ABSTRACT
Two cases from the intensive treatment practice are presented: Case I--a 43-year-old woman drawn out from a state of clinical death during chronic dialysis for chronic renal failure with importunate ultrafiltration to combat the severe pulmonary edema, which led to hypoxia and cardiac arrest with functionally affected hemodynamic parameters (central venous pressure), because of centrally placed a/v fistula. Case II--a 46-year-old woman with severe drug disease and extremely critical hypotonic hyperhydration and anasarca, treated also with ultrafiltration, enhanced sodium influx and intensive application of diuretics; for 24 hours a negative fluid balance was achieved (71191 ml) until finally a relative fluid-electrolyte equilibrium was reached.
Subject(s)
Critical Care , Adult , Arthritis, Rheumatoid/complications , Arthritis, Rheumatoid/therapy , Combined Modality Therapy , Critical Care/methods , Edema/etiology , Edema/therapy , Female , Heart Arrest/etiology , Heart Arrest/therapy , Heart Failure/etiology , Heart Failure/therapy , Hemofiltration , Humans , Kidney Failure, Chronic/complications , Kidney Failure, Chronic/therapy , Middle Aged , Pulmonary Edema/etiology , Pulmonary Edema/therapy , Renal DialysisSubject(s)
Anesthesia, Obstetrical , Histamine H2 Antagonists/therapeutic use , Female , Gastric Acidity Determination , Histamine H2 Antagonists/administration & dosage , Humans , Hydrogen-Ion Concentration , Pneumonia, Aspiration/prevention & control , Postoperative Complications/prevention & control , Pregnancy , Preoperative CareSubject(s)
Anesthesia, Obstetrical , Histamine H2 Antagonists/therapeutic use , Cimetidine/adverse effects , Cimetidine/pharmacology , Cimetidine/therapeutic use , Female , Gastric Mucosa/drug effects , Gastric Mucosa/metabolism , Humans , Intraoperative Complications/prevention & control , Pneumonia, Aspiration/prevention & control , PregnancyABSTRACT
Lung barotrauma (LBT) are some of the most frequent complications in the course of mechanical ventilation (MV) in risk newborn infants. The interstitial emphysema among them is the most frequent cause for development of chronic hung diseases, but the pneumothorax induces shock state, connected with high mortality. A retrospective analysis of the histories of the disease was carried out on 18 risk newborn infants with clinical and roentgenological data for pneumothorax. Blood gases and acid-base balance were examined before the incident as well as at definite intervals after drainage of extra-alveolar air. There were considerable deviations. The results indicate considerably better prognosis of the disease, when the drainage is put immediately after establishment of the clinical diagnosis. Mortality is high, when the drainage of pneumothorax is put after the first hour.
Subject(s)
Barotrauma/diagnosis , Lung Injury , Barotrauma/epidemiology , Barotrauma/etiology , Barotrauma/therapy , Bulgaria/epidemiology , Humans , Infant, Newborn , Infant, Premature , Respiration, Artificial/adverse effects , Respiratory Distress Syndrome, Newborn/complications , Respiratory Distress Syndrome, Newborn/therapy , Retrospective Studies , Risk FactorsSubject(s)
Anesthesia, Obstetrical/adverse effects , Behavior/drug effects , Cesarean Section , Nervous System/drug effects , Patient Care Planning , Anesthesia, Obstetrical/methods , Apgar Score , Bupivacaine , Female , Humans , Infant, Newborn , Neurologic Examination , Pregnancy , Thiopental , Time FactorsSubject(s)
Placenta/physiology , Pulmonary Gas Exchange , Biological Transport, Active , Carbon Dioxide/physiology , Diffusion , Erythrocytes/metabolism , Female , Fetal Blood/physiology , Fetal Hemoglobin/metabolism , Hemoglobin A/metabolism , Humans , Hydrogen-Ion Concentration , Maternal-Fetal Exchange , Oxygen/physiology , Oxyhemoglobins/metabolism , Partial Pressure , Pinocytosis , Placenta/blood supply , PregnancySubject(s)
Anesthesia, Epidural/adverse effects , Anesthesia, Obstetrical/adverse effects , Labor, Obstetric/drug effects , Adult , Anesthesia, Epidural/methods , Anesthesia, Obstetrical/methods , Apgar Score , Bupivacaine , Female , Humans , Oxytocin/therapeutic use , Parity , Pregnancy , Time Factors , Uterine Contraction/drug effectsABSTRACT
PIP: The authors report on their experience with application of urethral balloon-catheter with a volume of 75-100 ml for pregnancy interruption due to obstetric indications after the 20th week of gestation. The study was carried out on 22 women and failure was recorded in only 1 case. All the pregnant women had a low pelvic score--from 0-4--but 11 had live fetuses. Oxytocin infusion (during placement of the balloon or during the course of delivery) was used in 19 women. The dilatation, obtained by the balloon-catheter, was from 4-6 cm and took about 4 hours on the average; duration of delivery was 10 hours on the average. No complications were recorded. The authors feel that the application of a urethral balloon-catheter replaces successfully the original obstetric-balloon catheter of Slavcev-Minceva after the 20th week of gestation, and its use in obstetric practice is recommended. (author's modified)^ieng