Báo cáo y học: "The International Sepsis Forum’s frontiers in sepsis: high cardiac output should not be maintained in severe sepsis" pptx
Báo cáo y học: "The International Sepsis Forum’s frontiers in sepsis: high cardiac output should not be maintained in severe sepsis" pptx
... by aCommentaryThe International Sepsis Forum’s frontiers in sepsis: high cardiac output should not be maintained in severe sepsis Vinay K Sharma1and R Phillip Dellinger21Attending Physician, ... subsequent increases in DO2do not result in any further increase in VO2(Fig. 1). Attempts to increasethe DO2beyond this point are more likely to be harmfulbecause the methods used (e.g. inotropes) ... (such as increased oxygen demand in tissues,tachyarrhythmias, worsening distribution of blood flow in tissues, and myocardial ischemia).What is the rationale for maintaining high cardiac output? The...
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Báo cáo y học: "The International Symposium on Intensive Care and Emergency Medicine continues to grow every year, with in excess of 4000 attendees. With six parallel sessions for four frenetic days, it covers all" doc
... awaited [62].Marcos Intraglietta (La Jolla, CA, USA) presented anemerging alternative hypothesis to the dogma of maintainingoxygen delivery by maintaining oxygen carrying capacity (i.e.RBC transfusion). ... the wiser in clinically determining best PEEP, the evidence to datesuggests that the lung should be kept open to preventventilator-induced lung injury, although to achieve this wemay be simultaneously ... inspiratory and expiratory tidalvolumes early in acute respiratory failure, to identifyinsufficient ventilation as a consequence of leaks.Asynchrony as a result of leaks may be aided by the use...
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Báo cáo khoa học: "The mental status of 1090 heroin addicts at entry into treatment: should depression be considered a ''''dual diagnosis" pptx
... is definable as an illness [1] with coresigns and symptoms (craving and relapsing behaviour)pertaining to the field of psychiatry and behaviouralscience [2]. Moreover, psychiatric symptoms ... to not necessarily be indicative of the presence of a dual diagnosis.Conclusion: The presence of depressive-anxious symptomatology in the clinical presentation in heroin addicts appears to be ... Weissman MM, Kleber H, Wilber C: Heterogeneityof psychiatric diagnosis in treated opiate addicts. Arch Gen Psy-chiatry 1982, 39:161-166.19. Mirin SM, Weiss RD: Psychiatric Comorbidity in Drug/AlcoholAddiction....
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Báo cáo y học: "The International Sepsis Forum’s controversies in sepsis: how will sepsis be treated in 2051" ppsx
... AbrahamUnfortunately, in 2051 we will still have to deal withendotoxin being released by Escherichia coli, but by then wewill be able to determine who will do poorly and who will dowell. By appreciating ... leading toappropriate levels of support.By being able to identify cascades and intercellularmechanisms, we will also be able to identify those patients in whom it does not make any sense to intervene. ... the International Sepsis Forum for helping to write this commentary.AcknowledgementsI thank Pritpal S Tamber for his assistance in writing this commentary. Ialso thank the International Sepsis...
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Báo cáo y học: "The International Sepsis Forum’s controversies in sepsis: how will sepsis be treated in 2051" doc
... will be combined.Surgery will become less invasive as imaging techniquesbecome more revealing.Indeed, the next frontier in imaging will be to reveal not onlyanatomy but also physiology and ... what we might be doing49 years from now. I will not be treating sepsis in 2051because I won’t be here. The chances are, however, thatfuture intensivists will not really be treating sepsis either. ... have a better understanding of ‘host–microbialCommentaryThe International Sepsis Forum’s controversies in sepsis: howwill sepsis be treated in 2051?John C MarshallProfessor of Surgery, University...
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Báo cáo y học: "The International Sepsis Forum’s controversies in sepsis: my initial vasopressor agent in septic shock is norepinephrine rather than dopamine" pot
... chronotropic effect of norepinephrine iscounterbalanced by an increased venous capacitanceCommentaryThe International Sepsis Forum’s controversies in sepsis: myinitial vasopressor agent in ... to be elevatedand patients receiving norepinephrine showed a statisticallyand clinically significant decrease in levels. In another study[14] treatment with a combination of norepinephrine ... norepinephrine ordopamine titrated to maintain an MAP above 75 mmHg. Thegastric intramucosal pH increased significantly in patients onnorepinephrine but decreased significantly in those receivingdopamine...
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Báo cáo y học: "The International Sepsis Forum’s controversies in sepsis: my initial vasopressor agent in septic shock is dopamine rather than norepinephrine" pptx
... could be given to norepinephrine, butthese are exceptional cases.CommentaryThe International Sepsis Forum’s controversies in sepsis: myinitial vasopressor agent in septic shock is dopamine ... response to a severe infection is an increase in cardiac output secondary to increases in both stroke volumeand heart rate. It may even be an advantage to have somedegree of tachycardia in these ... The International Sepsis Forum’s controversies in sepsis: my initial vasopressor agent in septicshock is norepinephrine rather than dopamine. Crit Care2003, 7:3-5.3. Bailey AR, Burchett KR:...
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Báo cáo y học: " The International Sepsis Forum’s frontiers in sepsis: high cardiac output should be maintained in severe sepsis" ppt
... tailored to the individual patient. Hayes andCommentaryThe International Sepsis Forum’s frontiers in sepsis: high cardiac output should be maintained in severe sepsis Jean-Louis VincentHead, ... that, in certain patients, achieving and maintaining high levels of cardiac output is associated with improvedoutcomes; the difficulty lies in identifying those patients. Should we maintain adequate ... adequacy of the cardiac output in patientswith severe sepsis, enabling management strategies aimed at optimizing cardiac output to be tailoredto the individual patient.Keywords mixed venous oxygen,...
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Báo cáo y học: " The international PROGRESS registry of patients with severe sepsis: drotrecogin alfa (activated) use and patient outcomes" ppsx
... physicians participating in a clinicaltrial. Low rates of DrotAA usage have been noted in other reg-istries [12,31], which in part may be related to clinicians wait-ing until patients have higher ... purposes)response syndrome (SIRS) criteria, evidence of infection, andat least one sepsis- induced organ dysfunction (OD)). The def-inition of severe sepsis used in PROGRESS has been previ-ously described ... out-come of severe sepsis in ICU-treated adults in Finland: theFinnsepsis study. Intensive Care Med 2007, 33:435-443.Critical Care Vol 13 No 3 Martin et al.Page 10 of 14(page number not for citation...
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Báo cáo y học: "The International Documentation and Evaluation System IDES: a single center observational case series for development of an ankle prosthesis documentation questionnaire and study of its feasibility and face validity" pdf
... the Insti-tute for Evaluative Research in Orthopaedic Surgery atthe University of Bern, Switzerland, allows online andoffline data entry. All information is sent in an encryptedfashion and in ... setting; this because of the modularityhow data can be recorded. The consistent use of the sys-tem assures a stringent internal quality assurance, andmore interesting, an external quality assurance ... University of Bern, all registered users can make use of IDES in its online or paper based versions.IntroductionThe International Documentation and Evaluation Systemwas first introduced in 1993 by...
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