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abcdea systematic approach to critically ill patients

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Báo cáo y học: "Systematic review: The relation between nutrition and nosocomial pneumonia: randomized trials in critically ill patients" doc

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... enterally feeding critically ill patients is often associated with intolerance, therebypredisposing them to aspiration pneumonia. The goal ofthis systematic review is to critically appraise ... insufficient to draw conclusions about the relation between enteral nutrition and nosocomial pneumonia.Conclusions: Nutritional interventions in critically ill patients appear to have a modest ... H2RA; over fromjejunal to reviewedblindedpersistent patients according to 2 H2RA andantacids;gastric groupand to group infiltrate andcomputer 8 sucralfate and 2 patients crossedassignment...
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Báo cáo khoa học: " Bench-to-bedside review: Iron metabolism in critically ill patients" docx

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... ICU patients. Is the iron metabolism imbalance seen in chronicinflammatory states similar to that found in ICU patients? To ReviewBench -to- bedside review: Iron metabolism in critically ill patients Martin ... response to theadministration of iron supplementation in anemic critically ill patients [24]. In this study, all patients (36 patients) received1 mg folic acid daily. One-third of the patients ... further studies are needed to determine whether FID in critically ill patients is simply a marker of nutritional status or isa predictor for outcome. Iron stores are difficult to evaluate inthe presence...
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Báo cáo khoa học: " Role of iron in anaemic critically ill patients: it’s time to investigate" pps

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... primarily to deprive bacteria of nutritionally required iron. In fact, in just afew hours, proinflammatory and anti-inflammatory cytokinescause a decrease in the iron level in blood.Proinflammatory ... decrease the mRNAexpression of transferrin receptor [8]. Interferon-γ stimulatesCommentaryRole of iron in anaemic critically ill patients: it’s time to investigate!Michael Piagnerelli1and Jean-Louis ... LtdSee Review, page 356AbstractAnaemia is a common problem in critically ill patients admitted to intensive care units. Many factorscan be involved in its development, including rapid alterations...
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Báo cáo y học: "Bench-to-bedside review: Preventive measures for contrast-induced nephropathy in critically ill patients" pps

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... haemofiltration/haemodialysis as measures to prevent contrast nephropathy in critically ill patients. Only one published report on measures to prevent contrast-induced nephropathy included critically ill patients [43].Huber ... Regrettably, however, patients wereadmitted to different wards (patients assigned to receivehaemofiltration were admitted to an intensive care unit,whereas control patients were admitted to a step-downfacility). ... contrast-inducednephropathy in critically ill patients and attempt to provideclear recommendations regarding whether/when these newpreventive measures may be applied in critically ill patients. Search resultsA...
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Báo cáo khoa học: "Bench-to-bedside review: Outcome predictions for critically ill patients in the emergency department" potx

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... monitoring, and therapeuticintervention rather than stratifying severity of illness. Patients are assigned to a class from I to IV, ranging from those whodo not require intensive therapy to ... unresolved. In the USA there are more than 110million ED visits per year [1]. The proportion of critically ill patients presenting to the ED and admitted to the intensivecare unit (ICU) has also ... was a59% increase in the number of visits of critically ill patients to the ED from 1990 to 1999 [2]. Inpatient telemetry and ICUbeds continue to be fully occupied for a significant amount...
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Báo cáo khoa học: "Towards a feasible algorithm for tight glycaemic control in critically ill patients: a systematic review of the literature" pdf

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... therapy in the critically ill patients. NEngl J Med 2001, 345:1359-1367.2. Krinsley JS: Effect of an intensive glucose management proto-col on the mortality of critically ill adult patients. Mayo ... the papers selected wasrequired to be glycaemic control in critically ill patients; theblood glucose target was required to be 10 mmol/l or under (oruse of a protocol that resulted in a mean ... glycaemiccontrol. One of the steps we took before we implemented aglucose regulation protocol was to review published trialsemploying insulin/glucose algorithms in critically ill patients. Methods We conducted...
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Báo cáo khoa học: "A validated clinical approach for the management of aspergillosis in critically ill patients: ready, steady, go" pdf

