Báo cáo y học: " Prophylactic positive end-expiratory pressure: are good intentions enough" potx

... a.s.jaarsma@bkk.azg.nl Introduction Ventilatory strategies in pediatric intensive care are fre- quently based on strategies developed in adult or neonatal intensive care units [1]. Recently two new ventilatory tech- niques ... Because of the ability to breathe sponta- neously during every ventilatory phase, ventilation is being ASB = assisted spontaneous breathing; BIPAP = biphasic positiv...

Ngày tải lên: 12/08/2014, 18:21

Ngày tải lên: 12/08/2014, 19:22

... activity in any phase of the ventilatory cycle. By allowing patients with the acute respiratory distress syndrome to breathe spontaneously, one can expect improvements in gas exchange and systemic ... ventilatory support that maintain, rather than suppress, spontaneous ventilatory effort, especially in patients with severe pulmonary dysfunction. Keywords acute respiratory distress syndrome, a...

Ngày tải lên: 12/08/2014, 20:20

... gastrointesti- nal toxicity. The gastrointestinal toxicity of NSAIDs is apparently related to inhibition of the cyclooxygenase-1 (COX-1) isoform [1]. Following the discovery by Fu et al. of a novel ... 8 COX-1 = cyclooxygenase-1; COX-2 = cyclooxygenase-2; MI = myocardial infarction; NSAID = nonsteroidal anti-inflammatory agent; PGI 2 = prosta- cyclin; TXA 2 = thromboxane A 2 . Arthritis ... s...

Ngày tải lên: 09/08/2014, 01:21

... those who are in respiratory arrest, medically unstable otherwise, uncooperative, and unable to protect their airway or handle airway secretions or accommodate a mask, are routinely excluded. ... biases. Commentary Noninvasive positive pressure ventilation for respiratory failure caused by exacerbations of chronic obstructive pulmonary disease: a standard of care? Nicholas S Hill Pulmon...

Ngày tải lên: 12/08/2014, 19:22

... mediate fast excitatory synaptic transmission are ion channels permeable to cations and are classified as a-amino-3- hydroxy-5-methyl-4-isoazolepropionic acid (AMPA), kainite, and N-methyl-D-aspartate ... inhibition. Neuropharmacology 2005, 49(1):73-85. 13. Campbell UC, et al: The mGluR5 antagonist 2-methyl-6-(phenylethynyl)- pyridine (MPEP) potentiates PCP-induced cognitive deficits in r...

Ngày tải lên: 10/08/2014, 05:21

... respiratory symptoms since her surgery. She is currently not under therapy, with normal inflammatory markers and no evi- dence of consolidation on her chest X-ray 18 months after surgery. Discussion There ... malignancy in 306 lymph nodes resected, the sensitivity of PET was 73%, and the positive predictive value of PET, that is, the percentage of truly positive nodes in those reported as...

Ngày tải lên: 11/08/2014, 17:21

... FEV 1 /forced vital capacity (FVC) ≤ 0.70; no history o f asthma, atopy (as assessed by an allergy skin prick test during screening) or any other active lung disease. Patients on home oxygen or with raised carbon ... irreversible chronic inflammatory disease of the lung caused predominantly by cigarette smoking, is one of the most important causes of mortality globally [1]. The i nflammatory...

Ngày tải lên: 12/08/2014, 13:22

... relies on physical signs of pulmonary congestion, is uncertain. Reliable PAOP measurement can be performed by pulmonary artery catheter, but it is possible also by the use of echocardiography. Several ... echocardiography (TTE) are increasingly used for diagnostic and hemodynamic assessment and in critically ill patients, allowing noninvasive estimation of PAOP by Doppler technique [6]. Bas...

Ngày tải lên: 13/08/2014, 08:21

... statistical analysis of the data. This study is endorsed by the European Society for Intensive Care Medicine. References 1. Ympa YP, Sakr Y, Reinhart K, Vincent JL: Has mortality from acute renal ... U, Kuralay E, Yenicesu M, Caglar K, Oz BS, Cingoz F, Gunay C, Yildirim V, Ceylan S, Arslan M, Vural A, Tatar H: Timing of replacement therapy for acute renal failure after cardiac surgery. J C...

Ngày tải lên: 13/08/2014, 11:22