Báo cáo y học: "Clinical review: Evidence-based perioperative medicine" doc

... improve survival? There are few data on the effect of treatment of AF on mortality in ICU patients. A meta-analysis in non-ICU patients showed that class IA, class IC and class III antiarrhythmic agents are equally ... placebo [91,94-97]. A meta-analysis showed that class IA, class IC and class III antiarrhythmic agents are equally effective in obtaining SR [98]. Meta-analy...

Ngày tải lên: 25/10/2012, 10:35

... reporting barriers partly owing to fewer liability concerns, and an opportunity to study recovery patterns [75]. Ideally, error reporting should be voluntary, anonymous, centralized to increase ... Herout PM, Erstad BL: Medication errors involving continu- ously infused medications in a surgical intensive care unit. Crit Care Med 2004, 32:428-432. 80. Stambouly JJ, McLaughlin LL, Mandel...

Ngày tải lên: 25/10/2012, 10:35

... severity (where Review Clinical review: Severe asthma Spyros Papiris, Anastasia Kotanidou, Katerina Malagari and Charis Roussos Department of Critical Care and Pulmonary Services, National and Kapodistrian ... hypovolemia, and primar- ily lung hyperinflation. Dynamic hyperinflation, as previously discussed, occurs when the highly increased airway expira- tory resis...

Ngày tải lên: 12/08/2014, 18:21

... of highly cont- aminated material. Hand washing is an important yet underused measure to prevent nosocomial infections. Review Clinical review: Non-antibiotic strategies for preventing ventilator-associated ... 9.2 days of additional hospital stay [11], and Fagon et al. calculated the median length of stay in the ICU for the patients that developed VAP to be 21 days, versus a me...

Ngày tải lên: 12/08/2014, 18:21

... therapy play a significant role in preventing mortality and morbidity in pediatric patients. Preventing bacteremia associated with dental or oral surgery can be accomplished by prophylactic administration ... wound infections (16%); the female genitourinary tract (5%); and lung infections (4%). Fainstein et al. [31] found bacteremia caused by B. fragilis to be common in patien...

Ngày tải lên: 12/08/2014, 18:21

... perfusion may indicate blood flow redistribution. Alternatively, some meta- bolic functions of the hepato -splanchnic region may have been impaired. Dopamine may directly inhibit isoenzymes of the cytochrome ... Liver dysfunction was associated with a markedly higher mortality rate [28], and the ability to increase splanchnic oxygen delivery in septic conditions correlated with a lower mor...

Ngày tải lên: 12/08/2014, 18:21

... This indicates that HSS suppresses neutrophil function by intercepting signal pathways upstream of or apart from protein kinase C. Neutrophils incubated in hypertonic saline showed a reduction in ... Hyper- tonic saline in stabilized hyperdynamic sepsis. Shock 1996, 5: 130-134. 17. Kristensen J, Modig J: Ringer’s acetate and dextran-70 with or without hypertonic saline in en...

Ngày tải lên: 12/08/2014, 19:21

... depression in sepsis and septic shock Myocardial hypoperfusion The possibility of myocardial dysfunction in sepsis was origi- nally proposed and described in the 1960s. Its etiology, however, remained ... in septic myocardial depression. Cellular mechanisms of septic myocardial depression Depression of myocardial contractility by TNF-α, IL-1β and septi...

Ngày tải lên: 12/08/2014, 19:21

... of animal models with fever and infection, call into question the routine practice of treating fever in critically ill patients. Keywords fever, heat shock proteins, intensive care unit, nuclear factor-κB, ... the intensive care unit (ICU) with severe sepsis, the incidence of fever is more than 90% [2]. As there is variation in the incidence of reported fevers, the etiol...

Ngày tải lên: 12/08/2014, 19:22

... al. dilution). In arteriovenous circuits blood is driven by the patient’s blood pressure through a filter, via an extracorporeal circuit originating from an artery and terminating in a vein. However, in ... for blood purification, but are currently in the clinical testing phase. One such system is the molecular adsorbent regener- ating system device, which employs a polysulfo...

Ngày tải lên: 12/08/2014, 19:22

... is Review Clinical review: High-frequency oscillatory ventilation in adults — a review of the literature and practical applications Frank V Ritacca 1 and Thomas E Stewart 2,3 1 Clinical Fellow, Division of ... ventilator circuit and is therefore only a surrogate of the actual pressure oscillations in the airways. These pressures are generally g...

Ngày tải lên: 12/08/2014, 19:22

... many daughter merozoites (blood schizogony). Eventually, the infected erythrocytes are lysed by the merozoites, which subsequently invade other erythrocytes, starting a new cycle of schizogony. ... pulmonary edema include tachypnea and dyspnea, followed by hypoxemia and respiratory failure requiring intubation. Pulmonary edema is usually noncardio- genic and may progress to acute respiratory...

Ngày tải lên: 12/08/2014, 19:22

... important cause of perioperative morbidity and mortality. This is thought to be due to sympathetic over-activity increasing heart rate, myocardial workload and the incidence of arrhythmias. Perioperative blockade ... out’ succinctly summarises the futility of performing a meta- analysis of poor quality studies and then imbuing the summary statistic with any significance. The inclusion of...

Ngày tải lên: 12/08/2014, 20:20

... oxygen consumption, favourably modifying the balance of oxygen demand/supply. Consequently, it is an ideal application in post- cardiotomy cardiac dysfunction, especially in suspected coronary ... JY, Bondy R, Cattran C, Nathan HJ, Wynands JE: Amrinone and dobutamine as primary treatment of low cardiac output syndrome following coronary artery surgery: a comparison of thei...

Ngày tải lên: 13/08/2014, 19:20

... for critical care training, either abroad or domestically, before returning to practice as intensivists [4,5]. Development of critical care medicine as a specialty in mainland China In mainland ... ventilation, inspired the development of critical care medicine in Europe and North America in the 1950s, critical care medicine is still one of the newest di...

Ngày tải lên: 13/08/2014, 20:21