The Multiple Inert Gas Elimination Technique (MIGET)

The Multiple Inert Gas Elimination Technique (MIGET)

Author: Susan R. Hopkins

Publisher: Springer

Published: 2017-12-01

Total Pages: 338

ISBN-13: 1493974416

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The Multiple Inert Gas Elimination Technique (MIGET) is a complex methodology involving specialized gas chromatography and sophisticated mathematics developed in the early 1970’s. Essentially, nobody possesses knowledge of all its elements except for its original developers, and while some practical and theoretical aspects have been published over the years, none have included the level of detail that would be necessary for a potential user to adopt and understand the technique easily. This book is unique in providing a highly detailed, comprehensive technical description of the theory and practice underlying the MIGET to help potential users set up the method and solve problems they may encounter. But it is much more than a reference manual – it is a substantial physiological and mathematical treatise in its own right. It also has a wide applicability – there is extensive discussion of the common biological problem of quantitative inference. The authors took measured whole-lung gas exchange variables, and used mathematical procedures to infer the distribution of ventilation and blood flow from this data. In so doing, they developed novel approaches to answer the question: What are the limits to what can be concluded when inferring the inner workings from the “black box” behavior of a system? The book details the approaches developed, which can be generalized to other similar distributed functions within tissues and organs. They involve engineering approaches such as linear and quadratic programming, and uniquely use mathematical tools with biological constraints to obtain as much information as possible about a “black box” system. Lastly, the book summarizes the hundreds of research papers published by a number of groups over the decades in a way never before attempted in order to marshal the world’s literature on the topic and to provide in one place the wealth of important discoveries, both physiological a nd clinical, enabled by the technique.


Applied Physiology in Intensive Care Medicine

Applied Physiology in Intensive Care Medicine

Author: Michael R. Pinsky

Publisher: Springer Science & Business Media

Published: 2007-05-19

Total Pages: 367

ISBN-13: 3540373632

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Te practice of intensive care medicine is at the very forefront of titration of treatment andmonitoringresponse. Te substrateofthiscareisthe criticallyill patientwho,by defnition, is at the limits of his or her physiologic reserve. Such patients need immediate, aggressive but balanced life-altering interventions to minimize the detrimental aspects of acute illness and hasten recovery. Treatmentdecisionsandresponsetotherapyareusually assessed by measures of physiologic function, such as assessed by cardio-respiratory monitoring. However, how one uses such information is ofen unclear and rarely supported by prospective clinical trials. In reality, the bedside clinician is forced to rely primarily on physiologic principles in determining the best treatments and response to therapy. However, the physiologic foundation present in practicing physicians is uneven and occasionally supported more by habit or prior training than science. A series of short papers published in Intensive Care Medicine since 2002 under the heading Physiologic Notes attempts to capture the essence of the physiologic perspectives that underpin both our understanding of disease and response to therapy. Tis present volume combines the complete list of these Physiologic Notes up until July 2006 with the ass o cia t ed r e vie w a r tic les o v er t h e s a m e in t er val t ha t a ls o addr ess e d t hes e cen tral issues.


Pulmonary Gas Exchange

Pulmonary Gas Exchange

Author: G. Kim Prisk

Publisher: Biota Publishing

Published: 2013-08-01

Total Pages: 88

ISBN-13: 1615044515

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The lung receives the entire cardiac output from the right heart and must load oxygen onto and unload carbon dioxide from perfusing blood in the correct amounts to meet the metabolic needs of the body. It does so through the process of passive diffusion. Effective diffusion is accomplished by intricate parallel structures of airways and blood vessels designed to bring ventilation and perfusion together in an appropriate ratio in the same place and at the same time. Gas exchange is determined by the ventilation-perfusion ratio in each of the gas exchange units of the lung. In the normal lung ventilation and perfusion are well matched, and the ventilation-perfusion ratio is remarkably uniform among lung units, such that the partial pressure of oxygen in the blood leaving the pulmonary capillaries is less than 10 Torr lower than that in the alveolar space. In disease, the disruption to ventilation-perfusion matching and to diffusional transport may result in inefficient gas exchange and arterial hypoxemia. This volume covers the basics of pulmonary gas exchange, providing a central understanding of the processes involved, the interactions between the components upon which gas exchange depends, and basic equations of the process.


