Báo cáo y học: "Clinical review: The role of biomarkers in the diagnosis and management of communityacquired pneumonia" potx
Báo cáo y học: "Clinical review: High-frequency oscillatory ventilation in adults — a review of the literature and practical applications" ppsx
... Vtreceived by the patient depends on anumber of factors, including the size of the endotracheal tube, the airway resistance, and the compliance of the total respira-tory system. Unfortunately, there ... is the decoupling of oxygenation and CO2 elimination. Ventilation is determined bychanges in power (a surrogate for Vt) and in frequency.Simply increasing the power will often result in ... this, the results are very encouraging and point to the need for further investigation.There are several unanswered questions regarding HFOV in adults. These include the ideal timing of the intervention,...
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Báo cáo y học: "Clinical review: The role of the intensive care physician in mass casualty incidents: planning, organisation, and leadership" pot
... ultimatelyadmitted to the ICU.ReviewClinical review: The role of the intensive care physician in masscasualty incidents: planning, organisation, and leadershipPeter J Shirley and Gerlinde ManderslootRoyal ... [17,18].Reflection and debriefing The problems we faced following the events of July 2005were not unique and are seen on an ongoing basis in otherparts of the world, including settings of insurgency warfare,such ... (including checking of staff identity) is maintained?Who is the lead intensivist and who is the senior nurse? Are their roles clearly defined?What is the absolute limit in terms of increasing...
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Báo cáo y học: "Clinical review: The role of biomarkers in the diagnosis and management of communityacquired pneumonia" potx
... standard of care in the next few years.Indicators of prognosisCAP is the leading cause of death from infection in west-ern countries [43]. Ideally, the management strategy and nature of the ... Christ-Crain M, Opal SM: The role of biomarkers in the diagnosis and management of community-acquired pneumonia. Critical Care 2010, 12:203.Page 4 of 11 of Simon and colleagues can mainly be explained ... clinical judgment based upon a synthesis of available clinical, physiologic and laboratory features in each patient.© 2010 BioMed Central LtdClinical review: The role of biomarkers in the...
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Báo cáo y học: "Clinical review: What is the role for autopsy in the ICU" doc
... of the growing impact of the opinions of patients and their relatives, physicians are often forced to discuss necropsy with them. As a result, the autopsy rate in France has markedly declined ... 32% in the 1980s, and an increase in undiagnosed infections of 30%. Gerain and colleagues [36] studied the causes of death in oncology patients who died in an ICU. In 23.5% of all deaths the ... ICU.Autopsies allow the accuracy of existing diagnostic tools to be checked. One example may clarify this matter. e role of Candida spp. in the airways of critically ill patients was examined in a prospective,...
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Báo cáo y học: "Clinical review: Drotrecogin alfa (activated) as adjunctive therapy for severe sepsis – practical aspects at the bedside and patient identification Pierre-François Laterre and Xavier Wittebole" pdf
... activity by limiting thrombin formation and by inhibition of factors VIIIa and Va, and it promotes fibrinolysis by inhibitingplasminogen activator inhibitor 1 and thrombin-activatable fib-rinolysis ... the consideration of drotrecogin alfa (activated) as adjunctivetherapy for severe sepsis. In the PROWESS study, the timewindow between the development of the first organ dysfunc-tion and the start of the infusion ... excluded from the PROWESS study because of the need for intensive heparin therapy and limited informa-tion on the medication half-life in this setting [1]. Patientsenrolled in the study and who developed...
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Báo cáo y học: "Clinical review: The management of hypertensive crises" ppsx
... hypertension [29,43–45]. In addition toactivation of the renin–angiotensin system, vasopressin,endothelin, and catecholamines are postulated to playimportant roles in the pathophysiology of ... accompanied by evidence of renal disease and by signs of vascular injury to the heart,brain, retina and kidney, and by a rapidly fatal course ending in heart attack, renal failure, or stroke [25]. The ... trigger-ing factor superimposed on pre-existing hypertension. The risks for developing malignant hypertension are related to the severity of the underlying hypertension, and therefore the role of...
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Báo cáo y học: "Clinical review: Acid–base abnormalities in the intensive care unit" doc
... studies of acid–base prediction of outcomeshould strongly consider including each of these variables in theirmethodology. Further evaluation of these and potentially othermarkers of morbidity and ... utility identified in some studiesthat is conspicuously lacking in others? The answer may befound in the timing. Much like base excess, the value of the SIG may be related to the time of assay. ... for other injuries in isolation orcombination. The interpretation of SBE must thereforeincorporate the injury complex into decision-making, perhapslimiting its utility. A recent study of salvageable...
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Báo cáo y học: "Clinical review: Noninvasive ventilation in the clinical setting – experience from the past 10 year" pps
... duration of invasiveventilation, and decreasing the incidence of nosocomialinfections, mortality, and length of ICU and hospital stays. The International Consensus Conference [37] on the use of NIV in ... surgeryNo active gastrointestinal bleedingNo impairment in swallowingHemodynamic and rhythm stabilityAdequate fitting of the interface102A multicenter randomized controlled trial recently reported ... 8-yearretrospective study in which they investigated the changes in clinical practice of NIV in COPD patients. In that survey the failure rate with NIV was constant over time, regardless of the increasing...
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Báo cáo y học: " Clinical review: Vasculitis on the intensive care unit – part 1: diagnosis" doc
... leucocytosis, and a raisederythrocyte sedimentation rate and capsular reactive proteinare typical findings, but they add little in determining the specific diagnosis. The urea and creatinine ... particularly in PAN. Urinalysis must beperformed. Is the patient being treated for urinary sepsis on the basis of blood and protein on the urine dipstick in the absence of leucocytes and/ or nitrites? ... to the more fulminant presentations of these conditions and the role of the critical care physician in their diagnosis and management. Keywords antineutrophil cytoplasmic antibody, critical care,...
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Báo cáo y học: "Clinical review: Vasculitis on the intensive care unit – part 2: treatment and prognosis" ppsx
... outcomeswhile avoiding unnecessary immunosuppressive therapy. In thissecond part of the review we consider the role played by the ICU in their treatment and look at the prognosis of the fulminantpresentations. ... acutely duringtreatment of the vasculitis, and in 20–40% of cases this willneed to continue in the long term [4]. Unfortunately, of thosewho avoid long-term renal replacement therapy initially, ... admission to the ICU patients with fulminant vasculitis maybe hypotensive because of a combination of dehydration,haemorrhage and systemic inflammatory response syndrome.As such they may require...
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