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 torespiratory failure, perhaps for the first time. Choose best?Finally, which is the expert choice, and on what basis? Perrinand colleagues surveyed UK clinicians ... support. The debatecontinues as to whether NIV is truly effective, under whatcircumstances, and which patients should receive it.Thankfully more studies are being powered to answer thesequestions.Nava...

Báo cáo khoa học: "Recently published papers: Curing, caring and follow-up" pot

... is a major cause of critical illness, with a mortality rate inthe range of 3 0–5 0%. Two landmark papers have been published in the past 18 months that have significantly furtheredour ability ... could now be writing a verydifferent report.To confuse matters further, as in the antithrombin III trial [4],heparin administration, which was not part of the trial protocol,appears to have ... intensivecare units (ICUs) over an 18-month period. In particular, theCommentaryRecently published papers: Curing, caring and follow-upGareth WilliamsConsultant in Anaesthesia and Critical...

Báo cáo khoa học: "Recently published papers: Asking the unanswerable – measuring the immeasurable and decontaminating the infected" docx

... concentrations.Somewhat unsurprisingly, the overall conclusion was thatCommentaryRecently published papers: Asking the unanswerable – measuring the immeasurable and decontaminating the infectedHardeep S Benepal1and ... be the preferred treatment aim.The authors must be applauded for their honesty in that theyaccept and demonstrate that glucose levels in the ICU aredifficult to control, in which we find some ... Nashville, Tennessee, May 18 1963As 2003 marches on one is left reflecting on yet another yearin which the intensive care literature has continued tochallenge the accepted tenets, and as always...

Báo cáo khoa học: "Recently published papers: all the usual suspects and carbon dioxide" pps

... pulmonary diseasepatients. However, enthusiasm for this technique in otherCommentaryRecently published papers: all the usual suspects and carbondioxideJonathan BallLecturer in Intensive Care ... twofurther large-scale, multicentre trials into the use ofpulmonary artery catheters.An American group published data from 1010 intensive careunit admissions with severe sepsis and performed a complexseries ... end-expiratory pressure group. For their manoeuvre they chose a30 s sustained inflation to 3 5–4 0 cmH2O. The group studied72 patients using a crossover design and performed onemanoeuvre...

Báo cáo khoa học: "Recently published papers: Bugs, fluids, obesity and food" pps

... treated withlinezolid 600 mg or vancomycin 1 g every 12 hours for 7–2 1 days, both combined with aztreonam (a monobactamspecific to Gram-negative organisms). Clinical cure ratesassessed 1 2–2 8 ... caloricintake of 138 adult patients on the medical ICU was recordedand grouped into <25%, 2 5–4 9%, 5 0–7 4% and ≥75% oftheir recommended daily calorie intake. Nosocomialbloodstream infection was ... renalreplacement therapy, and deep venous thrombosis andstress ulcer prophylaxis.CommentaryRecently published papers: Bugs, fluids, obesity and foodNeil Hall1and Gareth Williams21Specialist Registrar...

Báo cáo khoa học: "Recently published papers: Out with the old and in with the new … then something new for the old" pptx

... arterial. Ofthese 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 weresignificantly decreased in the potassium dichromate group.Interestingly, β2-agonists (standard treatment for COAD)were ... some imbalances between theplacebo and treatment group characteristics, the authors240Critical Care June 2005 Vol 9 No 3 Carbert and Vennstress that early treatment with glucocorticoids and use...

Báo cáo khoa học: "Recently published papers: An ancient debate, novel monitors and post ICU outcome in the elderly" potx

... tomography; Cv–aCO2= central venous–arterial carbon dioxide difference; GCS = Glasgow Coma Scale;HRQOL = health related quality of life; ICU = intensive care unit; Mv–aCO2= mixed venous–arterial ... and lack of consensuson how to measure HRQOL. They urge the need for furtherresearch, which must be well designed, prospective and usevalidated, reliable and responsive measures of HRQOL.Competing ... cardiacindices using the thermodilution technique. The group foundexcellent correlation between Cv–aCO2and Mv–aCO2, with acorrelation coefficient across all diagnoses and circulationtypes (high,...

Báo cáo khoa học: "Recently published papers: What not to do and how not to do it" ppsx

... hypertension, and in the light ofescalating 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 greaterrequirement for intravenous fluid support ... oxygentension/fraction of inspired oxygen ratio in the treatmentgroup at 24, 48 and 72 hours. In terms of clinical outcomes,30-day mortality was 7/20 (35%) in the treatment arm and9/20 (45%) in the placebo...

Báo cáo khoa học: "Recently published papers: Treating sepsis, measuring troponin and managing the obese" pdf

... differences in the baseline characteristics of thetwo groups as well as non-standardisation of volumeCommentaryRecently published papers: Treating sepsis, measuring troponinand managing the obeseNicholas ... chance tomake the diagnosis by correlating the troponin test withother tests – certainly the ECG – in all patients.Treating the obese in ICUA subject rarely out of the popular press these days ... the question ofwhat to do even if it is a true acute coronary syndrome is notyet known – conventional treatments for AMI have yet to befully evaluated in the context of the critically ill patient....

Báo cáo khoa học: "Recently published papers: pneumonia, hypothermia and the elderly" pot

... North America to assess treatment patterns andoutcome associated with de-escalation therapy. This involvesinitial broad-spectrum antibiotic administration followed bytargeted therapy (de-escalation) ... commonly methicillin-resistantStaphylococcus aureus (14.8%) and PseudomonasCommentaryRecently published papers: pneumonia, hypothermia and theelderlyChristopher Bouch and Gareth WilliamsUniversity ... combination wasfollowed for 56.7%. Patients with an underlying medicaldisorder were less likely to be treated in accordance with theguidelines. Failure to follow the prescribing guidelines resultedin...

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