Báo cáo y học: "Cricothyroidotomy for elective airway management in critically ill trauma patients with technically challenging neck anatomy" pps

... Cricothyroidotomy is recommended for elective airway management in patients with challenging neck anatomy • A surgical airway should be considered in any patient with ventilator dependence exceeding 21 days • ... endotracheally intubated beyond 21 days prior to placement of the surgical airway (Table 1). Discussion Translaryngeal intubation is the mainstay for temp...

Ngày tải lên: 12/08/2014, 19:21

... 1 A 23-year-old man was severely injured in a car accident and had multiple trauma, with an injury severity score (ISS) of 50 and a head abbreviated injury score (AIS) of 5.  ree days later ... [3]. Tracheotomy may facilitate the removal of an aspirated tooth. Abbreviations AIS, abbreviated injury score; CT, computed tomography; ISS, injury severity score. Competing interests The a...

Ngày tải lên: 14/08/2014, 08:21

... 'sympathetically maintained pain' [5]. Naturally occurring sympathetic neurotransmitters are cate- cholamines known as norepinephrine, epinephrine, and dopamine. All three substances act within the ... dramatic increase in sensitivity to pain. Low COMT activity may increase pain sensitivity by activating beta (2/3)-adrenergic receptors. The objective of our investigation was to de...

Ngày tải lên: 09/08/2014, 10:21

Ngày tải lên: 13/08/2014, 10:20

... of the ref- erence value for lactate in critically ill patients may require readjustment. Finally, they imply that clinicians should be especially alert in all patients with admission and/or persis- tent ... identify patients at higher risk of death. The current reference range for lactate in the critically ill may need to be re-assessed. Introduction In healthy i...

Ngày tải lên: 13/08/2014, 20:21

... included 27 critically ill children with an indication for advanced invasive hemodynamic monitoring. No specific interventions for the purpose of the study were carried out. Measurements included ... ml/kg are associated with clinical pulmonary edema [7]. EVLWI divided by GEDVI may distinguish between pulmonary edema due to increased capillary permeability or increased hydrostat...

Ngày tải lên: 13/08/2014, 20:22

... To assess effi cacy of combining daily inter- ruption of sedation with physical and occupational therapy on functional outcomes in patients receiving mechanical ventilation in intensive care. Design: ... returning to independent functional status at hospital discharge defi ned as the ability to perform six activities of daily living and the ability to walk independently. Secondary e...

Ngày tải lên: 13/08/2014, 21:21

... critical illness and impact the mortality rate, especially in sepsis. Retinol binding protein 4 (RBP4) promotes insulin resistance in mice and is systemically elevated in patients with obesity and type ... Serum retinol binding protein 4 (RBP4) concentrati ons in critically ill patients. (a) Serum RBP4 levels are significantly (P < 0.001, Mann-Whitney U test) reduced in...

Ngày tải lên: 13/08/2014, 21:21

... should only be handled by spe- cially trained personnel has led to the recently developed guidelines for pre-hospital airway management by the Scandinavian Society for Anaesthesiology and Intensive care ... working as HEMS physicians view pre-hospital advanced airway management as a high-risk procedure. Relevant airway management competencies for HEMS physicians in Norway...

Ngày tải lên: 13/08/2014, 23:20

... with atypical antipsychotic drugs. Although understanding of the pathophysiology of akathisia remains limited, it seems that a complex interplay of several neurotransmitter systems might play ... monotherapy of the selective serotonin reuptake inhibitor and sigma- 1 receptor agonist fluvoxamine was effective in ameliorating the akathisia of patients with schizophrenia treated with t...

Ngày tải lên: 08/08/2014, 23:21