E-Book Overview
In modern medicine the most functional methodologies are taking an increasing importance in spreading informations, rendering it credible while at the same time using reliable data to focus interaction between basic science and clinical medicine. Critical care medicine embraces these needs and more than any other discipline thrives and develops thanks to interdisciplinary contact. APICE 2004 has been organised to provide precise answers to these issues. In particular, considerable emphasis has been given to the reviews regarding the most important aspects - or the most significant clinical developments - in the sectors involving variety of functions: neurological, respiratory and cardiovascular, gastrointestinal, metabolism and perfusion; trauma infections, sepsis and organ failure; perioperative medicine and life support techniques; information technology dedicated to clinical medicine, but also as a means of information and education. The contributing authors are all part of leading research groups at the international level in the various sectors presented in the volume.
E-Book Content
A. Gullo (Editor) Anaesthesia, Pain, Intensive Care and Emergency – A.P.I.C.E. Proceedings of the 19 th Postgraduate Course in Critical Care Medicine Trieste, Italy - November 12 - 15 , 2004
A. Gullo (Editor)
Anaesthesia, Pain, Intensive Care and Emergency A.P.I.C.E. Proceedings of the 19th Postgraduate Course in Critical Care Medicine Trieste, Italy – November 12-15, 2004
Springer
ANTONINO GULLO, M.D. Head, Department of Perioperative Medicine, Intensive Care and Emergency Trieste University School of Medicine Trieste, Italy
Library of Congress Control Number: 2004115099
ISBN 88-470-0288-5 Springer Milan Berlin Heidelberg New York
This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication 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. Violations are liable to prosecution under the Italian Copyright Law.
Springer is a part of Springer Science+Business Media springeronline.com © Springer-Verlag Italia 2005 Printed in Italy 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. Cover design: Simona Colombo, Milan, Italy Typesetting and printing: Arti Grafiche Stella, Trieste, Italy
V
Table of Contents
ADVANCES IN CRITICAL CARE Chapter 1 – Effects of body position on ventilation/perfusion matching G. HEDENSTIERNA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
Chapter 2 – Chest Pain F. SCHIRALDI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
Chapter 3 – The electrocardiogram in the emergency department F. SCHIRALDI, F. PALADINO, E.G. RUGGIERO . . . . . . . . . . . . . . . . . . . . . .
27
Chapter 4 – The use of imaging to resolve difficult diagnoses V. CIOFFI, L. CALDERAN, M. COVA . . . . . . . . . . . . . . . . . . . . . . . . . .
37
Chapter 5 – Assessment of Pain D. CARISTI, A. GALZERANO, M. PIVA . .