Ontogeny of cardiovascular and respiratory physiology in lower vertebrates.
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Excessive sound is an acknowledged problem in neonatal intensive care units (NICUs); however, there is relatively little objective information about the effects of sound on the newborn. The cardiovascular and respiratory systems have been the most extensively studied systems. The patterns of response in these systems may be influenced by a variety of factors, including: the intensity of the sound, the infant's behavioral state, the infant's maturity and postnatal age, and the perinatal history. This article reviews the known cardiovascular, respiratory, and other physiological effects of sound on neonates.
The utility of thermodynamic laws in biological systems is reviewed. The joint historical development of thermodynamics and of respiratory physiology in the 19th century is surveyed. From first principles of thermodynamics, problems are noted in their application to physiological calorimetry.
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The objectives of monitoring are to gain much information as possible about the anesthetized horse and to follow changes in that information, with the ultimate aim of making anesthesia and surgery as safe as possible for the horse. Information necessary to achieve that aim will vary depending on patient category. For example, a young, healthy horse undergoing a short elective procedure can be clinically well monitored by patient signs, electrocardiogram, and indirect blood pressure response. More invasive monitoring is justified and warranted if the health status of the horse is in question. The degree of invasion will be determined by the information needed to provide optimal support. The constantly changing picture should be recorded. The anesthetist who defines anesthesia as long stretches of boredom interspersed with moments of sheer panic is surely guilty of failure to heed warning signs that were present, had he looked for them.
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The elderly show changes in various parenchymas linked to the process of ageing. Pathological abnormalities may be added to this picture leading to physiopathology peculiar to the aged. In relation to special problems raised by this background, the advantages and disadvantages of N.L.A. are discussed. The authors refer to an experiment in the Department of Anesthetics and Intensive Care in Créteil.
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