Báo cáo y học: " Rational use of computerized protocols in the intensive care unit" ppt

... nursing, and respiratory therapy staffs of the Intermountain Respiratory Intensive Care Unit and of the Shock- Trauma/Intermountain Respiratory ICU, and to the Respiratory Care Department of the ... carried out by different clinicians with almost no inter-clinician variability. Individualization of patient therapy is preserved by these explicit protocols since they are...

Ngày tải lên: 12/08/2014, 18:21

... 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, the results ... economic value in reducing infection rates goes beyond the capacity released within hospitals. Valuing these intangible outcomes may improve the representation of...

Ngày tải lên: 13/08/2014, 16:20

... E, Fine MJ: Investigation of the ability of the Pneumonia Severity Index to accurately predict clinically relevant outcomes: a European study. Clin Microbiol Infect 2007, 13:923-931. 9. Yealy DM, ... of the American College of Critical Care Medicine, Society of Critical Care Medicine. Crit Care Med 1999, 27:633-638. 28. Justice AC, Covinsky KE, Berlin JA: Assessing the...

Ngày tải lên: 13/08/2014, 16:20

... activity In intensive care patients there is large variability in the activity of plasma cholinesterase, an enzyme that metabolizes Commentary Is succinylcholine appropriate or obsolete in the intensive ... facilitate intubation. The adverse effect profile of succinylcholine is such that its use in the ICU must be considered obsolete. Suitable alternatives are the...

Ngày tải lên: 12/08/2014, 18:21

... utility identified in some studies that is conspicuously lacking in others? The answer may be found in the timing. Much like base excess, the value of the SIG may be related to the time of assay. ... for other injuries in isolation or combination. The interpretation of SBE must therefore incorporate the injury complex into decision-making, perhaps limiting its util...

Ngày tải lên: 12/08/2014, 20:20

... recovery by 4 weeks are often disabled with diminished quality of life [8]. Evidence of polyneuropathy is apparent after 5 years in over 90% of CIP patients [12]. The mildest residua may include ... to the weakness may vary considerably when this occurs. Elevated serum creatine kinase may help to identify CIM, but the peak may be missed in the membranopathy/necrotizing varie...

Ngày tải lên: 12/08/2014, 20:20

... and what types of medical interventions they must consider [5]. Because medicine is not static, making a prospective determination regarding the types of treatment one would want in the future ... 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 themselv...

Ngày tải lên: 13/08/2014, 08:20

... add to the growing evidence that the obese patient is not significantly disadvantaged in terms of outcome following intensive care admission. Another study highlights the increasing burden of end-stage ... fare worse, not the obese patients – a thought-provoking point made in the accompanying editorial [4,5]. Commentary Recently published papers: Heavyweight problems in...

Ngày tải lên: 13/08/2014, 11:23

... 5' end, thereby fluorescently labeling the sense strand of the PCR product. The PCR product was denatured and then hybridized to the microarray. As in microarray analysis, the labeled sample used ... Quantification of microarray data using three synthetic RNAs: syn1, syn2 and syn3. Each data point is the average of two independent labelling/hybridization reactions....

Ngày tải lên: 14/08/2014, 14:21

... clinically important in the intensive care unit settingPatient factors considered by respondents to make a deep venous thrombosis (DVT) clinically important in the intensive care unit setting. ... and mortality in critically ill patients. In the absence of such data, we defined clinically important DVT as a DVT that is likely, in the opinion of the intensivist...

Ngày tải lên: 12/08/2014, 20:20