Báo cáo khoa học: "Clinical review: New technologies for prevention of intravascular catheter-related infections" pdf

... only for patients with recurrentCRBSIs despite consistent application of preventive measures*Adapted from the Centers for Disease Control and Prevention guidelines for the prevention of intravascular ... literature review of published arti-cles in the prevention of intravascular catheter-related infec-tions. The review was conducted by searching the Medlinedatabase of the National Library of Medicine, ... Ministry of Health and from Programma Nazionale diRicerca sull’AIDS, Istituto Superiore di Sanità, Italy.References1. Centers for Disease Control and Prevention: Guidelines for the prevention of intravascular...

Báo cáo y học: "linical review: New technologies – venturing out of the intensive care unit" ppsx

... Lumb PD: Task Force of the American College of Critical Care Medicine of the Society of Critical Care Medicine and the American Society of Health-System Pharmacists, American College of Chest Physicians.Sedation, ... TaskForce of the American College of Critical Care Medicine(ACCM) of the Society of Critical Care Medicine (SCCM),American Society of Health-System Pharmacists (ASHP),American College of Chest ... exacerbation of COPDand pulmonary edema. JAMA 2003, 290:2985-2991.Appendix 1The following is a brief listing of manufacturers of variouscritical care technologies. This is not an endorsement of anyof...

Báo cáo khoa học: "Clinical review: The implications of experimental and clinical studies of recruitment maneuvers in acute lung injury" pptx

... human ARDS or the degree of reproducibility of short-term experimental studies in patientsreceiving MV for days or weeks [55].ConclusionOn the basis of our review of the literature on experimentaland ... depletion, theeffect of RMs on lung function is less evident.Role of recruitment maneuvers inanesthetized patientsFormation of atelectasis and airway closure are mechanisms of impaired gas exchange ... orvolumes, and the forces generated by repeated opening andcollapse lead to upregulation of an inflammatory response,with release of cytokines and chemokines and activation of neutrophils and...

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

... However, recent evidence of adrenal dysfunction during sepsis and a better understand-ing of the mechanisms of action of glucocorticoids have ledto a reconsideration of the role of glucocorticoids ... affinity for both glucocorticoid and mineralocorticoidreceptors, which accounts for the weak mineralocorticoidactivity of glucocorticoids.Regulation of glucocorticoid productionThe production of ... sepsis, and of the mechanisms of action of glucocorticoids led us toreconsider their use in septic shock. The present review summarizes the basics of the physiologicalresponse of the hypothalamic–pituitary–adrenal...

Báo cáo khoa học: "Clinical review: Outreach — a strategy for improving the care of the acutely ill hospitalized patient" pps

... expectations, and improvedpublic access to information about quality of care and out-ReviewClinical review: Outreach — a strategy for improving the care of the acutely ill hospitalized patientDebby ... teamsThe concept of a better integrated, multidisciplinary approachto postoperative care [51,52] has been extended to othergroups of patients in the form of specific groups or teams of clinicians, ... organizational aspects of clinical careprofoundly influence patient outcomes [27]. Common errorsinclude lack of attention to detail, poor communication, fail-ures of organization, lack of knowledge,...

Báo cáo khoa học: "Clinical review: Reappraising the concept of immediate defibrillatory attempts for out-of-hospital ventricular fibrillation" pptx

... protraction of VF, multi-ple drugs or progressively higher doses of drugs may beneeded before countershock. Again, all of these considera-tions must be addressed within the context of a number of confounding ... venues, even for out -of- hospital VF [1–4].Two key interventions have been proven scientifically toimprove the chances of survival for those experiencingSOHCA: immediate performance of basic cardiopulmonaryresuscitation ... terms of resuscitation andshort-term survival in swine that experienced 8 min of VFbefore interventions. Therefore, these experiments may helpto explain the relative lack of effectiveness of...

Báo cáo khoa học: "Clinical review: Bedside assessment of alveolar recruitment" doc

... currently available for bedside assessment of alveo-lar recruitment.Physiological meaning of alveolarrecruitmentRecruitment is a physiological process that refers to the re-aeration of a previously ... The heterogeneous distribution of condensations that predominates in the dependent part of the lung has been attributed to the gravitation forces due tothe weight of the edematous lung [9]. This ... distribution of lung densities. Infact, in this situation the probability of alveolar recruitmentlargely predominates the risk of overdistension. In contrast, anuneven distribution of lung consolidations...

Báo cáo khoa học: "Clinical review: Influence of vasoactive and other therapies on intestinal and hepatic circulations in patients with septic shock" ppsx

... ‘motor’ of MOF. Arch Surg 1986, 121:196-208.2. Dantzker DR: The gastrointestinal tract. The canary of thebody? JAMA 1993, 270:1247-1248.3. Lautt WW: Mechanism and role of intrinsic regulation of hepatic ... delivery.However, proof of improved utilization of oxygen by peripheraltissues, especially in the splanchnic area, is lacking. Silver-man and Tuma [24] reported the absence of improved gastricpHi ... iscomparing the effects of epinephrine with a combination of afixed dose of dobutamine in addition to norepinephrine.Dopamine alone or versus norepinephrine (Table 1)The infusion of low-dose dopamine...

Báo cáo khoa học: "Clinical review: Clinical management of atrial fibrillation – rate control versus rhythm control" doc

... per dofetilide Intravenous equivalent of dofetilide1 mg intravenous; <60 kg, 0.01 mg/kg Not licensed for use in UKintravenousAF, atrial fibrillation.Table 5Predictors of likelihood of cardioversion ... therapeutic anticoagulation is crucial for stroke prevention. This reviewaddresses the findings of these studies and their implications for clinical management of patients withatrial fibrillation.Keywords ... specific ablation of the bundle of Hiswith pacemaker implantation for rate control. Pharmacologicalcardioversion and maintenance of sinus rhythm should still beconsidered for recurrent, symptomatic...

Báo cáo khoa học: "Clinical review: How to identify high-risk surgical patients" pdf

... function of oxygen delivery and thus of total cardiopulmonary performance. Under exerciseconditions, oxygen consumption becomes a linear function of cardiac output. The measurement of aerobic ... evaluation for noncardiac surgery. Report of the American College of Cardiology/American Heart Associa-tion Task Force on Practise Guidelines. Committee on Periop-erative Cardiovascular Evaluation for ... Wesseling H, Lie KI: Value of New York Heart Associ-ation classification, radionuclide ventriculography, and car-diopulmonary exercise tests for selection of patients for congestive heart failure...

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