Báo cáo y học: "Recently published papers: Novel therapies in chronic obstructive pulmonary disease, cardiac chemicals and intensive care outcomes" ppt
Báo cáo y học: "Abdominal muscle fatigue following exercise in chronic obstructive pulmonary disease" docx
... expiratory muscle fati-guing protocol, than following an equivalent exercise duration when not first fatigued [36]. Interestingly, in that study subjects exercising with prior expiratory mus-cle fatigue ... muscle fatigue to develop in healthy individuals [18,19]. In COPD, the abdominalmuscles are frequently recruited even during restingbreathing [20]. When walking to exhaustion, inspiratorywork ... parameters is interesting. This was not reflected in differences in the symptoms limiting exercise, thedegree of dynamic hyperinflation that occurred or in oxygenation during exercise. Gas transfer...
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Báo cáo y học: "An experimental model of rhinovirus induced chronic obstructive pulmonary disease exacerbations: a pilot study" pps
... induced chronic obstructive pulmonary disease exacerbations: a pilot studyPatrick Mallia1, Simon D Message1, Tatiana Kebadze1, Hayley L Parker1, OnnMKon2 and Sebastian L Johnston*1Address: ... study to experimentally infect COPDpatients with a respiratory virus. Our aim was to assess thefeasibility and safety of developing a human experimental model of virus -induced COPD exacerbation, ... may also have importantimplications for therapy of virus -induced COPD exacer-bations. The cold symptoms peaked on day 7, but wereclearly elevated as early as day 4, co-incident with the peakin...
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Báo cáo y học: " Recently published papers: Topical issues in pharmacology" pptx
... demonstrating profound and resistantvascular hyporeactivity. Bolus terlipressin resulted in aprogressive increase in mean arterial pressure, allowingwithdrawal of noradrenaline (norepinephrine) in ... was lower in thehydrocortisone group than in the placebo group (P < 0.05).No difference in mortality was found. Interleukin-6 andinterleukin-8 were both significantly reduced in the treatmentgroup, ... doses. In the absence of routine anti-factor Xa activity assays, some caution may be requiredbefore instituting blind dose increases for a group of patientswho are at risk of occult bleeding...
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Báo cáo y học: " Recently published papers: We are what we eat" pot
... accelerate recovery ofgastrointestinal motility may be effective salt and waterbalance. In a study by Lobo and colleagues [4], prompted byCommentary Recently published papers: We are what we eat?LG ... recent study reported by Yapand coworkers [7]. They retrospectively studied more than1000 patients over an 18-month period, their hypothesisbeing that serum hypoalbuminaemia may be predictive ... predictive ofmortality risk in the critically ill. This was no doubt triggeredby the Acute Physiology and Chronic Health Evaluation(APACHE) III as well as the study reported by McCluskeyand colleagues...
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Báo cáo y học: " Recently published papers: New evidence for old debates, new drugs and some timely reminders" pps
... reported by Weber and colleagues [22].Sadly, adoption of this technique, in the UK at least, awaitsthe deliberation of the government and judiciary.Finally, if you have been seduced by the attractive ... thedermal tolerance and user acceptability of six alcohol-basedhand disinfectants for hygienic hand disinfection. J HospInfect 2002, 51:114-120.25. Laffey JG, Kavanagh BP: Hypocapnia. N Engl ... death and myocardialinfarction within 30 days, in a large cohort of patients(n = 7033) with suspected acute coronary syndrome and both normal and reduced creatinine clearance. Afteradjustment for...
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Báo cáo y học: "Recently published papers: of head injuries, high frequencies and haemodynamic optimization" pps
... mortality and transfusion. Vincent and colleagues used a propensity scoring system to identify twodistinct groups and control for confounders, and found anodds ratio of 1.37 for mortality in transfusion ... recommendations regarding plateau pressures.Kern and Shoemaker [11] recently looked back at thesuccesses of haemodynamic goal-directed therapy in a meta-analysis of randomized controlled studies aiming ... values in high- risk elective surgery, trauma and sepsis patients. Their findings confirmed further thatwhen therapy is aimed at improving oxygen delivery(especially in the severely ill, in...
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Báo cáo y học: "Recently published papers: A number of treatment controversies" pptx
... These areimportant questions but they are not easily answered.Anxiolysis, analgesia, amnesia and sedation are just a few of the elements to be considered. It is now widely accepted thatunbridled ... the lack of consensus on which, if any, agent isbest and the wide variability on what is considered to be a good measure of best sedation. It is probably a case of notwhat you use but how you ... sedation, given with best of intentions, is harmful interms of ventilator and ICU days and consequently outcome,and that a sedation protocol including daily cessation of sedative agents is of...
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Báo cáo y học: "Recently published papers: Changing practices in the modern intensive care unit" pps
... benefit to therapy directedby pulmonary artery catheters over standard care in this patientgroup. Indeed, there was a higher rate of pulmonary embolism in the catheter group than in the standard ... treatment arm. The physiological goals and treatment priorities in the pulmonaryartery catheter group were defined by the investigators before the study began, and assessment of achievement of thesegoals ... adopted with the sameenthusiasm as that of the balloon directed pulmonary arterycatheter in the early 1980s. There is some good news for the pulmonary artery catheter enthusiasts – there was no...
