... or 18 years, patients with a very short length of ICU stay, and so on). Second, the accuracy of any scoring system is highly dependent on the quality of the input. To be used correctly, the ... Acute Physiology and Chronic Health Evaluation (APACHE), Simplifi ed Acute Physiology Score (SAPS), Mortality Probability Model (MPM)), scores that assess the presence and severity of organ dysfu...
Ngày tải lên: 13/08/2014, 20:21
Báo cáo y học: "Clinical review: Non-antibiotic strategies for preventing ventilator-associated pneumonia" pps
... of highly cont- aminated material. Hand washing is an important yet underused measure to prevent nosocomial infections. Review Clinical review: Non-antibiotic strategies for preventing ventilator-associated ... 9.2 days of additional hospital stay [11], and Fagon et al. calculated the median length of stay in the ICU for the patients that developed VAP to be 21 days, versus a me...
Ngày tải lên: 12/08/2014, 18:21
... anxiolytic sedative, OX-373. Neuropsychobiology 1981, 7:302-314. 12. Cluydts R, De Roeck J, Cosyns P, LaCante P: Antagonizing the effects of experimentally induced sleep disturbance in healthy volunteers ... Thornley KS, Young GB, Slutsky AS, Stewart TE, Hanly PJ: Sleep in critically ill patients requiring mechanical ventilation. Chest 2000, 117:809-818. 32. McNicoll L, Pisani MA, Zhang Y, E...
Ngày tải lên: 13/08/2014, 11:23
Báo cáo y học: "Clinical review: Treatment of new-onset atrial fibrillation in medical intensive care patients – a clinical framework"
... 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 ... U, Tatar H: Supraventricular tachyarrythmia prophylaxis after coronary artery surgery in chronic obstructive pulmonary disease patients (early amiodarone prophylaxis trial). Eur J Cardiothorac...
Ngày tải lên: 25/10/2012, 10:35
Báo cáo y học: "Clinical review: Medication errors in critical care"
... 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 recovery patterns ... [58], complications by 50% [59], ICU mortality, ICU length of stay, and hospital length of stay and to improve patient safety [60]. Pharmacists, similarly, have an important role to play in...
Ngày tải lên: 25/10/2012, 10:35
Báo cáo y học: "Clinical review: Severe asthma Spyros Papiris, Anastasia Kotanidou, Katerina Malagari and Charis Rousso" potx
... ventilation, systemic hypotension commonly appears. The determinant factors of systemic hypotension are sedation, hypovolemia, and primar- ily lung hyperinflation. Dynamic hyperinflation, as previously discussed, ... administration (hyperglycemia, hypertension, hypokalemia, psychosis, sus- ceptibility to infections), myopathy should be considered seri- ously in the intubated and mechanically...
Ngày tải lên: 12/08/2014, 18:21
Báo cáo y học: "Clinical review: Bacteremia caused by anaerobic bacteria in children" pdf
... generally clinically sus- pected, so therapy with antimicrobial agents active against anaerobes is often instituted empirically. Empirical therapy may provide coverage for anaerobes in only half ... primary infection, which will typically include fever, chills and leukocytosis. Anemia, shock and intravascular coagulation may also be present. Bacteroides bacteremia is generally characterized...
Ngày tải lên: 12/08/2014, 18:21
Báo cáo y học: "Clinical review: Splanchnic ischaemia" ppsx
... are increased, for example after cardiac surgery. Such patients may already exhibit signs of tissue hypoxia when they arrive in the inten- sive care unit after cardiopulmonary bypass (CPB). A ... monoethyl- glycine xylidide concentrations increased only in the enoxi- mone group. Because of methodological problems in that study (lack of control patients, incomplete assessment of monoethylgly...
Ngày tải lên: 12/08/2014, 18:21
Báo cáo y học: "Clinical review: Hypertonic saline resuscitation in sepsis" potx
... decreasing myocardial edema [13,33]. Reported find- ings indicate that ventricular contractile force is enhanced by moderate degrees of hyperosmolarity and is depressed by severe hyperosmolarity both ... completely abrogate proinflammatory pathways, there is an adequate balance between proinflammatory and anti-inflammatory cytokines, thus maintaining the ability to fight bacteria efficiently....
Ngày tải lên: 12/08/2014, 19:21
Báo cáo y học: "Clinical review: Myocardial depression in sepsis and septic shock" pptx
... in the 1960s. Its etiology, however, remained a mystery. For many years, the leading theory was that sepsis was associated with a globally Available online http://ccforum.com/content/6/6/500 Figure ... different bio- chemical pathway than the early depression, and may involve de novo protein synthesis. The generation of NO may be central to both early and late depression of myocytes in in v...
Ngày tải lên: 12/08/2014, 19:21