bedside insertion of vena cava filters in the intensive care unit
Báo cáo khoa học: "Bench-to-bedside review: Treating acid–base abnormalities in the intensive care unit – the role of renal replacement therapy" potx
... disorders Therefore, improving our understanding of the impact of RRT on acid–base disorders and gaining insights into the nature of such disorders and the mechanisms of action of RRT are important In ... control individuals in an intensive care unit (P < 0.005; Fig 4) Accordingly, CVVHDF can be considered physiologically superior to IHD in the correction of metabolic acidosis The overwhelming superiority ... renal failure patients dialysed in the intensive care unit Am J Nephrol 1991, 11:44-47 Brivet F, Kleinknecht D, Loirat P: Acute renal failure in intensive care units – causes, outcome, and prognostic...
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Báo cáo khoa học: "Bench-to-bedside review: Treating acid–base abnormalities in the intensive care unit – the role of buffers" ppt
... misleading to assume that [HCO3–] is an independent determinant of [H+] In fact, the independent determinants of [H+] in the blood are the strong ion difference [SID], the total concentration of ... the net difference in their charges The [SID] is defined as the difference between the sum of the major cations (Na+, K+, Ca2+, Mg2+) and the sum of the major anions (Cl–, SO4–, lactate) in the ... bicarbonate administration may cause a decrease in intracellular pH In fact, the findings of cellular and whole animal model studies examining the effects of bicarbonate infusion on intracellular...
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Báo cáo y học: "Clinical review: The meaning of acid–base abnormalities in the intensive care unit – effects of fluid administration" potx
... within the cells during correction The net effect of KCl administration is that the retained strong anion (Cl–) stays extracellullar, whereas most of the retained strong cation disappears into the ... extracellular SID and ATOT, the final determinants of metabolic acid–base status, toward the SID and ATOT of the infused fluid The CO2TOT of infused fluid is worth mentioning separately First, it ... 9:468-473 63 Finfer S, Bellomo R, Boyce N, French J, Myburgh J, Norton R, for the SAFE Study Investigators: A comparison of albumin and saline for fluid resuscitation in the intensive care unit N Engl...
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Báo cáo khoa học: "Clinical review: The meaning of acid–base abnormalities in the intensive care unit – epidemiolog" ppt
... controlled for the limitations noted above when evaluating the ability of the SIG to predict mortality The findings of these two studies are unique in the sense that they are the first reports of SIG ... account the physicochemical principles of either the decreased ratio of sodium to chloride or the decreased difference between them With regard to plasma, the addition of normal saline increases the ... resulting in a reduction in the alkalinity of blood The Na+/Cl– ratio has been proposed as a simple way to delineate the contribution of chloride to the degree metabolic acidosis [30] In other...
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Báo cáo y học: " New horizons: NT-proBNP for risk stratification of patients with shock in the intensive care unit" pps
... output in patients with various types of shock in the ICU [1,14] In agreement with the findings reported by Jannuzzi and coworkers in the present issue of Critical Care [1], previous investigators ... Competing interests The authors declare that they have no competing interests 17 Acknowledgements This work was supported by a grant of the Faculty of Clinical Medicine Mannheim, University of Heidelberg, ... regimens according to PAC information across the spectrum of critically ill patients Further clinical trials should lead to the establishment of treatment protocols for the use of PAC in this patient...
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Báo cáo y học: "Bench-to-bedside review: Leadership and conflict management in the intensive care unit" docx
... their individual goals, like having an adequate income, receiving training, doing research, taking career steps, teaching, and so on Conflicts arise in this area when the goals or interests of ... responsibility of the ICU manager to instill in the ICU staff a special sensitivity for these multidisciplinary interactions Internal leadership As the head of the ICU ( the boss’), the ICU manager ... lengthily discuss the indication for admittance, thereby ignoring the feelings of your nurses This style is known as the forcing style, or ‘win-lose’ At the other extreme is the wish to keep the relationship...
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Báo cáo y học: "Bench-to-bedside review: Glucose and stress conditions in the intensive care unit" pot
... intensive insulin therapy in adult intensive care units: the Glucontrol study Intensive Care Med 2009, 35:1738-1748 16 Dandona P, Chaudhuri A, Ghanim H, Mohanty P: Anti-inflammatory effects of ... insulin signalling [87] These cytokines activate numerous kinases that inhibit insulin signal transduction [88-91] TNF-α has been shown to induce the expression of SOCS-3 (Suppressor of cytokine ... between the 28-day mortality and the proportion of calories provided parenterally (P = 0.005), suggesting that the difference in outcome between the two Leuven Intensive Insulin Therapy Trials and the...
