Biomedical subjects

S Nerlich

Publications and source records attributed to S Nerlich.

8 recordsLinked to original sources

PubMed1998

Critical care management of the patient with acute respiratory distress syndrome (ARDS). Part 2--A review of modes and strategies for ventilating the patient with poorly compliant lungs.

Mechanical ventilation strategies for patients suffering from acute respiratory distress syndrome (ARDS) have traditionally relied on volume cycling. Due to the poor lung compliance characteristic of ARDS, these patients may be exposed to very high inspiratory pressures to achieve sufficient tidal volumes for adequate gas exchange. This greatly increases the risk of ventilator-induced lung injury associated with alveolar over-distention. The literature review explores the rationales behind alternative ventilation modes and strategies introduced to reduce the risk of ventilator-induced lung injury for the patient with ARDS.

Critical Care↗

PubMed1998

Prevention and management of acute renal failure.

Acute renal failure (ARF) is estimated to occur in 5% of all hospitalised patients. It is therefore valuable to be familiar with the potential causes of ARF and to be able to identify patients who are at particular risk of developing ARF. This Clinical Update will indicate how establishing routine preventative strategies may be the most effective way to reduce the high mortality and morbidity associated with ARF.

Acute Kidney Injury↗

PubMed1998

Blood transfusion.

This Clinical Update considers issues relating to transfusion of blood components--erythrocytes, platelets and plasma products--obtained from human donors.

Blood Component Transfusion↗

PubMed1997

Critical care management of the patient with acute respiratory distress syndrome (ARDS). Part 1: Pathophysiology and implications for mechanical ventilation.

Acute respiratory distress syndrome (ADRS) is a severe, life-threatening consequence of certain pulmonary and systemic insults. It is thought to result from a dramatic change in the permeability of the alveolar-capillary membrane, allowing the movement of fluid and proteins into alveolar air spaces. These changes are followed by inactivation of surfactant, bringing about a significant alteration in lung compliance. It is common for the devastating changes to lung function in ARDS to necessitate the patient being supported by mechanical ventilation. However, the poor compliance of the ARDS-affected lung can greatly increase the risk of ventilator induced lung injury. This has led to a concern that traditional ventilation strategies may in fact be perpetuating the very conditions they attempt to compensate for.

Adult↗

PubMed1997

Oxygen therapy.

Explore the source record for details and available documents.

Blood Gas Analysis↗

PubMed1996

To boldly nurse where no-one has nursed before: nursing on the Internet.

A lot of articles about the Internet give you the idea that it's just a huge repository of stored information you just click your way around with a mouse: like a TV with many thousands of different channels that each play a different show. But the Internet is more than just a quick fix for the information hungry; it's a way to communicate with others on an awesome scale.

Computer Communication Networks↗

PubMed1995

Computer-assisted learning (CAL) for general and specialist nursing education.

Computer-assisted learning (CAL) may be defined as any learning that is mediated by a computer and which requires no direct interaction between the user and a human instructor in order to run. Instead, CAL presents the user with an interface (constructed by an educator skilled in the field of study) which allows the user to follow a lesson plan or may allow self-directed access to particular information of interest. CAL has been claimed to improve knowledge retention and achievement scores, enhance clinical judgement skills and reduce required instruction time; performing as well (if not better) when compared to other more traditional education techniques. The advantages of the utilisation of CAL in nursing education can be made clear by consideration of adult education theory and curriculum design, as well as the particular learning needs of nurses themselves. Research and development into a theoretical framework for CAL design and implementation has allowed the identification of beneficial aspects of CAL resources. Although the cost of commercial software may be prohibitive to some institutions, possibilities exist for educators to create their own CAL packages relatively simply.

Adult↗

PubMed1993

The option of intensive care for the patient with AIDS (a literature review).

The utilisation of intensive care facilities in the treatment of Acquired Immunodeficiency Syndrome (AIDS) related disease has been traditionally questioned on the basis of early results of poor prognosis for patients with AIDS admitted to Intensive Care Units (ICUs). However, recent reviewers have pointed out a significant improvement in in-hospital survival rates for AIDS patients admitted to ICU. Improved prognosis may be related to improved drug therapies in response to Pneumocystis Carinii Pneumonia (PCP) infection (including the use of corticosteroids), as well as initiating mechanical ventilation in response to the associated respiratory failure earlier in the disease process. The decision to utilise intensive care facilities is often complicated by AIDS related neurological complications, rendering the patient incapable of consenting to (or refusing) treatment. The importance of obtaining a Human Immunodeficiency Virus (HIV) infected patient's wishes in regard to their long term management is discussed. Options that have been used previously by patients with AIDS to ensure such wishes are carried out are presented.

Acquired Immunodeficiency Syndrome↗