bleeding in an intensive therapy unit patient

Báo cáo y học: "Formulas Saccharomyces boulardii fungaemia in an intensive care unit patient treated with caspofungin" pdf

Ngày tải lên : 13/08/2014, 08:21

... D: Saccharomyces boulardii prevents diarrhea in critically ill tube-fed patients A multicenter, randomized, double-blind placebo-controlled trial Intensive Care Med 1997, 23:517-523 Lherm T, ... Gall C, Caen D, Malbrunot C: Seven cases of fungemia with Saccharomyces boulardii in critically ill patients Intensive Care Med 2002, 28:797-801 Basseti S, Frei R, Zimmerli W: Fungemia with Saccharomyces...

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Báo cáo y học: "Randomized trial comparing daily interruption of sedation and nursing-implemented sedation algorithm in medical intensive care unit patients"

Ngày tải lên : 25/10/2012, 10:35

... critical illness and shorter intensive care unit and hospital lengths of stay and interpretation, and drafting of the manuscript WIJ participated in data acquisition and drafting of the manuscript SKE ... using a Kaplan-Meier survival analysis The subjects in the two randomly assigned groups were analyzed using the intent-to-treat principle Statistical significance was determined using a log-rank ... paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (awakening and breathing controlled trial): a randomised controlled trial Lancet 2008, 371:126-134...

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Báo cáo y học: "A comparison of handwritten and computer-assisted prescriptions in an intensive care unit" docx

Ngày tải lên : 12/08/2014, 18:20

... dilutions and infusion rates to be specified By adding and storing the order at this point (mandatory and requiring entry of a unique six digit alpha/numeric password) the clinician's name and initials ... prescribing or adminis- tering a medication Start and stop dates and changes in dose were always recorded and identifiable in comparison with handwritten prescriptions where changes in doses ... Classen DC, Evans RS, Burke JP: Implementing antibiotic practice guidelines through computer-assisted decision support: clinician and financial outcomes Ann Intern Med 1996, 124:884-890 Winslow EH,...

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Báo cáo y học: "Bispectral index versus COMFORT score to determine the level of sedation in paediatric intensive care unit patients: a prospective study" docx

Ngày tải lên : 12/08/2014, 20:20

... clinical sedation scores during mechanical ventilation in the pediatric intensive care unit Anesth Analg 2002, 94:506-511 Crain N, Slonim A, Pollack MM: Assessing sedation in the pediatric intensive ... corresponding consciousness level during emergence from anaesthesia in a prospective, blinded manner in children (≥1 year old) and infants (

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Báo cáo khoa học: "Correction: Bispectral index versus COMFORT score to determine the level of sedation in paediatric intensive care unit patients: a prospective study" pps

Ngày tải lên : 12/08/2014, 22:22

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Báo cáo khoa học: " A Multiresistant Enterobacter cloacae outbreak in an intensive care unit associated with therapeutic bed" potx

Ngày tải lên : 12/08/2014, 23:21

... data J-MB and RQ were involved in drafting the manuscript and revising it critically for important intellectual content References Using pulse field gel electrophoresis, an Enterobacter cloacae ... [8] The weight of the patient then caused bacteria-containing aerosols, which contaminated the patient s surroundings despite daily cleaning of the cover, thus generating transmission We believe ... isolates (lanes 1–4) and six clinical isolates (lanes 5–7, 9, 11 and 18) Figure Photographs of a 6-month-old therapeutic bed (a) Stained mattress foam where the patient was situated (b) Stained mattress...

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Báo cáo khoa học: "symptoms following critical illness in medical intensive care unit patients: assessing the magnitude of the problem" ppsx

Ngày tải lên : 13/08/2014, 03:20

... the literature review and the writing, drafting, and editing of the manuscript, including the creation of tables TDG assisted in the writing, drafting, and editing of the manuscript EWE contributed ... literature review, and was primarily responsible for writing the manuscript RPH assisted in the conception of the project and in the writing and drafting of the manuscript, including the creation ... assisted in performing the literature review and in the writing and drafting of the manuscript, including the crea- Key messages • PTSD or PTSD symptoms are reported to occur in between 5% and 63%...

