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Biomedical subjects

R Galinski

Publications and source records attributed to R Galinski.

11 recordsLinked to original sources

[Communication networks in great natural disasters].

A great natural disaster destroys every energy supplies and the communication network necessary for the organisation of health care (telephone, telex) is entirely or partially not functioning. It becomes impossible to be informed about the hospitals and others sanitary availabilities in the disaster area. Our personal experience, during the El Asnam's and Mexico's earthquakes demonstrates the necessity to maintain a functioning network for sanitary use. The unique possibility is the availability of portable, battery operated radio-transmitters. It is necessary to have these equipment in all hospitals and health centers in the area of a previsible disaster. A good scheduled training is necessary for the medical and paramedical personal of these areas.

Communication

[Midazolam in ORL endoscopy in adults].

A prospective study was carried out in 20 selected subjects undergoing ENT endoscopy, with spontaneous ventilation of room air after premedication with midazolam IM 1.5 kg-10 [corrected] and then sedation with 0.07 mg.kg-1 IV and dextromoramide 0.03 mg.kg-1 IV and local anesthesia. The procedure was satisfactorily completed in the 20 cases; alertness was preserved in the 20 cases; total amnesia for the procedure was obtained in 19 cases. There were significant alterations in systolic blood pressure, heart rate and respiratory rate but these remained within strictly physiological limits. Blood gas results were similarly affected but at the limit of normal in 6 cases after 30 minutes of the procedure. Cardiovascular tolerance was excellent but close surveillance of the sedative effects on ventilation was required. Provided these conditions are respected, midazolam would appear to be of particular interest in ENT endoscopy.

Adult

[Spontaneous ventilation in anesthesia. Introduction].

The "ventilatory requirement" can be measured in every conscious subject. But it cannot be appreciated under general anaesthesia. General anaesthesia produce a difference between the amount of spontaneous breathing of the subject and his "ventilatory requirement". A metabolic debt can appear without ventilatory compensation. So spontaneous breathing is never indicated during general anaesthesia. It can be tolerated in some technical situations when controlled breathing is impossible.

Anesthesia, General