I somehow managed to completely miss the news that Bioshock is on its way to the PS3. I know, I know. How can I consider myself a gamer? Well, at the moment that is neither here nor there. The important thing right now is that I have to reexamine my “Most Anticipated Games 2008” list and add Bioshock.
So with that in mind, here’s the updated list:
1. Fallout 3
2. LittleBigPlanet
3. Killzone 2
4. Bioshock
5. Resistance 2
6. Mirror’s Edge
7. Dead Space
Dead Space Machine Gun
Dead Space is a science fiction survival horror video game. Players take on the role of Isaac Clarke, controlling him through a third-person perspective. Players navigate the spaceship Ishimura, completing objectives given to Isaac during the narrative, solving physics-based puzzles within the environment, and fighting monsters dubbed Necromorphs. PlayOnMac will allow you to play your favorite games on Mac easily.
True, it’s only managed to take the fourth spot, but in all fairness I never thought I’d be playing this game on the PS3 and therefore have managed to get more worked up over my top three. In any case, this means you get to enjoy one more post in my “Most Anticipated Games 2008” series.
Definition
Age-Related Changes
- Elasticity is decreased in lung tissues causing
- Over distention of alveoli- Decreases alveolar surface area and decreases gas exchange efficiency.
- Collapse of smaller airways resulting in increased residual volume and closing capacity.
- Increase anatomical dead space
- Increased physiological dead space
- Increased chest wall rigidity
- Decreased cough response
- Decreased maximal breathing capacity
- Blunted response to hypercapnia/ hypoxia
- Decreased arterial oxygen tension by 0.35 mm Hg per year- As closing capacity increases small airways start closing at normal tidal breathing causing ventilation perfusion mismatch and decreases PaO2.
Anesthesia Implications
Dead Space Mac Os X
- Difficult mask ventilation secondary to poor seal(edentulous)
- Difficult intubation secondary to arthritis of TM joint/Cervical spine
- Improved visualization of vocal cords during intubation secondary to missing upper teeth.
- Aspiration pneumonia common- decreased airway protective reflexes and inadequ clearing of secretions.
- Consider pain control through epidurals/local anesthesia/intercostals blocks etc.
- MAC decreased by 4% per decade over 40 yrs., e.g., Halothane MAC- 0.77, age of 80 MAC would be 0.77 – [0.77 * 4% * 4]
- Decreased cardiac output – onset of action is faster.
- Myocardial depressant effects of anesthetic gases is exaggerated in the elderly
- Recovery from anesthesia is prolonged
- Increased volume of distribution
- Decreased hepatic function ( significant with halothane use
- Decreased pulmonary gas exchange
- Tachycardia tendencies of desflurane and isoflurane decreased in the elderly.
Subspecialty
Related Media
Dead Space 3 For Mac
Keyword history
- 91%/2015
- 32%/2010
- 80%/2008
Similar Keyword:
Geriatrics: Pulmonary changes