Báo cáo y học: "Is succinylcholine appropriate or obsolete in the intensive care unit" docx

... plasma cholinesterase, an enzyme that metabolizes Commentary Is succinylcholine appropriate or obsolete in the intensive care unit? Leo HDJ Booij Institute for Anaesthesiology, University Hospital ... higher mortality rate than cardiac arrest in succinylcholine- induced hyperkalaemia alone [8]. Unpredictable activity In intensive care patients there is large variabili...

Ngày tải lên: 12/08/2014, 18:21

... declared. Acknowledgements I am indebted to the medical, nursing, and respiratory therapy staffs of the Intermountain Respiratory Intensive Care Unit and of the Shock- Trauma/Intermountain Respiratory ICU, and to the Respiratory ... time: acute myocardial infarction as a case study. In Doing More Good than Harm: the Evaluation of Health Care Interventions. Edited by Warren K...

Ngày tải lên: 12/08/2014, 18:21

... these events are probably insignificant for the young and otherwise physiologically sound patients, they may be significantly physiologically challenging for the elderly or for those with physiologic decompensation ... true for other injuries in isolation or combination. The interpretation of SBE must therefore incorporate the injury complex into decision-making, perhaps limitin...

Ngày tải lên: 12/08/2014, 20:20

... weakness and /or ventilatory failure in the intensive care unit. CK, creatine kinase; CSF, cerebrospinal fluid; GBS, Guillain–Barré syndrome; EMG, electromyography; MRI, magnetic resonance imaging; LEMS, ... online http://ccforum.com/content/8/6/416 in the cerebrospinal fluid. Biochemical screening for porphyria during acute attacks should be positive. Other conditions, such as i...

Ngày tải lên: 12/08/2014, 20:20

... helpful in guiding treatment for the critically ill. It is important to recognize the attendant shortcomings when using such tools in clinical practice. In this issue of Critical Care, Tillyard ... that in the United States there is disparate access to health care: one-quarter of the population is uninsured or underinsured. Other reasons for individuals not availing themse...

Ngày tải lên: 13/08/2014, 08:20

... justified in the majority of cases? Two studies reported recently in Intensive Care Medicine add more weight to the arguments against such views [2,3]. In the study by Sakr and colleagues, the European ... or greater and 2.8% classed as very obese. The results make interesting reading. There was no association between increased mortality and obesity. There was, however,...

Ngày tải lên: 13/08/2014, 11:23

... gains are min- imal and the decision is driven by the change in costs. Most of these costs represent the value of obtaining increased capac- ity within the ICU, rather than cash savings. Nevertheless, ... waste resources within the healthcare system. Our second analysis, using PSA, introduces the uncertainty associated with the decision. Based on current information, the MR...

Ngày tải lên: 13/08/2014, 16:20

... kidney injury (AKI) is a common problem, especially in critically ill patients. In Critical Care, Kolhe and colleagues report that 6.3% of 276,731 patients in 170 intensive care units (ICUs) in the ... projects in the past 5 years [1-4], including the study by Kolhe and colleagues [1] in Critical Care. Interestingly, as facts about AKI and its impact on prog- nosis eme...

Ngày tải lên: 13/08/2014, 11:23

... Community-Acquired Pneumonia Study Collaboration, Grayson ML: SMART-COP: a tool for pre- dicting the need for intensive respiratory or vasopressor sup- port in community-acquired pneumonia. Clin Infect ... outcomes, including 30-day mortality and ICU referral [12]. Narrowing the criteria for severe CAP need- ing ICU admission to the requirement for intensive respiratory or vas...

Ngày tải lên: 13/08/2014, 16:20

... scheduled by the study protocol in order to adhere to the strict goal of maintining an Sedation–Agitation Scale score of 4. Because of its rapid metabolism, pain was more frequently experienced in patients ... that adherence to a strict and goal-orientated algorithm for defining, assessing and reassessing analgesia and sedation is more important than finding the magic bullet for a p...

Ngày tải lên: 12/08/2014, 20:20