Báo cáo y học: "linical review: New technologies – venturing out of the intensive care unit" ppsx

... TaskForce of the American College of Critical Care Medicine(ACCM) of the Society of Critical Care Medicine (SCCM),American Society of Health-System Pharmacists (ASHP),American College of Chest Physicians. ... of the American College of Critical Care Medicine of the Society of Critical Care Medicine and the American Society of Health-System Pharmacists, American College of Chest Physicians.Sedation, ... and apply early goal-directed therapy are underway and multidisciplinary teamsmay be employed to continue the protocol started in the EDin the ICU. Early identification and treatment of patients...

Báo cáo y học: "Variation in red cell transfusion practice in the intensive care unit: a multicentre cohort study" pptx

... score), intensive care unit (ICU) mortality andlengths of stay in the ICU.Results: Twenty five per cent of the critically ill patients in the cohort studyreceived red cell transfusions. The overall ... ‡University of BritishColumbia, Vancouver, §University of Toronto,Ontario, #University of Calgary, Alberta, $ The Clinical Epidemiology Unit, University of Ottawa,Ontario and ¶Department of ... to the contrary. There is aneed for prospective studies to define optimal practice in the critically ill.Addresses: *The Critical Care Programs,University of Ottawa, Ontario, †University of Western...

Báo cáo y học: "Anemia and blood transfusion and outcome on the intensive care unit" doc

... Acutely Ill Patients study. Anesthesiology 2008, 108:31-39.doi:10.1186/cc9191Cite this article as: Müller MCA, Ju ermans NP: Anemia and blood transfusion and outcome on the intensive care ... mortality: an updated meta-analysis. Vox Sang 2007, 92:224-232.6. Vincent JL, Sakr Y, Sprung C, Harboe S, Damas P: Are blood transfusions associated with greater mortality rates? Results of the ... Critical Care) Investigators: Anemia and blood transfusion in critically ill patients. JAMA 2002, 288:1499-1507.3. Marik PE, Corwin HL: E cacy of red blood cell transfusion in the critically ill:...

Báo cáo khoa học: "Clinical review: New technologies for prevention of intravascular catheter-related infections" pdf

... review of published arti-cles in the prevention of intravascular catheter-related infec-tions. The review was conducted by searching the Medlinedatabase of the National Library of Medicine, Bethesda, ... and the risk for CRBSI byat least fourfold compared with uncoated catheters [14]. The main limitations of these catheters is that only the externalsurface of the catheter is coated, thus conferring ... within 3–7 days. In addition,in this setting intraluminal spread from the hub is the domi-nant mechanism of catheter colonization. Another potentialproblem with the cuff is the protrusion of the...

Báo cáo y học: "Perioperative indocyanine green clearance is predictive for prolonged intensive care unit stay after coronary artery bypass grafting - an observational study" pptx

... KD, Spies C: The impact of an hematocrit of 20%during normothermic cardiopulmonary bypass for elective lowrisk coronary artery bypass graft surgery on oxygen deliveryand clinical outcome - a ... integrity of the liver quantified byASAT and α-GST. The effect of haemodilution on the per-fusion of the hepatic region has been investigated previously.It was demonstrated in an animal study that ... oxygen delivery seems to be one of the key factors of developing multi-organ dysfunction syndrome[10,11]. Therefore, interest is increasing in monitoring hepaticperfusion in the context of...

Báo cáo y học: "Equipment review: New techniques for cardiac output measurement – oesophageal Doppler, Fick principle using carbon dioxide, and pulse contour analysis" pot

... many centres the only way to obtain a measure of cardiacoutput is to use the thermodilution technique through a pul-monary artery catheter. The difficulties and risks associated withpulmonary ... the case with a pulmonary artery catheter. The purpose of the present review is to provide an overview of the new cardiac output measurement techniques, with anemphasis on their principles of ... artery catheter insertion may account, in part, for the lack of routine cardiac output monitoring in every patient. New emerging techniques can provide a measure of cardiac outputless invasively...

Báo cáo y học: "Foramen Magnum Arachnoid Cyst Induces Compression of the Spinal Cord and Syringomyelia: Case Report and Literature Review"

... arachnoid cyst; syringomyelia. Introduction The commonest type of arachnoid cyst that causes compression of the spinal cord and develop-ment of syringomyelia is the Chiari malformation type I ... slightly im-proved compared to pre-surgery. The results of pathological examination showed that the wall of the cyst was composed of fibrous tissue but without epi-thelial cells; the diagnosis of ... reduced, the size of the syrinx was still the same as before surgery (Figure 3). Figure 2. Results of pathology. H&E staining showing fibrous tissue on the wall of the cyst, and no epithelial...

Báo cáo y học: " Equipment review: Pulmonary uptake and modes of administration of inhaled nitric oxide in mechanically-ventilated patients" ppt

... blood. Because of the high affini ty of NO for the heme moiety of hemoglo bin,blood plays a key role in the clearance of NO as itcrosses the alveolo-capillary membrane.From these experimental ... end of the inspiratorylimb o f the ventilator. Delivery directly into the tracheaor at the level of the Y- piece of the ventilatory circuitshould be avoided since high concentrations of NO andNO2are ... [10].Puybasset and Rouby Critical Care 1998, 2:9http://ccforum.comPage 7 of 11thefactthatonlytheperfused part of the ventilatedlung parenchyma takes part in the pul monary uptake of NO [13]....

Báo cáo y học: "Science review: Quantitative acid–base physiology using the Stewart model" doc

... seen whether the renovation of acid–base assessment afforded by the Stewartapproach constitutes a radical new architecture forunderstanding acid–base physiology, or whether it is simply a new façade.Competing ... BE.Furthermore, consideration of only the plasma compartmentcreates a potential source of error, because separatedplasma versions of the Stewart method quantify only a portion of the acid–base ... other possible properties) is enumerated from the distribution of that property over the various speciescomprising the system, according to the energetics of the system manifested through the...

Báo cáo y học: "Clinical review: How to optimize management of high-risk surgical patients" doc

... correctly precludes the use of the study by Sandham and coworkers [12] to drawconclusions regarding the efficacy of GDT, useful evidence of the safety of PAC insertion is provided.Role of peroperative ... mortality in the control group. The beneficial effect was maintained at 2 years, with 10% of the atenolol group and 21% of the control group dying.Further work in vascular surgery showed a mortality ... perioperative care for the high-risk patient The first step in the care of such patients is to identify the individual at risk (Fig. 1). It is important to recognize the existence of a specific and easily...

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