Anaesthesia, Pain, Intensive Care and Emergency Medicine — by S. Magder (auth.), Prof. Antonino Gullo M.D. (eds.)

By S. Magder (auth.), Prof. Antonino Gullo M.D. (eds.)

Continuous replace in severe care drugs is a true problem as a result transforming into dimensions of its contents; those parts are the results of new study acquisitions, and of these medical occasions the place the health care provider is ready to intrude at a given second, with using potent prevention innovations. also they are the results of new applied sciences capable of outline advanced sub-clinical diagnostic points; finally, they're the results of powerful healing strategies to be had, and of remedy concepts capable of impression substantially and definitely the patient's medical direction. serious care medication is enjoying a key position within the so much complicated environments, because it represents a cross-sectional box of motion, concerning numerous specialties, reminiscent of anaesthesiology, normal drugs, surgical procedure, paediatrics.

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Extra resources for Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.: Proceedings of the 17th Postgraduate Course in Critical Care Medicine Trieste, Italy — November 15–19, 2002 Volume II

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In addition to its activity in coronary arteries, a fibrinolytic may improve cerebral and coronary reperfusion after cardiac arrest. In the past, because of the fear of severe bleeding complications, the need for CPR has been a relative contraindication to fibrinolysis. However, there are several case series documenting the safety of fibrinolysis in patients with AMI who have undergone CPR. Most clinicians would now consider that fibrinolysis is frequently appropriate after CPR, based on the relative risks and benefits in individual patients.

A possible explanation could rely on the inherent capability of uncovering subendocardial ischemic areas. 8 F. Schiraldi, L. Damiano, F. Paladino Dynamic assessment The first American guideline for unstable angina (including myocardial infarction without ST -segment elevation), published in 1994, emphasized early risk stratification as the pivotal process that drives initial treatment and decision about triage in the emergency department [25]. Until then, there had been great concern about the safety of the patient, whilst undergoing exercise testing for detecting ischaemic myocardium.

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