Báo cáo khoa học: "Elevated troponin and myocardial infarction in the intensive care unit: a prospective study" potx

... classified as having MI or noMI during their ICU stay [2].Statistical analysisWe report continuous data as mean and standard deviation ormedian and interquartile range (IQR), as appropriate. ... evidence of myocardial ischemia. An elevated troponin alone cannotestablish a diagnosis of myocardial infarction (MI), yet the optimal methods for diagnosing MI in the intensive care unit(ICU) are ... communication, and anelevated troponin can be discovered following the peak level and after an event has occurred. In addition, troponin canremain elevated for up to 14 days [1] and in practice is notalways...

Báo cáo khoa học: ":Clinically important deep vein thrombosis in the intensive care unit: a survey of intensivists" pot

... intervals, as well as measures of cen-tral tendency and dispersion (mean and standard deviation[SD]). Within each domain (patient factors and ultrasono-graphic features), we ranked the characteristics ... from coast tocoast in Canada, and our response rate was 99%. We believethat our results are generalizable to similar multidisciplinarysecondary and tertiary care settings in which the majority ... benefits and harms, patient-specific and dynamic bal-ance between bleeding and thrombosis risks, and alternativeoptions such as surveillance monitoring. Evaluating treatmentFigure 1Patient factors...

Báo cáo khoa học: "Remifentanil for analgesia-based sedation in the intensive care unit" pdf

... otherwithout a goal-orientated protocol [13]. It is probable thatadherence to a strict and goal-orientated algorithm fordefining, assessing and reassessing analgesia and sedationis more important than ... overdosing are available, as is the casefor remifentanil. The two observations made by Breen and coworkers [2] and Muellejans and colleagues [1] suggestthat this agent may be used safely in many ... protocol defining the goal of sedation was followedby nurses. In that investigation, a Ramsay score of 3 (patientawake and responds to commands only) [10] was targeted.Kress and colleagues [11]...

Báo cáo y học: "Advanced directives and treatment decisions in the intensive care unit" potx

... can adjust to changingcircumstances and maintain a collaborative relationship with the health care team while promoting the patient’s particularvalue system and respecting the individual’s autonomy.Despite ... Schiavo case), a relatively small percentage of Americans complete advanceddirectives, as Tillyard notes. The reasons for this may bemultifactorial, ranging from the demands of managed care in which ... with the motivation behind them and the dialogue they engender over time [4]. In the United States, advanced directives are used as a blanket term that can refer either to a living will or a durablepower...

Báo cáo khoa hoc:" Neurohumoral, immunoinflammatory and cardiovascular profile of patients with severe tetanus: a prospective study" docx

... re-evaluated byanother blinded echocardiographist.Statistical analysisContinuous variables are described as means and stand-ard deviation or medians and range; categorical variablesare described ... tubes and stored at -80°C for later measurement of plasma catecho-lamines and TNF-α levels. Catecholamine levels (epine-phrine, norepinephrine, dopamine and totalcatecholamines) were measured at ... Satoh M, Nakamura M, Saitoh H, Satoh H, Maesawa C, Segawa I,Tashiro A, Hiramori K: Tumor necrosis factor alpha convertingenzyme and tumor necrosis factor alpha in human dilatedcardiomyopathy....

Báo cáo khoa học: "nformed consent for research obtained during the intensive care unit stay" docx

... criteria regarding the decision-making capac-ity of patients are lacking in international and national direc-tives, investigators usually use their clinical judgement and the Glasgow Coma Scale ... intensive care unit stayCatherine Chenaud, Paolo Merlani, Samuel Luyasu and Bara RicouService of Intensive Care, Department of Anesthesiology, Pharmacology and Intensive Care, University Hospital ... investigatedwhether asking questions about the clinical trial or reading the informative leaflet was related to the recall. To be included in the study, the patient had to have a Glasgow Coma Scale...

Báo cáo y học: "Is succinylcholine appropriate or obsolete in the intensive care unit" docx

... encephalitis and acute renal failure.Potassium release can be further augmented by acid–basebalance disturbances and by corticosteroids [6,7]. The induced hyperkalaemia causes arrhythmias and ... activity In intensive care patients there is large variability in the activity of plasma cholinesterase, an enzyme that metabolizesCommentaryIs succinylcholine appropriate or obsolete in the intensive ... spontaneous breathingpossible if intubation fails. The situation in the ICU isdifferent, however. During anaesthesia, intubation and artificial ventilation are only indicated to facilitate surgery...

Báo cáo y học: " Rational use of computerized protocols in the intensive care unit" ppt

... nursing, and respiratory therapy staffs of the Intermountain Respiratory Intensive Care Unit and of the Shock-Trauma/Intermountain Respiratory ICU, and to the Respiratory Care Department of the ... Chalmers T, Lau J: Randomized controlled trials and meta-anlayses in gastroenterology: major achievements and futurepotential. In Doing More Good than Harm: the Evaluation ofHealth Care Interventions. ... under-standing of clinical management of sepsis and ARDS has not.Several clinical trials of promising therapeutic agents haveconsistently failed to identify the promised advances in therapy[21,93–98]....

Báo cáo y học: "Clinical review: Acid–base abnormalities in the intensive care unit" doc

... outcomeprognostication. These data may be incorporated into dailypractice using a handheld calculator, or a computer-basedmacro utilizing the relevant data points from the clinicallaboratory; automated abstraction ... gap.Critical Care April 2005 Vol 9 No 2 Kaplan and FrangosAbstractAcid–base abnormalities are common in the critically ill. The traditional classification of acid–base abnormalities and a ... associated with a significant increase in infection rate and mortality in majortrauma patients. J Trauma 2000, 48:8-14.Critical Care April 2005 Vol 9 No 2 Kaplan and Frangos200Critical Care...

Báo cáo y học: "Recently published papers: Heavyweight problems in the intensive care unit" potx

... recently in Intensive Care Medicine add moreweight to the arguments against such views [2,3]. In the study by Sakr and colleagues, the European obser-vational Sepsis Occurrence in Acutely Ill Patients ... reading. There was noassociation between increased mortality and obesity. Therewas, however, an increase in morbidity with a trend towardslonger length of stay, both in the ICU and in the hospital,between ... not least the inconsistencies in measurement of height and weight (a simple yet seeminglyimpossible task to do well in the ICU) and the paucity ofdetailed data relating to mechanical ventilation...

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