Báo cáo y học: "Clinical review: Vasculitis on the intensive care unit – part 2: treatment and prognosis" ppsx

... unnecessary immunosuppressive therapy. In thissecond part of the review we consider the role played by the ICU in their treatment and look at the prognosis of the fulminantpresentations. Although there ... to the ICU patients with fulminant vasculitis maybe hypotensive because of a combination of dehydration,haemorrhage and systemic inflammatory response syndrome.As such they may require ionotropic/vasopressor ... series [5].Conclusion The modern treatment of vasculitis has revolutionized the outlook for these conditions. From near universal mortalitywithin years, or even months, the expectation now favourssurvival...

Báo cáo y học: " Clinical review: Vasculitis on the intensive care unit – part 1: diagnosis" doc

... attention is paid to the more fulminant presentations of these conditions and the role of the critical care physician in their diagnosis and management.Keywords antineutrophil cytoplasmic antibody, ... Churg–Strauss syndrome (CSS) and polyarteritisnodosa (PAN). We explore the diagnosis of these entities in the setting of the ICU and discuss their treatment, with anemphasis on the role of the ... avoiding unnecessary immunosuppressive therapy. The first presentation to the ICU may be with respiratory failure and nonspecific changes on the chest radiograph rather than the more classical...

Báo cáo y học: "Clinical information systems in the intensive care unit: primum non nocere" ppt

... information systems in the intensive care unit: primum non nocereStephen E Lapinsky Intensive Care Unit, Mount Sinai Hospital and Interdepartmental Division of Critical Care, University of Toronto, ... information technology toclinical care. The paper by Morrison and colleagues [1] in the previous issue of Critical Care describes the impact of the introduction of an electronic patient record on ... accessible to only a few team members. The attention of the group was no longer focused on the patientdata and it was noted that team members had difficultyentering the conversation, impairing...

Báo cáo y học: " Blood glucose control in the intensive care unit: discrepancy between belief and practice" potx

... May 2010References1. Preissig CM, Rigby MR: A disparity between physician attitudes and practice regarding hyperglycemia in pediatric intensive care units in the United States: a survey on ... TGC.Finally, the results of ongoing and future studies regarding TGC in critically ill adults and children can help to close the gap between physicians’ convictions, attitudes, and daily practices and ... increases the workload and responsibility for bedside nurses. Frequent blood testing, interpretation of the blood glucose results, and ﬁ nally adapting the insulin infusion are very demand-ing...

Báo cáo y học: "Dose of dialysis in the intensive care unit: is the venom in the dose or in the clinical experience" pdf

... in the study by Vesconi and colleagues. Interestingly, there wasalso no difference in obtained net ultrafiltration between low and intensive dose groups in the VA/NIH trial [7] and a studyby ... havebeen the consequence of external conditions, of which bodyweight of the patients was the main one. The patients with the lowest dose of CRRT were approximately 33% heavierthan those with the ... acute kidneyinjury patients than the dose of dialysis.Finally, despite the previous seminal study [2] by the seniorauthor of the paper by Vesconi and colleagues demonstratingthat a ‘high’ dose...

Báo cáo y học: "Pseudomonas aeruginosa acquisition on an intensive care unit: relationship between antibiotic selective pressure and patients’ environment" pps

... bacteriological study. FV participated in the acquisition ofpatients’ data and in the conception of the study. GH participated in the conception of the study. DG conceived the study, participated in ... the designof the study, performed the statistical analysis, participated in the articleredaction, and contributed to this study equally with AB. RT participated in the design of the study and ... findings as they accounted foronly 7% of total patient-days.ConclusionsIn conclusion, this study adds further support for aninteraction between the patient colonization pressure and antibiotic...

Báo cáo y học: "Optimizing antibiotic therapy in the intensive care unit setting" pdf

... of the antibioticprogramme [45]. The antibiotic selection was based on monthly reviews of the pathogens isolated from the inten-sive care unit and their antibiotic susceptibility patterns.These ... (ampicillin/sulbactam and piperacillin/tazobactam)because of their enhanced activity against enterococcus. The average monthly use of ceftazidime and vancomycindecreased by 55 and 34%, respectively, after 6 months ... vancomycin, imipenem)in addition to their standard practices. The incidences ofVRE infection and colonization were statistically reduced,as was use of the targeted antimicrobial agents. Thesestudies...

Báo cáo y học: "Acute kidney injury in the intensive care unit: current trends in incidence and outcome" potx

... ‘aggressive’diagnostic and therapeutic approach, then prevention of AKI,both primary and secondary, remains the key to continuedimprovement in outcome. Ideally, we would like to be able toprevent progression ... Changes in the incidence and outcome forearly acute injury in a cohort of Australian intensive care units.Crit Care 2007, 11:R68.2. Ympa YP, Sakr Y, Reinhart K, Vincent JL: Has mortality fromacute ... measures,animal models, fluid therapy and information technologyneeds: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care 2004, 8:R204-R2121.8....

Báo cáo y học: "Pharmacotherapeutic friendly fire in the intensive care unit: high stakes seeking high calibre" doc

... minimizing intensive care unit- acquired morbidity, in the present issue of Critical Care Moyen,Camire, and Stelfox describe the importance of quality pharmaco-therapy. They describe challenges and ... topatient safety in the intensive care unit (ICU). In the presentissue of Critical Care, Moyen, Camire, and Stelfox describe the importance of quality pharmacotherapy [1]. Their narrativereview ... pharmacotherapy in the ICU. The ICU represents the meeting of the high-risk patient,polypharmacy, physiologic complexity, and an interventionalenvironment that provides many opportunities for...

Báo cáo y học: "Tight glycaemic control in the intensive care unit: pitfalls in the testing of the concept" docx

... size,let alone to decisively judge the effectiveness of tightglycaemic control. The honest conclusion from this study is that tight glycaemiccontrol is a demanding and complex intervention, making ... bloodglucose control or a combination of the two. The resultingoverlap of about 50% between the standard and intensive treatment groups weakened the robustness of the results of the study. It also ... [5].Third, further aggravating the problem of power, the studyturned out to realize intensive insulin therapy, but without tightglycaemic control. The median morning blood glucose level in the intensive...

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