Báo cáo y học: " Mechanical ventilation in rural ICUs" pps

... X-ray with worsening ofinfiltrates, or pulmonary edema accompanied byeither 1kg weight gain in 24h or intake > output by1000cm3 in 24h. Calculate by intake (not blood),minus urine, minus ... andDIC/coagulopathy defined as a drop in plateletcount by 25% from baseline and an increase in pro-thrombin time (PT) or presence of fibrin degradationproducts.Research paper Mechanical ventilation in rural ... pulmonary specialists werefound exclusively in the RRHs. Family physicians,general internists and general surgeons managed mostpatients in the RH ICUs. A single RH physician typicallymanaged nine...

Báo cáo y học: " Mechanical ventilation in the ICU- is there a gap between the time available and time used for nurse-led weaning?" pot

... definition to include all possible weaning attempts in our analysis.• We define one ventilator-shift available for weaningbased on the three criteria for physiological readiness towean defined ... Protocol-directed weaning from mechanical ventilation: clinical out-come in patients randomized for a 30-min or 120-min trialpressure support ventilation. Intensive Care Med 2002,28:1058-1063.18. Devlin JW, ... weaning did not increase during the periodstudied and remained around 40% (Table 2). However,there was a significant increase in weaning prescriptionsthat resulted in weaning efforts (46% in...

Báo cáo y học: " Mechanical ventilation modulates TLR4 and IRAK-3 in a non-infectious, ventilator-induced lung injury model" pptx

... strategy also modulates alveolar and plasma levelsof pro-inflammatory cytokines in patients with acutelung injury [5,31].The ability of MV to induce inflammation may be in part explained by its ... cytokines. Therefore,their study also suggests that TLRs play a role in theinflammatory response initiated by MV in healthy lungs.Our study is complementary to a study by Moriyama etal [35] who found ... matrix (includingproteoglycan, collagen and elastin) could play a key role in the unremitting inflammation during ventilator-induced lung inj ury [34,39,40]. Moriondo et al [39]examined the...

Báo cáo y học: "Mechanical ventilation using non-injurious ventilation settings causes lung injury in the absence of pre-existing lung injury in healthy mice" pdf

... intrapulmonarycytokines in an in vivo mouse model of ventilator-induced lunginjury. J Appl Physiol 2003, 95:1385-1393.6. Wilson MR, Choudhury S, Takata M: Pulmonary inflammationinduced by ... Scheffer GJ: Mechanical ventilation in healthy mice induces reversible pul-monary and systemic cytokine elevation with preserved alve-olar integrity: an in vivo model using clinical relevant ventilation ... Ranieri VM: Mechanical ventilation affects inflammatoryKey messages• MV induces VILI in mice, in the absence of a priming pulmonary insult, with use of relevant ventilator settings.• By using sodium...

Báo cáo y học: " Mechanical ventilation with high tidal volume induces inflammation in patients without lung disease" ppt

... NCT00935896IntroductionClinical studies suggest that mechanical ventilation (MV)can modify inflammatory responses in patients withacute lung injury. In such patients, with existing pulmon-ary and systemic ... by a majority ofpatients in the h igh VTgroup showing increase in BALcytokines. The non-uniform distribution of these datasuggests individual differences in the inflammatoryresponses. In ... Menaldo E, Davini O, Gandini G,Herrmann P, Mascia L, Quintel M, Slutsky AS, Gattinoni L, Ranieri VM: Tidalhyperinflation during low tidal volume ventilation in acute respiratorydistress syndrome....

Báo cáo y học: "Mechanical ventilation and the total artificial heart: optimal ventilator trigger to avoid post-operative autocycling - a case series and literature review" pdf

... ultimately leading to autocycling in the case of a flow trigger. Given the frequency of auto-cycling in the ICU, this information may be applicable toother patients who are mechanically ventilated. ... implanted, patients typicallyremain tracheally intubated and mechanically ventilatedfor several days to weeks. While caring for such patients in our institution, we noticed that many developed post-operative ... significantly diminisheddifferences in inspiratory work of breathing, physiciansmay consider using a pressure trigger as an initial ventila-tor mode, or switching to this mode in patients...

Báo cáo y học: " Mechanical ventilation: lessons from the ARDSNet trial" ppsx

... islife-saving, a logical conclusion of the large body of dataon ventilator-induced lung injury (VILI) is that it might becausing or perpetuating the pulmonary inflammation, pre-venting or delaying ... Slutsky AS: Injurious ventila-tory strategies increase cytokines and c-fos m-RNA expression in an isolated rat lung model. J Clin Invest 1997, 99:944–952.9. Tremblay LN, Slutsky AS: Ventilator-induced ... decreasing [3]. Interest-ingly, although the major initial physiological abnormalitiesare often pulmonary in origin, patients who go on to die oftheir acute illness usually die of multiple system...

Báo cáo y học: "Mechanical ventilation: physiological and clinical application" doc

... provideseasily understandable explanations of many difficult concepts in a way that I have not found in other textbooks. In summary, this is a comprehensive and easilyunderstandable book on mechanical ventilation ... difficult concepts. The style of writing isrelaxed, which makes the book easy to read. There are manyanecdotes, especially in the first section, that had mechuckling.As for any textbook, there are ... areparticularly useful for reinforcing the concepts and for self-assessment. There are many pictures, diagrams, and tables in each section that are well thought out and assist in understanding difficult...

Báo cáo khoa học: "Mechanical ventilation in severe asthma" docx

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Báo cáo y học: "HTLV-1 in rural Guinea-Bissau: prevalence, incidence and a continued association with HIV between 1990 and 2007" doc

... obtained using a syn-thetic peptide-based assay. Dually reactive and indeter-minate samples were subjected to a different syntheticpeptide-based assay. Indeterminate results were resolvedusing ... positive.Laboratory methods: HIV testing In the 1990 survey the HIV diagnoses were determinedby serology [27], and most of these samples were con-firmed by PCR in a follow-up study in 1991 [51]. ... laboratory testing and inter-pretation of the results for 1997 and 2007 surveys. HW was involved in theplanning of the three surveys. HW and PA were involved in supervision of thesurveys and interpretation...

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