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

... high and their postoperative care will be complicated. It has been shown that patients with poor ventricular function who are unable to increase cardiac output to meet the postsurgical demand have ... ml/min/kg). 370 Critical Care October 2004 Vol 8 No 5 Older and Hall Surgical risk also has two components: the extent and, to a lesser degree, the duration of the procedure both cause a...

Ngày tải lên: 12/08/2014, 20:20

... such patients to facilitate optimal fluid therapy is logical. A practical approach to perioperative care for the high-risk patient The first step in the care of such patients is to identify the individual ... Cardiorespiratory patterns of surviving and nonsurviving postoperative patients. Surg Gynecol Obstet 1972, 134:810-814. 2. Clowes GH, Del Guercio LR: Circulatory response to...

Ngày tải lên: 12/08/2014, 20:20

... directed towards identifying risk for the individual; and the conduct of clinical trials to show that prior knowledge of individual risk can allow treatment and management decisions to be adapted to ... and for a patient cohort. A doctor may assess the individual patient’s risk in order to better inform Review Clinical review: How is risk defined in high-risk surgical patient...

Ngày tải lên: 12/08/2014, 22:21

... experimentally. On a similar footing, NH 4 + excretion could be understood as means to excrete Cl – without Na + in order to increase SID in the body. However, apart from their influence on SID, the excretion ... predictably to proximal RTA. Important are other genetic diseases that cause a generalized proximal tubular syndrome (Fanconi’s; e.g. cystinosis, fructose intolerance, etc.) an...

Ngày tải lên: 12/08/2014, 22:22

... patients to vacate at the RGHT beds. Too few beds in system for a larger incident Single portal of entry to the RGHT to avoid missed injury and direct Patient identity mistaken due to early ... cardiac surgical ICU) difficult, as has been found elsewhere [4]. Due to the need to be mobile, the hospital telephone system was of limited use and on many occasions the coordinators ha...

Ngày tải lên: 12/08/2014, 22:21

... approach to WSD that directly incorporates evidence from four other languages. To this end, we build further on two well-known research ideas: (1) the possibility to use parallel corpora to extract ... Corpus 2 and BNC 3 . To label the test data, native speakers provided their top three translations from the predefined clusters of Europarl translations, in order to assign frequency...

Ngày tải lên: 20/02/2014, 05:20

... matrix through transmem- brane adhesion receptors such as integrins. These receptors transmit forces from the surrounding matrix to the cytoskele- ton via the focal adhesion complex [11]. When ... inflection point without RM. Furthermore, those investigators showed that a single sustained inflation to 30 cmH 2 O boosted the ventilatory cycle onto the deflation limb of the pressure–volume...

Ngày tải lên: 12/08/2014, 19:22

... transcriptions factors such as nuclear factor-κB (mediated by the inhibitory factor IκB) and activator protein-1 [2]. Simultaneously, gluco- corticoids stimulate the production of anti-inflammatory factors ... pas- sively and binds to a soluble cytosolic receptor – glucocorti- coid receptor type II – which in its inactive form is bound to heat shock protein-90. The glucocorticoid-receptor...

Ngày tải lên: 12/08/2014, 19:22

... contribute to error by failing to recognize trends in a deteriorating patient’s condition. Postoperative patients In the UK the 1993 National Confidential Enquiry into Periop- erative Deaths showed ... DR: Introducing the postoperative care team [editor- ial]. BMJ 1997, 314:389. 54. Goldhill DR, Worthington L, Mulcahy A, Tarling M, Sumner A: The patient at risk team: identifying and manag...

Ngày tải lên: 12/08/2014, 20:20

... deterio- rating into VF just before arrival of the rescuers with a defibril- lator. Therefore, having the technology or ability to predict the level of ischemia in the heart would be more useful than a stopwatch. Fortunately, ... most often to delays in the delivery of basic CPR by witnesses or delays in rapid defibrillation by EMS personnel [3,4]. However, recent laboratory and clinical...

Ngày tải lên: 12/08/2014, 20:20