Critical care medicine
-
Critical care medicine · Nov 1976
Case ReportsPulmonary angiography via an indwelling four-channel Swan-Ganz catheter.
An indwelling Swan-Ganz catheter was utilized for pulmonary angiography in an extremely ill patient without the necessity for a further invasive procedure. The procedure allowed prompt exclusion of pulmonary embolism as a cause of her deteriorating condition, and confirmed the diagnosis of adult respiratory distress syndrome (ARDS).
-
Critical care medicine · Nov 1976
Case ReportsTherapy of unilateral pulmonary insufficiency with a double lumen endotracheal tube.
Successful therapy of unilateral acute lung disease has been infrequent. The marked compliance difference that exists between the acutely diseased and normal lung may make conventional respiratory therapy ineffective in treating the diseased lung. ⋯ The use of the double lumen endotracheal tube, Carlens tube, and the application of differential ventilation was a safe and effective modality of therapy when conventional measures failed. The method of ventilation and the patient's course are described.
-
Critical care medicine · Nov 1976
The effect of tolazoline on right-to-left shunting via a patent ductus arteriosus in meconium aspiration syndrome.
Since arterial blood oxygen tensions are used in the evaluation of treatment of patients with meconium aspiration syndrome, it is important to recognize the occurrence of significant right-to-left shunting via a patent ductus arteriosus. The clinical findings, evidence of right-to-left ductus shunting, and outcome in eight patients with meconium aspiration syndrome are presented. Administration of tolazoline HCl and curare produced a beneficial effect on their PaO2 values.