Lijec̆nic̆ki vjesnik
-
Lijec̆nic̆ki vjesnik · Jul 1990
Biography Historical Article[My meeting with Dame Cicely Saunders and her work with the St. Christopher's Hospice].
-
The study analyzes bioethical principle of Primum non nocere and its importance and value in modern medicine. The criterion of maleficence for a patient, is defined in its real and ethical, individual, general and time contexts. ⋯ The attention has been drawn to the inadequacy of isolated criterion of causing damage (non nocere) to secure benefit for a patient. The study expresses the necessity and obligation of medicine to estimate scientifically old and new perceptions and applies them to a patient, consonant with bioethical principles.
-
Lijec̆nic̆ki vjesnik · Apr 1989
[Cardiorespiratory monitoring in the diagnosis and therapy of patients with adult respiratory distress syndrome].
In thirty-six patients, meeting clinical criteria for the diagnosis of ARDS, findings of pulmonary functions and results of invasive hemodynamic monitoring have been separately evaluated and compared with normal values. The majority of patients presented with tachypnea having breathing frequency greater than 30/min, vital capacity less than 20 ml/kg body weight, effective pulmonary compliance less than 25 ml/cm H2O, VD/VT greater than 0.6 and D-L shunt greater than 20%. ⋯ An invasive hemodynamic monitoring using a Swan-Ganz catheter gives irreplaceable data for diagnostic and therapeutic decisions in patients with ARDS. It enables an accurate hydration of patients, correct use of diuretics and vasoactive drugs and it is especially useful in controlled application of ventilators and PEEP.