Pneumonologia i alergologia polska
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Pneumonol Alergol Pol · Jan 1995
Case Reports[Ultrasonographic examination of the heart as a basis for determining the cause of inflammatory infiltration changes in the lungs].
Diagnostic difficulties found in a 41 year old female presenting with fever, chills, fainting spells, tachycardia, hypotension, interstitial consolidation in both lungs and enlargement of the cardiac silhouette on a chest radiogram are discussed. Unsuccessful antibacterial and antituberculous therapy led to a supposition of a collagen disease. The diagnosis of a bacterial endocarditis with bacterial pulmonary emboli was made basing on determination of bacterial vegetation on cusps of the tricuspid valve.
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Pneumonol Alergol Pol · Jan 1995
[Use of inhalation anesthetics in treatment of severe status asthmaticus and for anesthesia in children suffering from bronchial asthma. Preliminary report].
This paper presents preliminary estimation of clinical usefulness of isoflurane for treatment of severe cases of status asthmaticus in children and application of it as monoanesthesia in children with bronchial asthma, operated upon sudden indications. Action and metabolism of halogen ether group inhalatory anaesthetics in human organism was discussed, with special attention being paid to isoflurane and ketamine. In the cases studied (which is also confirmed by numerous clinical tests) potentialization of bronchodilatative effect of isoflurane by intravenous application of ketamine in status asthmaticus was observed. Where the results achieved was linked up with increased concentration of catecholamines and direct atonic effect on smooth muscular coat of bronchus.
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Pneumonol Alergol Pol · Jan 1995
[Weaning from mechanical ventilation in patients with exacerbations of chronic respiratory insufficiency--personal experience].
Nineteen patients with exacerbation of chronic respiratory insufficiency treated with mechanical ventilation were included in the study. The mean weaning time from the respirator was 15.9 days (+/- 12.1), ranging from 2 to 49 days. Success was met in 9 patients using inspiratory pressure support (IPS), in 2 synchronized intermittent mandatory ventilation (SIMV), in 8 the simplest model (stepwise prolongation of spontaneous ventilation during continuous mechanical ventilation--CMV/SV). ⋯ The impression of exhaustion preceded the changes of gasometric parameters and fall of SaO2. The basis of effective weaning is proper selection of respirator parameters, providing almost identical gasometric values if individual patient's to those prior exacerbation of chronic respiratory insufficiency. The duration of weaning negatively correlated (0.25) with FEV1 values.