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intensive insulin therapy in critically ill patients

Báo cáo hóa học:

Báo cáo hóa học: " Retrospective evaluation of possible renal toxicity associated with continuous infusion of vancomycin in critically ill patients" potx

... Continuous infusion of vancomycin is increasingly preferred as an alternative to intermittentadministration in critically ill patients. Intermittent vancomycin treatment is associated with an increasedoccurrence ... between obtain ing therapeuticserum levels and avoiding nephrotoxicity during continu-ous vancomycin infusion in critically ill patients withsevere Gram-positive infections and normal baselinerenal ... of developing acute kidney injury(AKI) during continuous vancomycin infusion remainspoorly examined, especially in the critically ill. Vanco-mycin pharmacodynamics in this population is chal-lenged...
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Báo cáo hóa học: " Colistin: recent data on pharmacodynamics properties and clinical efficacy in critically ill patients" pot

... Whereas colistin is mainly administered i.v. in critically ill patients, it can be safely be administered byinhalation in patients with pneumonia/VAP or intrathe-cally in patients with meningitis ... topical administra-tion of colistin is noted in approximately 15% of patients. Colistin’s clinical efficacy in critically ill patients In a recently published study, 258 adult critically ill patients ... should be considered in critically ill patients [13].CMS and colistin PKs have been recentl y examined in 18 adult critically ill patients who received i.v. colistinfor infections caused by...
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báo cáo hóa học:

báo cáo hóa học: " Retrospective evaluation of possible renal toxicity associated with continuous infusion of vancomycin in critically ill patients" doc

... of developing acute kidney injury(AKI) during continuous vancomycin infusion remainspoorly examined, especially in the critically ill. Vanco-mycin pharmacodynamics in this population is chal-lenged ... therapeuticserum levels and avoiding nephrotoxicity during continu-ous vancomycin infusion in critically ill patients withsevere Gram-positive infections and normal baselinerenal function. AKI is ... when present during vancomycin infusion andbefore increase in serum creatinine. Shock was definedas the need for vasopressor therapy to obtain a m eanarterial pressure ≥70 mmHg in a patient who...
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Báo cáo hóa học:

Báo cáo hóa học: " Understanding urine output in critically ill patients" ppt

... reported to increase renal blood flow, urine out-put, and creatinine clearance in experimental sepsis [38].Although norepinephrine also has been found to increasecreatinine clearance in human ... clinical studies in which MAP was increased with norepinephrine haveprovided conflicting results. Bourgoin et al. found thatincreasing MAP from 65 to 85 mmHg did not furtherimprove creatinine ... absolute increase of serum creati-nine of 0.3 mg/dl was sufficient to classify patients in stage1, introducing the notion than only small changes in serum creatinine are of clinical relevance. Finally,...
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Báo cáo hóa học:

Báo cáo hóa học: " Renal and neurological side effects of colistin in critically ill patients" docx

... acute CMS-induced kidney injury: male sex,concomitant use of a calcineurin inhibitor, hyperbilirubi-nemia, and hypoalbuminemia. The incidence of kidneyinjury increased with an increase in the ... creatinine and GFR criteria)Category CriteriaRisk (R) Increased creatinine level × 1.5 or GFR decrease >25%Injury (I) Increased creatinine level × 2 or GFR decrease >50%Failure (F) Increased ... NephrologyWorking Group of the European Society of Intensive Care Medicine:Prevention of acute kidney injury and protection of renal function in the intensive care unit. Expert opinion of the Working...
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Báo cáo y học: "Excess circulating angiopoietin-2 is a strong predictor of mortality in critically ill medical patients"

... same results were obtained for invasive routinemonitoring in all 43 patients (data not shown).Circulating Ang-2 predicts mortality in critically ill patients To determine the relation between ... earlyfeature in critically ill patients, but might reflect ongoing illness,as is often the case in medical patients compared with suddenonset of impairment in surgical and trauma patients. This inter-pretation ... of Ang-1 in critically ill patients. Experimental endotoxaemia has been shown to dis-rupt protective Ang-1/Tie-2 signalling by reducing Ang-1 andinducing Ang-2 expression [39]. In line with...
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Báo cáo y học:

Báo cáo y học: "Management of Critically Ill Patients with Severe Acute Respiratory Syndrome (SARS)"

... den Berghe G., et al. Intensive insulin therapy in critically ill patients. N Engl J Med, 2001. 345:1359-67. 53. Choi K.W., et al. Outcomes and prognostic factors in 267 patients with severe ... uncertain. Tracheostomy is required in patients requiring prolonged mechanical ventilation and ICU stay. Strict adherence to infection control guidelines is mandatory in performing tracheostomy in ... alone. In vitro testing showed that interferon β was more potent than interferon α or γ, being effective even when administered after SARS-CoV infection in cell culture [31]. Traditional Chinese...
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báo cáo hóa học:

báo cáo hóa học:" Intrahospital transport of critically ill patients (excluding newborns) Recommendations of the Societe de " ppt

... below).Articles in Annals of Intensive Care are listed in PubMed and archived at PubMed Central.For information about publishing your research in Annals of Intensive Care go tohttp://www.annalsofintensivecare.com/authors/instructions/For ... resources and training 1) Initial and regular training is mandatory for all staff providing IHT, both in the use of equipment and its monitoring (ventilator, multiparametric monitors, defibrillator…). ... 3) The minimum monitoring required during IHT includes ECG heart rate monitoring, pulse oximetry, and noninvasive blood pressure monitoring. Strong Agreement. 4) In nonventilated patients, ...
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Báo cáo y học: "DAS28 best reflects the physician''''s clinical judgment of response to infliximab therapy in rheumatoid arthritis patients: validation of the DAS28 score in patients under infliximab treatment" potx

... combined in a model, coulddiscriminate the treating rheumatologist's decision to give adose increase of infliximab to RA patients not optimallyresponding to an indicated dose of 3 mg infliximab ... systemic inflammation.Infliximab, in combination with methotrexate (MTX), is a highlyeffective therapy for a majority of RA patients. After an induc-tion scheme at weeks 0, 2 and 6, the indicated ... 511 patients, suffering from active refractory RA [5],were treated with intravenous infusions of infliximab (3 mg/kg)at weeks 0, 2, 6 and every 8 weeks thereafter in combinationwith MTX (a minimal...
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Báo cáo y học:

Báo cáo y học: "Four-year follow-up of infliximab therapy in rheumatoid arthritis patients with long-standing refractory disease: attrition and long-term evolution of disease activity" pot

... in disease activity was observed over the remaining 3.5 years.This decrease in disease activity was observed in both the patients who continued with infliximab therapy and those whodiscontinued ... findings also indicate that the decision tocontinue infliximab therapy is best made using the DAS28score.Competing interestsThe study was supported by a grant from Centocor BV andSchering-Plough. ... 3mg/kg every 8 weeks was reinstituted in a majority of patients beginning in June 2002, the time at which infliximab became areimbursable medicine in Belgium. During the first 6 months,steroid...
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