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Báo cáo khoa học: "Bench-to-bedside review: Antimicrobial utilization strategies aimed at preventing the emergence of bacterial resistance in the intensive care unit" pps
... Spencer RC, Hemmer M: The prevalence of nosocomial infection in intensive care units in Europe: results of the European Prevalence of Infection in Intensive Care (EPIC) Study; EPIC International Advisory ... Gaynes R: Antimicrobial resistance in isolates from inpatients and outpatients in the United States: increasing importance of the intensive care unit Clin Infect Dis 1997, 24:211-215 Sieradzki ... times, or continuous infusions can increase the duration of time that the serum drug concentration remains above the minimum inhibitory concentration of the antibiotic, and can improve clinical and...
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Báo cáo y học: "Bench-to-bedside review: Understanding the impact of resistance and virulence factors on methicillin-resistant Staphylococcus aureus infections in the intensive care unit" ppsx
... Quinupristin/dalfopristin Quinuprisitn/dalfoprisitin is a combination of two streptogramins, quinupristin and dalfopristin (in a ratio of 30:70 w/w), that inhibit different sites in protein synthesis Each individual ... side chain on tigecycline enhances binding to the 30s ribosomal subunit, inhibiting protein synthesis and bacterial growth against a broad spectrum of pathogens, including MRSA [55] Tigecycline is ... infections are of nosocomial origin [26] Taking a closer look, of the 63% of patients presenting from the ‘community’, the majority had recent healthcare exposures, including hospitalization in the previous...
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Báo cáo khoa học: " Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit"
... remit of the local ethics committee Prior to introduction of CPOE, local standards of prescribing existed specifying the tenets of good practice, including the avoidance of the use of abbreviations ... to investigate the impact of CPOE, without decision support, on MEs in the critical care setting The data collected were viewed in terms of proportion of errors, patient outcomes arising from the ... non-intercepted and intercepted errors were combined) The limitations of this study and the potential for bias discussed previously must be borne in mind when interpreting these results Some of the...
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Báo cáo khoa học: "Impact of computerized physician order entry on medication prescription errors in the intensive care unit: a controlled cross-sectional trial"
... these units, usually on a one-week basis One month after the completion of the study, the ICIS was implemented in the two other remaining units Approval of the ethics committee was obtained; informed ... overdose of a beta-blocker, where rapid intervention of the clinical pharmacist intercepted the administration of this overdose The nonintercepted potential ADEs were mainly dosing errors or incompleteness ... safety, they are not discussed in detail The incidence of intercepted MPEs was four times lower in the C-U than in the PB-U A few of these errors concerned problems with trailed zeros, but most of them...
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epidemiology of nosocomial pneumonia in the intensive care unit of bach mai hospital, 2008-2009
... molecular characteristics of pathogens causing HAP in the Intensive care unit of Bach Mai Hospital which is the area with the highest incidence density of healthcare associated infections among Vietnamese ... patients, positioning the patient supine with the head elevated 30–45 degrees, suctioning measures including continuous suctioning of subglottic secretions, and minimizing the use of sedating or paralytic ... characteristics of pathogens causing HAP These findings suggest areas for intervention and for developing guideline for prevention and control of HAP in HCFs THESIS STRUCTURE The thesis consists of 129...
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Báo cáo y học: "Predicting outcome of rethoracotomy for suspected pericardial tamponade following cardio-thoracic surgery in the intensive care unit" ppt
... obtained during monitoring in the intensive care unit (ICU) [5,6,8,9,11,13] When pericardial tamponade was suspected, 52% of our patients had a improvement of the CV SOFA score, with a rise in ... tamponade following cardiothoracic surgery in the intensive care unit Journal of Cardiothoracic Surgery 2011 6:79 Competing interests The authors declare that they have no competing interests Received: ... the intensive care unit (ICU), in order to study predictors of success of rethoracotomy [9] The amount of pericardial fluid recovered at rethoracotomy was in the same range as found in other...
