Báo cáo y học: "Clinical review: Splanchnic ischaemia" ppsx

... perfusion may indicate blood flow redistribution. Alternatively, some meta- bolic functions of the hepato -splanchnic region may have been impaired. Dopamine may directly inhibit isoenzymes of the cytochrome ... Liver dysfunction was associated with a markedly higher mortality rate [28], and the ability to increase splanchnic oxygen delivery in septic conditions correlated with a lower mor...

Ngày tải lên: 12/08/2014, 18:21

... 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

... 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 me...

Ngày tải lên: 25/10/2012, 10:35

... 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

... reported 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 median of 15 days for ... equip- ment was identified as a cause of pulmonary infections more than 15 years ago, current systems are rarely a major source of bacteria. The frequency of ventilator circuit change has not...

Ngày tải lên: 12/08/2014, 18:21

... early effec- tive therapy. Prolonged therapy with antimicrobial agents apparently is adequate for most patients. However, any source of infection, such as an abscess, should be surgically drained. ... average duration of therapy in the patients who recovered in one study [17] was 20 days (range, 7–72 days), and the duration of therapy was related to the presence and severity of other infectio...

Ngày tải lên: 12/08/2014, 18:21

... completely abrogate proinflammatory pathways, there is an adequate balance between proinflammatory and anti-inflammatory cytokines, thus maintaining the ability to fight bacteria efficiently. Conclusion The ... YH, Rotstein OD: Synergistic induction of IL-10 by hyper- tonic saline solution and lipopolysaccharides in murine peri- toneal macrophages. Surgery 2001, 130:157-65. HOG = high-osmolar...

Ngày tải lên: 12/08/2014, 19:21

... resuscitation-dependent hyperdynamic state that typically persists in septic shock patients until death or recovery. Cardiac function usually recovers within 7–10 days in survivors. Myocardial dysfunction ... 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...

Ngày tải lên: 12/08/2014, 19:21

... No 3 Ryan and Levy The goal of the present review is to question, by critically evaluating the literature, the practice of routinely treating fever in the ICU patient. The pathophysiology of fever ... similar percentages of lymphocytes expressing HSP-70. When the lymphocytes were given an endotoxin challenge, however, the percentage of lymphocytes that expressed HSP-70 was signifi- cantly les...

Ngày tải lên: 12/08/2014, 19:22

... currently in the clinical testing phase. One such system is the molecular adsorbent regener- ating system device, which employs a polysulfone high-per- meability dialyzer with albumin on the dialysate ... without any plasma exchange therapy. Patients who did not receive any blood purification therapy (control group) had the worst outcome. However, that retro- spective study has numerous study...

Ngày tải lên: 12/08/2014, 19:22