Báo cáo y học: "Clinical review: How to optimize management of high-risk surgical patients" doc

... failure to apply management protocols correctly precludes the use of the study by Sandham and coworkers [12] to draw conclusions regarding the efficacy of GDT, useful evidence of the safety of PAC ... Cardiorespiratory patterns of surviving and nonsurviving postoperative patients. Surg Gynecol Obstet 1972, 134:810-814. 2. Clowes GH, Del Guercio LR: Circulatory response to tr...

Ngày tải lên: 12/08/2014, 20:20

... American Society of Echocar- diography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society ... pre-operatively to institute GDT and, similarly, many high-risk patients do not return to a critical care environment following surgery. Currently, only a small propo...

Ngày tải lên: 13/08/2014, 19:20

... colleagues compared history and clinical examination, laboratory data and radionuclide data with exercise testing. They found that an inability to perform 2 min of supine bicycle exercise to raise the ... determines their ability to support the postoperative demand of increased oxygen consumption and therefore of cardiac output. We have shown that myocardial ischemia only becomes...

Ngày tải lên: 12/08/2014, 20:20

... another indicator of an underlying disease (hypoperfusion), but interpretation must be tempered by age and the mechanism of injury. Hyperchloremic acidosis While we touched upon hyperchloremic ... impacted by hyperchloremic metabolic acidosis. While these events are probably insignificant for the young and otherwise physiologically sound patients, they may be significantly physiologically...

Ngày tải lên: 12/08/2014, 20:20

... viability (the ability to be clinically managed and live after intensive interventions) of neonates may be expected. Pregnancies beyond the point of fetal viability may potentially receive ... clear, documented need for the limited resource (for ventilation, refractory hypoxemia, respiratory acidosis (pH <7.25), impending respiratory failure and/or evidence of inability to...

Ngày tải lên: 13/08/2014, 20:21

... the effectiveness of a number of drugs (Table 1). All brachytherapy trials were of very low quality (Jadad score of ‘0’ )andoftenthere was lack of clarity in the papers about key methodologi- cal ... oesophagorespiratory fistulas, lympangitic carcinomatosis, superior vena cava syndrome and treat- ment-induced cough as a result of radiotherapy or mor e rarely chemotherapy [5]. 3.2....

Ngày tải lên: 13/08/2014, 10:20

... terms of oxy- genation, constant tidal volume delivery, and regular respiratory cycles. However, a bench study analysis of several portable ventilators [58] revealed their inferiority compared to ... ED to ICU. Thirty-eight percent of transfers took over 20 minutes to organise, and 14% took over an hour. In almost one-third of cases, the delay was caused by a shortage of avail...

Ngày tải lên: 13/08/2014, 20:22

... by the loss of coordinated atrial contraction, by irregularity of ventricular contraction [43], by inadequate filling time for the left ventricle due to tachycardia, and by tachycardiomyopathy [8,44]. ... electro- lyte disturbances, reducing sympaticus tonus and avoiding proarrhythmic drugs. Reduction of the systemic inflammatory state is tempting but is of course always the purpose...

Ngày tải lên: 25/10/2012, 10:35

... greater event frequency for quantitative analysis, fewer reporting barriers partly owing to fewer liability concerns, and an opportunity to study recovery patterns [75]. Ideally, error reporting ... providers of medical care may not result in meaningful safety improvement. Instead, the approach of identifying failures and redesigning faulty systems appears to be a more promising way...

Ngày tải lên: 25/10/2012, 10:35

... test to determine the quality of any given assembly against a finished or high quality draft assembly. We randomly selected a large number of high quality oriented k-mers from the 2× assembly (in ... forth. Results Validation of the assisted assembly algorithm We tested the performance and accuracy of our assisted assembly algorithms against the 7.6× high quality draft assembly of...

Ngày tải lên: 09/08/2014, 20:20