Báo cáo y học: "Tracheostomy must be individualized" ppsx

... controversial. The results presented suggest that early tracheostomy may reduce ICU length of stay and resource utilization in severe Commentary Tracheostomy must be individualized! Paolo Pelosi and Paolo ... may be effective in reducing the duration of mechanical ventilation, ICU stay and costs. Percutaneous tracheostomy techniques are becoming the procedures of choice in the majority...

Ngày tải lên: 12/08/2014, 20:20

... pain is by what they say or show by their behavior. There is an assumption that pain is highly associated with emotional and physical functioning and that a reduction in pain will inevitably lead ... clinical pharmacology, epidemiology, geriatrics, internal medicine, law, neurology, nursing, oncology, outcomes research, patient perspectives, pediatric pain, physical medicine and rehabilitatio...

Ngày tải lên: 09/08/2014, 01:23

... those of acute cor- onary syndrome, although symptoms may also be com- pletely absent. Myocardial contusion can be diagnosed using echocardiography, as this imaging modality visual- izes the actual ... [8]. Understandably, it may take some time for a clinically rel- evant pneumopericardium or pneumomediastinum to be revealed. The pericardial space may also be connected directly to ple...

Ngày tải lên: 11/08/2014, 23:21

... spirometry on the same day (table 2). When they were analysed separately, there was no relationship between BWT and RBM thickness or pre-bronchodilator FEV 1 . Similarly, no relationship was seen between ... judgement by the investigator. Impor- tantly, there was a very good relationship between the quantitative BWT score for all lobes and that for just the right lower lobe, suggesting it may...

Ngày tải lên: 12/08/2014, 16:20

... physiology and anatomy, then key aspects of technical and clinical management, and finally a brief summary of the main topics discussed in the chapter. Practical procedures are clearly described and ... surgery, and intensivists. Even more importantly, the book will be particularly valuable to junior doctors and residents from a variety of backgrounds who become involved in the care of trac...

Ngày tải lên: 12/08/2014, 20:20

... hospital [2]. When they do exist, advance directives are often difficult for families and physicians to follow because they may not apply to the situation at hand [1]. The Study to Understand Prognoses ... reduce the frequency of a mechanically supported and prolonged process of dying by increasing the frequency and effectiveness of patient–physician communication. However, despite the best i...

Ngày tải lên: 12/08/2014, 20:21

... http://isihighly cited.com/; highly cited in immunology, highly cited in microbiology, highly cited in molecular biology and genetics etc ). In some respects, these lists could be useful conveniences, ... to individually published arti- cles. Today, many electronic tools (e.g. ISI Web of Science, Scopus, Google Scholar) exist that can accomplish this task facilely and reliably. Because ther...

Ngày tải lên: 12/08/2014, 23:22

... [4]. Alternatively, their varying practices may represent differing decision-making in a setting of scientific uncertainty when no high-quality investigative findings exist. Clearly, the latter ... tracheostomy. In an investigation reported in this issue of Critical Care, the authors surveyed experienced physicians and respiratory therapists to assess their opinions on managing airway decannu...

Ngày tải lên: 13/08/2014, 08:21

... initial therapy. Without this measurement, all of the downstream measures are probably in vain. Our challenge as a critical care community is to better serve our patients and their outcomes by evaluating ... D, Ely EW, England M, Fraser GL, Mantz J, McKinley S, Ramsay M, Scholz J, Singer M, Sladen R, Vender JS, Wild L, Bair N, Bobek MB, Hoffman-Hogg L, Mion LC, Slomka J, Arroliga AC: Commenta...

Ngày tải lên: 13/08/2014, 10:20

... 2 (page number not for citation purposes) Abstract Metformin is commonly used in diabetes mellitus type 2, with lactic acidosis being a rare but potentially fatal complication of this therapy. The ... However, it was the more acutely and chronically ill patients who actually received dialysis. This suggests that hemodialysis was beneficial in preventing a higher mortality rate in those who re...

Ngày tải lên: 13/08/2014, 11:23