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Biomedical subjects

A Gullo

Publications and source records attributed to A Gullo.

At least 73 records · Page 4Linked to original sources

[Extracorporeal support technics in the treatment of multisystem failure. Our experience].

Mortality rate among patients with septic, oliguric, multiple organ failure is high. Conventional hemodialysis has often detrimental effects on critically ill patients. Continuous arteriovenous hemofiltration (CAVH), continuous arteriovenous hemodialysis (CAVH/D) and continuous arteriovenous hemodialysis associated with sequential plasmapheresis (CAVHP/D) could reduce mortality in septic (hypercatabolic, oliguric) ARDS induced MOF patients. These techniques are simple and can be managed without superspecialized personnel.

Evaluation Studies as Topic↗

Effects of a heat and moisture exchanger on carbon dioxide equilibrium during mechanical ventilation with the Bain circuit.

The introduction of a heat and moisture exchanger (HME) into the anaesthetic circuit may cause a rise in carbon dioxide (CO2) tension through an increase in dead space. We studied the effects of the Ultipor Pall BB50 filter included 'in series' in the Bain circuit on CO2 equilibrium. Arterial carbon dioxide tension (PaCO2) was measured in 81 patients scheduled for elective surgery before and after the insertion of the filter. Results showed that: females were always more hyperventilated than males when fresh gas flow was set at 70 ml kg-1 ideal body weight; the inclusion of the filter increased the PaCO2 in the group as a whole (the difference was statistically, but not clinically, significant); PaCO2 increased after the application of the filter only in females; the effects of the filter were completely independent of the patient's age. It is concluded that the use of the Ultipor Pall BB50 filter is a safe procedure during mechanical ventilation with the Bain breathing system and there is no need to modify ventilation.

Adult↗

Chlorpromazine and frusemide in treatment of acute left-ventricular failure.

Chlorpromazine, a phenothiazine derivative with central and peripheral vasodilating effect, was given intravenously, with frusemide, to five patients with acute pulmonary oedema who did not respond to conventional treatment. Four of the five recovered fully. Chlopromazine seems to be a suitable vasodilator for use in treating acute pulmonary oedema outside intensive-care units, since its use does not require monitoring by invasive techniques.

Acute Disease↗