Update In Intensive Care And Emergency Medicine: Proceedings Of The 5th International Symposium On Intensive Care And Emergency Medicine Brussels, Belgium, March 26–29, 1985

178 Anaesthesiologie und Intensivmedizin Anaesthesiology and Intensive Care Medicine vormals "Anaesthesiologie und Wiederbelebung" begriindet von R. Frey, F. Kern und o. Mayrhofer Herausgeber: H. Bergmann· Linz (Schriftleiter) J. B. Bruckner· Berlin M. Gemperle . Geneve W. F. Henschel· Bremen O. Mayrhofer . Wien K. MeBmer . Heidelberg K. Peter . Munchen Update in Intensive Care and Emergency Medicine Proceedings of the 5th International Symposium on Intensive Care and Emergency Medicine Brussels, Belgium, March 26-29, 1985 Edited by J. L. Vincent With 35 Figures and 47 Tables Springer-Verlag Berlin Heidelberg N ew York Tokyo Dr. J. L. Vincent Department of Intensive Care, Erasme Hospital Free University of Brussels Route de Lennik: 808 B-I070 Brussels, Belgium ISBN-13:978-3-540-15261-3 e-ISBN-13:978-3-642-70309-6 DOl: 10.1007/978-3-642-70309-6 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks. Under § 54 of the German Copyright Law where copies are made for other than private use a fee is payable to 'Verwertungsgesellschaft Wort', Munich. © Springer-Verlag Berlin Heidelberg 1985 The use of registered names, trademarks, etc. in the 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 publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceuticalliterature. Typesetting: Elsner & Behrens GmbH, Oftersheim 2119/3140-543210 Contents Basic Approach to Acute Respiratory Failure Pathophysiology of Acute Lung Injury (N. C. Staub). . . . . 3 Involvement of Oxygen Radical in Pulmonary Edema (A. E. Taylor and D. Martin) . . . . . . . . . . . . . . . . . . . . . 13 Physiological Effects of Increased Airway Pressure (1. B. Downs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Cardiopulmonary Interactions in Critical Illness (L. D. H. Wood and J. B. Hall) . . . . . . . . . . . . . . . . . . . 24 Nutritional Effects on Ventilation (J. M. Kinney) . . . . . . . 26 Emergency and Metabolism Hypothermia (J. D. White) . . . . . . . . . . . . . . . . . . . . . . 31 Dog, Cat and Human Bites (R. Askenasi and C. Lerminiaux) 35 General Approach of the Acutely Intoxicated Patient (B. Sangster) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 The Cardiotoxicity of Drugs and Poisons (A. T. Proudfoot) 46 Blood Purification Techniques in Intensive Care Units with Special Reference to Acute Renal Failure (J. L. Vanherweghem) . . . . . . . . . . . . . . . . . . . . . . . . . 50 Hepatocellular Dysfunction in the Critically III (I. McA. Ledingham) . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Intensive Care Today Study of Intensive Care in France: Methodology of a Multicentric Study and Preliminary Results (J. R. Le Gall) .... 63 VI Contents Cardiorespiratory Problems Acute Vascular Obstructions: The Internist's Point of View (C. J. Schuster) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 Hemodynamic Consequences of Acidemia and Alkalemia (S. Brimioulle) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Hemodynamic and Gasomet