Critical Care Medicine : Organizing and Staffing Intensive Care Units

Critical Care Medicine

A n a t o m i s c h e V o r b e m e r k u n g e n . . . . . . . . . . . . . . . . . . . . . 4 D i e B r o n c h o s t e n o s e . . . . . . . . . . . . . . . . . . . . . . . . . . 12 D a s I n s t r u m e n t a r i u m . . . . . . . . . . . . . . . . . . . . . . . . . 16 D i e E i n r i c h t u n g des e n d o s k o p i s c h e n O p e r a t i o n s r a u m e s . . . . . . . . . . 21 D i e Ani~s thes ie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 D i e L a g e r u n g des P a t i e n t e n . . . . . . . . . . . . . . . . . . . . . . 30 D i e T e c h n i k d e r B r o n c h o s k o p i e . . . . . . . . . . . . . . . . . . . . 32 D ie c y t o l o g i s c h e D i a g n o s t i k . . . . . . . . . . . . . . . . . . . . . . 37 D ie B r o n c h o g r a p h i e . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 D i e B r o n c h o s p i r o m e t r i e . . . . . . . . . . . . . . . . . . . . . . . . 46

Die Bronchologie. Ihre Arbeitsmethoden und Möglichkeiten

An attempt has been made to direct the evolution of critical care medicine based on the authors’ personal experiences with the development of emergency care and intensive care programs during the past decade, and on review of the available literature. Critical care medicine (i.e., acute medicine) includes emergency medical services for life-threatening conditions and intensive care. In contrast to the hitherto often disorganized and haphazardous development of intensive care units, we propose a logical, community-oriented plan to implement present knowledge in multidisciplinary interdepartmental intensive care. Although in very large hospitals more than one intensive care unit may be necessary, the development of separated pure respiratory, medical or surgical intensive care units is discouraged, because most critically ill patients have multiple organ failure. Special intensive nursing care under physician direction, using standardized basic life support techniques, has decreased mortality, for instance, of patients with myocardial infarction. There is evidence suggesting that mortality and morbidity of other types of critically ill patients are further reduced where sophisticated life support around the clock has been provided by teams of physicians from several disciplines who are working fulltime or “most time” in the ICU. The team includes non-physicians, such as nurses, nurses’ helpers, inhalation therapists, bioengineers, technicians, administrators and others. Selection of team coordinator and ICU medical director, as well as

Organizing and Staffing Intensive Care Units

Chapter 19 – laryngoscopy and bronchoscopy

The doctors plan an ideal recovery room.

The basic purpose of curare and curare-like drugs is to produce muscular relaxation and facilitate endoscopy. The use of these drugs is discussed. The necessary cautions in the preparation of the patient and the precautions to take in case of emergency are enumerated. A technique of administration is suggested. The pharmacologic properties of d-tubocurarine, Di-methyl tubocurarine iodide, decamethonium bromide and flaxidil are compared.



Clinically and experimentally, Di-methyl tubocurarine iodide is the drug of choice

The use of curare drugs in endoscopy.

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The doctors plan an ideal recovery room.

The use of curare drugs in endoscopy.