ABSTRACT
In a retrospective study, 108 patients were followed up who had to undergo artificial respiration treatment because of respiratory insufficiency. X-ray diagnosis showed a shock lung in all the patients. X-ray morphology correlates with the pathologicoanatomical substrate which develops progressively in phases. 24 patients (22%) could be saved, which is a remarkable success in view of the usually fatal prognosis. It was encouraging to find that follow-up examinations of the surviving patients did not reveal any detectable sequels of the "shock lung"; likewise, no unfavourable effects of the respiratory therapy were noticed.
Subject(s)
Respiration, Artificial , Respiratory Distress Syndrome/diagnostic imaging , Respiratory Insufficiency/diagnostic imaging , Adult , Aged , Female , Humans , Long-Term Care , Male , Middle Aged , Postoperative Complications/diagnostic imaging , Prognosis , Pulmonary Edema/diagnostic imaging , Radiography , Respiratory Distress Syndrome/therapy , Respiratory Insufficiency/therapyABSTRACT
Patients critically ill from abdominal diseases under controlled ventilation showed statistically significant differences in some vital signs and measurements immediately after admission to the intensive care unit, when grouped according to survivors (34 patients) and nonsurvivors (40 patients). On the basis of a stepwise linear discriminant analysis a practicable method of prognosis from data of the first 24 hours could be achieved, which enables a correct prediction of outcome in 91% of the survivors and 79% of the nonsurvivors.
Subject(s)
Gastrointestinal Diseases/surgery , Statistics as Topic , Humans , Intensive Care Units , Postoperative Complications/diagnosis , Prognosis , Respiration, ArtificialABSTRACT
The anaesthetic requirements for peripheral angiographies in geriatric or poor risk patients are temporary sedation, analgesia and sufficient immobilisation. Neither general anaesthesia using muscle relaxants and assisted ventilation nor regional methods warrant satisfactory results in all cases, especially if multiple arteriographies are to be performed at the same session. Therefore a few new anaesthetic techniques were studied, having combined benzodiazepines with ultrashort acting intravenous narcotics. Premedication with Pethidin 1mg/kg, the administration of Flunitrazepam 0,017 mg/kg with regard to sedative, analgesic and relaxant effects and Methohexital 0.67 mg/kg as anaesthetic given prior to injection of contrast medium would seem more useful than other techniques.