Báo cáo khoa học: "Clinical review: Influence of vasoactive and other therapies on intestinal and hepatic circulations in patients with septic shock" ppsx
Báo cáo khoa học: "Clinical review: Influence of vasoactive and other therapies on intestinal and hepatic circulations in patients with septic shock" ppsx
... consumption increased during dobutamineadministration only in patients with an increased gradientbetween hepatic venous and mixed venous oxygen saturation.Combinations of dobutamine and other ... regarding the effects of dopamine on splanchnic blood flow in septic patients. Comparison of the effects of norepinephrine and dopamine isdifficult because norepinephrine is often combined with dobutamine, ... pHi, and higher hepatic vein lactate concentration than did the combination of dobut-amine and norepinephrine. Duranteau and coworkers [11]compared the effects of epinephrine, norepinephrine and...
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Báo cáo khoa học: "Clinical review: Role of triggering receptor expressed on myeloid cells-1 during sepsis" pptx
... extracellular domain of TREM-1 and examined its action both in vitro and in a mouse model of endotoxaemia [29]. In monocytes cultured with LPS, LP17reduced the production of TNF-α and IL-1β in a concen-tration-dependent ... infiltration, and are highly susceptible to LPS[22].Expression of TREM-1 in sepsisUsing experimental models of polymicrobial infection inducedby caecal ligation and puncture (CLP) in mice, we and others[18,23] ... Baselineplasma levels of C-reactive protein, procalcitonin and sTREM-1 were higher among septic patients than in patients with systemic inflammatory response syndrome only. PlasmasTREM-1 levels...
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Báo cáo khoa học: "Clinical review: Reunification of acid–base physiology" pdf
... the total concentration of carbonate speciesproton acceptor sites (in mmol/l), Ciis the concentration of noncarbonate buffer species i (in mmol/l), e–iis the averagenumber of proton acceptor ... the strong ions are expressed in mEq/l and only the ionized portions of Mg2+ and Ca2+are considered(to convert total to ionized Mg2+, multiply by 0.7). Note alsothat we do not consider ... Kellum[22]. One obvious limitation is that changes in plasmabicarbonate concentration, although useful in determining thedirection and therefore the type of acid–base abnormality, arenot capable of...
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Báo cáo khoa học: "Clinical review: Interpretation of arterial pressure wave in shock states" pptx
... MAP of 65 mmHg or greater beachieved and maintained, in order to avoid additional organhypoperfusion. On the other hand, increasing MAP to85 mmHg does not result in improved tissue oxygenation ... be increased in these patients. It is likely that the monitoring of short-term PP changes in critically ill patients may provide valuable, indirect information on concomitant SV changes. In this ... thediscontinuous ventricular ejection by storing a fraction of theSV in systole and restoring it in diastole, thus allowingcontinuous blood flow at the organ level. Therefore, the humancirculation...
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Báo cáo khoa học: " Clinical review: Use of helium-oxygen in critically ill patient" potx
... consumption of a patientbecause of heterogeneity in the conditions of use (spon-taneous or mechanical ventilation), ventilator settings (in thesetting of mechanical ventilation) and duration ... crisis in a multicentre, randomized study.They found that early administration of He/O2 in association with inhaled β2-agonist therapy reduced the intubation rate and length of stay in the intensive ... published only in abstract form. In 2003, Rodrigo and coworkers [23] conducted a meta-analysis including seven prospective controlled studies: sixinvolving adults and one including children only....
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Báo cáo khoa học: "Clinical review: Management of difficult airways" pptx
... during anesthesia induction, a greatersafety margin to control the airway in morbidly obese patients was observed in comparison with induction without thepositive end-expiratory pressure, increasing ... airwaymanagement including preoxygenation, and some oxygena-tion and tracheal intubation techniques that may be per-formed to solve a difficult airway.Prediction of difficult tracheal intubationOne component ... kg/m2,respectively), the risk of oxygen desaturation at induction of anesthesia [21] and the risk of difficult intubation [22,23] areincreased. On the other hand, obesity alone could not predictDTI...
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Báo cáo khoa học: " Clinical review: Update of avian influenza A infections in humans" pdf
... fecal-oral and respiratory routes among wild birds and poultry [32]. Human interaction with these infectedsecretions and birds was the major mode of transmission, with contact including consumption of ... (59)H, hemagglutinin; ILI, influenza like illness; N, neuroaminidase.Table 4Person to person transmission of avian influenzaHong Kong Hong Kong Netherlands Thailand Vietnam Indonesia 1997 1997 ... seen in seasonal influenza A and B infections.Combination therapy with influenza A viruses has not beenstudied [84]. Ribaviron by inhalation has been evaluated in vitro with some avian influenza...
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Báo cáo khoa học: "Clinical review: Patency of the circuit in continuous renal replacement therapy" pps
... Davison AM: Comparison of the use of standard heparin and prostacyclin anticoagulation in sponta-neous and pump-driven extracorporeal circuits in patients with combined acute renal and hepatic ... pattern of flow, and position), the settings of CRRT (partial predilution and individualized control of filtrationfraction), and the training of nurses. In addition, anticoagulation isgenerally ... predilution and individualized control of filtration fraction), and the training of nurses. Systemic anti-coagulation interferes with plasmatic coagulation, plateletactivation, or both and should...
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Báo cáo khoa học: "Clinical review: Allocating ventilators during large-scale disasters - problems, planning, and process" pot
... aware of evolving changes in patients clinical conditions and be ableto maintain a relative ‘rank list’ of intensive care unit patients on ventilators relative to their clinical condition and other variables.The ... used within the matrix boxes and adjusted on an ongoing basis.A standardized method of assessing multi-organ function (and failure) is a key step in determining prognosis, and several scoring ... any guidelines, epidemiologic information, resource information, and regional hospital information.• Clinical care committee reviews facility/regional situation and examines the following:– Alternate...
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Báo cáo khoa học: "Clinical review: The implications of experimental and clinical studies of recruitment maneuvers in acute lung injury" pptx
... the importance of body posture(supine or prone) on regional distribution of intrapulmonaryventilation and perfusion, and the beneficial effects of proneposition in limiting VILI in experimental ... inflection point before asustained inflation. Loop B: tidal insuflation with a PEEP below thelower inflection point after a sustained inflation. Loop C: PEEP higherthan the lower inflection ... overdistension with redistribution of blood flow and consequently an increase in intrapulmonary shunt. Responders: solidcircles; nonresponders: solid triangles. Reproduced and modified with permission...
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