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Báo cáo y học: "Clinical review: Intra-abdominal hypertension: does it influence the physiology of prone ventilation" doc

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Báo cáo y học: "Clinical review: Treatment of new-onset atrial fibrillation in medical intensive care patients – a clinical framework"

... improvesurvival?There are few data on the effect of treatment of AF on mortality in ICU patients. A meta-analysis in non-ICU patients showedthat class IA, class IC and class III antiarrhythmic agents areequally ... placebo[91,94-97]. A meta-analysis showed that class IA, class ICand class III antiarrhythmic agents are equally effective in obtaining SR [98]. Meta-analyses comparing amiodaronewith class IC antiarrythmic ... Connolly SJ: Evidence-based analysis of amiodarone efficacyand safety. Circulation 1999, 100:2025-2034.115. Hughes M, Binning A: Intravenous amiodarone in intensive care. Time for a reappraisal? Intensive...
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Báo cáo y học: "Clinical review: Medication errors in critical care"

... reportingbarriers partly owing to fewer liability concerns, and anopportunity to study recovery patterns [75]. Ideally, errorreporting should be voluntary, anonymous, centralized toincrease ... Herout PM, Erstad BL: Medication errors involving continu-ously infused medications in a surgical intensive care unit.Crit Care Med 2004, 32:428-432.80. Stambouly JJ, McLaughlin LL, Mandel FS, ... experience1.7 errors per day [5] and nearly all suffer a potentially life-threatening error at some point during their stay [6]. Medication errors account for 78% of serious medical errors in the ICU...
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Báo cáo y học: "Do pediatric intensivists and radiologists concur on the interpretation of chest radiographs" docx

... ourPICU is the result of the interpretation of the chest radio-Table 2Overall concordance of the interpretation of pediatric intensivists (PI) compared to pediatric radiologists (PR)Concordant ... interpretation of chest radiographs by PI and PR in selected clinical situations. These data support the current practice of the PI making therapeutic decisions based on their interpretations of chest ... interpretation of chest radiographs before the formal interpretation by a pediatric radiologist (PR). This study was designed to determine the adequacy of chest radiographinterpretations by pediatric intensivists...
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Báo cáo y học: "Clinical review: Severe asthma Spyros Papiris, Anastasia Kotanidou, Katerina Malagari and Charis Rousso" potx

... severity (whereReviewClinical review: Severe asthma Spyros Papiris, Anastasia Kotanidou, Katerina Malagari and Charis RoussosDepartment of Critical Care and Pulmonary Services, National and Kapodistrian ... hypovolemia, and primar-ily lung hyperinflation. Dynamic hyperinflation, as previouslydiscussed, occurs when the highly increased airway expira-tory resistance prolongs expiratory flow in such a way ... hyperinflation in acute, severe asthma, is primarilyrelated to the fact that the highly increased airway expiratoryresistance, the high ventilatory demands, the short expiratorytime, and the increased...
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Báo cáo y học: "Clinical review: Non-antibiotic strategies for preventing ventilator-associated pneumonia" pps

... of highly cont-aminated material. Hand washing is an important yetunderused measure to prevent nosocomial infections.ReviewClinical review: Non-antibiotic strategies for preventing ventilator-associated ... 9.2 days of additional hospitalstay [11], and Fagon et al. calculated the median length ofstay in the ICU for the patients that developed VAP to be21 days, versus a median of 15 days for control ... A strategy based on daily interruption ofCritical Care February 2002 Vol 6 No 1 Ferrer and ArtigasTable 2 Non-antibiotic preventive strategies for nosocomial pneumonia in mechanically ventilated...
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Báo cáo y học: "Clinical review: Bacteremia caused by anaerobic bacteria in children" pdf

... therapy play a significant role in preventing mortalityand morbidity in pediatric patients.Preventing bacteremia associated with dental or oral surgerycan be accomplished by prophylactic administration ... wound infections (16%);the female genitourinary tract (5%); and lung infections (4%).Fainstein et al. [31] found bacteremia caused by B. fragilis tobe common in patients with genitourinary and ... are present in cases of polymicrobial bac-teremia [1], reflecting the fact that localized anaerobic infections are usually polymicrobial. Polymicrobial bacteremia involving anaerobic bacteria were...
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Báo cáo y học: "Clinical review: Splanchnic ischaemia" ppsx

... perfusion mayindicate blood flow redistribution. Alternatively, some meta-bolic functions of the hepato -splanchnic region may have beenimpaired. Dopamine may directly inhibit isoenzymes of thecytochrome ... Liverdysfunction was associated with a markedly higher mortalityrate [28], and the ability to increase splanchnic oxygendelivery in septic conditions correlated with a lower mortal-ity rate ... cardiac surgery. Such patients may alreadyexhibit signs of tissue hypoxia when they arrive in the inten-sive care unit after cardiopulmonary bypass (CPB). A recentretrospective study attempted...
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Báo cáo y học: "Clinical review: Hypertonic saline resuscitation in sepsis" potx

