RESUMO
A case report is described with successful outcome of prolonged cardiopulmonary resuscitation in a 30-year-old man suffering from acute deep hypothermia. His lowest temperature recorded was 23 degrees C. Continuous external cardiac massage was required for a total of 4.5 h whilst rewarming was instituted. The patient eventually left hospital with no permanent sequelae. A review of hypothermia follows, emphasising some important management principals and pitfalls.
Assuntos
Hipotermia/terapia , Ressuscitação/métodos , Doença Aguda , Adulto , Massagem Cardíaca , Temperatura Alta/uso terapêutico , Humanos , Hipotermia/sangue , Hipotermia/fisiopatologia , Ventilação com Pressão Positiva Intermitente , Masculino , Fatores de TempoAssuntos
Laringe , Máscaras , Falha de Equipamento , Humanos , Vigilância de Produtos ComercializadosRESUMO
A case is described in which upper airway obstruction was successfully treated using cricothyroidotomy in association with high frequency jet ventilation. This procedure allowed time for the patient to be transferred to the operating theatre for formal tracheostomy under optimal conditions. It is suggested that the Portex 'Mini-trach' kit, though primarily designed for tracheobronchial toilet, can be used to provide a satisfactory and safe airway during the resuscitation of an obstructed patient, particularly if jet ventilation is available.
Assuntos
Obstrução das Vias Respiratórias/terapia , Respiração Artificial , Traqueotomia/instrumentação , Doença Aguda , Idoso , Humanos , Masculino , Ventiladores MecânicosRESUMO
The work of nine Naval anaesthetists deployed with the Task Force during the Falklands campaign is described. The anaesthetists worked in a field hospital (Ajax Bay), a hospital ship (SS Uganda), a troop ship (SS Camberra), aircraft carriers (HMS Hermes and HMS Invincible) and a Royal Fleet Auxiliary (Tidespring). The problems of staffing and providing the stores for various teams in different locations at short notice are discussed.
