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The interest of researchers, clinicians, practitioners and surgeons in critical care medicine is growing. Clinical pharmacology and new technologies now allow more appropriate therapies, and the commitment of all those involved in this field is of fundamental importance for reaching high interventional standards, in both the prevention and treatment of critical conditions, but also for satisfying the concept of cost-effectiveness in critical care. In this volume advances in critical care medicine are described, including the application of new technologies in the clinical setting, the full integration of computers and informatics, and the continual training of physicians and technicians.
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Springer-Verlag Italia Sri. A. Gullo (Ed.) Anaesthesia, Pain, Intensive Care and Emergency Medicine- A.P.I.C.E. Proceedings of the 15th Postgraduate Course in Critical Care Medicine Trieste, Italy- November 17-21, 2000 Springer Prof. ANroNINO GULLO, M.D. Head, Department of Anaesthesiology and Intensive Care Trieste University School of Medicine Trieste, Italy Library of Congress Cataloging-in-Publication Data: Applied for e Springer-Verlag Italia 2001 Originally published by Springer-Verlag Italia, Milano in 2001 ISBN 978-88-470-0136-7 ISBN 978-88-470-2903-3 (eBook) DOI 10.1007/978-88-470-2903-3 This work is subject to copyright. Ali rights are reserved, whether the whole or part of the material is concemed, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplications of this publication or parts thereof is permitted only under the provisions of the Italian Copyright Law in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecution under the Italian Copyright Law. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Printed: Tipografia-Litografia «Moderna» - Trieste, ltaly SPIN 10789923 Table of Contents ANAESTHESIA AND CRITICAL CARE: TECHNOLOGY AND STANDARDS OF CARE c. PARSLOE .................................................................................................................................. 25 CARDIOVASCULAR Experimental Models in Hemodilution D.T. FANTONI, D.A. OrSUKI, AND J.O.C. AULER JR.................................................................... 41 New Insight Into the Role of Microcirculation in Shock G.P. NOVELLI............................................................................................................................... 53 The Electrocardiogram B. ALLARIA, M. DEI Pou, AND M. FAVARO................................................................................. 61 Myocardial Contractility. Mechanism - Diagnosis - Therapy. Focus in General Anesthesia - Linked Problems R. MUCHADA................................................................................................................................ 69 Hypocynetic and Hypercynetic Arrhythmias: Diagnosis, Management, Prevention A.S. MONTENERO, D. MANGIAMELI, AND P. FRANCIOSA.............................................................. 79 Clinical Applications of the Transpulmonary Thermodilution