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Fast Facts: Hypertension provides a concise readable refresher on this common and potentially devastating condition.

Hypertension. --- Blood pressure, High --- High blood pressure --- Vascular hypertension --- Blood circulation disorders

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Blood --- Cardiology --- Blood Circulation --- Cardiology --- Cardiology --- Equipment and Supplies --- Technology. --- Blood --- Cardiology --- Circulation --- Instruments --- instrumentation --- Circulation. --- Instruments. --- Physiology

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Le choc cardiogénique réfractaire est la cause de très nombreux décès dans les services de soins intensifs de cardiologie et de réanimation. Depuis quelques années pourtant, certains patients ont survécu à ce pronostic grâce à la mise en place d'une assistance circulatoire mécanique externe temporaire par circulation extracorporelle (ExtraCorporeal Membrane Oxygenation ou ECMO, Extracorporeal Life support ou ECLS). Bien que disponible depuis plusieurs décennies, l'ECMO était associée à de nombreuses complications et à une durée de vie courte des circuits de circulation extracorporelle. D'importants, et nécessaires progrès technologiques, l'ont remise au goût du jour à la fin des années 90. Urgentistes, réanimateurs, cardiologues et chirurgiens cardiothoraciques doivent désormais l'intégrer dans leur stratégie thérapeutique. Cette circulation extracorporelle, sortie du bloc opératoire et de longue durée - quelques jours à plusieurs semaines - permet de réduire la mortalité. Elle nécessite un personnel formé et motivé, un réseau de prise en charge ainsi que des protocoles et du matériel disponible en permanence. La défaillance respiratoire réfractaire au traitement médical optimal et à une stratégie de ventilation optimisée sera vraisemblablement une indication d'ECMO dans les années futures, après validation par des essais thérapeutiques en cours. Cet ouvrage est le premier en langue française dédié à cet outil de réanimation. Les auteurs exposent le principe de fonctionnement et le matériel nécessaire, les techniques de pose, la surveillance spécifique de ces patients, les différentes indications. Ce livre se veut résolument pratique et didactique. L'objectif est de permettre aux équipes soignantes - médicales et paramédicales - une prise en charge adaptée à ces nouveaux patients et une réponse à leurs questions.

Shock, Cardiogenic --- Extracorporeal Membrane Oxygenation --- Extracorporeal Circulation --- Blood Circulation --- Cardiogenic shock --- Extracorporeal membrane oxygenation --- Blood --- Choc cardiogénique --- Oxygénation extracorporelle --- Circulation extracorporelle --- Sang --- Circulation, Artificial --- Circulation --- Intensive Care --- Extracorporeal Membrana Oxygenation --- Resuscitation --- complications --- Choc cardiogénique --- Oxygénation extracorporelle --- EPUB-LIV-FT LIVMEDEC SPRINGER-B --- Shock, Cardiogenic. --- Extracorporeal Membrane Oxygenation. --- Extracorporeal Circulation. --- Blood Circulation.

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Blood Circulation --- Respiration --- Lung Diseases --- Cardiovascular system --- Respiratory organs --- Appareil cardiovasculaire --- Appareil respiratoire --- Diseases --- Periodicals. --- Maladies --- Périodiques --- Blood Circulation. --- Respiration. --- Lung Diseases. --- Diseases. --- Respiratory diseases --- Cardiovascular diseases --- Disease, Pulmonary --- Diseases, Pulmonary --- Pulmonary Disease --- Pulmonary Diseases --- Disease, Lung --- Diseases, Lung --- Lung Disease --- Breathing --- Circulation, Blood --- Air passages (Anatomy) --- Respiratory system --- lung development --- circulatory medicine --- pulmonary medicine --- respiratory medicine --- Lung --- Cardiovascular System --- Pulsatile Flow --- Cardiopulmonary system --- Pathology of the circulatory system --- Pathology of the respiratory system --- Blood Flow --- Blood Flows --- Flow, Blood

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The microcirculation is highly responsive to, and a vital participant in, the inflammatory response. All segments of the microvasculature (arterioles, capillaries, and venules) exhibit characteristic phenotypic changes during inflammation that appear to be directed toward enhancing the delivery of inflammatory cells to the injured/infected tissue, isolating the region from healthy tissue and the systemic circulation, and setting the stage for tissue repair and regeneration. The best characterized responses of the microcirculation to inflammation include impaired vasomotor function, reduced capillary perfusion, adhesion of leukocytes and platelets, activation of the coagulation cascade, and enhanced thrombosis, increased vascular permeability, and an increase in the rate of proliferation of blood and lymphatic vessels. A variety of cells that normally circulate in blood (leukocytes, platelets) or reside within the vessel wall (endothelial cells, pericytes) or in the perivascular space (mast cells, macrophages) are activated in response to inflammation. The activation products and chemical mediators released from these cells act through different well-characterized signaling pathways to induce the phenotypic changes in microvessel function that accompany inflammation. Drugs that target a specific microvascular response to inflammation, such as leukocyte-endothelial cell adhesion or angiogenesis, have shown promise in both the preclinical and clinical studies of inflammatory disease. Future research efforts in this area will likely identify new avenues for therapeutic intervention in inflammation.

Inflammation. --- Microcirculation -- Pathophysiology. --- Microcirculation -- Physiopathology. --- Microcirculation. --- Pathologic Processes --- Membrane Glycoproteins --- Biological Transport --- Blood Circulation --- Antigens, Surface --- Cardiovascular Physiological Phenomena --- Glycoproteins --- Cardiovascular Physiological Processes --- Antigens --- Metabolism --- Circulatory and Respiratory Physiological Phenomena --- Pathological Conditions, Signs and Symptoms --- Membrane Proteins --- Proteins --- Diseases --- Phenomena and Processes --- Biological Factors --- Amino Acids, Peptides, and Proteins --- Chemicals and Drugs --- Capillary Permeability --- Cell Adhesion Molecules --- Inflammation --- Microcirculation --- Medicine --- Health & Biological Sciences --- Cardiovascular Diseases --- Microcirculation disorders. --- Vasomotor function --- Leukocyte adhesion --- Vascular permeability --- Thrombosis --- Angiogenesis