Báo cáo khoa học: ":Clinically important deep vein thrombosis in the intensive care unit: a survey of intensivists" pot

... addition, a definition of clinically important DVT could be used in future clinicalresearch. Therefore, as a first step toward defining a 'clinically important DVT', we surveyed critical care ... the lack of such data, the con-cept of a clinically important DVT in the critically ill is important because such an assessment may be used to determinewhether a DVT should be treated; in addition, ... MoreMuch MoreTable 1Patient factors affecting the clinical importance of deep venous thrombosis in intensive care unit patientsPatient factor Mean (SD)ratingClinical suspicion of pulmonary embolism...

Báo cáo khoa học: "Elevated troponin and myocardial infarction in the intensive care unit: a prospective study" potx

... with the data entry. WL is a Clinical Scholar with a Graduate Scholarship from the Canadian Institutes of Health Research, DJC is a Research Chair of the Canadian Institutes for Health Research, ... Research, MAC holds a Career Investigator Award from the Heart and Stroke Foundation of Canada, and PJD holds a Sen-ior Research Fellowship Award of the Canadian Institutes of Health Research.References1. ... evidence of myocardial ischemia. An elevated troponin alone cannotestablish a diagnosis of myocardial infarction (MI), yet the optimal methods for diagnosing MI in the intensive care unit(ICU) are...

Báo cáo khoa học: "Remifentanil for analgesia-based sedation in the intensive care unit" pdf

... Task Force of the American College of Critical Care Medicine (ACCM) of the Society of Critical Care Medicine (SCCM), American Society of Health-System Pharma-cists (ASHP), American College of ... goal of maintining an Sedation–Agitation Scale score of 4. Because of its rapid metabolism, pain was more frequentlyexperienced in patients after remifentanil was stopped than in the fentanyl group. ... This indicates the need for a strictanalgesia protocol, anticipating the rapid offset of pharmacological effect when using short-acting remifentanil.Clear evidence exists that the use of treatment...

Báo cáo khoa học: "nformed consent for research obtained during the intensive care unit stay" docx

... intensive care unit stayCatherine Chenaud, Paolo Merlani, Samuel Luyasu and Bara RicouService of Intensive Care, Department of Anesthesiology, Pharmacology and Intensive Care, University Hospital of ... status of the patient, that was the sole data not avail-able in the dataset of the clinical trial, was subsequentlyretrieved from the administrative file.Statistical analysisStatView for Windows ... criteria regarding the decision-making capac-ity of patients are lacking in international and national direc-tives, investigators usually use their clinical judgement and the Glasgow Coma Scale...

Báo cáo y học: "Is succinylcholine appropriate or obsolete in the intensive care unit" docx

... activity In intensive care patients there is large variability in the activity of plasma cholinesterase, an enzyme that metabolizesCommentaryIs succinylcholine appropriate or obsolete in the intensive ... byensuring an open airway. In the ICU these are absoluteindications, and rapid return of spontaneous ventilation is notnecessary, given that intubation is mainly indicated to startartificial ventilation. The ... of spontaneous breathingpossible if intubation fails. The situation in the ICU isdifferent, however. During anaesthesia, intubation andartificial ventilation are only indicated to facilitate...

Báo cáo y học: "Clinical review: Acid–base abnormalities in the intensive care unit" doc

... outcomeprognostication. These data may be incorporated into dailypractice using a handheld calculator, or a computer-basedmacro utilizing the relevant data points from the clinicallaboratory; automated abstraction ... gap.Critical Care April 2005 Vol 9 No 2 Kaplan and FrangosAbstractAcid–base abnormalities are common in the critically ill. The traditional classification of acid–base abnormalities and a ... survival after trauma, both blunt andpenetrating, as well as intra-abdominal catastrophe [5–7,9,10]. However, lactate also performs quite well in the intensive care unit (ICU) as a mortality gauge...

Báo cáo y học: "Advanced directives and treatment decisions in the intensive care unit" potx

... thisregard an informed surrogate can adjust to changingcircumstances and maintain a collaborative relationship with the health care team while promoting the patient’s particularvalue system and ... an individual surrogate (appointedby the patient) to assume decision-making authority as soonas the patient loses decisional capacity.Used independently of durable powers of attorney, living ... respecting the individual’s autonomy.Despite the fact that the United States is known forsupporting an assertive vision of autonomy and haswitnessed the importance of advanced decision-makingplayed...

Báo cáo y học: "Recently published papers: Heavyweight problems in the intensive care unit" potx

... Obesity is anincreasing problem in most of the western world withapproaching 300 million people being classified as obese,whereas starvation affects almost one-half of the globalpopulation. Indeed, ... recently in Intensive Care Medicine add moreweight to the arguments against such views [2,3]. In the study by Sakr and colleagues, the European obser-vational Sepsis Occurrence in Acutely Ill Patients ... reading. There was noassociation between increased mortality and obesity. Therewas, however, an increase in morbidity with a trend towardslonger length of stay, both in the ICU and in the hospital,between...

Báo cáo khoa học: "Radiation Induced Temporal Lobe Necrosis in Patients with Nasopharyngeal Carcinoma: a Review of New Avenues in Its Management" doc

... Southern China, particularly in Guangdong province and in the northern parts of Africa and Inuits of Alaska[1]. Till date radiotherapy remains the mainstay treatment of NPC[2]. A definitive radiation ... determinants. Br J Radiol 1992, 65:710-714. 6. Rubenstein LJ: Radiation changes in intracranial neoplasms and the adjacent brain. In Book Radiation changes in intracranial neoplasms and the adjacent ... T, Yamada Y, Hyodo A, Nose T, Ishikawa H, Hatakeyama R: The role of thallium-201 single photon emission tomography in the investigation and characterisation of brain tumours in man and their...

báo cáo khoa học: " Community capacity to acquire, assess, adapt, and apply research evidence: a survey of Ontario’s HIV/AIDS sector" pot

... study, the dataanalysis and interpretation, drafted the original manuscript, and incorporatedrevisions from the study team. SBR contributed to the conception anddesign of the study, the data analysis ... by managers of healthcare organizations and bypolicy makers in government [14,15], there is still an important gap in the availability of a specific strategy forCBOs [3]. Many existing strategies ... coordinating the survey administration.Author details1 The Ontario HIV Treatment Network, Toronto, Canada.2McMaster HealthForum, Hamilton, Canada.3Centre for Health Economics and Policy Analysis,McMaster...

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