Báo cáo y học: " Recently published papers: New evidence for old debates, new drugs and some timely reminders" pps

... 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 ... the dermal tolerance and user acceptability of six alcohol-based hand disinfectants for hygienic hand disinfection. J Hosp Infect 2002, 51:114-120. 25. Laffey JG, Kavanagh BP: Hypo...

Ngày tải lên: 12/08/2014, 19:21

... position. Sadly 28-day mortality rates were not significantly different between the two groups (31.5% for supine versus 32.4% for prone). Ninety day mortality was also similar (42.2% for supine ... survival and to analyze these results for selected subgroups based on age, premorbid functional dependency, Acute Physiology and Chronic Health Evaluation (APACHE) II score and number...

Ngày tải lên: 12/08/2014, 20:21

... whereas the mainstay Commentary Recently published papers: Renal support in acute kidney injury - is low dose the new high dose? Yadullah Syed 1 , James AP Tomlinson 1 and Lui G Forni 2 1 Worthing ... an increased risk of mortality, and interestingly, and perhaps intuitively, renal recovery translated to outcome benefit. Therefore, facilitating recovery in AKI may offer a distin...

Ngày tải lên: 13/08/2014, 20:21

... on the effects of methylprednisolone in unresolving acute respiratory distress syndrome [10], and may account for a therapeutic modality by which high-dose steroid therapy works. It is difficult ... routine anti- factor Xa activity assays, some caution may be required before instituting blind dose increases for a group of patients who are at risk of occult bleeding and for a drug...

Ngày tải lên: 12/08/2014, 18:21

... 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 Forni Consultant, ... of mortality risk in the critically ill. This was no doubt triggered by the Acute Physiology and Chronic Health Evaluation (APACHE) III as well as the study reported by McCluskey...

Ngày tải lên: 12/08/2014, 18:21

... plateau pressures. Kern and Shoemaker [11] recently looked back at the successes of haemodynamic goal-directed therapy in a meta- analysis of randomized controlled studies aiming for normal or supranormal ... surgery, trauma and sepsis patients. Their findings confirmed further that when therapy is aimed at improving oxygen delivery (especially in the severely ill, in whom control gro...

Ngày tải lên: 12/08/2014, 19:21

... were employed, including costing, quality of sedation, haemodynamic stability and time to extubation, among others. Unsurprisingly, the studies showed wide clinical heterogeneity and this precluded formal ... particularly by doctors. Which agent(s) should be used, and how much and how often? These are important questions but they are not easily answered. Anxiolysis, analgesia, amnesia...

Ngày tải lên: 12/08/2014, 19:22

... 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 for such debilitating ... the balloon directed pulmonary artery catheter in the early 1980s. There is some good news for the pulmonary artery catheter enthusiasts – there was no excess mortality in th...

Ngày tải lên: 12/08/2014, 19:22

... illness has been 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 ... They reported an alarmingly high incidence of peripheral neurological deficits on examination (13/22, 59% of Commentary Recently published papers: small pieces of the puzzle and the l...

Ngày tải lên: 12/08/2014, 19:22

... 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 axis have recently been published. ... renal injury, metabolic acidosis and sepsis-induced coagulopathy. Can we manipulate this therapeutically in human sepsis? Time and more research will tell. Commentary Recentl...

Ngày tải lên: 12/08/2014, 19:22