Báo cáo y học: " Mechanical ventilation: lessons from the ARDSNet trial" ppsx
Báo cáo y học: " Mechanical ventilation: lessons from the ARDSNet trial" ppsx
... in the ARDSNet trial. Clearly, the greater the difference in the independent variable, the greater the commentaryreviewreports primary researchCommentary Mechanical ventilation: lessons from ... mortalityby simply addressing the injury imposed by overstretching the lung. Why was this trial positive when other similartrials were negative?One possible reason could be the relative power of the various ... substantially between studies. Specifi-cally, the ARDSNet study was the most aggressive interms of trying to maintain PaCO2relatively close to the normal range, employing higher respiratory rates...
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Báo cáo y học: "Mechanical ventilation and the total artificial heart: optimal ventilator trigger to avoid post-operative autocycling - a case series and literature review" pdf
... ultimately leading to autocyclingin the case of a flow trigger. Given the frequency of auto-cycling in the ICU, this information may be applicable toother patients who are mechanically ventilated. ... whichmay then trigger an autocycled breath if timed correctly.ConclusionIn summary, autocycling of the mechanical ventilatoroccurred in 50% of patients who had received TAHs with the use ... F, Edwards LB, Kirk R, Kucheryavaya AY, Rahmel AO, Rowe AW, Taylor DO: Registry of the International Society for Heart and Lung Transplantation: a quarter century of thoracic transplantation....
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Báo cáo y học: " Mechanical ventilation modulates TLR4 and IRAK-3 in a non-infectious, ventilator-induced lung injury model" pptx
... those cytokines. Therefore,their study also suggests that TLRs play a role in the inflammatory response initiated by MV in healthy lungs.Our study is complementary to a study by Moriyama etal ... to cytoplasmatic andnuclear staining of epithelial type II cells and interstitial macrophages surrounding the alveolus, respectively. The inflammatory infiltrate withmonocytes and lymphocytes ... proteinlevels,resultinginanincreaseofpro-inflammatory cytokines levels in the lungs and in the sys-temic circulation. These findings suggest that inappropri-ate MV ma y represent a stimulus for the immune systemsimilar to that elicited by...
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Báo cáo y học: " Mechanical ventilation in rural ICUs" pps
... and RH hospi-tals, the make up of the physician team was very different.With the exception of one RH, pulmonary specialists werefound exclusively in the RRHs. Family physicians,general internists ... transferredto the tertiary setting, 12 (60%) survived.One hundred and twenty-five patients (56%) were admit-ted from the emergency room, 73 (33%) from generalwards and 26 (12%) from either an intermediate ... significantly longer mean ventilatorand ICU days. The mean length of ICU stay was 13 dayswith 10 ventilated days for patients with nosocomialevents, compared with 6 ICU days and 4 ventilator days inthe...
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Báo cáo y học: "Mechanical ventilation: physiological and clinical application" doc
... least 5 years old, makingseveral of the sections slightly dated. Second, the book iswritten by respiratory therapists for respiratory therapists, andseveral of the sections (e.g. on the basics ... makes the book easy to read. There are manyanecdotes, especially in the first section, that had mechuckling.As for any textbook, there are limitations. First and foremost is the fact that this ... provideseasily understandable explanations of many difficult conceptsin a way that I have not found in other textbooks.In summary, this is a comprehensive and easilyunderstandable book on mechanical...
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Báo cáo y học: "Mechanical ventilation with lower tidal volumes does not influence the prescription of opioids or sedatives" pdf
... ALI/ARDS (by definition) [8,9]. Second, patients may not yet fulfillconsensus criteria at the initiation of MV but they may developALI/ARDS during the course of their disease. Third, critically illpatients ... University of Amsterdam, Amsterdam, The Netherlands2Department of Anesthesiology, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands3Laboratory ... care.According to the guideline (Figure 1), nurses and physiciansdetermine the level of sedation required each day. Every 2hours, the adequacy of sedation in each patient is carefullyevaluated using...
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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
... tostudy the pathophysiological mechanisms behind VILI and the contribution of MV to lung injury in the absence of pre-existinglung injury.Competing interests The authors declare that they have ... obtained from the rightlung; the left lung was used to measure the wet-to-dry ratio. Ina second series of mice (n = 6), blood was sampled from the carotid artery for blood gas analysis. The lungs ... University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands2Department of Anesthesiology, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands3Laboratory of...
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Báo cáo y học: "Mechanical ventilation during experimental sepsis increases deposition of advanced glycation end products and myocardial inflammation" pdf
... the study, performed the statistical analysis, andwrote the first draft of the paper. RG performed the immuno-histochemistry and morphometrical analysis, and performed the statistical analysis. ... and the number of macrophages and PMNs is in line with theseobservations. The low number of lymphocytes in the heart ofour study may be explained by the observation of increasedapoptosis of lymphocytes ... significantly higher in the RV comparedwith the LV, except in the LTV group.Figure 1Immunohistochemical staining for Nε-(carboxymethyl)lysine (CML) in the left ventricular wall of a mechanically ventilated...
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Báo cáo y học: " Mechanical ventilation with high tidal volume induces inflammation in patients without lung disease" ppt
... lung injury might be not caused directlyby the mechanical forces, but by the mediators pro-duced in response to these forces [36,37]. Therefore, the interaction between increased cytokines levels ... end-expiratory pressure (ZEEP) induces not only cytokinerelease but also translocation of cytokines from the lungsto the systemic circulation and even vice versa [5-7]. The clinical repercussion of these ... Takagaki TY,Carvalho CR: Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 1998, 338:347-354.4. The Acute Respiratory Distress Syndrome...
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Báo cáo y học: " Mechanical ventilation in the ICU- is there a gap between the time available and time used for nurse-led weaning?" pot
... rate. The following data onrelevant systemic factors were also collected: year of datacollection, time of day (day, evening, or night-shift),whether weaning was prescribed by physician andwhether ... (weaning prescribed by a physician) wasanalysed as a systemic factor.Ethical considerationsWe collected data from the ICU quality assurance data-base as well as ICU patient charts. The Norwegian ... without physician prescription(Table 2).Besides physician prescription, year of analysis (2004)and the presence of a neuro-intensive diagnosis were the only three factors significantly associated...
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