2— critical illness and surgery
Báo cáo y học: "Hyperlactatemia in critical illness and cardiac surgery" ppsx
... factors, and outcome of hyperlactatemia after cardiac surgery Chest 2003, 12:1361-1366 doi:10.1186/cc9017 Cite this article as: O’Connor ED, Fraser JF: Hyperlactatemia in critical illness and cardiac ... Australia 2Critical Care Research Group, The Prince Charles Hospital, Rode Road, Brisbane, QLD 4032, Australia 3Critical Care and Anaesthesia, School of Medicine, University of Queensland, Georges ... Only APACHE II, Acute Physiology and Chronic Health Evaluation II; Card/Vasc Only, only cardiac/vascular patients; Card/Vasc & Surg Only, only cardiac/vascular surgery patients; CI, confidence...
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Báo cáo khoa học: " Fasting and nutrient-stimulated plasma peptide-YY levels are elevated in critical illness and associated with feed intolerance: an observational, controlled study" ppt
... (Nutrison Standard: gluten- and lactose-free feed; 100 kcal, g of protein, 12.3 g of carbohydrate, and 3.9 g of fat per 100 ml; Nutricia Nederland N.V., Zoetermeer, The Netherlands) as part of standard ... PYY levels and age, gender, or APACHE II Available online http://ccforum.com/content/10/6/R175 Figure Effects of critical illness on plasma Effects of critical illness on plasmaPY PYY and CCK concentrations ... entero-gastric reflex and subsequent delayed gastric emptying in critical illness Key messages • In critical illness, plasma PYY concentrations are elevated during both fasting and nutrient-stimulation,...
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Báo cáo y học: "Novel representation of physiologic states during critical illness and recovery" pptx
... in this field and receives funding from federal and nonfederal not-for-profit agencies to support this research He is also President of the Society for Complexity in Acute Illness, and one of the ... stratification, relation to cytokine elaboration and outcome prediction in posttrauma critical illness J Trauma 1996, 41:581-598 Buchman TG: Physiologic stability and physiologic state J Trauma 1996, 41:599-605 ... Cite this article as: Buchman TG: Novel representation of physiologic states during critical illness and recovery Critical Care 2010, 14:127 ...
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Báo cáo y học: "Regulation and prognostic relevance of serum ghrelin concentrations in critical illness and seps" ppsx
... dysfunction and metabolism and to examine potential protective effects of ghrelin in critically ill patients and human sepsis from a clinical point of view Materials and methods Study design and patient ... of cytokines, adipokines and hormones with metabolic functions in critical illness is complex, and both, future experimental and clinical studies are needed to identify and evaluate ghrelin as ... hormone and causes weight gain and obesity by increasing food intake and diminishing lipid utilisation in non-critically ill individuals [28,29] Before a meal ghrelin serum levels rise and show...
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Báo cáo y học: " Hormonal status in protracted critical illness and in-hospital mortality" docx
... for all patients and all types of critical illness From a clinical point of view, awakening is a major milestone in the course of critical illness It often indicates recovery, and it is a time ... and non-survivors from critical illness Intensive Care Med 2002, 28:1301-1308 Vanhorebeek I, Langouche L, Van den Berghe G: Endocrine aspects of acute and prolonged critical illness Nat Clin Pract ... hypogonadism caused by critical illness J Clin Endocrinol Metab 1985, 60:444-450 22 Beishuizen A, Thijs LG, Vermes I: Decreased levels of dehydroepiandrosterone sulphate in severe critical illness: a sign...
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Báo cáo y học: "A prospective observational study of the relationship of critical illness associated hyperglycaemia in medical ICU patients and subsequent development of type 2 diabetes"
... infarction or other critical illnesses not develop hyperglycaemia and some will have hyperglycaemia even in milder disease A patient's predisposition (pancreatic reserve and baseline insulin ... sepsis and septic shock); ii) acute coronary syndrome (myocardial infarction and unstable angina); and iii) all other admission diagnoses This division was made due to the fact that sepsis and acute ... during critical illness in nondiabetic medical patients is associated with increased risk of developing diabetes in the five-year period after the discharge Stress and inflammation during acute illness...