... This indicates that HSS suppresses neutrophilfunction by intercepting signal pathways upstream of or apartfrom protein kinase C. Neutrophils incubated in hypertonic saline showed a reduction in ... Hyper-tonic saline in stabilized hyperdynamic sepsis. Shock 1996, 5:130-134.17. Kristensen J, Modig J: Ringer’s acetate and dextran-70 with orwithout hypertonic saline in endotoxin-induced shock in ... Silliman CC: Hypertonic saline attenuation of polymorphonuclear neutrophil cytotoxic-ity: timing is everything. J Trauma 2000, 48:388-395.38. Brown JM, Grosso MA, Moore EE: Hypertonic saline anddextran:...
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Báo cáo y học: "Clinical review: Myocardial depression in sepsis and septic shock" pptx

... depression in sepsis and septic shock Myocardial hypoperfusionThe possibility of myocardial dysfunction in sepsis was origi-nally proposed and described in the 1960s. Its etiology,however, remained ... in septic myocardial depression. Cellular mechanisms of septic myocardial depression Depression of myocardial contractility by TNF-α, IL-1β and septic serum in vitro occurs in two distinct time ... sepsis- induced myocardial depression. Keywords contractility, cytokine, heart, myocardial depression, nitric oxide 506canine studies also demonstrate the ability of TNF-α toinduce rapid myocardial...
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Báo cáo y học: " Clinical review: Fever in intensive care unit patients" potx

... ofanimal models with fever and infection, call into question the routine practice of treating fever in critically ill patients.Keywords fever, heat shock proteins, intensive care unit, nuclear factor-κB, ... the intensive care unit (ICU) with severesepsis, the incidence of fever is more than 90% [2]. As thereis variation in the incidence of reported fevers, the etiology of fever in critically ill ... haveunderlying kidney or liver disease [9]. Additionally, there isevidence, at least in animal models, that fever is a benefi-cial host response to infection [10–12].Review Clinical review: Fever in...
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Báo cáo y học: "Clinical review: Extracorporeal blood purification in severe sepsis" pdf

... al.dilution). In arteriovenous circuits blood is driven by thepatient’s blood pressure through a filter, via an extracorporeal circuit originating from an artery and terminating in a vein.However, in ... for blood purification, but are currently in the clinical testingphase. One such system is the molecular adsorbent regener-ating system device, which employs a polysulfone high-per-meability ... renalreplacement therapy. Kidney Int 2002, 62:1855-1863.15. Acute Dialysis Quality Initiative. [http://www.adqi.net]16. Adib-Conquy M, Adrie C, Moine P, Asehnoune K, Fitting C, PinskyMR, Dhainaut JF, Cavaillon...
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Báo cáo y học: "Clinical review: High-frequency oscillatory ventilation in adults — a review of the literature and practical applications" ppsx

... is Review Clinical review: High-frequency oscillatory ventilation in adults a review of the literature and practical applicationsFrank V Ritacca1 and Thomas E Stewart2,31Clinical Fellow, Division of ... ventilatorcircuit and is therefore only a surrogate of the actual pressureoscillations in the airways. These pressures are generallygreatly attenuated through the endotracheal tube and largerairways so the ... keep in mind that these stepsmay lead to larger tidal volumes (as already mentioned) and to larger pressure swings at the alveoli, and as a result maylead to the potential to negatively impact...
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Báo cáo khoa học: "Clinical review: Outreach — a strategy for improving the care of the acutely ill hospitalized patient" pps

... emergency teams in Australia, and outreach care in the UK. Critical care has a central role to play in all threedevelopments, which share the common aim of improving the safe care of acutely ill patients ... identifying research publications that exam-ined ways of improving the integration of critical care withacute care services as a means of improving the safe care of acutely ill hospitalized patients. ... indecision making, rising public expectations, and improvedpublic access to information about quality of care and out-ReviewClinical review: Outreach a strategy for improving the care of the acutely...
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Báo cáo y học: "Clinical review: Therapy for refractory intracranial hypertension in ischaemic stroke" pot

... [3,9,34,41,44,45,50,54-61]:Osmotic therapy with hyperosmolar agents aimed at loweringICP and reducing brain oedema by drawing water frominfarcted tissue may be detrimental by primarily dehydratingintact brain, contracting ... particular danger of malignant infarction),ReviewClinical review: Therapy for refractory intracranial hypertension in ischaemic strokeEric Jüttler1, Peter D Schellinger2, Alfred Aschoff3, ... thereby (especially in the caseof repeated use) worsening brain tissue shifts [55,59]. In addition, after discontinuing hyperosmolar therapy, reboundeffects may occur [60,63-65].Prolonged hyperventilation-induced...
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Báo cáo y học: "Clinical review: Intra-abdominal hypertension: does it influence the physiology of prone ventilation" doc

... secondarily in uences IAP/IAH is likely to greatly in uence respiratory mechanics and outcomes. Further study of the role of IAP/IAH in the physiology and outcomes of PV in hypoxemic respiratory failure ... 61:1359-1365.doi:10.1186/cc9099Cite this article as: Kirkpatrick AW, et al.: Intra-abdominal hypertension: does it in uence the physiology of prone ventilation? Critical Care 2010, 14:232.Kirkpatrick et al. Critical ... homogeneity of lung infl ation, in recruitment of the dorsal lung relative to ventral derecruitment, in increases of end-expiratory lung volumes, in redirection of the compressive forces of the...
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