Báo cáo y học: " Recently published papers: We are what we eat" pot

... purposes) Critical Care Vol 10 No 4 Rose and Venn authors conclude that this study is appropriate for the generation, rather than testing, of new hypotheses. Obesity: a large predictor of mortality Obesity is ... three year period was analysed and corrected for age, gender and illness severity. The odds of death increased 7.4 times in morbidly obese patients requiring intensive care for 4 day...

Ngày tải lên: 13/08/2014, 01:20

... accelerate recovery of gastrointestinal motility may be effective salt and water balance. In a study by Lobo and colleagues [4], prompted by Commentary Recently published papers: We are what we eat? LG ... recent study reported by Yap and coworkers [7]. They retrospectively studied more than 1000 patients over an 18-month period, their hypothesis being that serum hypoalbuminaemi...

Ngày tải lên: 12/08/2014, 18:21

... [10] by Poldermans and colleagues, which were “mainly observational, done primarily only on vascular surgery patients and in only one country in the world”. However, patients in these series were ... that a lower dose of a beta blocker - started a week before surgery rather than the 2 to 4 hours before, as in POISE - may still help. This editorial, however, was heavily criticised by Dr London...

Ngày tải lên: 13/08/2014, 11:22

... and intractable hypotension in septic shock. Although such reports are somewhat anecdotal, the results are promising for a condition that is known to carry a high mortality rate, and it may be that ... respiratory distress syndrome [10], and may account for a therapeutic modality by which high-dose steroid therapy works. It is difficult to conclude a great deal more from this study, but i...

Ngày tải lên: 12/08/2014, 18:21

... reported by Weber and colleagues [22]. Sadly, adoption of this technique, in the UK at least, awaits the deliberation of the government and judiciary. Finally, if you have been seduced by the attractive ... patients is controversial. Interestingly, corticotrophin responsiveness did not predict outcome. Intensive care unit, hospital, 28-day and 1-year mortality were very high in all groups (53...

Ngày tải lên: 12/08/2014, 19:21

... pointed out that, although we are well trained in how to treat disease, we may be not so well trained in treating the clearly dying, and lack of consensus between health care professionals does little ... course. As well as further implicating involvement of the neuroendocrine system in sepsis, have they found a highly predictive marker? Time and further investigation will surely tell....

Ngày tải lên: 12/08/2014, 19:21

... often? These are important questions but they are not easily answered. Anxiolysis, analgesia, amnesia and sedation are just a few of the elements to be considered. It is now widely accepted that unbridled ... wide variety of outcome measures were employed, including costing, quality of sedation, haemodynamic stability and time to extubation, among others. Unsurprisingly, the studies sho...

Ngày tải lên: 12/08/2014, 19:22

... pulmonary artery waveform [5]. Personally, I found this particularly intriguing. Many of us use the pulmonary artery catheter as a surrogate for left atrial filling pressures in our day-to-day ICU ... of severe injury. What the study does highlight is the fact that our knowledge of critical illness polyneuropathy and myopathy is scant. The challenge now is to try to identify risk factors fo...

Ngày tải lên: 12/08/2014, 19:22

... investigated by Tremblay and Bandi [5]. The large population studied was North American, with a median intensive care unit (ICU) stay of only 2 days. Fifty-six per cent of patients admitted to ICU were ... days in intensive care were presented by Fletcher and colleagues [6]. They reported an alarmingly high incidence of peripheral neurological deficits on examination (13/22, 59% of Commentary...

Ngày tải lên: 12/08/2014, 19:22

... Perhaps when we do find it we may be able to alter and influence the underlying pathophysiology of sepsis. Many reports from those who believe that this may lie in the hypothalamic–pituitary–adrenal ... renal injury, metabolic acidosis and sepsis-induced coagulopathy. Can we manipulate this therapeutically in human sepsis? Time and more research will tell. Commentary Recently publish...

Ngày tải lên: 12/08/2014, 19:22