Báo cáo y học: "Pro/con ethics debate: Should mechanical ventilation be continued to allow for progression to brain death so that organs can be donated" pdf
... October 2002 Vol 6 No 5 Parker and Shemie
Con: no, mechanical ventilation should not be continued to allow for progression to brain
death so that organs can be donated
Michael Parker
The number ... and benefits associated with
this option? What are the ethical issues raised by this?
Commentary
Pro/con ethics debate: Should mechanical ventilation be...
... such
adverse outcomes may not necessarily be related solely to
differences in intensivist staffing but may also be related to
lower levels of staffing in nursing, respiratory therapy, or other
medical ... this notion may not be entirely
true; the higher mortality observed in teaching institutions
may not be related to care delivery by in-training physicians
but rather to great...
... approximately 50% of antimicrobial usage
being unnecessary or suboptimal in hospital, community
or ambulatory settings [3,4]. A recent study showed that
approximately 20% of patients admitted to the ...
is likely due to its infancy: antimicrobial stewardship
programs today are where infection control programs
were roughly 30 years ago [40,41]. Because antimicrobials
are widely pr...
... of
prehospital interventions [14]. Efforts to simply dichotomize
prehospital systems into either ALS type or BLS type do not
sufficiently take into account this heterogeneity.
The methodological challenges ... benefit for
ALS with two major caveats. First, risk adjustment poses
significant challenges in analyses that need to be better
addressed. More importantly, ALS – and stay and...
... the computed tomography
scan has recently been called into question. Hubmayr sug-
gests that the increased density seen by computed tomogra-
phy scan in ARDS patients is caused by open alveoli ... size may therefore
not be totally accurate but the qualitative changes are very dra-
matic, allowing us to adequately answer our experimental
question and to test our hypothesis.
In summary,...
... study, should be interpreted more carefully as
they can be affected by many experimental and physical factors. In
this editorial, we offer our opinion that more intrinsic material
parameters should ... techniques. In comparison with
conventional ultrasonography for imaging joints, quantitative
ultrasound measurements using higher frequencies not only
achieve better resolution f...
... study, should be interpreted more carefully as
they can be affected by many experimental and physical factors. In
this editorial, we offer our opinion that more intrinsic material
parameters should ... techniques. In comparison with
conventional ultrasonography for imaging joints, quantitative
ultrasound measurements using higher frequencies not only
achieve better resolution f...
... unnecessary use of glucocorticoid
therapy.
Commentary
The incidence of “adrenal insufficiency” in sepsis and septic
shock is believed to be between 30 to 70%. Adrenal
insufficiency is frequently ... frequently characterized clinically as
hypotension resistant to volume resuscitation and
dependent on vasopressors. Two studies in the 1990’s
showed that the use of stress dos...
... could be beneficial.
Since most indications for rFVIIa remain largely untested, we
should struggle to enroll patients into clinical trials that will
eventually define which patients do benefit ... perfect efficacy described by
many case reports, particularly in upper gastrointestinal
bleeding. The reasons to avoid rFVIIa in this patient are as
follows: it has not previously been u...