Articles: intensive-care-units.
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MMW Munch Med Wochenschr · Oct 1975
[Duties and problems of a neurological intensive care unit (author's transl)].
The duties and problems of a neurological intensive care unit are described and illustrated by our experience with a newly built intensive care unit. Indications, technical equipment, diagnostic, therapeutic, scientific, personnel and psychological aspects are pointed out and a first survey of the patients treated. An approximately equal group of seasonal acute inflammatory diseases of the central and peripheral nervous systems compares with a similar one with cerebral vascular processes. The possibility of longterm electrophysiological studies using computers and trend analysis and the particular significance of CSF pressure measurements and pharmacokinetics of the CSF as scientific aspects are emphasized.
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Critical care medicine · Sep 1975
A system-structured medical record for intensive care patient documentation.
The problem-oriented approach to the medical record has aroused a long overdue interest in the structuring of the medical case file. Clinical information in the traditional record is source-structured and time-sequenced, whereas the problem-oriented system differs by being a problem-structured record retaining still a chronologic sequence. We have found that in acute illness the multiplicity of interacting pathophysiologic processes makes premature application of the problem-oriented approach cumbersome and unwieldy. ⋯ Some used the simple cataloguing of events and data as a substitute for clinical judgment and decision making, focusing more upon style rather than content of the medical record. By using a rigid physiologic system-structured "problem" list and a modification of the SOAP (Subjective Objective, Assessment, Plan) subdivision, we have improved the documentation of our intensive care patients. The summary of the patient's stay in the intensive care unit is structured with active and inactive problems, this summary to be further used as the permanent problem list.
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Wien. Klin. Wochenschr. · Aug 1975
[Practical experience in the transport of newborn infants at risk by means of a mobile intensive care unit (author's transl)].
The development of perinatology gives premature and other newborn infants at risk a better chance of survival. The transport of these infants from the delivery room to the neonatal intensive care centre is a complicated procedure and its inherent dangers for the newborn infant increase with distance. ⋯ The results of experience in the transport of 218 newborn infants at risk are discussed. The necessity of initial emergency preparative measures for the transportation of the ill infant is illustrated by 2 cases.