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Continuous update in critical care medicine is a real challenge due to the growing dimensions of its contents; these elements are the result of new research acquisitions, and of those clinical situations where the physician is able to intervene at a given moment, with the use of effective prevention techniques. They are also the result of new technologies able to define complex sub-clinical diagnostic aspects; lastly, they are the result of effective therapeutic techniques available, and of treatment strategies able to influence radically and positively the patient's clinical course. Critical care medicine is playing a key role in the most advanced environments, as it represents a cross-sectional field of action, involving several specialties, such as anesthesiology, general medicine, surgery, pediatrics.
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Springer Milano Berlin Heidelberg New York Hong Kong London Paris Tokyo
A. Gullo (Ed.) Anaesthesia, Pain, Intensive Care and Emergency Medicine - A.P.I.C.E. Proceedings of the
18th Postgraduate Course in Critical Care Medicine Trieste, Italy - November 14-17, 2003
Volume II
Springer
Prof. ANTONINO GULLO, M.D. Head, Department of Peri operative Medicine Intensive Care and Emergency Trieste University School of Medicine Trieste, Italy
© Springer-Verlag Italia. Milano 2004
Springer-Verlag Italia A member of Springer Science+Business Media http://springeronline.com ISBN 978-88-470-0235-7 ISBN 978-88-470-2189-1 (eBook) DOl 10.1007/978-88-470-2189-1 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, recitations, 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.
SPIN 10960011
Table of Contents UPDATE AND PERSPECTIVES IN CRITICAL CARE Cardiac resynchronisation therapy 1.L. ATLEE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Acute renal failure in the critically iII patient J. BESSO, C. PRU, AND J. L6PEZ. . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
3
17
Research tool for the study of therapeutic intervention in acute respiratory failure D. TAGLIERI,
R.A. LACHMANN, ANDB. LACHMANN........................ .. .....
Supportive measures to bridge the gap before transplantation in liver failure P. FAYBIK, H. HETZ, AND H. STELTZER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. ..
37
63
Multiple organ dysfunction after liver transplantation: a role for the quality of functional recovery of the newly grafted liver? A. DE GASPERI, E. MAZZA, AND A. CORTI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
73
Homeostasis and acid-base regulation K. HILLMAN. . . . . . . . . . . . . . . . . . . . . . . . . . . . .