[Shock lung after mechanical ventilation in a case of resuscitated cardiac arrest].

The case is presented, of a female patient aged 25 years presenting with internal haemorrhage as a result of uterine rupture, with intra-abdominal foetus who was who was resuscitated after cardiac arrest. After 22 hours of progressively inefficient mechanical ventilation the patient had another, irreversible, cardiac arrest. The post-morten examination showed the presence of fibrous lesions in the alveolocapillary septa, suggesting the course of shock lung.

[Intragastric administration of norartrinal in hemorrhage caused by rupture of esophageal varices].

In 20 patients with g hepatic cirrhosis hospitalized for upper digestive haemorrhage by rupture of oesophageal varices, the intragastric administration of norartrinal in amounts of 4-40 mg/24 h achieved definitive haemostasis in 7 cases and temporary haemostasis (with prolonged survival) in another 6 cases. The overall mortality was 80%. In three of the 7 patients in which haemorrhage was completely arrested death occurred as a result of hepatic failure.

[Value of endoscopic examination in upper digestive hemorrhage with shock states].

The authors analyze the contribution of endoscopic examination to the aetiological diagnosis and therapeutical approach in upper digestive haemorrhage (UDH), with haemorrhagic shock. In 10 of 34 emergency endoscopic examinations performed over a 2 year period, the patients had a systolic blood pressure of 60 to 90 mm Hg, and were put under the protection of volaemia reequilibration. Endoscopic examination at the patient's bedside in the Anaesthesia-Intensive Care Unit was well tolerated by the patients.

[Effectiveness of sympathoadrenergic blocking in prevention of postoperative acute pancreatitis].

The role of the vascular factor (namely hypoperfusion) in the onset of pancreatic necrosis is a well-established fact. In the present study an analysis is made of the efficiency of drug blocking of alpha and beta adreno-receptors in the prophylaxis of acute postoperative pancreatitis, following surgery of the Oddi sphincter. Compared with a control group of 301 papillo-sphincterotomies performed in a previous period the application of adrenergic blocking in 127 patients in whom interventions were performed on the Oddi sphincter led to a significant reduction in both morbidity and mortality through acute postoperative pancreatitis, from 5 to 2,3%, and from 1,3 to 0,7% respectively.