... may
assess the individual patient s risk in order to better inform
Review
Clinical review: How is risk defined in high -risk surgical patient
management?
Owen Boyd and Neil Jackson
The General Intensive ... assessment of risk using risk assessment tools.
Introduction
What is a high -risk patient? What do we mean by risk? Why
do we want to assess risk? How do...
... laryngitis. In patients
with moderate to severe croup, He/O
2
administration resulted
in improvements in croup score similar to those in patients
given racemic adrenaline (epinephrine).
In such ... standard of care in critically ill patients
with acute obstructive syndromes, apart from in some, well defined
situations. Its role in critically ill patients must be more precise...
... aerobic metabolism is inadequate for maintenance of
high-energy phosphate production in the exercising muscles,
thus forcing the anaerobic metabolism to make up the deficit.
This point is nonvolitional ... performance of the patient. Our hypothesis is that
those patients in whom ischemia develops early in exercise
are at higher risk of postoperative ventricular dysfunction than...
... [64].
Similarly, in blood of septic patients receiving dopamine, a
decrease in in vitro T-cell proliferation in response to
concanavalin has been observed [46]. In contrast, in vivo
experiments in mice using ... inhibited this [55]. In accordance with those
findings, treatment with the dopamine antagonist metoclo-
pramide stimulated constitutive and inducible expression of
proin...
... assay test is high [58].
Unfortunately, the more precise carbon 14-serotonin release
assay is not routinely available. Awaiting final diagnosis, all
kinds of heparins should be discontinued and ... Randomized, clinical trial comparison of trisodium
citrate 30% and heparin as catheter-locking solution in
hemodialysis patients. J Am Soc Nephrol 2005, 16:2769-2777.
19. Grudzinski L, Quinan...
... fi brinolysis.
In CAP, baseline D-dimer shows a strong relation-
ship with mortality in patients with a PSI of 5 [60]. e
International Society of rombosis and Hemostasis
disseminated intravascular ... profi ling is becoming
cheaper and is reaching the stage of clinical feasibility
for large interventional trials. At present, however, little
information is available about prot...
... Those investigators showed that, after
RMs, PEEP set at 2 cmH
2
O above the lower inflection point
was more effective in maintaining gas exchange and minimiz-
ing inflammation and lung injury ... On histopathologic examination, findings in
ventilator-induced lung injury (VILI) do not differ from those in
ARDS [2]. To minimize this damage, lung protective strategies
to avoid overdistensi...
... bound to proteins. The two main binding proteins are
the cortisol-binding globulin (CBG) and albumin [1].
Review
Clinical review: Corticotherapy in sepsis
Helene Prigent
1
, Virginie Maxime
2
and ... They inhibit protein synthe-
sis and activate proteinolysis in muscles, liberating amino
acids that can serve as substrates for gluconeogenesis.
Finally, they are involved in bone and min...
... assume
responsibility for patient outcomes. This ambitious task
requires focusing of efforts on those patients most at risk.
Identifying at -risk populations
Acutely ill patients in general
The risk of error ... continuing responsibility
for inpatient care. It might also be of value to other health
care systems in which increasing specialization is creating a
need for generalist...
... and historical
comparisons are stratified according to those patients receiving an
emergency response within 4 min versus those with response intervals
greater than 4 min. The response interval ... than when it is delivered imme-
diately (within the first 2–3 min) following the onset of VF
[13–15]. In turn, according to this paradigm, certain pharma-
cologic and/or mechanical intervention...