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... Clinical relevance of Aspergillus iso-lation from respiratory tract samples in critically ill patients. Critical Care 2006, 10:R31.2. Denning DW: Invasive aspergillosis. Clin Infect Dis 1998, ... C,Álvarez-Lerma F, Nolla-Salas J, Iruretagoyena JR, Barcenilla F:Isolation of Aspergillus spp. from the respiratory tract in criti-cally ill patients: risk factors, clinical presentation andoutcome. Crit ... ofinvasive aspergillosis in patients refractory to or intolerant ofconventional antifungal therapy. Clin Infect Dis 2004, 39:1563-1571.11. Ascioglu S, Rex JH, de Pauw B, Bennett JE, Bille J, Corkaert...
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Báo cáo y học: "Attributable mortality of Acinetobacter baumannii infections in critically ill patients: a systematic review of matched cohort and case-control studies" doc

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... purposes)tion of Acinetobacter in critically ill patients. Crit Care Med1999, 27:1794-1799.22. Kollef MH, Silver P, Murphy DM, Trovillion E: The effect of late-onset ventilator-associated pneumonia ... NR[21] Acquisition of Ab in critically ill patients in ICU; medical and surgical ICU in Spain75 patients (48 infected, 27 colonized) with Ab isolation75 patients without any Ab isolation(1) ... that to attributethe difference in mortality between cases and controls directly to colonization or infection with Acinetobacter (attributablemortality) is more than a simplified approach to...
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Báo cáo y học: "Percutaneous dilatational tracheostomy versus surgical tracheostomy in critically ill patients: a systematic review and meta-analysis" docx

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... need to transport a critically ill patient.The transport of critically ill patients is often logistically difficultand exposes the patient to increased likelihood for adverseevents and risk to ... important questions remain to be addressed regard-ing the use of tracheostomies in critically ill patients. Whilethere is divided opinion as to the optimal timing of tracheos-tomy, there is as yet ... transport of critically ill patients. Crit Care Med 2004, 32:256-262.44. Waydhas C: Intrahospital transport of critically ill patients. CritCare 1999, 3:R83-89.45. Beckmann U, Gillies DM, Berenholtz...
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Báo cáo khoa học: "Oxidative stress is increased in critically ill patients according to antioxidant vitamins intake, independent of severity: a cohort study" pptx

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... arerelated to redox imbalance in critical ill patients. Therefore, intakeof antioxidant vitamins should be carefully monitored so that it isas close as possible to RDA.Introduction Critically ill patients ... objective was to evaluatethe relation between oxidative stress in critically ill patients andantioxidant vitamin intake and severity of illness.Methods Spectrophotometry was used to measure in ... related to redoximbalance in critically ill patients. Therefore, intake should becarefully monitored to ensure that the patient receives antioxi-dant vitamins as close as possible to the RDA....
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Báo cáo khoa học: "Single-drug therapy or selective decontamination of the digestive tract as antifungal prophylaxis in critically ill patients: a systematic review" pot

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... 0.24 to 0.68] to adjusted OR 0.30[95% CI 0.11 to 0.86]; SDD, crude OR 0.12 [95% CI 0.05 to 0.29] to adjusted OR 0.12 [95% CI 0.04 to 0.36]; candi-demia: SAP, crude OR 0.32 [95% CI 0.12 to 0.82] ... drugsmay be advised as prophylaxis in patients with a high risk ofdeveloping Candida bloodstream infections, whereas SDDmay be given to critically ill patients to prevent Candida colo-nisation ... 3.8%in these critically ill patients, the prophylactic use of SAP in thegeneral population of ICU patients does not seem justified, areported high mortality rate of 25% to 60% [29] in patients with...
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Báo cáo y học: "Melatonin therapy to improve nocturnal sleep in critically ill patients: encouraging results from a small randomised controlled trial" doc

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... interven-tion on sleep in critically ill patients. Am J Crit Care 1998,7:288-299.24. Richards KC, O'Sullivan PS, Phillips RL: Measurement of sleepin critically ill patients. J Nurs Meas ... common in critically ill patients and when sleep does occur it traverses the day-nightperiods. The reduction in plasma melatonin levels and loss ofcircadian rhythm observed in critically ill patients ... for melatonin in theroutine care of critically ill patients. Our pharmacokineticanalysis suggests that the 10-mg dose used in this study is toohigh in these patients and may lead to carryover...
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