Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0000737 (abdominal pain)
 31,184 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

IMV provides the ICU nurse responsible for total multifunctional patient care with many advantages. First of all, it allows more time to perform other needed tasks. Time is made available for counseling the patient and family; consulting with the social worker, occupational therapist, and other staff members; and participating actively on team patient care conferences. IMV permits the patient to perform at an optimal level throughout the ICU stay and to participate in the treatment program. This is perhaps the greatest advantage of IMV for both the nurse and the patient. The patient's comprehension and ability to communicate are not limited by sedation or anxiety, the patient is more responsive when at least some control is retained over the environment. This reassures the family. Allowing the patient to be as awake and alert as possible not only assists the staff in assessment but allows positive feedback to the patient. It is difficult for a nurse to argue with the advantages of this method in contrast to the difficulty of caring for a sedated patient receiving controlled ventilation. Incrementally decreased ventilatory support lessens anxiety during weaning, thereby minimizing one of the negative aspects of critical illness. Because less sedation is required, the patient's overall safety is improved. The ICU team can more easily find out about such problems as abdominal pain and difficulty in breathing. An alarm aids the nurse in discriminating anxiety from hypoxia/hypercapnia. With definitive guidelines for its use and careful delineation of team members' responsibilities, IMV provides the nurse with a simple, flexible, and innovative tool for patient care.
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PMID:Nursing assessment of intermittent mandatory ventilation. 700 48

An 81-year-old woman with unintentional salicylate intoxication presented with features of sepsis, abdominal pain, and tenderness. Laparotomy was performed to rule out acute cholecystitis. Anesthesia was complicated by severe hypercarbia despite hyperventilation, and progressive cardiovascular and neurologic deterioration postoperatively. The adverse neurologic, respiratory, and hepatic effects of abdominal surgery and general anesthesia probably potentiated salicylate toxicity and increased patient morbidity. Anesthesiologists should be aware of the protean manifestations of salicylate poisoning and consider it as a cause of "medical abdomen."
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PMID:Anesthesia in a patient with undiagnosed salicylate poisoning presenting as intraabdominal sepsis. 1043 24

A 59-year-old woman underwent explorative laparotomy under general anesthesia for mechanical ileus. The patient had rectal cancer with multiple metastasis, and was receiving 1.5-2 mg of intravenous morphine per hour due to severe abdominal pain. After about 3 hours of general anesthesia, the patient was extubated and transferred to postanesthesia care unit. The patient was supplied with 6 L/min of oxygen by facial mask. In 30 minutes, the patient showed no response to verbal order and pain stimulus with sluggish eye reflex, although pulse-oximeter showed 98-99%. After emergent intubation, arterial blood gas was sampled, and the result showed severe acidosis with hypercapnia. The patient was transferred to intensive care unit, and after 1 hour of mechanical ventilation the patient became conscious then fully recovered without further complication.
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PMID:Hypercapnic coma at the postanesthesia care unit: A case report. 3062 97