summary invasive mechanical ventilation initial settings in non ali ards patients

Báo cáo y học: "Noninvasive mechanical ventilation may be useful in treating patients who fail weaning from invasive mechanical ventilation: a randomized clinical trial" pps

Ngày tải lên : 13/08/2014, 10:20

... during invasive and noninvasive pressure support ventilation They found that, in patients with COPD who were not ready to sustain spontaneous breathing, the use of invasive or noninvasive ventilation ... minutes;

8
233
0

Báo cáo y học: "Optimal nutrition during the period of mechanical ventilation decreases mortality in critically ill, long-term acute female patients: a prospective observational cohort study" pptx

Ngày tải lên : 13/08/2014, 18:22

... Reaching only the energy target and not attaining 1.2 g protein/day in females results in less favorable outcomes than when both energy and protein goals are reached The chance of dying in the ... Instrumentation Corp Helsinki, Finland) connected to the ventilator in mechanically ventilated patients Measurements were performed over a period of to 1.5 hours in resting conditions, after calibration of ... confidence intervals and P values for mortality in the female part of the population between groups according to different combinations of energy and protein goals reached ICU mortality 28 day mortality...

11
241
0

Báo cáo sinh học: " Fibroblast growth factor 2 orchestrates angiogenic networking in non-GIST STS patients" potx

Ngày tải lên : 18/06/2014, 19:20

... [14] In our cohort, patients who expressed high intensity staining of PDGF-B and FGF2 had HR’s of 3.9 or 2.2 [18], respectively, in comparison to those expressing low intensity staining Examining ... cytoplasmic staining The dominant staining intensity was scored as: = negative; = weak; = intermediate; = strong All samples were anonymized and independently scored by two trained pathologists ... Previously, we found non- GIST STS patients with wide resection margins expressing high intensity VEGFR-3 staining to have a HR of 2.0 compared to those with low intensity staining [17] For the co-expression...

8
273
0

o cáo hóa học:" Fibroblast growth factor 2 orchestrates angiogenic networking in non-GIST STS patients" pdf

Ngày tải lên : 20/06/2014, 04:20

... [14] In our cohort, patients who expressed high intensity staining of PDGF-B and FGF2 had HR’s of 3.9 or 2.2 [18], respectively, in comparison to those expressing low intensity staining Examining ... cytoplasmic staining The dominant staining intensity was scored as: = negative; = weak; = intermediate; = strong All samples were anonymized and independently scored by two trained pathologists ... Previously, we found non- GIST STS patients with wide resection margins expressing high intensity VEGFR-3 staining to have a HR of 2.0 compared to those with low intensity staining [17] For the co-expression...

8
176
0

Báo cáo y học: "Determinants of mortality in non-neutropenic ICU patients with candidaemia" pps

Ngày tải lên : 13/08/2014, 18:22

... the subset of patients in whom fluconazole was the sole initial antifungal therapy during the initial 72 hours of therapy (but exclusion of patients with breakthrough infection, defined as occurrence ... an intravascular device in 35%, an intra-abdominal source in 10%, the urinary tract in 3%, other sources in 5% and an unknown source in 47% Other processes of care were also assessed Among patients ... Ethics Committees of all participating institutions Informed written consent was obtained from patients that were included in the study Definitions The definition of ICU acquisition of candidaemia...

8
203
0

Báo cáo y học: "Mechanical ventilation using non-injurious ventilation settings causes lung injury in the absence of pre-existing lung injury in healthy mice" pdf

Ngày tải lên : 13/08/2014, 11:23

... Induction of anaesthesia was performed by injecting 7.5 l/g of induction KMA mix (consisting of 1.26 ml ketamine, 0.2 ml medetomidine and ml atropine) To maintain anaesthesia, 10 l/g of maintenance ... higher in HVT mice This finding is in accordance with data from human studies Indeed, in patients with ALI/ ARDS a lung protective MV strategy using LVT and sufficient PEEP levels resulted in significantly ... messages 11 • MV induces VILI in mice, in the absence of a priming pulmonary insult, with use of relevant ventilator settings • By using sodium bicarbonate instead of normal saline metabolic acidosis...

11
463
0

Báo cáo y học: " Mechanical ventilation modulates TLR4 and IRAK-3 in a non-infectious, ventilator-induced lung injury model" pptx

Ngày tải lên : 12/08/2014, 11:20

... maintain constant minute ventilation in both groups Peak inspiratory pressures were continuously monitored These settings were maintained for hours while supine on a restraining board inclined ... http://respiratory-research.com/content/11/1/27 an increase in the induction and release of inflammatory mediators [2,3,29] In vivo, injurious mechanical ventilation can cause an increase in pulmonary and systemic inflammatory cytokines ... pro-inflammatory cytokines in patients with acute lung injury [5,31] The ability of MV to induce inflammation may be in part explained by its known ability to modulate the induction of NF-B in...

