Acute Care Based on the Proceedings of the Sixth International Sympo

This volume contains the results of the 7th International Symposium on Acute Care, held in Rio de Janeiro from 21st to 24th November 1977. I would like to thank all the participants for their wonderful cooperation which made this Symposium a real success.

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Anaesthesiologie und Intensivmedizin Anaesthesiology and Intensive Care Medicine

Herausgeber: H. Bergmann' Linz (Schriftleiter) J. B. Bruckner' Berlin R Frey· Mainz W F. Henschel . Bremen F. Kern . St. Gallen O. Mayrhofer . Wien K Peter' Mlinchen

Acute Care Based on the Proceedings of the Sixth International Symposium on Critical Care Medicine

Edited by B. M. Tavares and R Frey

With 133 Figures

Springer-Verlag Berlin Heidelberg New York 1979

Brenildo M. Tavares, M. D. C. Posta114700 Ipanema, Rio de Janeiro, RJ Brasil Professor Dr. med. Rudolf Frey Institut fUr Anaesthesiologie der Universitiit Langenbeckstrafie 1, D-6500 Mainz

ISBN -13: 978-3-540-09210-0 e- ISBN -13: 978-3-642-67211-8 DOl: 10.1007/978-3-642-642-67211-8

Library of Congress Cataloging in Publication Data. International Symposium on Acute Care, 6th, Rio de Janeiro, 1977. Acute care (Anaesthesiologie undIntensivmedizin; bd. Jl6) Bibliography: p. Includes index. 1. Critical care medicine - Congresses. I. Tavares Brenildo M. II. Frey, Rudolf, 1917 - III. Title. IV. Series. RC86.2.I56 1977 616'.025 79-15408 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks. Under § 54 of the German Copyright Law where copies are made for other than private use, a fee is payable to the publisher, the amount of the fee to be determined by agreement with the publisher. © by Springer-Verlag Berlin Heidelberg 1979.

The use of general descriptive names, trade marks, etc. in this publication, even if the former are not especially identified, is not be taken as a sign that such names, as understood by the Trade Marks and Merchandise Marks Act, may accordingly be used freely by anyone. 2127/3140-543210

Preface

This volume contains the results of the 7th International Symposium on Acute Care, held in Rio de Janeiro from 21st to 24th November 1977. I would like to thank all the participants for their wonderful cooperation which made this Symposium a real success. I am especially grateful to the excellent speakers from all specialist fields and from all nations: I assure you, we all learned a great deal! I would also like to thank the members of the organizing and scientific committees whose combined efforts ensured the smooth running of the Symposium, a meeting with a high-level discussion of scientific and philosophic problems as its goal. But first and foremost, we should like to express profound gratitude to the man whose idea it was to hold an annual conference in Rio: Dr. Brenildo Tavares, the Director of the Rio Symposia on Acute Care. He is one of the great pioneers of intensive, critical, acute, and emergency care, not only in.south America, but allover the world. The secret of the success of his symposia lies in his interdisciplinary and international approach. The symposia have brought together a great number of people who have si