Báo cáo y học: "Clinical review: Myocardial depression in sepsis and septic shock" pptx

... depression in sepsis and septic shock Myocardial hypoperfusion The possibility of myocardial dysfunction in sepsis was origi- nally proposed and described in the 1960s. Its etiology, however, remained ... in septic myocardial depression. Cellular mechanisms of septic myocardial depression Depression of myocardial contractility by TNF-α, IL-1β and septi...

Ngày tải lên: 12/08/2014, 19:21

... during acute myocardial infarction. Keywords euglycaemia, glucose, insulin, myocardial infarction, sepsis, septic shock 14 Critical Care February 2003 Vol 7 No 1 van der Horst et al. with sepsis ... regulation combined with nutrition, and in patients with diabetes mellitus and acute myocardial infarction who are treated with an insulin–glucose infusion and intensive insulin...

Ngày tải lên: 12/08/2014, 19:21

... it maintains airway patency and prevents pulmonary infection. However, tracheal suctioning induces mucosal injury, exposing the basement membrane and thereby facilitating bacterial adhesion in ... respiratory infections, length of stay in the hospital and the ICU, and mortality in critically ill patients. Available data are distilled into recommendations for the maintenance of a...

Ngày tải lên: 13/08/2014, 08:21

... Conversely, high-reliability organizations such as aircraft carriers, nuclear power plants, and air traffic controllers have markedly improved safety by standardizing practices and investing in safety ... reporting barriers partly owing to fewer liability concerns, and an opportunity to study recovery patterns [75]. Ideally, error reporting should be voluntary, anonymous, centralized...

Ngày tải lên: 25/10/2012, 10:35

... surgery No active gastrointestinal bleeding No impairment in swallowing Hemodynamic and rhythm stability Adequate fitting of the interface 102 A multicenter randomized controlled trial recently reported ... with increasing physician experience. Carlucci and coworkers [9] reported an 8-year retrospective study in which they investigated the changes in clinical practice of NIV in CO...

Ngày tải lên: 12/08/2014, 20:20

... placed in quarantine after exposure, some of them falling ill, becoming critically ill and even succumbing to SARS. Staff morale was addressed in some institutions by encouraging and commending ... different hospital sites. Indeed, internet-based technology proved invaluable during the SARS outbreak in Toronto by allowing our experiences and our newly, on occasion painfully, gaine...

Ngày tải lên: 12/08/2014, 20:21

... examining the full effects of sleep inter- ventions over multiple days, identifying appropriate endpoints and in a relatively large number of patients. Polysomnography is currently the definitive ... hallucinations, psychosis and REM sleep in Guillain- Barre syndrome. Brain 2005, 128:2535-2545. 32. Hardin KA, Seyal M, Stewart T, Bonekat HW: Sleep in critically ill chemically paralyz...

Ngày tải lên: 13/08/2014, 08:20

... the world today, roughly 1 billion live in extreme poverty. They are nearly all inhabitants of ‘developing’ countries, predominantly in sub-Saharan Africa and South and East Asia and earn less ... care, including vaccination and nutrition, is not ‘critical care’. However, in many hospital wards of developing countries, the majority of patients dying of AIDS, complicating infecti...

Ngày tải lên: 13/08/2014, 11:22

... including intra-abdominal, urinary tract, and skin and skin structure infections. They are prescribed by hospitalists, surgeons, intensivists, wound care specialists, and infectious disease physicians ... trial comparing imipenem/cilastatin to tobra- mycin/clindamycin for intra-abdominal infections. Ann Surg 1990, 212:581-591. 40. Solomkin JS, Reinhart HH, Dellinger EP, Bohnen JM, Rotst...

Ngày tải lên: 13/08/2014, 11:22

... currently available. In the authors’ opinion, the definition and classification by Darmon and colleagues and Francois and colleagues – who use the terms minor and major to classify laryngeal edema ... severity of adverse effects. Although every patient with symptoms has some degree of injury, not all injuries present clinically [2,17]. Laryngeal edema therefore remains largely a c...

Ngày tải lên: 13/08/2014, 19:20