Practical Handbook of Thoracic Anesthesia

Practical Handbook of Thoracic Anesthesia

Author: Philip M. Hartigan

Publisher: Springer Science & Business Media

Published: 2012-01-07

Total Pages: 632

ISBN-13: 0387884939

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This comprehensive handbook delivers “bottom line,” evidence-based guidance in the practice of thoracic anesthesia. Chapters are short and practical and include actionable technical pearls not available elsewhere. The editor and contributors are academic faculty who work at one of the busiest thoracic surgical programs in North America, and their aim has been to integrate essential concepts with practical decision-making. •Detailed guidance for performing more than 30 thoracic surgical procedures •Relevant surgical insights from a senior thoracic surgeon included for each procedure •Full range of modern thoracic anesthetic challenges covered •Essential foundation concepts digested and simplified •Technical aspects sufficiently detailed to be useful •An efficient resource for skilled generalists and trainees


Cardiopulmonary Monitoring

Cardiopulmonary Monitoring

Author: Sheldon Magder

Publisher: Springer Nature

Published: 2021-09-01

Total Pages: 952

ISBN-13: 3030733874

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This book offers a comprehensive overview of the basic physiology of the cardiac and pulmonary systems, tools for cardiopulmonary monitoring, and related issues in the management of specific conditions. The volume is divided into three main parts. The first part examines the functional basis of normal and abnormal physiology, organized into cardiac and pulmonary units and followed by a “combined” interactive component. The next section discusses cardiopulmonary monitoring tools and variables and is also divided into cardiac (e.g, echocardiography, heart rate, cardiac output), pulmonary (e.g, lung volume, pleural pressure, electrical impedance tomography), and combined tools such as radiology/MRI and tissue perfusion tests. The third section concerns the management and application of specific clinical problems such as pulmonary hypertension, cardiac shunts, cardiogenic shock, and ECMO with an emphasis on the physiological basics. /div Cardiopulmonary Monitoring: Basic Physiology, Tools, and Bedside Management for the Critically Ill is an essential resource for physicians, residents, fellows, medical students, and researchers in cardiology, critical care, emergency medicine, anesthesiology, and radiology.


Applied Physiology in Intensive Care Medicine 1

Applied Physiology in Intensive Care Medicine 1

Author: Michael R. Pinsky

Publisher: Springer Science & Business Media

Published: 2013-05-22

Total Pages: 430

ISBN-13: 3642282709

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The two previous editions of Applied Physiology in Intensive Care Medicine proved extremely successful, and the book has now been revised and split into two volumes to enhance ease of use. This first volume comprises three elements -- "physiological notes," “technical notes,” and seminal studies. The physiological notes concisely and clearly capture the essence of the physiological perspectives underpinning our understanding of disease and response to therapy. The technical notes then succinctly explain some of the basics of “how to” in this technology-centered field of critical care medicine. Finally, a number of seminal studies are provided on diverse topics in intensive care. Applied Physiology in Intensive Care, written by some of the most renowned experts in the field, is an up-to-date compendium of practical bedside knowledge that will serve the clinician as an invaluable reference source on key issues regularly confronted in everyday practice.


Oxford Textbook of Cardiothoracic Anaesthesia

Oxford Textbook of Cardiothoracic Anaesthesia

Author: R. Peter Alston

Publisher: Oxford Textbook in Anaesthesia

Published: 2015

Total Pages: 545

ISBN-13: 019965347X

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Part of the Oxford Textbooks in Anaesthesia series, this title covers the anatomy and physiology, pharmacology, post-operative complications, critical care, and all clinical aspects of cardiac and thoracic anaesthesia. Practical aspects, such as team working, and designing and equipping cardiothoracic theatre and critical care, are also included. The expert and international author team use their experience to ensure this title reflects current world-wide practice across the globe.


Einstein vs. Bergson

Einstein vs. Bergson

Author: Alessandra Campo

Publisher: Walter de Gruyter GmbH & Co KG

Published: 2021-11-08

Total Pages: 498

ISBN-13: 3110753723

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This book brings together papers from a conference that took place in the city of L'Aquila, 4–6 April 2019, to commemorate the 10th anniversary of the earthquake that struck on 6 April 2009. Philosophers and scientists from diverse fields of research debated the problem that, on 6 April 1922, divided Einstein and Bergson: the nature of time. For Einstein, scientific time is the only time that matters and the only time we can rely on. Bergson, however, believes that scientific time is derived by abstraction, even in the sense of extraction, from a more fundamental time. The plurality of times envisaged by the theory of Relativity does not, for him, contradict the philosophical intuition of the existence of a single time. But how do things stand today? What can we say about the relationship between the quantitative and qualitative dimensions of time in the light of contemporary science? What do quantum mechanics, biology and neuroscience teach us about the nature of time? The essays collected here take up the question that pitted Einstein against Bergson, science against philosophy, in an attempt to reverse the outcome of their monologue in two voices, with a multilogue in several voices.