Perioperative and Critical Care Medicine: Educational Issuess

A. Gullo, G. Berlot88-470-0416-0, 978-88-470-0416-0

Continuing medical education and specialty training procedures represent highly dynamical processes, with a continuously evolving content. The specific teaching methods available (micro-teaching, team teaching, mastery learning, simulation, and e-learning) are essential elements of this process to promote professional updating and teaching at the bedside, aimed at providing an excellent clinical practice. The didactic laboratory is the core of this process: teachers, students and the School must be able to integrate in order to encourage this trend, and following this trend, the Trieste School of Medicine has long recognised the importance of supporting educational aspects and teaching programmes that promote our discipline.

This volume is the result of the co-operation of the Trieste School of Medicine with experts at a national and international level who, in 2005, took part in seminars or micro-teaching sessions held at the Cattinara University Hospital.

---

Table of contents :
Perioperative andCritical Care Medicine……Page 2
Preface……Page 4
Table of Contents……Page 6
List of Contributors……Page 8
Abbreviations……Page 11
Acknowledgements……Page 14
Professionalism, Ethics and Curricula for the Renewalof the Health System……Page 15
Respiratory Mechanics in Health……Page 28
Principles of Respiratory Mechanics and Clinical Correlations……Page 49
Understanding the Mechanism of Ventilator-InducedLung Injury……Page 55
Lung Parenchyma Remodelling in the Acute RespiratoryDistress Syndrome……Page 72
Strategies To Modify Lung Remodelling in the AcuteRespiratory Distress Syndrome……Page 84
Application of the Negative Expiratory Pressure Technique inClinical Research……Page 92
Non-Invasive Ventilation……Page 108
Pulmonary Effects of Acute Normovolaemic Haemodilution……Page 124
Microcirculation During Low Flow States……Page 130
The Effects of Gasping During Cardiac Arrest andCardiopulmonary Resuscitation……Page 141
Perioperative Risk Assessment and Decision Making……Page 152
Anaesthesia and Sedation Outside the Operating Ro……Page 161
Anaesthesia for Endovascular Repair of Abdominal andDescending Thoracic Aortic Aneurysm……Page 169
Postoperative Pain Management: Organisation and Audits……Page 178
Introduction to Trauma Care and Improving Performance……Page 196
Fluid Resuscitation in Trauma……Page 204
Ongoing Challenges in Sepsis and Organ Dysfunction……Page 215
Microdialysis Monitoring of Organ Chemistry in the IntensiveCare Unit……Page 223
Ethical Dilemmas in Surgical Critical Care……Page 233
Subject index……Page 241