11
371
0

mhGAP Intervention Guide for mental, neurological and substance use disorders in non-specialized health settings pdf

Ngày tải lên : 06/03/2014, 02:20

... mhgap-info@who.int Website: www.who.int/mental_health/mhgap Printed in Italy mhGAP-IG mhGAP Intervention Guide for mental, neurological and substance use disorders in non- specialized health settings ... building for mental health care requires initial training and continued support and supervision However, training for delivery of the mhGAP-IG should be coordinated in such a way as not to interrupt ... learning than other children of same age in activities such as: smiling, sitting, standing, walking, talking / communicating and other areas of development, such as reading and writing O Abnormalities...

107
792
0

Core Topics in Mechanical Ventilation pot

Ngày tải lên : 09/03/2014, 00:20

... consequences of instituting mechanical ventilation in a patient for whom this option was inappropriate For those not involved in intensive care, insight into why early involvement of an experienced intensive ... BAUDOUIN It is not surprising, to anyone trained in anaesthesia or critical care, that ventilation can be successfully maintained by non -invasive methods Following induction of anaesthesia, patients ... lungs’, heralded a marked decline in the practice of non -invasive respiratory support during the 1970s Interest in non -invasive methods of support was rekindled in the 1980s by the discovery...

441
6.4K
0

MECHANICAL VENTILATION WITH HEAT RECOVERY IN NEW HOMES ppt

Ngày tải lên : 18/03/2014, 02:20

... were introduced in 1995 both in Finland (Classification of Indoor Climate, Construction and Finishing Materials) and in Denmark (Indoor Climate Label) and are quite widely applied in other Scandinavian ... alveolitis, chronic rhinosinusitis and allergic fungal sinusitis Toxicological evidence obtained in vivo and in vitro supports these findings, showing the occurrence of diverse inflammatory and toxic ... building is an important aspect determining the quality of the surrounding outdoor air Building design can minimise the entry of pollutants and for example may involve the siting of the building...

52
348
0

Neuropathic pain - The pharmacological management of neuropathic pain in adults in non-specialist settings pot

Ngày tải lên : 31/03/2014, 13:20

... guideline 96 – Neuropathic pain Amitriptyline Clomipramine Desipramine Dosulepin (dothiepin) Doxepin Imipramine Lofepramine Nortriptyline Trimipramine Citalopram Fluoxetine Paroxetine Sertraline ... 104 1 1 Pregabalin vs topical lidocaine Amitriptyline vs nortriptyline Imipramine vs venlafaxine Gabapentin + oxycodone vs gabapentin Pregabalin + oxycodone vs pregabalin Pregabalin + oxycodone ... amitriptyline in reducing pain intensity scores There was no significant difference in pain intensity scores between patients receiving venlafaxine and patients receiving placebo (low-quality evidence)...

155
257
0

Báo cáo hóa học: " The application of adjuvant autologous antravesical macrophage cell therapy vs. BCG in non-muscle invasive bladder cancer: a multicenter, randomized trial" pptx

Ngày tải lên : 18/06/2014, 16:20

... within the prior 24 months were included in the study Patients were excluded if BC exceeded T1G2, in case of carcinoma in situ, history of tuberculosis, other malignancies within years, active infection ... patients were in risk group A, 11 were in group B, and were in group C In the BCG group, of these patients were in risk group A, were in group B, and was in group C Progression to muscle invasive ... after BEXIDEM was reflected in increased urinary interleukin-8 (IL-8), granulocyte-macrophage colony-stimulating factor (GM CSF), IL-18, elastase and neopterin indicating neutrophil and macrophages...

6
569
0

Báo cáo sinh học: " Development and implementation of explicit computerized protocols for mechanical ventilation in children" pot

Ngày tải lên : 18/06/2014, 18:20

... A multidisciplinary approach is needed to generate an ECP; the team should include clinical expert(s) in mechanical ventilation to generate the knowledge and validate ECP in a clinical environment, ... also aid understanding the complex interactions between rules and achieving preclinical validation In addition such virtual patients, which should ideally be incorporated in the medical device ... atypical patients Several closed-loop systems are already on the market, and preliminary studies have shown promising results in providing patients with good quality ventilation and eventually weaning...

26
435
0

Báo cáo y học: " Decreased respiratory system compliance on the sixth day of mechanical ventilation is a predictor of death in patients with established acute lung injury" ppt

Ngày tải lên : 12/08/2014, 13:22

... mortality in ALI patients ventilated with lung-protective ventilation during this stage of disease In addition, if prospectively validated, these findings may help identify patients who are failing ... duration of mechanical ventilation in ALI between and 16 days, suggesting that a large proportion of patients with ALI are alive and mechanically ventilated days after the diagnosis of ALI [13-15] ... patients who survived more than days of mechanical ventilation for ALI were included in this study The 56 (149 minus 93) patients excluded from the original cohort were either extubated (27 patients) ...

