Báo cáo y học: "Clinical review: Severe asthma Spyros Papiris, Anastasia Kotanidou, Katerina Malagari and Charis Rousso" potx

... severity (where Review Clinical review: Severe asthma Spyros Papiris, Anastasia Kotanidou, Katerina Malagari and Charis Roussos Department of Critical Care and Pulmonary Services, National and Kapodistrian ... hypovolemia, and primar- ily lung hyperinflation. Dynamic hyperinflation, as previously discussed, occurs when the highly increased airway expira- tory resis...

Ngày tải lên: 12/08/2014, 18:21

... pulmonary edema include tachypnea and dyspnea, followed by hypoxemia and respiratory failure requiring intubation. Pulmonary edema is usually noncardio- genic and may progress to acute respiratory ... many daughter merozoites (blood schizogony). Eventually, the infected erythrocytes are lysed by the merozoites, which subsequently invade other erythrocytes, starting a new cycle of schizo...

Ngày tải lên: 12/08/2014, 19:22

... most likely to be effective when they are applied after early stabi- lization of shock and perhaps when targeting thrombotic microangiopathy rather than cytokines [63]. Most recently, Busund and colleagues ... exchange therapy and showed a tendency toward improve outcome in adult patients with septic shock. Finally, in a preliminary report, Nguyen and colleagues [65] reported that chi...

Ngày tải lên: 12/08/2014, 19:22

... failure and hemodialysis are not contraindications to this therapy, and no drug dosage adjustment is indicated. Finally, the type and source of infection, and its anticipated natural history, may determine ... for the treatment of severe sepsis. APC has anti- coagulant activity by limiting thrombin formation and by inhibition of factors VIIIa and Va, and it promotes fibrinolys...

Ngày tải lên: 12/08/2014, 19:22

... contraction, by irregularity of ventricular contraction [43], by inadequate filling time for the left ventricle due to tachycardia, and by tachycardiomyopathy [8,44]. Tachycardiomyopathy can occur ... morbidity In all patient categories, AF is associated with increased morbidity. This is reflected by the number of reported symptoms and by the days spent in the ICU and in the hospital. H...

Ngày tải lên: 25/10/2012, 10:35

... Conversely, high-reliability organizations such as aircraft carriers, nuclear power plants, and air traffic controllers have markedly improved safety by standardizing practices and investing in safety ... only adverse events. These include greater event frequency for quantitative analysis, fewer reporting barriers partly owing to fewer liability concerns, and an opportunity to study rec...

Ngày tải lên: 25/10/2012, 10:35

... infection in the ICU [13]. Hand washing is clearly simple and should be routinely adopted based on its efficacy and low cost. As with hand washing, the use of protective gowns and gloves during patient ... the excess morbidity attributable to NP as between 10 and 32 days [10]. This figure was later corroborated by other workers. Leu et al. reported 9.2 days of additional hospital stay...

Ngày tải lên: 12/08/2014, 18:21

... primary infection, which will typically include fever, chills and leukocytosis. Anemia, shock and intravascular coagulation may also be present. Bacteroides bacteremia is generally characterized by ... one study [17] was 20 days (range, 7–72 days), and the duration of therapy was related to the presence and severity of other infectious sites and complications. Therapy was longest in...

Ngày tải lên: 12/08/2014, 18:21

... output decreased by 21% and 55% and systemic arterial blood pres- sure by 40% and 64% during the first stage (moderate) and second stage (severe) of tamponade, respectively, and it remained constant ... to standard clinical practice, and hypotension (systolic blood pressure < 90 mmHg) was treated by reducing the filtration rate and infusion of 100–200 ml Ringers acetate if ne...

Ngày tải lên: 12/08/2014, 18:21

... immunotherapy have yielded negative results [2,3]. Global tissue hypoxia results in an imbalance between sys- temic oxygen delivery and demand, and is a key development preceding multiple organ failure and ... intravascular volume and adequate balance between systemic oxygen delivery and demand. Several liters of fluids (crystalloids or colloids) are usually necessary to normalize p...

Ngày tải lên: 12/08/2014, 19:21