Báo cáo y học: " Rational use of computerized protocols in the intensive care unit" ppt

... nursing, and respiratory therapy staffs of the Intermountain Respiratory Intensive Care Unit and of the Shock-Trauma/Intermountain Respiratory ICU, and to the Respiratory Care Department of the ... carriedout by different clinicians with almost no inter-clinician variability. Individualization of patient therapy ispreserved by these explicit protocols since they are driven by patient data. Computerized ... D, Olin M, Badihi Y, Cohen G, Donchin Y, Sieski M,Cotev S: The nature and causes of human errors in a medical intensive care unit. In Proceedings of the Human Factors andErgonomics Society Annual...

Báo cáo y học: " Cost effectiveness of antimicrobial catheters in the intensive care unit: addressing uncertainty in the decision" doc

... min-imal and the decision is driven by the change in costs. Most of these costs represent the value of obtaining increased capac-ity within the ICU, rather than cash savings. Nevertheless, the results ... economic value in reducing infection rates goes beyond the capacity released within hospitals. Valuing these intangibleoutcomes may improve the representation of the economics of preventing infection, ... we used scenario analysis to explore uncertainty intro-duced by the fact that some data used in the model was of lowquality. Using a modified version [38] of the potential hierar-chies of...

Báo cáo y học: "Risk stratification of early admission to the intensive care unit of patients with no major criteria of severe community-acquired pneumonia: development of an international prediction rule" potx

... E, Fine MJ: Investigation of the ability of the Pneumonia Severity Index to accurately predictclinically relevant outcomes: a European study. Clin MicrobiolInfect 2007, 13:923-931.9. Yealy DM, ... of the American College of Critical Care Medicine, Society of Critical Care Medicine. Crit Care Med1999, 27:633-638.28. Justice AC, Covinsky KE, Berlin JA: Assessing the generalizabil-ity of ... discretion of the attending physicians andmissing values were assumed to be normal. This strategy iswidely used in the clinical application of prediction rules andreflects the methods used in the...

Báo cáo y học: "Is succinylcholine appropriate or obsolete in the intensive care unit" docx

... activity In intensive care patients there is large variability in the activity of plasma cholinesterase, an enzyme that metabolizesCommentaryIs succinylcholine appropriate or obsolete in the intensive ... facilitateintubation. The adverse effect profile of succinylcholine is such that its use in the ICU must beconsidered obsolete. Suitable alternatives are the intermediately long-acting nondepolarizing ... P:Succinylcholine increased intraocular pressure in the humaneye with the extraocular muscles detached. Anesthesiology1993, 79:948-952.16. Flynn PJ, Goldhill DR: Hemodynamic effects of neuromusuclarblocking...

Báo cáo y học: "Clinical review: Acid–base abnormalities in the intensive care unit" doc

... utility identified in some studiesthat is conspicuously lacking in others? The answer may befound in the timing. Much like base excess, the value of the SIG may be related to the time of assay. ... for other injuries in isolation orcombination. The interpretation of SBE must thereforeincorporate the injury complex into decision-making, perhapslimiting its utility. A recent study of salvageable ... studies of acid–base prediction of outcomeshould strongly consider including each of these variables in theirmethodology. Further evaluation of these and potentially othermarkers of morbidity and...

Báo cáo y học: " A stronger approach to weakness in the intensive care unit" doc

... recovery by 4 weeks are oftendisabled with diminished quality of life [8]. Evidence of polyneuropathy is apparent after 5 years in over 90% of CIPpatients [12]. The mildest residua may include ... to the weakness may varyconsiderably when this occurs. Elevated serum creatinekinase may help to identify CIM, but the peak may be missed in the membranopathy/necrotizing varieties or creatine ... common causes of ICU-acquired generalized weakness (myopathy, neuropathy, or acombination of the two), is practical because their prognosesdiffer considerably. Some cases of myopathy appear...

Báo cáo y học: "Advanced directives and treatment decisions in the intensive care unit" potx

... and what types of medicalinterventions they must consider [5]. Because medicine is notstatic, making a prospective determination regarding the types of treatment one would want in the future ... that in the UnitedStates there is disparate access to health care: one-quarter of the population is uninsured or underinsured. Other reasonsfor individuals not availing themselves of the opportunity ... decision-making authority as soonas the patient loses decisional capacity.Used independently of durable powers of attorney, living willsare seldom helpful, for a number of reasons. Unlessindividuals...

Báo cáo y học: "Recently published papers: Heavyweight problems in the intensive care unit" potx

... add to the growing evidence that the obesepatient is not significantly disadvantaged in terms of outcomefollowing intensive care admission. Another study highlights the increasing burden of end-stage ... fare worse, not the obese patients – a thought-provoking point made in the accompanying editorial [4,5].CommentaryRecently published papers: Heavyweight problems in the intensive care unit?Lui ... noassociation between increased mortality and obesity. Therewas, however, an increase in morbidity with a trend towardslonger length of stay, both in the ICU and in the hospital,between the normal weight...

Báo cáo y học: "Microarray analysis of microRNA expression in the developing mammalian brain" ppt

... 5'end, thereby fluorescently labeling the sense strand of the PCR product. The PCR product was denatured and thenhybridized to the microarray. As in microarray analysis, the labeled sample used ... Quantification of microarray data using three synthetic RNAs: syn1, syn2 and syn3. Each data point is the average of two independent labelling/hybridization reactions. Probes for the three synthetic ... hybridization.Profile of microRNA expression in the developing mouse brainFigure 3Profile of microRNA expression in the developing mouse brain. (a) Relative expression levels for the 66 microRNAs...

Báo cáo khoa học: ":Clinically important deep vein thrombosis in the intensive care unit: a survey of intensivists" pot

... clinically important in the intensive care unit settingPatient factors considered by respondents to make a deep venous thrombosis (DVT) clinically important in the intensive care unit setting. ... and mortality in critically illpatients. In the absence of such data, we defined clinicallyimportant DVT as a DVT that is likely, in the opinion of the intensivists, to result in short-term ... [5]. Interpreting studies about VTE in the ICU requiresconsideration of the clinical importance of the DVT end-points. In future randomized trials testing the efficacy of thrombo-prophylaxis interventions,...

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