Báo cáo y học: "Recently published papers: Take your predictions with a drop of saline … and breathe deeply before turning on your phone" ppt
Báo cáo y học: "Recently published papers: Take your predictions with a drop of saline … and breathe deeply before turning on your phone" ppt
... spent on mechanical ventilation or inthe duration of renal replacement therapy between the twotreatment groups. The study was pragmatically planned,dictating only the fluid resuscitation of the ... the patients, leavingclinicians free to manage all other aspects of the patients’care as they saw fit. This freedom was controlled bystratification of randomization such that individual unitstreated ... of elective extubation,versus standard medical therapy. Those investigatorsdemonstrated that not only did NIV fail to prevent the needfor reintubation, but that it also delayed reintubation...
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Báo cáo y học: "Recently published papers: Pandemic flu, the latest ARDS trials, raising legs and other stories" docx
... Schweikert RA, Saliba WI, Burkhardt JD, KilikaslanF, Saad E, Natale A: Brief communication: atrial–esophagealfistulas after radiofrequency ablation. Ann Intern Med 2006,144:572-574.Available online ... lead, perhaps inevitably, to unforeseencomplications. Radiofrequency ablation around thepulmonary vein is rapidly becoming the treatment modality of choice for patients with both paroxysmal and ... statistical analysis identified onlydopamine as an independent risk factor for 30-day mortality,conferring a 20% increase in risk. As with mechanicalventilation, despite administering vasoactive...
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Báo cáo y học: " Recently published papers: Topical issues in pharmacology" pptx
... condition that is known to carry a high mortality rate, and itmay be that the time for a larger outcome trial approaches.The March/April edition of Intensive Care Monitor [7]comments on a paper ... Ashton RC Jr, Landry DW, Townsend RN: Low-dosevasopressin in the treatment of vasodilatory septic shock. JTrauma 1999, 47:699-703.6. Tsuneyoshi I, Yamada H, Kakihana Y, Nakamura M, Nakano Y, Boyle ... on vasopressors, ICUpatients not on vasopressors and postoperative wardpatients. Each patient had received at least three doses of nadroparin 2850 IU. Serial concentrations of factor Xaactivity...
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Báo cáo y học: " Recently published papers: We are what we eat" pot
... results.Another surrogate of nutritional and overall health status ishaemoglobin concentration. An observational studyconducted in over 2000 patients who underwent coronaryartery bypass surgery ... studieswill address this. The alternative is of course to befriend anamenable surgeon.An alternative approach to accelerate recovery of gastrointestinal motility may be effective salt and waterbalance. ... This was no doubt triggeredby the Acute Physiology and Chronic Health Evaluation(APACHE) III as well as the study reported by McCluskey and colleagues [8]. Unlike the latter study, Yap and coworkers...
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Báo cáo y học: " Recently published papers: New evidence for old debates, new drugs and some timely reminders" pps
... the hands of Neumann and DeLegge [21], essentially because nasojejunal tubeplacement results in a significant delay in the start of feeding.Surely the pragmatic approach is to start with a nasogastrictube ... nasogastrictube and to only employ the alternatives in cases of failure.The long-term success of renal allografts from nonheart-beating donors is reported by Weber and colleagues [22].Sadly, adoption ... Cook and colleagues have published a timely survey on this issue [16]. They concludethat a classic case of system failure exists with regard topatient positioning, and they suggest a number of...
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Báo cáo y học: "Recently published papers: of head injuries, high frequencies and haemodynamic optimization" pps
... verge on unity,pointing out the problems of analysis with just so manyvariables. One day soon someone may take up the gauntlet of a matched interventional study so that we can really besure that ... Association of NeurologicalSurgeons, Joint Section on Neurotrauma and Critical Care:Guidelines for the management of severe head injury. BrainTrauma Foundation, American Association of NeurologicalSurgeons, ... Richard JC, Brochard L, Breton L, Aboab J, Vandelet P, Tamion F,Maggiore SM, Mercat A, Bonmarchand G: Influence of respiratoryrate on gas trapping during low volume ventilation of patientswith...
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Báo cáo y học: "Recently published papers: A number of treatment controversies" pptx
... thatunbridled sedation, given with best of intentions, is harmful interms of ventilator and ICU days and consequently outcome, and that a sedation protocol including daily cessation of sedative ... and how often? These areimportant questions but they are not easily answered.Anxiolysis, analgesia, amnesia and sedation are just a few of the elements to be considered. It is now widely accepted ... increased incidence of cardiovascular and respiratory failure, although there was nostatistically significant difference in mean Acute Physiology and Chronic Health Evaluation III scores between...
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Báo cáo y học: "Recently published papers: Changing practices in the modern intensive care unit" pps
... study that will attract most attention is that bySandham and coworkers [4]. This is an impressive randomizedtrial that compared goal-directed therapy guided by pulmonaryartery catheter with ... estimate pulmonary artery occlusion pressure(PAOP) from the pulsatile pulmonary artery waveform [5].Personally, I found this particularly intriguing. Many of us usethe pulmonary artery catheter ... physical examination, pulmonaryfunction testing, a 6-min walk test and quality of lifeevaluation. One of the most impressive feats for those of uswho live and work on this small island is that, when...
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Báo cáo y học: "Recently published papers: small pieces of the puzzle and the long-term view" pps
... T, Vaagenes P, Auestad BH,Steen PA: Delaying defibrillation to give basic cardiopul-monary resuscitation to patients with out -of- hospital ventricu-lar fibrillation: a randomized trial. JAMA ... been investigated by Tremblay and Bandi[5]. The large population studied was North American, with a median intensive care unit (ICU) stay of only 2 days. Fifty-sixper cent of patients admitted ... [3]have all finally reached print. Although much contained withinthese ‘stock takes’ will be familiar, they serve as valuable and timely summaries. The only concern I have is that the delay intheir...
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Báo cáo y học: "Recently published papers: inflammation, elucidation, manipulation" pps
... produced as part of the septicinflammatory process because the coagulation cascade isactivated too. Carraway and coworkers [4] have alreadyshown that pretreating baboons with active site-inactivatedfactor ... human sepsis? Time and more research will tell.CommentaryRecently published papers: inflammation, elucidation,manipulation?Justin Kirk-Bayley1 and Richard Venn21Research registrar, Anaesthesia ... JM, Brienza A, Bruno F, Slutsky AS: Effect of mechanical ventilation on inflammatory mediators in patients with acute respiratory dis-tress syndrome: a randomized controlled trial. JAMA 1999,282:54-61.9....
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