Báo cáo khoa học: "Clinical review: Corticotherapy in sepsis" pot

... bound to proteins. The two main binding proteins are the cortisol-binding globulin (CBG) and albumin [1]. Review Clinical review: Corticotherapy in sepsis Helene Prigent 1 , Virginie Maxime 2 and ... gluconeogenesis. Finally, they are involved in bone and mineral metabolism, activating osteoclasts, inhibiting osteoblasts, decreasing intestinal calcium uptake and increasing calcium uri...

Ngày tải lên: 12/08/2014, 19:22

... Those investigators showed that, after RMs, PEEP set at 2 cmH 2 O above the lower inflection point was more effective in maintaining gas exchange and minimiz- ing inflammation and lung injury ... sustained inflation. Loop C: PEEP higher than the lower inflection point after a sustained inflation. Sustained inflation promoted alveolar recruitment at low PEEP levels (loop B). Sustained inflat...

Ngày tải lên: 12/08/2014, 19:22

... norepinephrine to versus phenylephrine 3.2 phenylephrine [11] 12 Epinephrine 0.7 ±0.1 LD ↑ in mucosal blood flow NA Epinephrine, norepinephrine in versus norepinephrine 1 ±0.6 with epinephrine ... norepinephrine + norepinephrine + dobutamine, 70–80 mmHg dobutamine 1.1 ± 0.6 and 5 as compared with norepinephrine alone [46] 11 Epinephrine 0.3 ±0.2 LD epinephrine ↑ mucosal NA 11 versus norep...

Ngày tải lên: 12/08/2014, 20:20

... and attending involvement ameliorates organ donation in brain dead pediatric trauma victims. J Trauma 2001, 51:329-331. 30. Linyear AS, Tartaglia A: Family communication coordination: a program to increase ... failure to give: reducing barriers to organ donation. Kennedy Inst Ethics J 2001, 11:1-16. 37. Jennett B, Hessett C: Brain death in Britain as reflected in renal donors. Br Med J...

Ngày tải lên: 12/08/2014, 20:20

... [64]. Similarly, in blood of septic patients receiving dopamine, a decrease in in vitro T-cell proliferation in response to concanavalin has been observed [46]. In contrast, in vivo experiments in mice using ... Although dopamine is also released, noradrenaline (norepinephrine) and adrenaline (epinephrine) appear to be the principal neurotransmitters in this respect. In early...

Ngày tải lên: 12/08/2014, 20:20

... mmol/l or creatinine >260 mmol/l 395 patients in different ways with a benefit in patient outcome, however that is to be defined. In our opinion the two most useful scoring systems in surgical risk ... risk assessment in medical practice, particularly in intensive care medicine where risks of the ultimate negative outcome are so high, will only be advanced by the following: an...

Ngày tải lên: 12/08/2014, 22:21

... noted in previous major incidents [19,21]. Broadband access to the Internet and satellite-linked devices (which do not depend on telephone landline integrity) have become valuable in receiving information ... concerned were mainly medical trainees in anaesthesia (who are used to working in the ED and frequently move from one hospital to another as part of their training) and ED nurses...

Ngày tải lên: 12/08/2014, 22:21

... of PEEP used in the ‘high PEEP’ group was changed during the study, potentially altering the outcome [20]. Clinical research has proven that large Vts are detrimental in ARDS. In 2000, findings were ... technique. Maintaining a low inspiratory flow rate on the mechanical ventilator (less than 10 l/min) minimizes resistance, permitting estimation of the PV curve [2]. All methods used to...

Ngày tải lên: 12/08/2014, 22:21

... lengthened by using higher inspiratory flow settings (70–100 l/min) during volume cycled ventilation, using a shorter inspiratory time fraction, reducing respiratory rate, and eliminating any inspiratory ... Similarly, when using pressure cycled ventilation, decreasing tidal volumes may indicate gas-trapping. Other situations in which clinicians should suspect gas-trapping include increasin...

Ngày tải lên: 12/08/2014, 22:22

... [51] reported similar findings in large volume resuscitation in major surgery comparing hetastarch prepared in a balanced electrolyte solution or in saline, and similar findings were reported by Williams ... addressed in future study designs. Without consistency in reporting acid–base methodology, conflicting reports will continue. Competing interests The author(s) declare that th...

Ngày tải lên: 12/08/2014, 22:22