Báo cáo y học: "Sedation practice in the intensive care unit: a UK national survey" potx
Báo cáo y học: "Sedation practice in the intensive care unit: a UK national survey" potx
... interpretation of the data. MM had sub-stantial involvement in revising and drafting the article, and in interpreting the data. All authors contributed to drafting andrevising the article, and approved ... approved the final manuscript.Key messages• The majority of units have a standardized approach to sedation management, using a sedation guideline, sedation scoring and daily sedation holding.• In ... effectively is probably lowerthan the 78% stated.There may be many reasons why ICUs are not practicing dailysedation holding. Devlin and coworkers [42] surveyed Ameri-can clinicians in 2004 and...
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Báo cáo y học: "Rotating antibiotics in the intensive care unit: feasible, apparently beneficial, but questions remain" docx
... bacterium mayrequire more energy during bacterial multiplication or forproducing large amounts of beta-lactamases. It mayalternatively lead to variations in the bacterium’s ability to takeup ... Hilbert G, Vargas F, Valentino R, Bebear C, Allery A, Bebear C, Gbikpi-Benissan G, Cardinaud JP: Rotation andrestricted use of antibiotics in a medical intensive care unit.Impact on the incidence ... because weare clearly facing an antibiotic crisis [2,3]. Bacterial resistanceis progressing faster than the number of new antibioticsavailable to the clinician, resulting in higher costs and...
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Báo cáo y học: "Delirium assessment in the intensive care unit: patient population matter" ppsx
... value of the CommentaryDelirium assessment in the intensive care unit: patient population mattersMargaret A PisaniDepartment of Internal Medicine, Pulmonary & Critical Care Section, and ... deliriumscreening instruments need to address are the inability ofintubated patients to participate in a verbal assessment, the severity of illness, and limitations on staff time that maypreclude a lengthy ... have recently gained recognition in the literature[1]. Delirium may persist after an ICU stay and may have long-term effects on cognitive and functional abilities as well asimpacting on the...
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Báo cáo y học: "Renal failure in the intensive care unit: acute kidney injury compared to end-stage renal failure" pptx
... withAKI treated with renal replacement therapy (RRT).We retrospectively analyzed the Riyadh Intensive Care Program database of 41,972 adult patients admitted to ICUs in 19 hospitals in the UK and ... from baseline). A total of 797 patients had pre-existing ESRF and 2,782 patients had advanced AKI, ofLetterRenal failure in the intensive care unit: acute kidney injurycompared to end-stage ... hospitals in Germanybetween 1989 to 1999, and we compared ESRF patientsand patients with advanced AKI (defined by serum creatinine≥354 μmol/l, treatment with RRT or a rise in serum creatinineby...
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Báo cáo khoa học: " Research ethics in the intensive care unit: current and future challenges" pdf
... morbidity, mortality and the quality of care provided.Research in the ICU does pose considerable ethicalchallenges. Ethical dilemmas may be difficult to anticipate in this setting and indeed may arise ... standard of disclosurethan required for clinical decision-making prevail? Shouldresearch participation become part of advance care planning? What happens when the patient regains capacity?Is ... extensive haemodynamic and clinical monitoring, the intensive care unit (ICU) remains an ideal place to explore the effects of novel therapeutics and innovative technologies.While research has provided...
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Báo cáo khoa học: "Robotic telepresence in the intensive care unit" ppsx
... family. It is easy to understand thatvisual information such as the basic elements of the neurologic examination, appearance of the skin, appearanceof the abdomen, and appearance of the patient’s ... important visual information that cannot easily beconveyed by telephone, such as the actual appearance of the patient, graphical data from a monitor or flowsheet, and bodylanguage of the nurse ... breathingare much easier to appreciate when they are seen directly by the physician rather than being conveyed by a third party.Telepresence is unique in that nurses, patients, and familiesinteract...
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Báo cáo y học: "Evidence-based approach to intensive care unit management: need for improvement" potx
... accompanied by a high desire among ICU staff to leave their work, indicatingthat immediate actions are needed to adapt the critical care organisation to new professional demands, to the increasingworkload ... oneself inadequately equipped with the necessarytools and training is very unfortunate and uncomfortable foran otherwise highly competent individual, and not least forstaff and patients alike. ... effort and research are neededto define the skills required for leading and managing an ICU,and it is appropriate to develop training programmes wherethose capabilities are enhanced and trained.LetterEvidence-based...
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Báo cáo y học: "Variation in red cell transfusion practice in the intensive care unit: a multicentre cohort study" pptx
... Medicine AcademicAward Group: The variability of transfusion practice in coronaryartery bypass surgery. JAMA 1991, 265:86–90.15. Coffin C, Matz K, Rich E: Algorithms for evaluating the appropriate-ness ... of stay between institutions were compared using a one-way ANOVA. A preliminary analysis of the influ-ence of diagnostic categories on the administration of redcells was evaluated using a chi-square ... thisstudy, data from the Transfusion Requirements in Critical Care trial may substantially modify transfusion practiveand possibly decrease institutional and physician transfu-sion practices....
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Báo cáo y học: "How to evaluate the microcirculation: report of a round table conference" potx
... sublingual sites.Theoretical and practical considerations In analyzing microvascular images there are trade-offs to bemade, and several theoretical and practical considerationsmay influence these ... 4.1% and 10%, respectively). Although the images are stored using random numbers, they are ana-lyzed in batches of images by a single investigator so that the intra-observer variability applies ... that the final area will be smaller than the original one. The size of the original image is represented by the light grey rec-tangle, and the final one by the light blue rectangle.Available...
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