Normal adrenocortical function on initial testing in the intensive care unit: not a long-term warranty pdf

... levels remained unchanged. In addition,these patients required dosages of norepinephrine to beCommentary Normal adrenocortical function on initial testing in the intensive care unit: not a long-term ... those receiving etomidate to facilitate endotrachealintubation. In the paper by Wu and colleagues, of the patientswho had initial cortisol levels that reasonably ruled out adrenocortical insufficiency, ... findings, which add a new piece in the complex puzzleof adrenocortical function, steroid treatment and outcome in the intensive care unit (ICU). The renewal of interest for adrenal testing in...

Báo cáo khoa học: " Research ethics in the intensive care unit: current and future challenges" pdf

... higher standard of disclosurethan required for clinical decision-making prevail? Shouldresearch participation become part of advance care planning? What happens when the patient regains capacity?Is ... unique demands on researchers. Itrequires a level of critical thinking, and a knowledge of ethicsand the law that must be maintained. Addressing ethicalissues in a research project can be a source ... extensive haemodynamic and clinical monitoring, the intensive care unit (ICU) remains an ideal place to explore the effects of novel therapeutics and innovative technologies.While research has provided...

Báo cáo y học: "Patients with diabetes in the intensive care unit; not served by treatment, yet protected" pptx

... Larger morbidity and development of complications in diabetes can be explained by the often pre-existing organ dysfunction and pathophysiological alterations in the disease.  is raises the ... the intriguing question of how patients with diabetes manage to survive in the ICU despite an increased risk for a variety of complications such as bloodstream infections [6,8] and renal failure ... which are, at least in the non-diabetic population, independently associated with mortality [9,10]. Remarkably, there seems to be a lower incidence of acute lung injury in patients with diabetes...

Báo cáo khoa học: "Impact of computerized physician order entry on medication prescription errors in the intensive care unit: a controlled cross-sectional trial"

... in designing the study. KC wasresponsible for conceiving the study, data acquisition, analysisof the data, statistical analysis and drafting of the manuscript.BC was responsible for data acquisition, ... allergy notation in the charts of the PB-U. The only allergy error we encountered was in the C-U in a patient whose allergy status was not noted in the ICIS, although it was clearly notified in the ... acquisition, analysis of the data,and drafting of the manuscript. JD was responsible for con-ceiving the study, statistical analysis and critical revision of the manuscript. AS, KV and HR were responsible...

Báo cáo y học: " Initial distribution volume of glucose can be approximated using a conventional glucose analyzer in the intensive care unit" pot

... haemodiafiltration 4Values are presented as mean ± standard deviation (range) or as number of patients. a Catecholamines: an infusion of dopamine, dobutamine, noradrenaline, or adrenaline.bInsulin: continuous ... not interchangeable. This suggests thatapproximated IDVG is clinically acceptable as an alternative calculation of IDVG, althoughapproximated and original IDVGs are not equivalent; plasma rather ... from the increase in plasma values above baseline at 3 min after glucose injec-tion determined using the reference glucose analyzer Eachapproximated IDVG was calculated according to the followingformula...

Báo cáo khoa học: "Cystatin C: unsuited to use as a marker of kidney function in the intensive care unit" pot

... arewarranted.Competing interests The author(s) declare that they have no competing interests.References1. Villa P, Jiménez M, Soriano MC, Manzanares J, Casasnovas P:Serum cystatin C as a ... underestimateglomerular filtration rate in renal transplant recipients. ClinChem 1999, 49:1866-1868.5. Coll E, Botey A, Alvarez L, Poch E, Quintó LI, Taurina A, Vera M,Piera C, Darnell A: Serum cystatin C as a ... generally normal free tetra-iodothyronine and normal thyroid-stimulating hormone, whichconfounds extrapolation of published data in this population.We feel that future studies to evaluate this...

Báo cáo khoa học: "A Natriuretic peptide testing for the evaluation of critically ill patients with shock in the intensive care unit: a prospective cohort study" pptx

... clinicians managing the patient toplace a PAC for diagnosis or monitoring as part of standard care. For each patient, 5 ml blood was collected into a tube contain-ing EDTA at the time of PAC ... and cardiac indexRelationship between NT-proBNP, and PCWP and cardiac index. Shown are linear regression analyses examining the relationship between log-transformed amino-terminal pro-brain natriuretic ... USA3Department of Anesthesia and Critical Care , Massachusetts General Hospital, Boston, Massachusetts, USA4Department of Pulmonary/Critical Care, Massachusetts General Hospital, Boston, Massachusetts,...

Báo cáo y học: "Tight glycaemic control in the intensive care unit: pitfalls in the testing of the concept" docx

... interests.References1. De La Rosa GD, Donado JH, Restrepo AH, Quintero AM, GonzalezLG, Saldarriaga NE, Bedoya MT, Toro JM, Velasquez JB, ValenciaJC, Arango CM, Aleman PH, Vasquez EM, Chavarriaga JC, Yepes A, Pulido ... the patients in range. Such a deviationpoints to protocol violations or a learning curve in the bloodglucose control or a combination of the two. The resultingoverlap of about 50% between the ... Pulido W, Cadavid CA: Strict glycemic control in patientshospitalized in a mixed medical and surgical intensive care unit: a randomized clinical trial. Crit Care 2008, 12:R120.2. Van den Berghe...

Báo cáo y học: "Bench-to-bedside review: Understanding the impact of resistance and virulence factors on methicillin-resistant Staphylococcus aureus infections in the intensive care unit" ppsx

... which are pending. Adverse effects in all ceftaroline studies to date have been minor, and includeheadache, nausea, insomnia, and abnormal body odor [62].DalbavancinDalbavancin is an investigational ... Iclaprim also appears to have activity against the atypical respiratory pathogens Legionella and Chlamydiapneumoniae, but is not active against P. aeruginosa oranaerobes [69].ConclusionMRSA will ... disruptspolymerization and crosslinking of peptidoglycan. Telavancinalso interferes with the normal function of the bacterialmembrane, leading to a decrease in the barrier function of the membrane. This dual...

Báo cáo khoa học: " Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit"

... criticallyrevising the draft. JG made substantial contributions to the data analysis. GB was substantially involved in the analysis,interpretation and drafting the manuscript.AcknowledgementsTo the Medical ... were defined as 'minor' in outcome and, assuch, did not cause the patient harm but, in some cases, mayhave lead to an increase in monitoring but with no change in vital signs. There ... Erick-son JI, Bates DW: Pharmacist participation on physician roundsand adverse drug events in the intensive care unit. JAMA1999, 282:267-270.16. British Medical Association and the Royal Pharmaceutical...

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