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Báo cáo y học: " Alarms in the intensive care unit: how can the number of false alarms be reduced" doc
... loudness of the alarms Analysing the significance of the alarm for the patient remains as the major difficulty commentary units have been conducted to examine the relevance of alarms in monitoring; they ... existing monitors in the intensive care unit Crit Care Med 1997, 25:614–619 Chambrin MC, Ravaux P, Calvelo D, Jaborska A, Chopin C, Boniface B: Multicentric study of monitoring alarms in the adult ... description of the signal composition is given in terms of its characteristics in time and frequency according to the level of priority, resulting in a sequence of notes in a distinctive rhythm...
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Báo cáo y học: " Rational use of computerized protocols in the intensive care unit" ppt
... of the Intermountain Respiratory Intensive Care Unit and of the ShockTrauma/Intermountain Respiratory ICU, and to the Respiratory Care Department of the LDS Hospital, for collaboration during the ... of demeaning the clinical training of students and house officers, I Competing interests None declared Acknowledgements I am indebted to the medical, nursing, and respiratory therapy staffs of ... dehydration, thereby confusing the evaluation of the state of the ECF and the state of hydration [68] Cardiovascular evaluation is also (inappropriately) included in the evaluation of hydration, thereby...
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Báo cáo y học: "Usefulness of procalcitonin for diagnosis of sepsis in the intensive care unit" doc
... Japan) The treating clinicians were blinded to the PCT results, and those performing the PCT assays were blinded to the clinical status of the patient The PCT results were not available during the ... assessed for the presence of infection at admission, on day 2, and on the day of discharge or on the day of death Clinical assessment was the first step in diagnosing infection Cultures of urine, blood ... unselected population of patients suffering from a broad range of diseases in an intensive care unit (ICU) Method The study was approved by the Institutional Ethics Committees of the Pamukkale University...
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Báo cáo y học: "Beyond ethical dilemmas: improving the quality of end-of-life care in the intensive care unit" pps
... life-sustaining support Crit Care Med 2001, 29: 197-201 20 Anonymous: A definition of irreversible coma Report of the Ad Hoc Committee of the Harvard Medical School to Examine the Definition of Brain ... Critical care: why there is no global bioethics J Med Philos 1998, 23:643-651 22 European Society of Intensive Care Medicine: International Consensus Conference in Intensive Care Medicine: Preliminary ... aspects of end -of- life care in the ICU exist and have been written about at great length We should not let the exciting challenge of resolving areas of disagreement dissuade us from working on interventions...
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Báo cáo khoa học: " Comparison of sufentanil with sufentanil plus magnesium sulphate for sedation in the intensive care unit using bispectral index" ppsx
... Pitfalls of monitoring sedation in the ICU with the bispectral index Anesthesiology 1998, 89:A461 Simmons LE, Riker RR, Prato BS, Fraser GL: Assessing sedation during intensive care unit mechanical ... have been raised regarding the use of BIS in the ICU concerning the widespread use of opioids (which reduces the validity of BIS) [15,16], interpretation difficulties in neurological diseases ... better information for sedation in the intensive care unit? Crit Care Med 1999, 27:1663-1664 Frenzel D, Greim CA, Sommer C, Bauerle K, Roewer N: Is the bispectral index appropriate for monitoring the...
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Báo cáo khoa học: " How to compare adequacy of algorithms to control blood glucose in the intensive care unit" pptx
... serum insulin-like growth factor binding protein concentration both have AUCs of the ROC of about 0.8 (the latter being an indicator of hepatic insulin resistance or lack of insulin effect on the ... titrated intensive insulin therapy to maintain a blood glucose below 6.1 mmol/l throughout intensive care The observation by Vogelzang and coworkers [1] of a slightly better AUC of the ROC when the ... lower the risk for hypoglycaemia We anxiously await the arrival of such devices and their ability to optimize life-saving intensive insulin therapy in the ICU Until this becomes a reality, insulin...
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Báo cáo khoa học: ":Clinically important deep vein thrombosis in the intensive care unit: a survey of intensivists" pot
... important in the intensive deep venous Patient factors considered by respondents to make acare unit setting thrombosis (DVT) clinically important in the intensive care unit setting The scale ... important in the intensive care unit setting thrombosis (DVT)considered by respondents to make a deep venous venous thrombosis (DVT) clinically important in the intensive care unit setting The scale ... substantial clinical importance in the ICU, whereas the significance of these thrombi may be debated by clinicians working outside the ICU setting Strengths of the survey include comprehensive lists of...
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