Báo cáo y học: "Bench-to-bedside review: Resuscitation in the emergency department" ppsx

... augmenting systemic oxygen delivery [32]. The typeand volume of infused fluid can influence vascular endothelialintegrity and capillary permeability [33]. Intra-abdominalcompartment syndrome, intracranial ... endeavor. The physician responsible forinitiating resuscitation or life-sustaining therapy must fulfillthat task [50]. Life-sustaining therapy that simply delays deathand prolongs suffering is ... action DrugsInotropic DobutamineMilrinoneDopexamineCombined DopamineEpinephrineVasomotor NorepinephrinePhenylephrineVasopressinTable 3Outcome of resuscitation Outcome end-points Factors...

Báo cáo y học: "Hypertonic saline resuscitation in sepsis" pps

... were administered 2–4 ml/kghypertonic saline in hydroxyethyl starch. Followingadministration there was a small effect on oxygenation byincreasing cardiac output and oxygen delivery. There was ... 1466-609X)Abstract The review by Oliveira and colleagues on the subject of hypertonic saline resuscitation in sepsis(included in the present issue) suggests possible benefits for hypertonic saline. There ... saline solutions in stablepatients with sepsis are only descriptive. Furthermore,administration of hypertonic saline solutions during the earlystages of septic shock when the patient is not yethyperdynamic...

Báo cáo y học: "Science review: Apoptosis in acute lung injury" potx

... pos-tulated, namely the ‘neutrophilic hypothesis’ and the ‘epithelialhypothesis’. The former hypothesis suggests that neutrophilapoptosis plays an important role in the resolution of inflamma-tion, ... therapeutic intervention. In the present review we examine two important hypotheses that link apoptosis with the pathogenesis ofacute lung injury in humans. The first of these, namely the ‘neutrophilic ... neutrophilic inflammation. The second hypothesis, the ‘epithelial hypothesis’, suggests thatepithelial injury in acute lung injury is associated with apoptotic death of alveolar epithelial cellstriggered...

Báo cáo y học: " Clinical review: Fever in intensive care unit patients" potx

... No 3 Ryan and Levy The goal of the present review is to question, by criticallyevaluating the literature, the practice of routinely treating fever in the ICU patient. The pathophysiology of fever ... circulating cytokines in the systemic circulation effect neural tissue remains unclear. Ithas been hypothesized that a leak in the blood–brain barrierat the level of the OVLT allows the central ... [16]. Other endogenous pyrogens that are integral in the febrile response include IL-6 and the interferons [17].These endogenous pyrogens act on the central nervoussystem at the level of the organum...

Báo cáo y học: "Clinical review: Imaging in ischaemic stroke – implications for acute management" pot

... therapy and to define the potential for recovery in the individual patient.Imaging techniquesPlain computed tomographyDespite being surpassed by magnetic resonance imaging(MRI) in versatility ... particularly in the selection of parameters for defining the tissue at risk and in the choice of arterial input function[49,69]. The DWI–PWI mismatch may thus overestimate the penumbra by including ... relatively limited information in early stroke,multimodal MRI is increasingly being advocated as the imaging investigation of choice [80]. The main concern, how-ever, is the possible delay in treatment...

Báo cáo y học: "Clinical review: What is the role for autopsy in the ICU" doc

... autopsy rate was 23% [9]. Training physicians how to recommend autopsies may increase autopsy rates.Reluctance of pathologistsAnother reason for the decline in autopsy rates is the growing ... encountered in the ICU Communicate the conclusion of the autopsy report to the relatives E orts by both departments Clinicopathological conferences on a monthly basis attended by the treating intensivist, ... Several studies analyzing the delay of pathology reports show a long delay (up to 90 days) [6].  is indicates a lack of interest in autopsy ﬁ ndings, both from pathologists and clinicians.  e...

Báo cáo y học: "Treatment of hypophosphatemia in the intensive care unit: a review" doc

... may result in severehypophosphatemia [22].Hypothermia induces polyuresis and is associated withhypophosphatemia as well [23]. The use of (continuous)renal replacement therapy may lead to hypophosphatemiawhen ... [1,3]:respiratory alkalosis-induced increase of intracellular pHcauses phosphate to enter the cell by stimulating glyco-lysis [4]; administration of glucose and insulin also sti-mulates carbohydrate ... the skin [19,20]. In patients with headtrauma, induction of polyuresis may be a n aggravatingfactor [21]. In patients with malnutrition, a so-called refeedingsyndrome may develop when they...

Báo cáo y học: "Ultra-low microcurrent in the management of diabetes mellitus, hypertension and chronic wounds: Report of twelve cases and discussion of mechanism of action"

... with vitamin E, vitamin C, or glutathione improves insulin sensitivity in insulin-resistant indi-viduals (16,62). The acute effects of hyperglyce-mia-dependent endothelial cells dysfunction ... superoxide by the mitochondrial electron transport chain would nor-malize the pathways involved in the development of the oxidative stress (68). If our findings are proven by further studies in- volving ... minutes, which then switched to the opposite polarity for another 11.5 minutes. The device was designed to switch the di-rection of current flow halfway through the cycle. The resulting cycle time...

Báo cáo y học: "Godoy & Godoy technique in the treatment of lymphedema for under-privileged populations."

... exercising and muscle activity can stimulate venolymphatic return due to external compression on the vessels; the au-thors suggest the use of the term ‘myolymphokinetic therapy’ when these ... Godoy JMF, Godoy MFG, Batigalia F. Preliminary evaluation of a new, more simplified physiotherapy technique for lymphatic drainage. Lymphology 2002;35:91-3. 2. Godoy JMP, Braile DM, Godoy MFG. ... linfatica.com.br 19. Godoy JMP, Azoubel LMO, Godoy MFG. Intensive Treatment of leg lymphedema in the outpatients “clinic”. Indian Journal Dermatology 2010; In press. 20. Bordin HA, Godoy...

Báo cáo y học: " Vacuum-assisted closure in the treatment of early hip joint infection"

... re-established. The increase of the oxygen gradient facilitates the transportation of toxins and inhibitors inducing thereby the wound healing [16]. As a result of the increased angiogenesis, the local ... gained over the years. Moreover, it is unknown whether the polyurethane sponges of the V.A.C. – system would have the same outcome as the polyvinylalcohol sponges did in the present study. ... arthroplasty. Interest-ingly, all of them have used only polyvinylalcohol sponges for infection management. Kelm et al. re-ported an infection eradication in 9 out of 10 patients having early infections...

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