Báo cáo y học: " The International Sepsis Forum’s frontiers in sepsis: high cardiac output should be maintained in severe sepsis" ppt

... this strategy should be tailored to the individual patient. Hayes and Commentary The International Sepsis Forum’s frontiers in sepsis: high cardiac output should be maintained in severe sepsis Jean-Louis ... concentrations. The concept is to assess the adequacy of the cardiac output in patients with severe sepsis, enabling management strate...

Ngày tải lên: 12/08/2014, 19:22

... measured intensity indicator is not suffi- ciently precise to allow inclusion in a mathematical sense, the analysis clearly indicated that inclusion of contact intensity would amplify the observed ... probability is assumed is further sup- ported by the analysis of the contact intensity as reported in the contact study. Theoretically, a short interaction between a susceptible an...

Ngày tải lên: 13/08/2014, 16:20

... Abraham Unfortunately, in 2051 we will still have to deal with endotoxin being released by Escherichia coli, but by then we will be able to determine who will do poorly and who will do well. By appreciating the ... responders being those who consistently produced more NF-κB and the low responders being those who barely reacted to the endotoxin. Therefore, the central dogma of this...

Ngày tải lên: 12/08/2014, 18:21

... might be doing 49 years from now. I will not be treating sepsis in 2051 because I won’t be here. The chances are, however, that future intensivists will not really be treating sepsis either. ... extraordinary measures to eradicate it. In the future we will have a better understanding of ‘host–microbial Commentary The International Sepsis Forum’s controversies in...

Ngày tải lên: 12/08/2014, 19:21

... norepinephrine is counterbalanced by an increased venous capacitance Commentary The International Sepsis Forum’s controversies in sepsis: my initial vasopressor agent in septic shock is norepinephrine ... consider using norepinephrine first. Norepinephrine produces less tachycardia Norepinephrine-induced increase in blood pressure occurs with little change in the heart rat...

Ngày tải lên: 12/08/2014, 19:21

... cases, in which the heart rate is very fast, preference could be given to norepinephrine, but these are exceptional cases. Commentary The International Sepsis Forum’s controversies in sepsis: my initial ... addition, is tachycardia really a problem? The normal response to a severe infection is an increase in cardiac output secondary to increases in both stroke vo...

Ngày tải lên: 12/08/2014, 19:21

... by a Commentary The International Sepsis Forum’s frontiers in sepsis: high cardiac output should not be maintained in severe sepsis Vinay K Sharma 1 and R Phillip Dellinger 2 1 Attending Physician, ... subsequent increases in D O 2 do not result in any further increase in V O 2 (Fig. 1). Attempts to increase the D O 2 beyond this point are more likely t...

Ngày tải lên: 12/08/2014, 19:22

... have been registries for individual institutions or countries [7-15]. In all cases, including PROGRESS, there was higher disease severity and mortality in comparison to severe sepsis clinical trials. ... had significantly lower odds of death. In comparing the PROGRESS severe sepsis registry with oth- ers, it should be noted that PROGRESS was an international registry. Pr...

Ngày tải lên: 13/08/2014, 16:21

... but also purely clinical setting; this because of the modularity how data can be recorded. The consistent use of the sys- tem assures a stringent internal quality assurance, and more interesting, an ... http://www.memdoc.org of the Insti- tute for Evaluative Research in Orthopaedic Surgery at the University of Bern, Switzerland, allows online and offline data entry. All informa...

Ngày tải lên: 10/08/2014, 21:24

... awaited [62]. Marcos Intraglietta (La Jolla, CA, USA) presented an emerging alternative hypothesis to the dogma of maintaining oxygen delivery by maintaining oxygen carrying capacity (i.e. RBC transfusion). ... unfortunately continued to show disappointing results in the management of head trauma. Andrew Maas ended the session, however, by explaining that these treatments may in fac...

Ngày tải lên: 12/08/2014, 18:21