Báo cáo y học: "Pro/con ethics debate: Should mechanical ventilation be continued to allow for progression to brain death so that organs can be donated" pdf
Báo cáo y học: "Pro/con ethics debate: Should mechanical ventilation be continued to allow for progression to brain death so that organs can be donated" pdf
... October 2002 Vol 6 No 5 Parker and ShemieCon: no, mechanical ventilation should not be continued to allow for progression to brain death so that organs can be donatedMichael ParkerThe number ... and benefits associated withthis option? What are the ethical issues raised by this?CommentaryPro/con ethics debate: Should mechanical ventilation be continued to allow for progression to brain ... harms andbenefits. One potential harm that is surely going to be relevant to any such analysis is the small possibility that, rather than dying following elective ventilation, patients mayend up...
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Báo cáo y học: "Pro/Con debate: Should 24/7 in-house intensivist coverage be implemente" pptx
... suchadverse outcomes may not necessarily be related solely to differences in intensivist staffing but may also be related to lower levels of staffing in nursing, respiratory therapy, or othermedical ... this notion may not be entirelytrue; the higher mortality observed in teaching institutionsmay not be related to care delivery by in-training physiciansbut rather to greater severity of illness. ... daytime plus dedicatedcoverage by any physician during nighttime). A Canadiansurvey found that dedicated in-house physician coverageovernight was available in only 60% of ICUs by any physicianand...
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Báo cáo y học: "Pro/con debate: Should antimicrobial stewardship programs be adopted universally in the intensive care unit" potx
... approximately 50% of antimicrobial usage being unnecessary or suboptimal in hospital, community or ambulatory settings [3,4]. A recent study showed that approximately 20% of patients admitted to the ... is likely due to its infancy: antimicrobial stewardship programs today are where infection control programs were roughly 30 years ago [40,41]. Because antimicrobials are widely prescribed in ... healthcare information technology is believed to be a key component of antimicrobial stewardship programs, detailed information on the resources required to implement and maintain these sophisticated...
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Báo cáo y học: "Pro/con debate: Is the scoop and run approach the best approach to trauma services organization" doc
... ofprehospital interventions [14]. Efforts to simply dichotomizeprehospital systems into either ALS type or BLS type do notsufficiently take into account this heterogeneity.The methodological challenges ... benefit for ALS with two major caveats. First, risk adjustment posessignificant challenges in analyses that need to be betteraddressed. More importantly, ALS – and stay and play – is avery heterogeneous ... confounding played some rolein the observed associations. Using a matched cohortanalysis to try to address some of this potential confounding,Murray and colleagues [38] reported a higher risk of death among...
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Báo cáo y học: "Alveolar instability caused by mechanical ventilation initially damages the nondependent normal lung" ppt
... the computed tomographyscan has recently been called into question. Hubmayr sug-gests that the increased density seen by computed tomogra-phy scan in ARDS patients is caused by open alveoli ... size may thereforenot be totally accurate but the qualitative changes are very dra-matic, allowing us to adequately answer our experimentalquestion and to test our hypothesis.In summary, normal ... dependent lung), and bythe weight of other organs (that is, the heart). Albert and Hub-mayr [24] confirmed by computed tomography scan inhumans that the heart compresses a significant amount of lungtissue...
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Báo cáo y học: "More intrinsic parameters should be used in assessing degeneration of articular cartilage with quantitative ultrasound" doc
... study, should be interpreted more carefully asthey can be affected by many experimental and physical factors. Inthis editorial, we offer our opinion that more intrinsic materialparameters should ... techniques. In comparison withconventional ultrasonography for imaging joints, quantitativeultrasound measurements using higher frequencies not onlyachieve better resolution for thickness and ... also provide acoustic and mechanical parameters ofarticular cartilage for early diagnosis of degeneration. Sincequantitative ultrasound probes are normally designed to usewith arthroscopy,...
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Báo cáo y học: "More intrinsic parameters should be used in assessing degeneration of articular cartilage with quantitative ultrasound" ppt
... study, should be interpreted more carefully asthey can be affected by many experimental and physical factors. Inthis editorial, we offer our opinion that more intrinsic materialparameters should ... techniques. In comparison withconventional ultrasonography for imaging joints, quantitativeultrasound measurements using higher frequencies not onlyachieve better resolution for thickness and ... also provide acoustic and mechanical parameters ofarticular cartilage for early diagnosis of degeneration. Sincequantitative ultrasound probes are normally designed to usewith arthroscopy,...
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Báo cáo y học: " Free cortisol levels should not be used to determine adrenal responsiveness" pptx
... unnecessary use of glucocorticoid therapy. Commentary The incidence of “adrenal insufficiency” in sepsis and septic shock is believed to be between 30 to 70%. Adrenal insufficiency is frequently ... frequently characterized clinically as hypotension resistant to volume resuscitation and dependent on vasopressors. Two studies in the 1990’s showed that the use of stress doses of hydrocortisone ... a tertiary care U.S. academic medical center. Patients and Measurements: Baseline serum total cortisol, cosyntropin-stimulated serum total cortisol, aldosterone, and free cortisol concentrations...
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Báo cáo y học: " Pro/Con Debate: Does recombinant factor VIIa have a role to play in the treatment of patients with acute nontraumatic hemorrhage" ppt
... could be beneficial.Since most indications for rFVIIa remain largely untested, we should struggle to enroll patients into clinical trials that willeventually define which patients do benefit ... perfect efficacy described bymany case reports, particularly in upper gastrointestinalbleeding. The reasons to avoid rFVIIa in this patient are asfollows: it has not previously been used for a similar ... organ dysfunction. FVIIa hasefficacy in restoring hemostasis. Additionally, early administra-tion — before the development of acidosis, hypothermia, andsubsequent additional coagulopathy — is...
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