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...

Ngày tải lên: 12/08/2014, 20:20

... 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...

Ngày tải lên: 12/08/2014, 18:21

... 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...

Ngày tải lên: 12/08/2014, 20:20

... 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,...

Ngày tải lên: 12/08/2014, 18:21

... 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...

Ngày tải lên: 13/08/2014, 08:20

... 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...

Ngày tải lên: 13/08/2014, 11:23

... 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...

Ngày tải lên: 13/08/2014, 16:20

... 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...

Ngày tải lên: 12/08/2014, 20:20

... 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...

Ngày tải lên: 12/08/2014, 22:22

... 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...

Ngày tải lên: 12/08/2014, 20:20