Báo cáo y học: "Clinical review: Influenza pandemic – physicians and their obligations" doc

... If influenza does strike in pandemic proportions, this need is likely to be tremendous.The planning assumptions for a 1957-like moderate pan-ReviewClinical review: Influenza pandemic – physicians ... HIVepidemic and during the 2003 SARS outbreak. With an influenza pandemic looming as an imminent probability, all physicians need to ask what sacrifices are demanded in thename of their profession and ... http://ccforum.com/content/12/3/217AbstractAn influenza pandemic threatens to be the most lethal public healthcrisis to confront the world. Physicians will have critical roles indiagnosis, containment and treatment of influenza, and their commitment...

Báo cáo y học: "Clinical review: Emergency department overcrowding and the potential impact on the critically il" pot

... immediately upon recognition of thecritically ill (or potentially critically ill) patient, who has beendefined as ‘any patient who is physiologically unstable,requiring constant and minute-to-minute ... will probably be variability in clinicaldecision making when patients are co-managed by twodifferent teams of physicians. Collaborative protocols mayhelp to reduce transitional errors and to streamline ... in the ED are physicallyseparated from the watchful eye of the intensivists who areultimately responsible for their care. All of these factors couldpotentially lead to delays in recognizing...

Báo cáo y học: "Clinical review: Major consequences of illicit drug consumption" doc

... shorter than that of most commonly abusedopioids and thus readministration may be necessary.Respiratory depression and hypostatic pneumonia may occurin gamma hydroxybutyrate (GHB) intoxication. There ... electrocardiogram; GHB =gamma hydroxybutyrate; GTN = glyceryl trinitrate; MDMA = 3,4-methylenedioxymethamphetamine; MI = myocardial infarction.methylenedioxymethamphetamine (‘ecstasy’). Lancet 1992,340:384-387.26. ... circumstances byopioids, MDMA, or gamma hydroxybutyrate and may be aggravatedby other sedatives, especially alcohol and benzodiazepines.Recognition of these acute complications is urgent, and treatmentmust...

Báo cáo y học: " Clinical review: Considerations for the triage of maternity care during an influenza pandemic one institution’s approach" pps

... portionate manner [1,2].Previous inﬂ uenza pandemics have repeatedly docu-mented disproportionate morbidity and mortality among pregnant women, with mortality rates of two to four times the same ... simultaneously converging on medical facilities AbstractThe ongoing pandemic of 2009 H1N1 swine-origin in uenza A has heightened the world’s attention to the reality of in uenza pandemics and their ... facility for any and all challenging issues that may arise.Alternative considerationsAs a product of earlier deliberations and after experienc-ing the current and ongoing 2009 H1N1 inﬂ uenza pandemic, ...

Báo cáo y học: "Clinical review: Primary influenza viral pneumonia" doc

... uncomplicated influenza, bronchoscopytypically reveals diffuse inflammation and edema of the larynx,trachea, and bronchi, and biopsy may show cellular infiltrationwith lymphocytes and histocytes and ... respiratory distress syndrome(ARDS) account for the majority of severe morbidity and mortality that accompany pandemic influenza infection [14].Pneumonia may occur as a continuum of the acute influenza syndrome ... usually present with gradually increasing dyspnea and severe hypoxemia after an antecedent of 2 to 5 days oftypical influenza symptoms [14]. The cough is usually produc-tive of thin, often bloody,...

Báo cáo y học: "Clinical review: Treatment of new-onset atrial fibrillation in medical intensive care patients – a clinical framework"

... contraction, by irregularity of ventricularcontraction [43], by inadequate filling time for the leftventricle due to tachycardia, and by tachycardiomyopathy[8,44]. Tachycardiomyopathy can occur ... morbidityIn all patient categories, AF is associated with increasedmorbidity. This is reflected by the number of reportedsymptoms and by the days spent in the ICU and in thehospital. Haemodynamic ... 84:III236-III244.49. Kuralay E, Cingoz F, Kilic S, Bolcal C, Gunay C, Demirkilic U,Tatar H: Supraventricular tachyarrythmia prophylaxis aftercoronary artery surgery in chronic obstructive pulmonarydisease...

Báo cáo y học: "Clinical review: Medication errors in critical care"

... Conversely, high-reliability organizations such as aircraftcarriers, nuclear power plants, and air traffic controllers havemarkedly improved safety by standardizing practices and investing in safety ... only adverse events. These include greaterevent frequency for quantitative analysis, fewer reportingbarriers partly owing to fewer liability concerns, and anopportunity to study recovery patterns ... [59], ICU mortality, ICU length of stay, and hospital length of stay and to improve patient safety [60].Pharmacists, similarly, have an important role to play inmedication safety. First, all intravenous...

Báo cáo y học: "The first influenza pandemic in the new millennium: lessons learned hitherto for current control efforts and overall pandemic preparedness" potx

... 1957, and the 1968 pandemics. However, in facing the current influenza A(H1N1)v pandemic, there are epidemiologicsimilarities between the 191 8–1 919 influenza pandemic and the onset of the 2009 influenza ... outbreak to a category of a moder-ately severe influenza pandemic [6]. Since the 1968 HongKong pandemic, this is the first declaration of an influ-enza pandemic in 41 years. This pandemic highlights ... of the 191 8–1 919 and the 2009 H1N1 influenza pandemics191 8–1 919 2009 Influenza virus Avian Influenza A H1N1 Swine-Origin -Influenza A(H1N1)vSocial and political Context World War I – U.S. troops...

Báo cáo y học: "Clinical review: Severe asthma Spyros Papiris, Anastasia Kotanidou, Katerina Malagari and Charis Rousso" potx

... vital capacity(MEF75, MEF50, and MEF25respectively) and maximal expira-tory flow between 25% and 75% of the FVC (MEF2 5–7 5) arereduced significantly. The abnormally high airway resistanceobserved ... primarilyrelated to the fact that the highly increased airway expiratoryresistance, the high ventilatory demands, the short expiratorytime, and the increased post-inspiratory activity of the ... and the application of positive pressure ventilation, systemichypotension commonly appears. The determinant factors ofsystemic hypotension are sedation, hypovolemia, and primar-ily lung hyperinflation....

Báo cáo y học: "Clinical review: Non-antibiotic strategies for preventing ventilator-associated pneumonia" pps

... infection in the ICU [13]. Handwashing is clearly simple and should be routinely adoptedbased on its efficacy and low cost.As with hand washing, the use of protective gowns and glovesduring patient ... theexcess morbidity attributable to NP as between 10 and 32 days [10]. This figure was later corroborated by otherworkers. Leu et al. reported 9.2 days of additional hospitalstay [11], and Fagon et ... patients.Keywords airway, mechanical ventilation, pneumonia, preventionCritical Care February 2002 Vol 6 No 1 Ferrer and ArtigasSome data indicate that an antimicrobial hand-washing agentmay be...

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