management of the critically ill patient with multiple organ dysfunction
Báo cáo y học: "Management of the critically poisoned patient" potx
... which limits the use for direction of care in the acute setting [15] When used appropriately, diagnostic tests may be of help in the management of the intoxicated patient In the patient whose ... Conclusion Ultimately, the management of the critically poisoned patient centers on careful supportive care Care of the critically poisoned patient may be further maximized with appropriate decontamination, ... administered in cases of suspected or confirmed ingestion of ethylene glycol or methanol Fomepizole prevents the conversion of these agents to the metabolites associated with the majority of the toxic effects...
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Báo cáo khoa học: "Recent evolution of renal replacement therapy in the critically ill patient" pptx
... commercially available hemofilters not permit a substantial elimination of cytokines because of the low cut-off point of their membranes The use of high cut-off hemofilters is a new and effective ... all these expectations The evolution of understanding of the above mentioned concepts has led to the improvement of technology and the generation of new machines and devices compatible with the ... Bellomo R: Acute renal failure and multiple organ dysfunction in the ICU: from renal replacement therapy (RRT) to multiple organ support therapy (MOST) Int J Artif Organs 2002, 25:733-747 Brendolan...
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Bóa cáo y học: "Erroneous measurement of haemodynamic parameters by PiCCO™ monitor in a critically ill patient with renal replacement therapy: a case report" pot
... were in charge of the intensive care unit the day that the patient was admitted They discovered the erroneous measurement with the help of EC-A, who was in charge of the patient the following ... that the alteration of the area under the curve was produced by the turbulent flow from the haemodialysis catheter The turbulent flow decreases the velocity of the cold saline bolus in the vein The ... under the curve is larger because the cold saline needs more time to arrive at the thermometer through the long arterial line Due to the high flow in the vein, there was an alteration of the area...
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Báo cáo khoa học: "The diagnosis of adrenal insufficiency in the critically ill patient: does it really matter" pps
... benefit from treatment with corticosteroids Although the diagnosis of ‘adrenal insufficiency’ may not be clinically relevant in most critically ill patients, there may be groups of patients in whom ... that these diagnostic thresholds will be refined with time However, it is important to stress that the diagnosis of adrenal insufficiency in critically ill patients should not be made on the basis ... would include patients with adrenal hemorrhage/ infarction, as well as patients with liver disease, head injury, pancreatitis, and burns, among others At this time the diagnosis of adrenal insufficiency...
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Báo cáo y học: "The microcirculation of the critically ill pediatric patient" doc
... premature neonates with patent ductus arteriosus (PDA) the FCD of the skin is reduced compared with patients without PDA [56] The mechanism behind this change is unclear These patients had left-to-right ... associated with poor outcome [27] The presence of abnormal microcirculatory values has been shown to be correlated with other measures of patient severity of illness during sepsis, such as sequential organ ... and large (51– 100 μm) For the FCD calculation [36], the assessor needs to trace the path of the moving RBCs within the capillaries (i.e., vessels
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Báo cáo y học: "Endothelial Quality of interhospital transport of the critically ill: impact of a Mobile Intensive Care Unit with a specialized retrieval team" pot
... by the MICU-physician and the supervising staff member of the accepting ICU, the MICU sets out to transfer the critically ill patient When the MICU-team arrives in the referring ICU, the patient ... to be safe despite the high degree of severity of disease We, therefore, conclude that the safety of the current way of transporting the critically ill is warranted and that the MICU sets a major ... et al [7]: the most important determinants were the quality of escorting personnel as well as the transport facilities Neither characteristics of the patient s condition nor the level of supportive...
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Báo cáo hóa học: " Red blood cell transfusion in the critically ill patient" docx
... critically ill patient Tolerance to anemia is highly dependent on the volume status of the patient, physiological reserve, and the dynamics of the anemia (for example, chronic, such as the anemia of ... associated with worse outcomes in several populations of patients, including critically ill patients In a recent systematic review of 45 observational studies reporting the impact of transfusions on patient ... associated with improved outcomes in patients with traumatic brain injury or subarachnoid hemorrhage [48,49] In the early resuscitation of patients with severe sepsis, implementation of a therapeutic...
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Báo cáo khoa học: "Mantle cell lymphoma of the gastrointestinal tract presenting with multiple intussusceptions – case report and review of literature" docx
... in the bowel with fecal loading of the descending and sigmoid colon Upon hospital discharge, the patient underwent staging investigations with negative bone marrow involvement He received out of ... anastomosis The postoperative period was uneventful and the patient was discharged on the fourth postoperative day The pathology confirmed multiple lesions of about one inch diameter, involving the small ... rates of 30% to 50% are frequently being achieved [17] The RCHOP regimen was chosen due to the patient' s poor performance status at the time of diagnosis Our patient only received out of planned...