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Báo cáo y học: "Correction: A prospective observational study of the relationship of critical illness associated hyperglycaemia in medical ICU patients and subsequent development of type 2 diabetes" pdf
... Gornik et al Critical Care 2010, 14:444 http://ccforum.com/content/14/5/444 Page of 2207 patients admitted to...
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POCKET GUIDE FOR CUTANEOUS MEDICINE AND SURGERY - PART 2 doc
... of hyoid bone and laterally by anterior bellies of digastric muscles r contains submental lymph nodes and anterior jugular vein Submandibular: r lies between inferior mandible and anterior/posterior ... Guide for Cutaneous Medicine and Surgery Anatomic Triangles of the Head and Neck Anterior cervical triangle Boundaries: anterior median line of neck inferior border of mandible anterior border of ... Cutaneous Medicine and Surgery Limitations: limited fluid handling capacity Products: Duoderm, NuDerm, Comfeel Foam Description: r porous, single/multiple layered dressings r high fluid handling capacity...
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Báo cáo y học: " Science review: Key inflammatory and stress pathways in critical illness – the central role of the Toll-like receptors" ppsx
... are believed to directly engage and recognize microbial LPS [32–34], lipopeptides and peptidoglycan [35,36], DNA [37], flagellin [38], double-stranded RNA [39], and probably other conserved determinants ... Toll-like receptor (TLR) and tumor necrosis factor (TNF) pathways, represented as Toll and imd pathways in Drosophila, are arranged in tandem in the mammalian host, and are connected by the cytokine ... example, it suppresses the expression of certain anabolic enzymes [23] and induces production of proteases and prostaglandins [24] that contribute to inflammation on a local level The IL-1 receptor...
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Báo cáo y học: "Optimum sedation and analgesia in critical illness: we need to keep trying" pdf
... as a less worrying problem and might even view it as (potentially) unavoidable Illness severity in this study was moderate, as evidenced by the modest Acute Physiology and Chronic Health Evaluation ... critically-ill patients Am J Respir Crit Care Med 2003, 168:1457-1461 Schweikert WD, Gelbach BK, Pohlman AJ, Kall JB, Kress JP: Daily interruption of sedative infusions and complications of critical ... nosocomial pneumonia in critically ill trauma patients Crit Care Med 2001, 29:304-309 Cuthbertson BH, Hull A, Strachan M, Scott J: Post traumatic stress disorder after critical illness requiring general...
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Báo cáo khoa học: "Long-term sequelae of critical illness: memories and healthrelated quality of life" pptx
... of critical illness contribute to the impaired quality of life of many survivors Future research, particularly interventional trials, is required if we are effectively to understand, prevent, and ... promoting delusional memories Critical illness itself also can prevent normal sleep, which is crucial in the formation of factual memories Patient-specific factors, such as age and pre-existing anxiety, ... anxiety, can also affect the type and quality of memories and their sequelae [9,10] In addition, factors associated with care in the ICU, such as the use of sedative and analgesic medications, have...
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Báo cáo khoa học: "Serum uric acid, creatinine, and the assessment of antioxidant capacity in critical illness" pot
... Critical Care Vol 10 No Giovannini et al Figure articles have described an association between renal dysfunction and serum total antioxidant status, and a stronger association ... status, and a stronger association between renal dysfunction and serum UA [4,5] However, renal function is impaired during severe sepsis and it is very difficult to differentiate whether serum UA ... dysfunction is undetermined Correlation between serum total antioxidant capacity (TAC) and Acute Physiology and Chronic Health Evaluation (APACHE) II score in severely septic patients with serum...
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Báo cáo khoa học: "Bench-to-bedside review: Genetics and proteomics: deciphering gene association studies in critical illness" pps
... consuming and it is impractical to follow large population based cohorts for long periods, waiting for infections and critical illness to occur One must, therefore, identify a population at risk, and ... the controls and cases, it is not known if severe sepsis would then develop among controls Severe sepsis and other Available online http://ccforum.com/content/10/4/227 critical illnesses often ... history about critical illnesses in the past, such as whether a family member developed ARDS after pneumonia, is difficult Therefore, this approach is less useful in acute illnesses, and has not...
