Round table. Choice of ventilatory therapy.
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Biomedical subjects
Publications and source records attributed to M Lamy.
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The risk of ventilator-associated infection was studied by bacteriological monitoring of different parts of 25 ventilators functioning in a surgical ICU. Although patient tubings were not changed throughout the study, colonization of tracheal tube was found invariably to be the first phenomenon. All tracheal tubes were infected by day 9. Contamination of the expiratory limb paralleled contamination of the tracheal tube with a lag period of 2-4 days. Colonization of the inspiratory limb was a delayed and slow phenomenon which never occurred before the patient was infected. Humidifiers were found clean after the patient was disconnected. It is concluded that an adequately sterilized ventilator is not a source for hospital-acquired pulmonary infection, and that special attention to the care of tracheal tube and clinical cleanliness are of major importance to prevent infection.
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A new table on "Cardio-respiratory emergency," was designed for use mainly by occasional casualty doctors. It is printed in two colours, separating the diagnostic and therapeutic features. The general lay-out is from the top downward according to ABC sequence, and from the left to the right according to graduation. Also different varieties of shock are included in the table. A list with explaining key words is at the bottom of the table.
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Pathology laboratories in the Burgundy region have recently been equipped with mini-computers using the same software and working method. This report brings together their histological records, stored on magnetic discs, and describes the first results of this regional data base. Malignant lymphomas were chosen as a pilot study and evaluated between January 1976 and December 1977. After a brief presentation of the method, 246 cases of malignant lymphoma are analysed: 95 of Hodgkins disease, 103 of non-Hodgkins malignant lymphoma of the nodes and 48 cases of extranodal non-Hodgkins malignant lymphoma. The distribution of patients in terms of sex and ten year age groups is analysed, together with the various incidence rates for a year in Burgundy and in its four administrative units (Cote-d'Or, Nievre, Saone-et-Loire and Yonne).