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Báo cáo khoa học: " Clinical review: Patient-ventilator interaction in chronic obstructive pulmonary disease" pps
... beengained in our understanding of the extremely complex issue of patient-ventilator interaction in COPD patients. Given theincreasing use of assisted modes, this heightened under-standing has ... 2) In the case of assisted ventilatory modes, both the ventilatorand the patient provide the required pressure, equation 1becoming:Review Clinical review: Patient-ventilator interaction in chronic obstructive ... encountered in bothintubated patients and those ventilated with non-invasiveventilation. Much knowledge has been gained over the years in ourunderstanding of the mechanisms underlying the difficult inter-action...
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Báo cáo y học: "Recently published papers: Pseudomonas, brain and bowel injury and novel cardiac therapies" ppsx
... impactCommentaryRecently published papers: Pseudomonas, brain and bowel injury and novel cardiac therapiesUma M Bandarupalli and Gareth WilliamsUniversity Hospitals of Leicester NHS Trust, Infirmary Square, ... load?Hyperventilation therapy after traumatic brain injury Neumann and coworkers reported data from the BrainITdatabase concerning use of hyperventilation strategies and adherence to Brain Trauma ... and on day 8 after initiation of antibiotictherapy. Analysis for type III cytotoxins was undertaken and results indicated that about 50% of the patients hadpersistence of type III secretory...
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Báo cáo y học: "Recently published papers: Heavyweight problems in the intensive care unit" potx
... recently in Intensive Care Medicine add moreweight to the arguments against such views [2,3]. In the study by Sakr and colleagues, the European obser-vational Sepsis Occurrence in Acutely Ill ... [4,5].CommentaryRecently published papers: Heavyweight problems in the intensive care unit?Lui G Forni1,21Department of Critical Care, Worthing General Hospital, Lyndhurst Road, Worthing BN11 2DH, ... studies add to the growing evidence that the obesepatient is not significantly disadvantaged in terms of outcomefollowing intensive care admission. Another study highlights the increasing burden...
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Báo cáo y học: " Recently published papers: A review of novel strategies in the prevention of hospital-acquired infections, the ability of intensivists to perform echocardiography, and the benefit of polymyxin B haemoperfusion in abdominal sepsis" pot
... of < /b> hospital-acquired < /b> infections, < /b> the < /b> ability < /b> of< /b> intensivists < /b> to < /b> perform < /b> echocardiography, < /b> and < /b> the < /b> benefit < /b> of< /b> polymyxin < /b> B haemoperfusion in < /b> abdominal sepsisJames Hayward and < /b> Richard VennDepartment ... with a < /b> high affinity for endotoxin. Haemoperfusion was performed using haemoperfusion polystyrene fibres withbound polymyxin < /b> B. The < /b> study was stopped early becausethere was a < /b> signal of < /b> decreased ... ICUpractice of < /b> daily sedation holds and < /b> therapy as per the< /b> primary care team versus daily sedation holds with specificearly exercise and < /b> mobilisation (physical and < /b> occupationaltherapy). In < /b> their...
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Báo cáo y học: "Recently published papers: Novel therapies in chronic obstructive pulmonary disease, cardiac chemicals and intensive care outcomes" ppt
... multicentreobservational study examining the relationship between theamount of energy and protein administered during ICU stay and clinical outcomes in critically ill patients, and the extent towhich ... Enquiry into Patient Outcome and Death) interest recently and data into provision of care and outcomes have been published [13]. French investigatorsFloccard and colleagues [14] have looked into ... Confidential Enquiry into Patient Outcome and Death: Adding Insult to Injury - a Review of the Care ofPatients Who Died in Hospital with a Primary Diagnosis ofAcute Kidney Injury (Acute Renal Failure)...
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Báo cáo y học: " Recently published papers: Renal support in acute kidney injury is low dose the new high dose" doc
... critically ill patients do, on occasion,require renal support in whatever guise whereas the mainstayCommentary Recently published papers: Renal support in acute kidney injury - is low dose the new high ... benefit.Finally, a study on cessation of therapy. A further subgroupanalysis of the BEST kidney data (Beginning and EndingSupportive Therapy for the Kidney) has examined the clinicalparameters ... clinicaloutcomes, although 88% of patients did achieve the lower dose regime. Increasing the intensity of therapy beyond the new high dose may not confer additional clinical benefit.Finally,...
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Báo cáo y học: "Another step for noninvasive ventilation in chronic obstructive pulmonary disease patients" pot
... strategy (NPPV combined with FBO in COPD with hypercapnic encephalopathy) in the most challenging patients.AbbreviationsCOPD, chronic obstructive pulmonary disease; FBO, breoptic bronchoscopy; ... Naldi M, Maccari U: Early beroptic bronchoscopy during non-invasive ventilation in patients with decompensated chronic obstructive pulmonary disease due to community-acquired-pneumonia. Crit ... G: Another step for noninvasive ventilation in chronic obstructive pulmonary disease patients! Critical Care 2010, 14:163.Jaber and Chanques Critical Care 2010, 14:163 http://ccforum.com/content/14/3/163Page...
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