Báo cáo y học: " The Surviving Sepsis Campaign: raising awareness to reduce mortalit" ppt

... difficult. The Barcelona Declaration, issued by the Surviving Sepsis Campaign in October 2002, outlines a six-point plan to reduce the relative mortality of sepsis by 25% over the next 5 years. The ... lack of training, Editorial The Surviving Sepsis Campaign: raising awareness to reduce mortality Elizabeth Slade 1 , Pritpal S Tamber 2 and Jean-Louis Vincen...

Ngày tải lên: 12/08/2014, 19:22

... the bench to the bedside is typically a long and tortuous process and is minimally accelerated by guidelines. Phase 3 of the SSC campaign seeks to facilitate operationalizing the guidelines to ... while monitoring and sharing impact with healthcare practitioners is likely to be a key to improving outcome in severe sepsis. The severe sepsis bundles form the core of th...

Ngày tải lên: 12/08/2014, 23:21

... choices; either the patient is amenable to therapy or this is a terminal event. The patient will have lived a long and healthy life because of prophylactic therapies; they will have received gene therapy, because ... in the emergency department, we will be able to tell their genomic profile both quickly and easily. Interesting though that may be, and as I allude to above, the re...

Ngày tải lên: 12/08/2014, 18:21

... divergent, namely minimally invasive surgery and radiology. As these technologies advance, the distinction between them is becoming blurred. The challenge for today’s surgeon is to learn how to image, ... revealing. Indeed, the next frontier in imaging will be to reveal not only anatomy but also physiology and biochemistry. In the future we will be able to image cellular metab...

Ngày tải lên: 12/08/2014, 19:21

... presentation at the 31st Annual Congress of the Society of Critical Care Medicine (SCCM), San Diego, California, USA, 26–30 January 2002. The presentation was supported by the International Sepsis Forum ... considered as the preferred first-line agent. In the present commentary we review the evidence supporting the use of norepinephrine as the agent of choice in the trea...

Ngày tải lên: 12/08/2014, 19:21

... rare to see the development of myocardial ischaemia secondary to septic shock. Admittedly, in some cases, in which the heart rate is very fast, preference could be given to norepinephrine, but these ... secondary to increases in both stroke volume and heart rate. It may even be an advantage to have some degree of tachycardia in these conditions. Moreover, this tachycardia is usu...

Ngày tải lên: 12/08/2014, 19:21

... an already bad situation. Rather than making attempts to target cardiac output and D O 2 randomly in all patients, our approach should rather be to try to restore hemodynamic stability, which ... what therapy? Perhaps the mixed venous oxygen saturation (Sv O 2 ) is the most important parameter to follow. Sv O 2 provides an indication of the degree of oxygen extracted by the or...

Ngày tải lên: 12/08/2014, 19:22

... generally used increased D O 2 as the goal of therapy. However, the calculated D O 2 only reflects the amount of oxygen ‘dispatched’ from the ventricle into the aorta, rather than the actual delivery ... One study, conducted in 762 critically ill patients, found no difference in overall mortality between the protocol and control groups, and neither was there any difference in mo...

Ngày tải lên: 12/08/2014, 19:22

... synthetic phase cytosol in the presence of [c- 32 P]ATP. Then, the proteins were eluted with SDS and analyzed by SDS/ PAGE. The gel was stained with CBB and then subjected to autoradiography ... 2002 by a s ynthetic phase cytosol (Fig. 6A, column 9 ). T hese results suggested that a kinase(s) in the synthetic phase egg cytosol fraction phosphorylates NK at a functionally similar sit...

Ngày tải lên: 22/02/2014, 04:20

... increase the reactivity (immunogenicity) of the vaccine by delaying the absorption of the active ingredients into the body, thus allowing for a prolonged interaction between the vac- cine and the ... of both is to confer immunity.” “ allergy shots must stop a fter 3 to 5 years and at that time the doctor has to decide whether to con- tinue them or not. That would sugge...

Ngày tải lên: 08/08/2014, 21:20