Báo cáo y học: "Clinical review: Acid–base abnormalities in the intensive care unit" doc
Báo cáo y học: "Clinical review: Acid–base abnormalities in the intensive care unit" doc
... utility identified in some studies
that is conspicuously lacking in others? The answer may be
found in the timing. Much like base excess, the value of the
SIG may be related to the time of assay. ... for other injuries in isolation or
combination. The interpretation of SBE must therefore
incorporate the injury complex into decision-making, perhaps
limiting its utility. A...
Báo cáo y học: "Is succinylcholine appropriate or obsolete in the intensive care unit" docx
... mortality
rate than cardiac arrest in succinylcholine-induced
hyperkalaemia alone [8].
Unpredictable activity
In intensive care patients there is large variability in the
activity of plasma cholinesterase, ... an enzyme that metabolizes
Commentary
Is succinylcholine appropriate or obsolete in the intensive care
unit?
Leo HDJ Booij
Institute for Anaesthesiology, University...
Báo cáo y học: " A stronger approach to weakness in the intensive care unit" doc
... creatine
kinase may help to identify CIM, but the peak may be missed
in the membranopathy/necrotizing varieties or creatine kinase
may not be significantly elevated in cases with loss of myosin
filaments. ... sensory loss, and absent reflexes distally in the
Figure 1
A flow chart giving an approach to generalized weakness and/or ventilatory failure in the intensive care un...
Báo cáo y học: " Rational use of computerized protocols in the intensive care unit" ppt
... nursing, and respiratory therapy staffs of
the Intermountain Respiratory Intensive Care Unit and of the Shock-
Trauma/Intermountain Respiratory ICU, and to the Respiratory Care
Department of the ... to training, explicit methods can be
an asset. In an environment that pays little heed to training,
they could be a disadvantage. Like any tool, guidelines can
be misused. Finally,...
Báo cáo y học: "Advanced directives and treatment decisions in the intensive care unit" potx
... of
illness/injury they will suffer and what types of medical
interventions they must consider [5]. Because medicine is not
static, making a prospective determination regarding the
types of treatment ... and maintain a collaborative relationship with
the health care team while promoting the patient’s particular
value system and respecting the individual’s autonomy.
Despite the fact...
Báo cáo y học: "Recently published papers: Heavyweight problems in the intensive care unit" potx
... recently in Intensive Care Medicine add more
weight to the arguments against such views [2,3].
In the study by Sakr and colleagues, the European obser-
vational Sepsis Occurrence in Acutely Ill ... studies add to the growing evidence that the obese
patient is not significantly disadvantaged in terms of outcome
following intensive care admission. Another study highlig...
Báo cáo y học: " Cost effectiveness of antimicrobial catheters in the intensive care unit: addressing uncertainty in the decision" doc
... min-
imal and the decision is driven by the change in costs. Most of
these costs represent the value of obtaining increased capac-
ity within the ICU, rather than cash savings. Nevertheless, the
results ... chlorhexidine silver sulfadiazine; CR-BSI, catheter related bloodstream infection; ICU,
intensive care unit; int/ext, internally and externally coated; MR, minocycline and...
Báo cáo y học: "Clinical review: The meaning of acid–base abnormalities in the intensive care unit – effects of fluid administration" potx
... combination. The single
exception is the addition of weak base (e.g. tris-hydroxymethyl
aminomethane) [6], which is normally absent from body fluids.
Review
Clinical review: The meaning of acid–base abnormalities ... In either case the
SID is reduced to 30 mEq/l, but with a fall in [Cl
–
] after water
dilution.
Interestingly, hypertonicity makes solutions more acidifying
[36...
Báo cáo khoa học: "Clinical review: The meaning of acid–base abnormalities in the intensive care unit – epidemiolog" ppt
... addressed in future study designs.
Without consistency in reporting acid–base methodology,
conflicting reports will continue.
Competing interests
The author(s) declare that they have no competing interests.
References
1. ... way to describe consistently the predominant
anion that drives the acid–base status. This may potentially
contribute to a clearer understanding of the und...
Báo cáo khoa học: "Bench-to-bedside review: Treating acid–base abnormalities in the intensive care unit – the role of renal replacement therapy" potx
... was essentially
secondary to hypoalbuminemia. Hypoalbuminemia lowered
the anion gap and masked the presence of acidifying anions
to those clinicians using conventional acid–base analysis.
Effect ... and
extent of these acid–base changes is governed by the inten-
sity of plasma water exchange/dialysis, by the ‘buffer’ content
of the replacement fluid/dialysate, and by the metab...