaches to reduce systemic inflammation in septic-associated neurologic complications. 减少败血症相关神经系统并发症全身性炎症的治疗方法。

European journal of anaesthesiology. Supplement Pub Date : 2008-01-01 DOI: 10.1017/S0265021507003444

M L Wratten

{"title":"Therapeutic approaches to reduce systemic inflammation in septic-associated neurologic complications.","authors":"M L Wratten","doi":"10.1017/S0265021507003444","DOIUrl":"https://doi.org/10.1017/S0265021507003444","url":null,"abstract":"Summary Treatment of severe sepsis and septic shock often focuses on resolving immediate life‐threatening problems related to infection (source control, antibiotics) and providing circulatory, ventilatory and other organ support. Neurologic complications, such as sepsis‐associated encephalopathy, frequently occur in septic patients and are associated with higher mortality and long‐term complications. As case fatalities and overall mortality continue to decline, long‐term cognitive problems are becoming more common among survivors. Although the aetiology of septic encephalopathy has not been clearly established, systemic inflammation appears to play a key role in altering both the blood‐brain barrier permeability and amplifying the inflammatory response. Several new therapies are now aimed at reducing systemic inflammation. These may eventually play a role in reducing neurologic complications related to the acute pathophysiology of sepsis and may be able to reduce early cerebral dysfunction with the goal of reducing long‐term neurologic complications. Coupled plasma filtration adsorption is an extracorporeal therapy aimed at the non‐specific removal of cytokines and mediators involved in systemic inflammation and immune suppression by the use of plasma filtration coupled to an adsorbent resin cartridge with high affinity for many cytokines and mediators. Several cytokines that are removed by coupled plasma filtration adsorption have also been implicated in blood‐brain barrier permeability, leucocyte recruitment and amplification of the inflammatory response. Current studies are ongoing to determine whether treatments such as coupled plasma filtration adsorption may also be beneficial in reducing long‐term neurologic complications.","PeriodicalId":11873,"journal":{"name":"European journal of anaesthesiology. Supplement","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0265021507003444","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27277738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 24

Phrenic nerve stimulation. 膈神经刺激。

European journal of anaesthesiology. Supplement Pub Date : 2008-01-01 DOI: 10.1017/S0265021507003377

I Shehu, E Peli

引用次数: 12

Long-term outcome of serious traumatic brain injury. 严重外伤性脑损伤的长期预后。

European journal of anaesthesiology. Supplement Pub Date : 2008-01-01 DOI: 10.1017/S0265021507003432

R Ll Wood

引用次数: 39

The discovery of critical illness polyneuropathy. 重症多发性神经病的发现。

European journal of anaesthesiology. Supplement Pub Date : 2008-01-01 DOI: 10.1017/S0265021508003530

C F Bolton

{"title":"The discovery of critical illness polyneuropathy.","authors":"C F Bolton","doi":"10.1017/S0265021508003530","DOIUrl":"https://doi.org/10.1017/S0265021508003530","url":null,"abstract":"In 1892 Osler described 'rapid loss of flesh' in prolonged sepsis. Thereafter, for years, limb weakness was attributed to cachectic myopathy, and difficulty weaning from mechanical ventilation was attributed to diaphragmatic fatigue. In 1961 Mertens described 'coma-polyneuropathies', and in 1971 Henderson and colleagues described polyneuropathy in patients with burns. In 1984 Bolton and colleagues, in a series of reports, defined the clinical, electrophysiological and morphological features of septic encephalopathy and critical illness polyneuropathy. Evidence suggested that polyneuropathy was due to the 'toxic' effects of sepsis. Polyneuropathy was a common cause of difficulty in weaning when lung and cardiac cause had been excluded. Since 1984, cases of critical illness polyneuropathy have been reported from several countries. Moreover, a number of investigators reported instances of critical illness myopathy. Comprehensive studies by Latronico and colleagues indicated that polyneuropathy and myopathy often occurred together in the same patient. With successful treatment of sepsis, improvement often occurred in encephalopathy, polyneuropathy and myopathy, except in very severe cases.","PeriodicalId":11873,"journal":{"name":"European journal of anaesthesiology. Supplement","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0265021508003530","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27277616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 19

Role of the specialized neuro intensive care nurse in neuroscience research. 神经特护护士在神经科学研究中的作用。

European journal of anaesthesiology. Supplement Pub Date : 2008-01-01 DOI: 10.1017/S0265021507003225

D A Chatfield

{"title":"Role of the specialized neuro intensive care nurse in neuroscience research.","authors":"D A Chatfield","doi":"10.1017/S0265021507003225","DOIUrl":"https://doi.org/10.1017/S0265021507003225","url":null,"abstract":"It is widely acknowledged that the quality of research is greatly improved when nurses are involved at the investigators' site. Many papers highlight the knowledge, skills and expertise required by nurses for the conduct of trials. The known skills include reliability, organization, communication, motivation, self-discipline and critical thought. The responsibilities of nurses in the conduction of research trials are wide ranging from the collection and recording of data, recruitment and screening of patients, ensuring informed consent has been gained, randomization of drugs, the follow-up of patients to development and training for staff to the required international standards. In the past, clinical research nurses have been considered as data collectors by their peers, due to the lack of knowledge of the true extent of the role of the clinical research nurse. The rise in popularity of the role and the publication of an employment brief for clinical research nurses by the Royal College of Nursing (RCN) and the UK Clinical Research Collaboration (UKCRC) publication on 'Developing the best research professionals' has readdressed this prior imbalance; recognizing in detail their role, knowledge, skills, expertise with appropriate grading and remuneration. The role of the clinical research nurse in the neuroscience setting is equally as diverse with the added requirement of a higher level of knowledge and understanding of the pathophysiology of neurological diseases and specific skills required to work in the intensive care environment. This paper will attempt to explore the role of the specialized neurosciences intensive care nurse and the relationship with high-quality neuroscience research.","PeriodicalId":11873,"journal":{"name":"European journal of anaesthesiology. Supplement","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0265021507003225","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27277990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4