Revista medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti din Iaş̧i
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Core body temperature below 35 degrees C is defining arbitrarily hypothermia. There is no worldwide consensus concerning the staging and resuscitation strategies in such a vital emergency, not even in rewarming strategy. ⋯ Taking into account the two major events during hypothermic conditions (ventricular fibrillation and coma), we have proposed a better borderline between the three severity classes, based on clinical, paraclinical and prognostic arguments. The interest in this special environmental emergency situation is coming not only from its incidence, but especially from its particular long time period in which the resuscitation maneuvers could be effective, so that a literature review mixed with our practical observations may be of didactical and legal benefit also.
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Rev Med Chir Soc Med Nat Iasi · Jan 1999
Review[Oxidative stress and antioxidants in the diet in pathological processes at the level of the cardiovascular system].
After a short review of the data on the free radicals occurring in the human body (hydroxyl radical, superoxide, nitric acid, peroxynitrite), the possible effects of these radical upon the cardiovascular system are presented. The preservation of the oxidants-antioxidants balance is highly important for preventing the cardiovascular diseases. Endogenous antioxidants are not 100 per cent effective, reason why for the individuals with atherosclerosis and ischemic heart disease antioxidant supplements (tocopherols, carotenes, vitamin C, selenium) are essential especially during the seasons when diets are deficient in fruits and vegetables.
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Rev Med Chir Soc Med Nat Iasi · Jul 1996
Review[The current pathogenetic aspects of MODS in the sepsis patient].
MODS, a phenomenon observed in many critically ill patients, is the progressive failure of two or more organ system which results from nonspecific systemic responses to abnormal intravascular inflammation. It is triggered by a number of cellular humoral and biochemical mediators (more than 100). This article takes up the role of individual organ system dysfunction in the development of MODS. Cardiopulmonary, renal and hepatic responses to injury and infection and the relation of these responses to the subsequent development of MODS have been the subject of intense investigations; recently the gastrointestinal tract was identified as another target organ in such patients.
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The use of laparoscopic techniques in general surgery is increasing in popularity. The anesthesiologist's goals during laparoscopic surgery are hemodynamic and respiratory stability, appropriate muscle relaxation, control of diaphragmatic excursion, intraoperative and postoperative patient analgesia. ⋯ It is associated with major and minor surgical and non surgical complications, including death. Therefore, it is imperative that the anesthesiologist and surgeon thoroughly understand the physiopathology and immediate treatment of these potential complications and communicate effectively about their management.