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Báo cáo khoa học: "Bench-to-bedside review: Critical illness-associated cognitive dysfunction – mechanisms, markers, and emerging therapeutics" pptx
... Critical Care Vol 10 No Milbrandt and Angus Figure Pathophysiologic mechanisms and predisposing factors thought to underlie critical illness- associated cognitive ... medications and delirium in hospitalized patients: a critical review Psychosomatics 2005, 46:302-316 34 Pandharipande P, Ely EW: Sedative and analgesic medications: risk factors for delirium and sleep ... cerebellum, and cortex [43], and significant alterations in cerebral vascular hemodynamics and tissue acid-base balance indicate that cerebral ischemia and acidosis occur [44-48] Sharshar and colleagues...
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Báo cáo y học: "Quantification of lean and fat tissue repletion following critical illness: a case report" doc
... 24.8) and was within kg of her pre -illness weight Figure Figure Changes in body mass and composition Change in mass relative to composition the time of intensive care unit (ICU) discharge A, pre -illness ... this field had suspected – lean tissue repletion during rehabilitation and recovery from critical illness is minimal Although critically ill patients are a complex patient group, this observation ... replenish lean tissue lost during critical illness Competing interests The authors declare that they have no competing interests Weight gain following critical illness is largely attributable to...
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Báo cáo y học: "The impact of early hypoglycemia and blood glucose variability on outcome in critical illness" ppt
... study conception and design CG and GKH were responsible for acquisition of data SMB and RB analyzed and interpreted the data SMB drafted the manuscript SMB, MJJ, ME, GKH, CG, and RB critically revised ... and New Zealand to: describe the incidence of and clinical factors associated with early hypoglycemia and BG variability; evaluate the association between early hypoglycemia, BG variability and ... disease and cardiovascular disease, and had higher illness severity and received greater treatment intensity More importantly, variability in BG was associated with higher adjusted ICU and hospital...
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Báo cáo y học: "Adiponectin, retinol-binding protein 4, and leptin in protracted critical illness of pulmonary origin" pps
... undergoing elecillness tive surgery, and critically ill patients on admission to the ICU are presented as box plots (boxes are medians and interquartile ranges; whiskers are 10th and 90th percentiles) ... day 10; and P = 0.002 for the last day) Neither adiponec- Figure Circulating adipokines during critical illness (a-c) Impact of acute illness: Results from healthy volunteers, patients not critically ... caused by surgery or by critical illness of pulmonary origin, was associated with immediate but transiently low serum adiponectin, leptin, and RBP4 levels Sepsis especially reduced RBP4 and leptin...
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Báo cáo y học: "Cognitive dysfunction after critical illness: measurement, rehabilitation, and disclosure" ppsx
... hardly stand, my hands shook because of muscle loss, and I was always out of breath None of that is conducive to feeling and being mentally sharp I pushed my rehabilitation very hard and months ... Rehabilitation after critical illness: a randomized controlled trial Crit Care Med 2003, 31:24562461 Katz I, Curyto K, TenHave T, Mossey J, Sands L, Kallan M: Validating the diagnosis of delirium and evaluating ... have been critically ill - factors about individuals such as increasing age and prior cognitive reserve, genetic factors that might influence responses to injury and capacity to repair, and external...
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Báo cáo y học: "Glucose absorption and gastric emptying in critical illness" pps
... the critically ill population It is possible that some critically ill patients have significant malabsorption and cannot be fed enterally This Hyperglycaemia occurs frequently in critical illness, ... contributions MC, RF and MH were involved with study conception and design, data interpretation, statistical analysis and drafting of the manuscript MB, KJ and BC were involved in study design and scintigraphic ... inserted for the purpose of the study and its correct positioning was verified by measuring pH aspirates and auscultation of air infusion Critically ill patients Critically ill patients were studied...
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Báo cáo y học: "Impaired glucose and nutrient absorption in critical illness: is gastric emptying only a piece of the puzzle" docx
... capacity of the gut is indeed impaired during critical illness and to determine the causes and mechanisms of this With this aim in view, further development and validation of tools Page of (page number ... M: Glucose absorption and gastric emptying in critical illness Crit Care 2009, 13:R140 Chapman MJ, Nguyen NQ, Fraser RJ: Gastrointestinal motility and prokinetics in the critically ill Curr Opin ... Swanson J: Pharmacokinetic changes in critical illness Crit Care Clin 2006, 22:255-271 Roberts J, Lipman J: Pharmacokinetic issues for antibiotics in the critically ill patient Crit Care Med 2009,...
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