Báo cáo khoa học: "Clinical review: Agitation and delirium in the critically ill – significance and management" ppt
Báo cáo khoa học: "Clinical review: Agitation and delirium in the critically ill – significance and management" ppt
... this disturbance is frequent in the ICUReviewClinical review: Agitation and delirium in the critically ill – significance and managementJean-Claude Chevrolet and Philippe JollietHôpital Cantonal ... monitoring [43]. In addition, several issues remainunanswered regarding continuous EEG recording in the ICU,namely its exact indication, the required duration ofmonitoring, and the clinical significance ... position in the bed, voiding of a full and painfulbladder, and so on. Physical restraint can also be considered,keeping in mind the ethical concerns regarding its use [50].Physically restraining...
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Báo cáo khoa học: "Clinical review: Allocating ventilators during large-scale disasters - problems, planning, and process" pot
... families, and the public.• Current inpatients, patients presenting to the hospital, and their family members are given verbal and printed information (ideally by the triagenurse in the ED or, for inpatients, ... significant bias and interpretation). – Any other considerations involving weighing sub-jective measures (for example, the role of the patients,including health care workers, in the community) ... ongoing, and institution-wide process todetermine what medical care can be provided based on the demand and the resources available. Resource stockpiling,staff cross-training, and altering...
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Báo cáo khoa học: "Clinical review: Independent lung ventilation in critical care" doc
... desaturation, fluid in the lumen of the ventilated lung and air bubbles in the lavageefflux. This mandates stopping lavage, placing the patient in the lateral decubitus position with the lavaged side ... and then the tracheal lumen to ventilate the left lung is unreliable. The auscultation method can result in incorrect positioning in 38% of cases, with wrong main stem intubated in 20.8% and double-lumen ... strategy in bothanatomical and physiological lung separation. Potential pitfalls arerelated to establishing and maintaining lung isolation. Nevertheless,ILV can be used in the intensive care setting...
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Báo cáo khoa học: " Clinical review: Patient-ventilator interaction in chronic obstructive pulmonary disease" pps
... gained over the years in ourunderstanding of the mechanisms underlying the difficult inter-action between these patients and the machines used to providethem with the ventilatory support they ... are beginning to prove their efficacyduring key periods, such as weaning, as they have the potential for making numerous on-line adjustments to the patient’s ventilatory demand.Competing interestsPJ ... delayedcycling. Calderini and colleagues [8] showed that leaksaround the mask led to a prolonged pressurization by the ventilator, in turn leading to an insufficient decrease in V′inspto the cycling...
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Báo cáo khoa học: "Clinical review: Bedside lung ultrasound in critical care practice" ppsx
... examination, restrict contacts with the ultrasound machine to the probe and the keyboardAt the end of the examination, leave the probe on the bedbDisinfection procedure at the end of the examinationCleaning ... arising from the pleura and extending to the edge of the screen [30] are detected and called vertical‘B-lines’ or ‘comet tails’. They appear as shining vertical linesarising from the pleural line ... dryingaAvoid using a gel bottle because the tip may be contaminated by contact with the probe or the patient’s skin. Such contact may result in the contamination of the gel contained in the...
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Báo cáo y học: "Clinical review: Acid–base abnormalities in the intensive care unit" doc
... when combined with a traumatic brain injury; itis unknown whether this is true for other injuries in isolation orcombination. The interpretation of SBE must thereforeincorporate the injury complex ... 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. Since the ... adeterminant of the pH. In 1983, Peter Stewart clarified the physical chemistry principles that describe the independentdeterminants of proton concentration and pH, allowing the clinician to...
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Báo cáo khoa học: Kinetic analysis of zymogen autoactivation in the presence of a reversible inhibitor pptx
... straight line, indicating that p-amindinobenzamidineis a c ompetitive inhibitor for the t rypsinogen autoactivationreaction. From the slope and intercept of the straight line, the kinetic parameters ... above, the inhibition constants for binding o f p-amindinobenzamidine and benzamidine were determined to be 59.7 ± 7 .5 lM and 16.4 ± 1.16 lM, respectively. The KIvalues of theseinhibitors ... bothtight and loose binding inhibitor. As an example, Eqn (21)was u sed to a nalyze the effects of acetamidine, p-amidino-benzamidine and benzamidine on the autoactivation oftrypsinogen by trypsin....
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Báo cáo khoa học: "Clinical review: The implications of experimental and clinical studies of recruitment maneuvers in acute lung injury" pptx
... Those investigators showed that, afterRMs, PEEP set at 2 cmH2O above the lower inflection pointwas more effective in maintaining gas exchange and minimiz-ing inflammation and lung injury ... B: tidal insuflation with a PEEP below the lower inflection point after a sustained inflation. Loop C: PEEP higherthan the lower inflection point after a sustained inflation. Sustainedinflation ... mechanisms ofinjury in healthy parts of the lung is unknown. In the present review of the literature we describe the intrinsicmechanisms that explain how MV inflicts alveolar damage and the controversy...
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Báo cáo khoa học: "Clinical review: Influence of vasoactive and other therapies on intestinal and hepatic circulations in patients with septic shock" ppsx
... ↑ in mucosal blood flow NA Epinephrine, norepinephrine in versus norepinephrine 1 ±0.6 with epinephrine and random order to achieve MAPversus norepinephrine + norepinephrine + dobutamine, 7 0–8 0 ... [35] reported the effects of dopamine, norepinephrine and epinephrine on the splanchnic circulation in moderate and in severe septicshock, and the main results are as follows. In moderate septicshock ... norepinephrine dosagecould be significantly lowered in the vasopressin group,blood pressure and cardiac index were maintained in bothgroups. Urine output did not change in the norepinephrinegroup...
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Báo cáo khoa học: "Clinical review: Moral assumptions and the process of organ donation in the intensive care unit" pptx
... of thesewishes with family members, feelings and beliefs of familymembers, the timing and nature of procedures involved in organ removal in the operating room, the opportunities forviewing the ... focused on the integrity and the excellence of the process, neutral to the donation outcome and respecting the legitimacy of the familydecision. The discussion might therefore begin (after evidentunderstanding ... decision-making in other relatedcontexts [65] (e.g. limiting or withdrawing intensive therapies) and could use these skills, without persuasion or coercion,towards the goal of facilitating an informed...
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