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Báo cáo y học: "Close relationship of tissue plasminogen activator–plasminogen activator inhibitor-1 complex with multiple organ dysfunction syndrome investigated by means of the artificial pancreas" doc
... parameters will be helpful for the early diagnosis of the severity of sepsis and for the treatment of the septic patients Analyzed items were as follows Regarding MODS, the multiple organ failure (MOF) ... calculated using the MOF criteria of the Japanese Association for Critical Care Medicine [25] (Table 2) The maximum of the MOF score is 14 The modified MOF score (mMOF score), in which points of disseminated ... confirmation of the capability of the AP for strict blood glucose control (by calculating the daily mean BG) and for the evaluation of the GT (M value) Whether the blood concentration of the stress-related...
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Báo cáo y học: "Percutaneous dilatation tracheostomy: which technique is the best for the critically ill patient, and how can we gather further scientific evidence" pptx
... fibreoptic brochoscopy during parts of the procedure, they still observed a relatively high incidence of puncture of the posterior tracheal wall, puncture of the endotracheal tube, or subsequent ... placement of the tracheal cannula It remains unclear whether this was related to the level of procedural experience in the individuals performing the procedures or due to other factors These observations ... during the period of data collection the authors implemented a new step in the classical technique of conic dilatation tracheostomy (introduction of a Crile’s forceps for blunt dissection of the...
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Báo cáo khoa học: " Outcome of postoperative critically ill patients with heparin-induced thrombocytopenia: an observational retrospective case-control study" pps
... Discussion During the study period, 2,046 patients were admitted to the SICU Of these patients, 210 (10%) had HIT assays performed because of clinical suspicion of HIT Nineteen patients (9% of patients ... criterion ++ Determination of whether the presense of another apparent cause of thrombocytopenia was "possible" or "definite" was at the discretion of the investigator Page of (page number not for ... strongly that the outcome differences that we observed were due to the presence of HIT Of course, the results of this study cannot be generalized to other populations of patients in other intensive...
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Báo cáo y học: "The change and effect of endothelial progenitor cells in pig with multiple organ dysfunction syndromes" ppt
... prior to the occurrence of MODS, so the sharp decrease in the number and function of EPCs in the progression of MODS may be one of the main pathogenic factors of MODS In the present study, the migratory, ... factors of MODS in the present study The mechanisms for the decrease in the number and function of EPCs in the progression of MODS still remain to be determined Another limitation of the present study ... used for the stratification of patients with MODS Key messages • The number and function of EPCs decreased sharply in the progression of severe sepsis, prior to the occurrence of MODS • The decrease...
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Medical management of the hospitalized alcoholic patient
... Treatment of Alcohol Withdrawal Syndrome CPRC The Problem Patients may not tell physician about alcohol use if they are not asked about it Patients usually will state they use much less alcohol than they ... alcohol withdrawal syndrome CPRC Etiology of Alcohol Withdrawal Syndrome The brain adapts to chronic alcohol use Alcohol potentiates the post-synaptic effect of GABA (sedation) Alcohol withdrawal ... CPRC Alcohol Withdrawal Syndrome Use lorazepam instead of diazepam: for patients with impaired liver function for elderly patients who may be unable to metabolize diazepam for patients with poor...
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Báo cáo y học: "4G/5G polymorphism of PAI-1 gene is associated with multiple organ dysfunction and septic shock in pneumonia induced severe sepsis: prospective, observational, genetic study" doc
... evaluated the effect of the 4G/5G polymorphism of the PAI-1 gene on the occurrence of organ dysfunction, severity of the disease and mortality in a relatively homogenous cohort of patients: only ... also evaluated The diagnosis of pneumonia was made on the basis of appearance of new infiltrate on the chest x-ray in the presence of cough or fever All patients met the criteria of the British ... manifestation of sepsis, clinical factors, Page of such as the etiology of the infectious process, the virulence of the pathogenic microorganism, undrainable surgical source of sepsis, the time to...
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Báo cáo khoa học: "Case report: severe heat stroke with multiple organ dysfunction – a novel intravascular treatment approach" doc
... stopped, since most of the laboratory parameters had stabilized; the patient did not suffer from hyperthermia thereafter To confirm the diagnosis of severe heat stroke and to measure the systemic inflammatory ... distal end of the catheter The temperature of the saline solution was adjusted automatically by the CoolGard 3000®, which is an external temperature control unit, according to feedback to the external ... progression to multiple organ dysfunction can be fatal as many organ systems may be affected The primary therapeutic goal must be to lower the core body temperature, which may be impossible with conventional...
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Báo cáo y học: "Severe heat stroke with multiple organ dysfunction" pot
... that the aspiration pneumonia and the sinusitis maxillaris might have had an additional effect on the severity of heat stroke in this particular case, although adequate Competing interests The ... that they have no competing interests References Broessner G, Beer R, Franz G, Lackner P, Engelhard K, Brenneis C, Pfausler B, Schmutzhard E: Case report: severe heat stroke with multiple organ dysfunction ... JE, Kelen GD, Stapczynski S American College of Emergency Physicians; 2004:1183-1189 Smith JE: Cooling methods used in the treatment of exertional heat illness Br J Sports Med 2005, 39:503-507 Bouchama...
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