By A. Gullo
In glossy drugs the main sensible methodologies are taking an expanding significance in spreading informations, rendering it credible whereas while utilizing trustworthy facts to concentration interplay among uncomplicated technology and medical medication. severe care medication embraces those wishes and greater than the other self-discipline thrives and develops because of interdisciplinary touch. APICE 2004 has been organised to supply unique solutions to those matters. specifically, substantial emphasis has been given to the reports in regards to the most vital features - or the main major medical advancements - within the sectors regarding number of capabilities: neurological, respiration and cardiovascular, gastrointestinal, metabolism and perfusion; trauma infections, sepsis and organ failure; perioperative drugs and lifestyles help recommendations; details expertise devoted to medical drugs, but additionally as a way of data and schooling. The contributing authors are all a part of best examine teams on the overseas point within the numerous sectors offered within the quantity.
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Extra resources for Anaesthesia, Pain, Intensive Care and Emergency Medicine - A.P.I.C.E.: Proceedings of the 19 th Postgraduate Course in Critical Care Medicine. Trieste, Italy - November 12-15, 2004
The best time to perform an echocardiogram in patients complaining of chest pain is still controversial; it seems reasonable to perform this examination: – In patients whose chest pain is ongoing, has just resolved, or lasted more than 30 min. – In patients with typical chest pain associated with a nondiagnostic ECG investigation. – In patients whose history suggests previous AMI with chest pain and inconclusive ECG patterns. – In patients in whom there is a strong suspicion of aortic dissection or acute pericarditis.
Since 1956  the ST elevation in hyperkalaemia, which sometimes resembles pericarditis or AMI, has been familiar; interestingly, there are often other features of hyperkalaemia, such as tall T waves, widened QRS complexes and low-amplitude P waves or none at all. In 1992, Brugada and Brugada described eight patients with a history of cardiac arrest, RBBB and ST elevation in the right precordial leads in the absence of long QT interval and structural heart disease [16, 17]; the disease is probably due to a mutation of the cardiac sodium-channel gene.
Baljepally R, Spoddick DH (1999) Electrocardiographic screening for emphysema: the frontal plane P axis. Clin Cardiol 22:226-228 36 F. Schiraldi, F. G. Ruggiero 7. Lasser KE, Allen PD, Woolhandler SJ et al (2002) Timing of new black box warnings and withdrawals for prescription medications. JAMA 287:2215-2220 8. Roden DM (2004) Drug-induced prolongation of the QT interval. N Engl J Med 350:1013-1022 9. Wang K, Asinger RW, Marriott HJL (2003) ST-segment elevation in conditions other than acute myocardial infarction.