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Báo cáo y học: "Delirium assessment in the intensive care unit: patient population matter" ppsx

Ngày tải lên : 13/08/2014, 08:21

... delirium and does not allow one to assess severity Ease of administration and acceptance by the nursing and physician staff are critical to any implementation of delirium screening in an ICU setting ... instruments can be found in a recent review article [3] The patient population is important when choosing a delirium screening instrument for clinical care or research and also needs to be kept in mind ... emerging on the practicalities of using delirium screening instruments in the ICU A study by Pun and colleagues demonstrated the ability to implement CAM-ICU screening and documented nursing acceptance...

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Báo cáo y học: "Metformin-associated lactic acidosis in an intensive care unit" pptx

Ngày tải lên : 13/08/2014, 11:23

... glucose and creatinine concentrations, as well as prothrombin time Patient population The patients were divided according to their 28-day outcome in order to investigate if there were differences in ... not easy and of no value because metformin is essentially an intracellular toxin Moreover, as any concentration of metformin may impair liver lactate clearance, it is worth considering that the ... critically ill patients [3] We found that MALA was present in about 1% of patients admitted to the ICU, and indeed metformin is a factor that is detrimental to the outcome in the setting of an acute...

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Báo cáo khoa học: "A The Molecular Adsorbent Recirculating System (MARS®) in the intensive care unit: a rescue therapy for patients with hepatic failure" pdf

Ngày tải lên : 12/08/2014, 23:21

... and the urinary volume, and the decrease in creatininemia and bilirubinemia In a second clinical trial, Heemann and colleagues [11] randomized 24 patients with severe cholestasis (bilirubin > 20 ... decrease in intracranial pressure, and an increase in cerebral perfusion pressure, mean arterial blood pressure, systemic vascular resistances and cardiac index [17,18] Currently we are undertaking ... blood-contacting tubes and membranes that are used extensively in 24 h hemodiafiltration treatment in intensive care unit patients and the dialysate solution is supplemented with approved human albumin...

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Bóa cáo y học: " Helicobacter pylori infection is not associated with an increased hemorrhagic risk in patients in the intensive care unit" potx

Ngày tải lên : 12/08/2014, 23:23

... if there was a blue line in the control window and a pink line in the test window, and negative if there was a blue line in the control window and no pink line in the test window Serological study ... without bleeding (Table 3) Survival was significantly better in patients without bleeding than in patients with clinical evidence of bleeding during their ICU stay (p < 0.001) Using multivariate analysis, ... [13,14,19] In two studies involving, respectively, 229 and 301 patients in cardiosurgical intensive care units, no link was found between H pylori serostatus and upper gastrointestinal bleeding [14,19]...

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Báo cáo y học: "The effect of an intensive care unit staffing model on tidal volume in patients with acute lung injury" pdf

Ngày tải lên : 13/08/2014, 11:23

... Chalfin DB, Phillips G, Danis M: Association between critical care physician management and patient mortality in the intensive care unit Ann Intern Med 2008, 148:801-809 Brilli RJ, Spevetz A, Branson ... increase in intensivist staffing To date, however, there are few studies describing the mechanisms through which high intensity physician staffing in an ICU improve patient outcomes Establishing that ... rounding † excludes patients (n = 52) cared for in the federal hospital in King County ||Data missing for 12 (4%) of patients in open ICUs and 32 (7%) of patients in closed ICUs ALI = acute lung injury;...

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Báo cáo y học: "Long-term outcome in medical patients aged 80 or over following admission to an intensive care unit" ppt

Ngày tải lên : 14/08/2014, 07:21

... Selection of intensive care unit admission criteria for patients aged 80 years and over and compliance of emergency and intensive care unit physicians with the selected criteria: an observational, ... long-term mortality in very elderly patients admitted to an intensive care unit Intensive Care Med 2006, 32:1039-1044 12 Ware JE Jr, Snow KK, Kosinski M: In SF-36 Health Survey Manual and Interpretation ... relations and spending time by oneself increased with increasing age, suggesting that ‘quality of life’ has a different meaning for older individuals than it does for younger ones In ICU patients,...

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báo cáo hóa học:" Alterations in vitamin D status and anti-microbial peptide levels in patients in the intensive care unit with sepsis" pot

Ngày tải lên : 18/06/2014, 15:20

... vitamin D status including plasma levels of 25(OH)D and vitamin D binding protein (DBP) and their relationship to systemic LL-37 levels in a group of critically ill patients including those with and ... LL-37 and restored effective killing of M tb, suggesting that vitamin D has an important role in the production of anti-microbial peptides important for innate immunity [3] Patients with severe infections ... D and its metabolites, providing another mechanism to explain why vitamin D insufficiency is common in patients with sepsis The classic function of vitamin D is to maintain optimal calcium and...

