Báo cáo y học: "Recently published papers: Clunk-click every trip, smile, but don’t stop for a drink on the way" ppt

... standard therapy alone with standard therapy plus a maximum of four intratracheal doses of a recombinantsurfactant protein C-based surfactant given within 24 hours.They failed to demonstrate any ... papers: Clunk-click every trip, smile, but don’t stop for a drink on the wayJon Stacey1and Richard Venn21Senior House Officer, Department of Critical Care, Worthing General Hospital, Lyndhurst ... the study was powered only todemonstrate a reduction in pneumonia. Interestingly, the Kaplan–Meier curves of time to death appear to separate ataround the time of tracheotomy in the delayed group....

Báo cáo y học: " Recently published papers: Topical issues in pharmacology" pptx

... that is known to carry a high mortality rate, and itmay be that the time for a larger outcome trial approaches. The March/April edition of Intensive Care Monitor [7]comments on a paper that ... Ashton RC Jr, Landry DW, Townsend RN: Low-dosevasopressin in the treatment of vasodilatory septic shock. JTrauma 1999, 47:699-703.6. Tsuneyoshi I, Yamada H, Kakihana Y, Nakamura M, Nakano Y, Boyle ... to conclude a great dealmore from this study, but it positively contributes towards a rationale for the use of steroids in management of the inflammatory response.Thromboembolic disease is a...

Báo cáo y học: " Recently published papers: We are what we eat" pot

... triggeredby the Acute Physiology and Chronic Health Evaluation(APACHE) III as well as the study reported by McCluskeyand colleagues [8]. Unlike the latter study, Yap andcoworkers failed to show that ... befriend anamenable surgeon.An alternative approach to accelerate recovery ofgastrointestinal motility may be effective salt and waterbalance. In a study by Lobo and colleagues [4], prompted byCommentaryRecently ... APACHE = Acute Physiology and Chronic Health Evaluation; ICU = intensive care unit; MI = myocardial infarction; SMART = Systemic MediatorAssociated Response Test.Available online http://ccforum.com/content/6/4/295The...

Báo cáo y học: " Recently published papers: New evidence for old debates, new drugs and some timely reminders" pps

... [22].Sadly, adoption of this technique, in the UK at least, awaits the deliberation of the government and judiciary.Finally, if you have been seduced by the attractive qualities ofalcohol-based hand ... can prevent the need to reintubate, and that a trial of NIPPV is sometimes warranted, not least as a failedtrial is unlikely to harm the patient.Ventilator-associated pneumonia remains a major ... in the natriuretic peptides for sometime. July saw the publication of a paper by Maisel et al. demonstrating the diagnostic potential of a bedsideassay for B-type natriuretic peptide in the...

Báo cáo y học: "Recently published papers: of head injuries, high frequencies and haemodynamic optimization" pps

... intervals for this verge on unity,pointing out the problems of analysis with just so manyvariables. One day soon someone may take up the gauntletof a matched interventional study so that we can ... Brain Trauma Foundation, American Association of NeurologicalSurgeons, Joint Section on Neurotrauma and Critical Care:Guidelines for the management of severe head injury. BrainTrauma Foundation, ... comparing ventilation at conventional and highrespiratory rates, and confirmed this to be the case. The consideration, then, is that total PEEP should be measured,in addition to recommendations...

Báo cáo y học: "Recently published papers: A number of treatment controversies" pptx

... often? These areimportant questions but they are not easily answered.Anxiolysis, analgesia, amnesia and sedation are just a few of the elements to be considered. It is now widely accepted thatunbridled ... that this phenomenon may be used to risk stratifypatients in early ARF (i.e. diuretic nonresponders shouldreceive renal replacement therapy sooner rather than later). A large randomized trial ... inmechanical ventilator days and ICU duration of stay in the negative pressure ventilation group as compared with the NIPPV group. Unfortunately, as well as being a retrospectivestudy with the...

Báo cáo y học: "Recently published papers: Changing practices in the modern intensive care unit" pps

... as the oesophageal Doppler are being adopted with the sameenthusiasm as that of the balloon directed pulmonary arterycatheter in the early 1980s. There is some good news for the pulmonary artery ... and the patients were all aged over 60 years and were at leastAmerican Society of Anesthesiologists class III. The conclusions were that there was no benefit to therapy directedby pulmonary artery ... that will attract most attention is that bySandham and coworkers [4]. This is an impressive randomizedtrial that compared goal-directed therapy guided by pulmonaryartery catheter with standard...

Báo cáo y học: "Recently published papers: small pieces of the puzzle and the long-term view" pps

... Intensive Care” [3]have all finally reached print. Although much contained withinthese ‘stock takes’ will be familiar, they serve as valuable andtimely summaries. The only concern I have is that the ... T, Vaagenes P, Auestad BH,Steen PA: Delaying defibrillation to give basic cardiopul-monary resuscitation to patients with out-of-hospital ventricu-lar fibrillation: a randomized trial. JAMA ... has been investigated by Tremblay and Bandi[5]. The large population studied was North American, with a median intensive care unit (ICU) stay of only 2 days. Fifty-sixper cent of patients admitted...

Báo cáo y học: "Recently published papers: inflammation, elucidation, manipulation" pps

... produced as part of the septicinflammatory process because the coagulation cascade isactivated too. Carraway and coworkers [4] have alreadyshown that pretreating baboons with active site-inactivatedfactor ... in established Gram-negative sepsis will attenuate thisdamage [5]. Using a baboon model again, they blockedcoagulation cascade initiation using active site-inactivatedfactor VII at the time ... Taguchi O, Yasui H, Taguchi Y, Hayashi T, IdoM, Shimizu T, Nakagaki T, Kobayashi H, Fukudome K, TsuneyoshiN, D’Alessandro-Gabazza CN, Izumizaki M, Iwase M, Homma I,Adachi Y, Suzuki K: Activated...

Báo cáo y học: "Recently published papers: Take your predictions with a drop of saline … and breathe deeply before turning on your phone" ppt

... hospital stay. There were also nodifferences in the time spent on mechanical ventilation or in the duration of renal replacement therapy between the twotreatment groups. The study was pragmatically ... pragmatically planned,dictating only the fluid resuscitation of the patients, leavingclinicians free to manage all other aspects of the patients’care as they saw fit. This freedom was controlled bystratification ... employed to identify those ‘at risk’, the authors must be applauded for using straightforwardparameters that focus on drastic acute changes but alsoinclude the sensible caveat that a staff member...

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