8
351
0

Báo cáo y học: " Mechanical ventilation in rural ICUs" pps

Ngày tải lên : 12/08/2014, 18:20

... gain in 24 h or intake > output by 1000 cm3 in 24 h Calculate by intake (not blood), minus urine, minus drainage, minus insensible loss (360 cm3) If ventilator has humidification; add 300 to intake ... as defined in Appendix A in nosocomial events and DIC/coagulopathy defined as a drop in platelet count by 25% from baseline and an increase in prothrombin time (PT) or presence of fibrin degradation ... lifesustaining interventions Higher mortality rates were found for rural patients with conditions which required complicated ventilation Mortality rates in rural patients with conditions such as ARDS, ...

9
425
0

Báo cáo y học: "Heliox improves pulmonary mechanics in a pediatric porcine model of induced severe bronchospasm and independent lung mechanical ventilation" pdf

Ngày tải lên : 12/08/2014, 18:20

... Orsini et al extremely small when calibrating the PFT machine (Fleisch pneumotach) using known standards within the physiologic ranges encountered in this study, patient factors can introduce intra- ... turbulence of bulk gas flow with heliox during mechanical ventilation In mechanically ventilated patients with severe bronchospasm, the improvement in ventilation during heliox therapy may be due to the ... potentially rapid and persistent during heliox ventilation Although the pediatric porcine model of independent mechanical ventilation and methacholine-induced bronchospasm used in this study is unique and...

6
244
0

Báo cáo y học: "Beat-to-beat changes in stroke volume precede the general circulatory effects of mechanical ventilation: a case report" pps

Ngày tải lên : 12/08/2014, 18:20

... Recordings at baseline In spite of increasing ventilator settings and 100% oxygen, oxygenation was poor Flow calculation by echocardiography at baseline ventilator settings (see Table for settings ... noticed, in pre-term infants, increased LV filling during the inspiratory phase of intermittent positive-pressure ventilation Suggested reasons for an increase in inspiratory LV volume at high intrathoracic ... used as a non -invasive method for measuring pulmonary and systemic blood flow, including CO It is accurate especially for detecting changes in CO and useful even in infants [6] Variability in stroke...

5
253
0

Báo cáo khoa học: "Pro/con clinical debate: Tracheostomy is ideal for withdrawal of mechanical ventilation in severe neurological impairment" ppsx

Ngày tải lên : 12/08/2014, 20:20

... regarding the utility and optimal timing of tracheostomy in brain-injured patients Even in the non- neurosurgical critical care population, there is insufficient and conflicting evidence regarding ... brain injury coincide with the greatest incidence of intracranial hypertension; the appropriate timing for tracheostomy in these patients must be considered in view of the risk for severe intracranial ... utility in other patients with simple decreased level of consciousness is much less certain For example, evidence-based guidelines for discontinuing ventilatory support not include brain-injured patients...

4
223
0

Báo cáo y học: "Impact of a nurses'''' protocol-directed weaning procedure on outcomes in patients undergoing mechanical ventilation for longer than 48 hours: a prospective cohort study with a matched historical control group" ppsx

Ngày tải lên : 12/08/2014, 20:21

... defined as need for noninvasive ventilation and/or reintubation within a 48 hour period Criteria to initiate noninvasive ventilation following extubation were occurrence of clinical signs of acute ... were finally included in the analysis: 104 patients in the prospective routine nurse's protocol-directed weaning procedure (cases) and 104 patients in the standard physiciandirected weaning procedure ... ICU, intensive care unit; MV, mechanical ventilation; NIV, noninvasive ventilation Discussion The present study was designed to determine the clinical benefit of a nurse's protocol-directed weaning...

7
252
0

Báo cáo khoa học: " Decreased duration of mechanical ventilation when comparing analgesia-based sedation using remifentanil with standard hypnotic-based sedation for up to 10 days in intensive care unit patients: a randomised trial [ISRCTN47583497]" pps

Ngày tải lên : 12/08/2014, 22:21

... 10 days in critically ill patients requiring mechanical ventilation and has a safety profile similar to that observed for hypnotic-based sedation Competing interests DB has no competing interests ... R201 Inclusion and exclusion criteria The target population were those patients requiring long-term mechanical ventilation for medical reasons Post-surgical patients requiring extended mechanical ... based on clinical judgement and in accordance with standard clinical protocols Either morphine or fentanyl was used as the analgesic agent, titrated to obtain adequate pain control The initial dose...

11
211
0