Báo cáo y học: "Clinical review: Treatment of heat stroke: should dantrolene be considered" doc
Báo cáo y học: "Clinical review: Treatment of heat stroke: should dantrolene be considered" doc
... efficacy of dantrolene both as a prophylactic
agent and as a therapeutic drug. Administration of high doses
of dantrolene (140 mg/kg intravenously) before heat stress
delayed the development of HS ... is usually caused by
an imbalance between total heat (metabolic and environ-
mental heat) accumulated and total heat lost from the body.
Hyperthermia per se may be physiolog...
Báo cáo y học: "Clinical review: Treatment of new-onset atrial fibrillation in medical intensive care patients – a clinical framework"
... contraction, by irregularity of ventricular
contraction [43], by inadequate filling time for the left
ventricle due to tachycardia, and by tachycardiomyopathy
[8,44]. Tachycardiomyopathy can occur ... ICU patients
because of the polypharmacy and because of the difficulty to
distinguish between adverse effects, underlying disease and
other nosocomial complications.
Can treatment of a...
Báo cáo y học: "Clinical review: Impact of emergency department care on intensive care unit cost" ppsx
... [35].
Finally, in the UK study conducted by Gray and coworkers
[13] the second most commonly noted reason for transfer of
critically ill ED patients to a referral hospital was a lack of an
available bed ... possible that the morbidity they noted resulted in increased
cost. This is partly borne out by a study conducted by Teres
and colleagues [17] that examined the effect of severity of...
Báo cáo y học: "Clinical review: Acid–base abnormalities in the intensive care unit" doc
... probably
insignificant for the young and otherwise physiologically
sound patients, they may be significantly physiologically
challenging for the elderly or for those with physiologic
decompensation ... predictive of outcome in the critically ill,
and they should be incorporated into a prognostication
method. Future studies of acid–base prediction of outcome
should strongly consi...
Báo cáo y học: "Clinical review: Imaging in ischaemic stroke – implications for acute management" pot
... Validity and reli-
ability of a quantitative computed tomography score in pre-
dicting outcome of hyperacute stroke before thrombolytic
therapy. ASPECTS Study Group. Alberta Stroke Programme
Early ... indicates
recanalization [63], and effectively does not appear to benefit
from thrombolysis (see below).
A number of uncertainties have recently arisen regarding the
pathophysiologic accur...
Báo cáo y học: "Clinical review: Goal-directed therapy in high risk surgical patients" docx
... American Society of Echocar-
diography, American Society of Nuclear Cardiology, Heart
Rhythm Society, Society of Cardiovascular Anesthesiologists,
Society for Cardiovascular Angiography and Interventions,
Society ... results, this practice has not been
widely embraced for a number of reasons. Firstly, there may
be confusion in identifying patients who may benefit from this
therapy....
Báo cáo y học: "Clinical review: High-frequency oscillatory ventilation in adults — a review of the literature and practical applications" ppsx
... use of HFOV appeared to be safe, with no
increased rates of barotrauma or hemodynamic instability. It
should be noted that the control arm of this study may not be
considered the gold standard of ... disadvantages of HFOV
Patients on HFOV often require heavy sedation and/or neuro-
muscular blockade, which may be problematic, especially in
view of evidence supporting a be...
Báo cáo y học: "Clinical review: The management of hypertensive crises" ppsx
... bioavailability of thiosulfate.
Nitroprusside may cause cytotoxicity because of the release
of cyanide with interference with cellular respiration
[122,123]. Cyanide toxicity has been documented ... as should any history of renal
and cardiac disease. The use of prescribed or nonprescribed
medications, and recreational drugs should be determined.
The blood pressure in both arms...
Báo cáo y học: "Clinical review: How to optimize management of high-risk surgical patients" doc
... of
perioperative myocardial ischaemia. This usually accounts for
between 10% and 20% of the total population of high-risk
patients. Ideally, this form of management should be
commenced before surgery and ... 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 insertio...
Báo cáo y học: "Clinical review: Vasculitis on the intensive care unit – part 2: treatment and prognosis" ppsx
... vasculitis may
be hypotensive because of a combination of dehydration,
haemorrhage and systemic inflammatory response syndrome.
As such they may require ionotropic/vasopressor support [33].
Hypertension ... Despite the often severe nature of
their initial presentation to the ICU, a trial of full therapy should
be made before decisions on futility are made.
The principal causes...