... example in
spinal surgery and craniofacial operations. Systolic blood pressures of 50 mmHg and above are well tolerated by children under the
age of 10 and of 70 mmHg and above in children over ... Evidence of cardiac disease
should be sought by careful history and thorough examination, noting the presence of angina and its severity, previous myocardial
infarction a...
... out of 76 patients in one study of head-injured patients and 11 of the 18
died.
39
Tindall et al
40
showed that a transient rise in PaCO
2
often preceded the development of an A wave and ... ischaemia in the rat. Brain Res 1992; 571: 115
–
120.
86. Gill R, Nordholm L, Lodge D. The neuroprotective actions of 2,3-dihydroxy -6 - nitro-7-sulfamoyl-
b
enzo (F) quinoxaline (NBQX...
... Neurophysiology
D
epartment of Clinical Neurophysiology
A
ddenbrookes Hospital
Cambridge, UK
Basil F Matta
MB BCh BA BOA DA FRCA
Consultant in Anaesthesia and Neuro -Critical Care
Director of Neuroanaesthetic ... aqueduct of Sylvius through the dorsal aspect of
the midbrain to open out into the diamond-shaped fourth ventricle. This has the cerebellum as its roof and the d...
... clinical and electrophysiologic study. Crit
Care Med 19 96; 24: 67 2
–
67 8.
65 . Scollo-Lavizzari G, Bassetti C. Prognostic value of EEG in post-anoxic coma after cardiac arrest. Eur Neurol. 1987; 26( 3): ... indicator respectively, Vb and Vi the volumes
(ml) of blood and indicator, λ
b
and λi the specific heat of blood and indicator, and ρ
b
and ρi the density o...
... sources.
15, 16
Ph
y
sical Findin
g
s
Symptoms and signs depend on the degree and duration of disease and are caused by:
• endocrine effects of ACTH on cortisol, adrenal androgens and aldosterone, ... adenoma of corticotrophic cells of the anterior pituitary.
Physiologically, corticotrophin-releasing hormone (CRH) from the hypothalamus stimulates the synthesis and release...
... desflurane and propofol
anesthesia. Anesthesiology 1995; 83: 66
–
76.
80. Matta BF, Mayberg TS, Lam AM. Direct cerebrovascular effects of halothane, isoflurane and desflurane during propofol-induced ... blood flow
63
and the relationship between whole-body energy expenditure and cerebral requirements is
complex.
64 ,65
N
on-Accidental Injury (Box 22.3)
Some of the most...
...
Box 26. 1 Neuromuscular causes of acute lar
y
n
g
eal and bulbar failure
illness by Guillain, Barré and Strohl in 19 16
15
(although Landry's 1859
16
account was earlier). On the basis of ... study in
dogs and man. J Neurosurg 19 86; 64 (1): 104
–
113.
44. Schar A, Tsipstein E. Effect of mannitol and furosemide on the rate of formation of cerebrospinal fluid. Exp...
... and sedation for adults and children in
this 'unfriendly' and often isolated environment and it is now possible to safely monitor critically ill patients for MRI. The use of
high-strength ... of imaging techniques and the introduction of
computed tomographic (CT) scans
3
and magnetic resonance imaging (MRI).
The demands made of anaesthetists in the X-ray depa...