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Báo cáo y học: "Prolonged high-dose intravenous magnesium therapy for severe tetanus in the intensive care unit: a case series" pot

Ngày tải lên : 11/08/2014, 12:20

... patient care and edited the manuscript All authors read and approved the final manuscript Acknowledgements We want to thank the nursing and ancillary staff of the intensive care unit at the Patras ... intravenous Mg therapy for tetanus come from developing countries such as Sri Lanka [11] and Vietnam [14] In most published cases, intravenous Mg therapy was used in an attempt to avoid mechanical ... high-dose intravenous Mg infusion therapy is effective in managing tetanus and can be implemented without major toxicity However, Mg therapy can be associated with serious adverse effects, and our...

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Báo cáo y học: " Lack of agreement between bioimpedance and continuous thermodilution measurement of cardiac output in intensive care unit patient" ppt

Ngày tải lên : 12/08/2014, 18:20

... approximately h, acquiring simultaneous paired cardiac index data points at 1-min intervals The data points were analysed using SPSS for Windows release 6.1 (SPSS Inc, Chicago, Illinois, USA) and r was calculated ... reliability in ICU patients [9,10] Correct placement of the eight electrodes is important in obtaining accurate information; in ICU patients this may be hampered by dressing covering internal jugular line ... output in patients in the ICU and upon which much of our understanding of the cardiovascular changes in critical illnesses is based Bioimpedance cardiography has been validated in some patient...

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Báo cáo y học: "Optimizing antibiotic therapy in the intensive care unit setting" pdf

Ngày tải lên : 12/08/2014, 18:21

... difficile, and an increase in clindamycin susceptibility among C difficile strains Although this lead to increased use of antibiotics with anti-anaerobic activity, including cefotetan, ticarcillin-clavulonate, ... for specific indications and risk-stratified patient groups becomes better identified in the hospital setting [26] using gloves and chlorhexidine soap for hand washing, and eliminating electronic ... nosocomial infection in intensive care units in Europe: results of the European Prevalence of Infection in Intensive Care (EPIC) Study; EPIC International Advisory Committee JAMA 1995, 274:639-644 Hanberger...

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Báo cáo y học: " Clinical review: Fever in intensive care unit patients" potx

Ngày tải lên : 12/08/2014, 19:22

... study found reductions in the minimum inhibitory concentrations, representing a progressive increase in the antimicrobial activity of antibiotics [31] While in vitro data and animal data seems to ... mechanisms include active transport of cytokines into the OVLT or activation of cytokine receptors in endothelial cells of the neural vasculature, which than transduce signals to the brain [19] ... (e.g heat) and can protect against cell death from an entirely different lethal stress (e.g endotoxin) [34] HSPs have subsequently been found in numerous organisms, and the DNA sequencing and subsequent...

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Báo cáo y học: "Conventional or physicochemical approach in intensive care unit patients with metabolic acidos" ppsx

Ngày tải lên : 12/08/2014, 19:22

... ICU We were especially interested in whether acid–base analysis according to the physicochemical approach could result in important changes in diagnosis, and therefore in therapy We hypothesised ... strong anions that are almost universally present in these patients Competing interests None declared Key messages • Metabolic acidosis in intensive care unit patients is usually explained by ... in the circulation during sepsis and liver failure, and may be a variety of organic and inorganic compounds [8] The use of urealinked polygelines, for example, as the priming fluid for the extracorporeal...

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Báo cáo khoa học: "Remifentanil versus fentanyl for analgesia based sedation to provide patient comfort in the intensive care unit: a randomized, double-blind controlled trial [ISRCTN43755713]" ppsx

Ngày tải lên : 12/08/2014, 20:20

... Muellejans et al Introduction The provision of effective analgesia and sedation for patients in the intensive care unit (ICU) is important in controlling pain, relieving agitation and anxiety, and ... eight in Germany, one in The Netherlands, four in Spain, four in the UK) In total, 152 patients were randomized, in a double-blind manner, to receive either a remifentanil based regimen or a standard ... without pain was treated either by reducing or by discontinuing the propofol (if being administered) or opioid infusion Pain was treated with an opioid bolus dose and an increase in the opioid infusion...

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