Báo cáo y học: "Recently published papers: The message is clear – start early" ppt

... days, ICU-free days, or organ failure-free days. Lactate clearance From the emergency department in Detroit, home of early goal-directed therapy [5], comes another simple and elegant study of the ... medical therapy. The primary outcome measures were ICU mortality and need for reintubation. The trial was stopped at an interim analysis because of a statistically significant increase in...

Ngày tải lên: 12/08/2014, 20:20

... adopted with the same enthusiasm as that of the balloon directed pulmonary artery catheter in the early 1980s. There is some good news for the pulmonary artery catheter enthusiasts – there was no ... were that there was no benefit to therapy directed by pulmonary artery catheters over standard care in this patient group. Indeed, there was a higher rate of pulmonary embolism in...

Ngày tải lên: 12/08/2014, 19:22

... and timely summaries. The only concern I have is that the delay in their publication negates some of the momentum that such expert panels should generate. Sepsis To complement the deliberations of the ... conclusions is problematic, but this study undoubtedly provides further evidence to support the enormous ongoing efforts to tackle this phenomenon. Obesity Against the back...

Ngày tải lên: 12/08/2014, 19:22

... increased the likelihood of admission. Possible differences between the real and the hypothetical may be highlighted by the decision of 82% of the fair-minded Swiss to admit in the scenario designed to ... clarify whether the poor outcome of ventilated cirrhotic patients is related to the severity of their underlying liver disease, or that of the acute illness that precipi...

Ngày tải lên: 12/08/2014, 20:20

... than the first few days of the illness, although they proposed no reason for the observed increase in mortality in the group treated for fewer than 3 days [5]. What is clear is that hypoglycaemia ... increase in hypoglycaemic events, similar to those reported by van den Berghe and colleagues. They therefore set out to identify the factors that may make this such a common scena...

Ngày tải lên: 12/08/2014, 23:23

... 10 to 16 days after catheter ablation [14]. The authors stress the wide-ranging presentation of these cases and the fact that ante-mortem diagnosis was achieved only in the minority. Three patients ... surgical repair. The authors rightly counsel that this diagnosis be considered in any patient presenting with fever, malaise, leukocytosis, dysphagia, upper gastrointestinal haemorrha...

Ngày tải lên: 12/08/2014, 23:24

... stress ECHO, and, therefore, could possibly be considered higher risk than patients in the POISE study. Steroids for meningitis and acute respiratory distress syndrome The study by Mongelluzzo and ... blocker - started a week before surgery rather than the 2 to 4 hours before, as in POISE - may still help. This editorial, however, was heavily criticised by Dr London in his editorial [9]...

Ngày tải lên: 13/08/2014, 11:22

... And there is more on citrate, the new anticoagulant! Thou seest I have more flesh than another man, and therefore more frailty. (William Shakespeare) The imbalance between the haves and the have ... difficult to move – the list goes on. And on. But are these generalisations justified in the majority of cases? Two studies reported recently in Intensive Care Medicine add more...

Ngày tải lên: 13/08/2014, 11:23

... present the argument that early physical and occupational therapy can reduce the duration of time on a ventilator, and can thereby reduce the mortality associated with this intervention [9]. They performed ... to Commentary Recently published papers: A review of novel strategies in the prevention of hospital-acquired infections, the ability of intensivists to perform echocardiog...

Ngày tải lên: 13/08/2014, 18:22

... renal support in whatever guise whereas the mainstay Commentary Recently published papers: Renal support in acute kidney injury - is low dose the new high dose? Yadullah Syed 1 , James AP Tomlinson 1 and ... with mean daily balances of just 20 ml being achieved. This is a unique study in that all patients received only continuous therapies and the study therapy was discontinued...

Ngày tải lên: 13/08/2014, 20:21