Anesthesiology and Clinical Science Research最新文献

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Hypothermia therapy as an adjuvant therapy for severe ARDS 低温治疗作为严重急性呼吸窘迫综合征的辅助治疗
Anesthesiology and Clinical Science Research Pub Date : 1900-01-01 DOI: 10.35841/ANESTHESIOLOGY.3.1.1-4
L. Ek
{"title":"Hypothermia therapy as an adjuvant therapy for severe ARDS","authors":"L. Ek","doi":"10.35841/ANESTHESIOLOGY.3.1.1-4","DOIUrl":"https://doi.org/10.35841/ANESTHESIOLOGY.3.1.1-4","url":null,"abstract":"The management of severe ARDS (Adult respiratory distress syndrome) when maximal ventilator support fails has always been a challenge in places whereby Extracorporeal membrane oxygenation (ECMO) service may not be easily available or it may not be an option. Hypothermia therapy as a main mode of therapy for ARDS had been explored before but the result so far has not been convincing though Villar, had reported some success with hypothermic therapy for patients in 1993 but so far there have been a few recent trials that suggest otherwise. There are however a few case reports that had showed improvement in patients with severe ARDS refractory to other modes of conventional therapies. We would like to share the reports of 2 young males with severe ARDS from community and hospital acquired pneumonia with PaO2/ FiO2 ratio below 100 that was on maximal AC/VC ventilator support of FiO2 of 100% with sedation and muscle relaxants. These 2 patients received adjuvant hypothermia therapy for 24 hours before they were gradually rewarmed to 37°C and weaned off ventilator support over the next 2 weeks. They recovered fully from their pneumonia and were subsequently discharged from the hospital.","PeriodicalId":190630,"journal":{"name":"Anesthesiology and Clinical Science Research","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126534641","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: 0
Sudden unanticipated difficult airway 突发意外气道困难
Anesthesiology and Clinical Science Research Pub Date : 1900-01-01 DOI: 10.35841/ANESTHESIOLOGY.3.1.12
U. Hariharan
{"title":"Sudden unanticipated difficult airway","authors":"U. Hariharan","doi":"10.35841/ANESTHESIOLOGY.3.1.12","DOIUrl":"https://doi.org/10.35841/ANESTHESIOLOGY.3.1.12","url":null,"abstract":"","PeriodicalId":190630,"journal":{"name":"Anesthesiology and Clinical Science Research","volume":"488 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130451989","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: 1
Management of traumatic brain injury in the intensive care unit: A useful mnemonic and a review of the literature 在重症监护室的创伤性脑损伤的管理:一个有用的记忆和文献回顾
Anesthesiology and Clinical Science Research Pub Date : 1900-01-01 DOI: 10.35841/ANESTHESIOLOGY.3.1.8-11
T. Ku
{"title":"Management of traumatic brain injury in the intensive care unit: A useful mnemonic and a review of the literature","authors":"T. Ku","doi":"10.35841/ANESTHESIOLOGY.3.1.8-11","DOIUrl":"https://doi.org/10.35841/ANESTHESIOLOGY.3.1.8-11","url":null,"abstract":"Traumatic brain injury (TBI) accounts for about 30-50% of all trauma-related deaths with a male predominance. It can be classified on the basis of neurological assessment using Glasgow Coma Score into, mild (13/15), moderate (9-12/15) and severe (3-8/15). Moderate to severe TBI often require admission to the Intensive care unit (ICU). Mnemonics have been found to be useful in remembering systematic management of clinical conditions especially for the young and inexperienced physician. This is an attempt to provide a useful mnemonic, “HEAD” for the management of TBI in the ICU.","PeriodicalId":190630,"journal":{"name":"Anesthesiology and Clinical Science Research","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125107776","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: 0
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