By M. Goulon (auth.), Prof. Antonino Gullo M.D. (eds.)
The administration of the seriously unwell sufferers has been some time past few years a self-discipline on the vanguard of improvement which keeps to make growth with the aid of simple and scientific study. This paintings is a suite of fabric that bargains with the administration of seriously sick sufferers, released at the celebration of the thirteenth APICE congress in November 1998, which celebrated forty years of severe Care Medicine.
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Extra resources for Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.: Proceedings of the 13th Postgraduate Course in Critical Care Medicine Trieste, Italy — November 18–21, 1998
Is there an ischaemialreperfusion injury (IIRI) after shock in the entire patient. Certainly there is regional IIRI (lower part of the body with aneurysm operations) and isolated organ IIRI (heart, intestine, transplanted organs)? 3. There seems to be biologic self destruction from an overwhelming inflammatory response (the Horror Autoxicus). How? Why? 4. Can we control the inflammatory process which is necessary for healing without doing harm to the patient? 5. Biologic conundrums with serious inflammation - cytokines are necessary and cytokines are destructive.
Christou et al. provided a 20-year follow-up of 4,292 surgical patients in which they studied the delayed type hypersensitivity (DTH) skin test . They found that overall hospital surgical mortality fell over the year due to improved preoperative, intraoperative and postoperative care. However, there was no change in mortality of patients who required intensive care. Offner et al. D. E. Baue and outcomes over the past five years in a trauma center in Denver . They found that the annual incidence of post-injury MOF and MOF case mortality did not change significantly over the five-year period.
Baue AE, Baue RD (1996) Ethics in critical care medicine. Medical decision making in critical care - a patient as a person. In: Gullo A (ed) Anaesthesia, pain, intensive care and emergency medicine. Springer, Berlin Heidelberg New York, pp 969-974 3. Harron F, Burnside J, Beauchamp T (1983) Health and human values: a guide to making your own decisions. Yale University, New Haven 4. Levine H (1986) Life choices: confronting the life and death decisions created by modem medicine. Simon & Schuster, New York 5.