Báo cáo khoa học: "Recently published papers: choose well, treat well, get well – which matters most" ppsx

... elsewhere, notwithstanding the benefits of oral decontamination, perhaps this is a strategy we should all be adopting. Get well There is definitely growing interest in noninvasive ventilation (NIV); more so where inspiratory ... and no underlying predisposition to respiratory failure, perhaps for the first time. Choose best? Finally, which is the expert choice, and on what basis? Perr...

Ngày tải lên: 12/08/2014, 20:20

... is a major cause of critical illness, with a mortality rate in the range of 3 0–5 0%. Two landmark papers have been published in the past 18 months that have significantly furthered our ability ... could now be writing a very different report. To confuse matters further, as in the antithrombin III trial [4], heparin administration, which was not part of the trial protocol, appears to...

Ngày tải lên: 12/08/2014, 20:20

... concentrations. Somewhat unsurprisingly, the overall conclusion was that Commentary Recently published papers: Asking the unanswerable – measuring the immeasurable and decontaminating the infected Hardeep S Benepal 1 and ... be the preferred treatment aim. The authors must be applauded for their honesty in that they accept and demonstrate that glucose levels in the ICU are difficult t...

Ngày tải lên: 12/08/2014, 20:20

... pulmonary disease patients. However, enthusiasm for this technique in other Commentary Recently published papers: all the usual suspects and carbon dioxide Jonathan Ball Lecturer in Intensive Care ... two further large-scale, multicentre trials into the use of pulmonary artery catheters. An American group published data from 1010 intensive care unit admissions with severe sepsis and per...

Ngày tải lên: 12/08/2014, 20:20

... treated with linezolid 600 mg or vancomycin 1 g every 12 hours for 7–2 1 days, both combined with aztreonam (a monobactam specific to Gram-negative organisms). Clinical cure rates assessed 1 2–2 8 ... caloric intake of 138 adult patients on the medical ICU was recorded and grouped into <25%, 2 5–4 9%, 5 0–7 4% and ≥75% of their recommended daily calorie intake. Nosocomial bloodstr...

Ngày tải lên: 12/08/2014, 20:20

... arterial. Of these the most common were cerebral infarction, of which two were fatal, followed by myocardial infarction, most of which were followed by good recovery. Fass and coworkers [5] investigated ... secretion production) as well as the time to extubation and length of stay. All were significantly decreased in the potassium dichromate group. Interestingly, β 2 -agonists (standard...

Ngày tải lên: 12/08/2014, 22:22

... tomography; Cv–aCO 2 = central venous–arterial carbon dioxide difference; GCS = Glasgow Coma Scale; HRQOL = health related quality of life; ICU = intensive care unit; Mv–aCO 2 = mixed venous–arterial ... and lack of consensus on how to measure HRQOL. They urge the need for further research, which must be well designed, prospective and use validated, reliable and responsive measures of HRQ...

Ngày tải lên: 12/08/2014, 22:22

... hypertension, and in the light of escalating costs, the use of inhaled NO – outside of well designed clinical trials – cannot be defended. By contrast, evidence is accumulating that NO plays ... latter. The treatment group achieved greater cumulative, negative fluid balance at 72 hours (–5 480 ml versus –1 490 ml; P < 0.01), in part because of a greater requirement for intra...

Ngày tải lên: 12/08/2014, 22:22

... differences in the baseline characteristics of the two groups as well as non-standardisation of volume Commentary Recently published papers: Treating sepsis, measuring troponin and managing the obese Nicholas ... chance to make the diagnosis by correlating the troponin test with other tests – certainly the ECG – in all patients. Treating the obese in ICU A subject rarely out of...

Ngày tải lên: 12/08/2014, 23:20

... North America to assess treatment patterns and outcome associated with de-escalation therapy. This involves initial broad-spectrum antibiotic administration followed by targeted therapy (de-escalation) ... commonly methicillin-resistant Staphylococcus aureus (14.8%) and Pseudomonas Commentary Recently published papers: pneumonia, hypothermia and the elderly Christopher Bouch and Gareth Wi...

Ngày tải lên: 13/08/2014, 03:20