Báo cáo y học: "Bench-to-bedside review: Resuscitation in the emergency department" ppsx

... augmenting systemic oxygen delivery [32]. The type and volume of infused fluid can influence vascular endothelial integrity and capillary permeability [33]. Intra-abdominal compartment syndrome, intracranial ... endeavor. The physician responsible for initiating resuscitation or life-sustaining therapy must fulfill that task [50]. Life-sustaining therapy that simply delays death and pro...

Ngày tải lên: 12/08/2014, 20:20

... were administered 2–4 ml/kg hypertonic saline in hydroxyethyl starch. Following administration there was a small effect on oxygenation by increasing cardiac output and oxygen delivery. There was ... 1466-609X) Abstract The review by Oliveira and colleagues on the subject of hypertonic saline resuscitation in sepsis (included in the present issue) suggests possible benefits for h...

Ngày tải lên: 12/08/2014, 19:21

... pos- tulated, namely the ‘neutrophilic hypothesis’ and the ‘epithelial hypothesis’. The former hypothesis suggests that neutrophil apoptosis plays an important role in the resolution of inflamma- tion, ... therapeutic intervention. In the present review we examine two important hypotheses that link apoptosis with the pathogenesis of acute lung injury in humans. The first o...

Ngày tải lên: 12/08/2014, 19:22

... No 3 Ryan and Levy The goal of the present review is to question, by critically evaluating the literature, the practice of routinely treating fever in the ICU patient. The pathophysiology of fever ... circulating cytokines in the systemic circulation effect neural tissue remains unclear. It has been hypothesized that a leak in the blood–brain barrier at the level of t...

Ngày tải lên: 12/08/2014, 19:22

... therapy and to define the potential for recovery in the individual patient. Imaging techniques Plain computed tomography Despite being surpassed by magnetic resonance imaging (MRI) in versatility ... particularly in the selection of parameters for defining the tissue at risk and in the choice of arterial input function [49,69]. The DWI–PWI mismatch may thus overestimate t...

Ngày tải lên: 13/08/2014, 08:20

... autopsy rate was 23% [9]. Training physicians how to recommend autopsies may increase autopsy rates. Reluctance of pathologists Another reason for the decline in autopsy rates is the growing ... encountered in the ICU Communicate the conclusion of the autopsy report to the relatives E orts by both departments Clinicopathological conferences on a monthly basis attended b...

Ngày tải lên: 13/08/2014, 20:21

... may result in severe hypophosphatemia [22]. Hypothermia induces polyuresis and is associated with hypophosphatemia as well [23]. The use of (continuous) renal replacement therapy may lead to hypophosphatemia when ... [1,3]: respiratory alkalosis-induced increase of intracellular pH causes phosphate to enter the cell by stimulating glyco- lysis [4]; administration of glucose and insulin...

Ngày tải lên: 13/08/2014, 21:21

... with vitamin E, vitamin C, or glutathione improves insulin sensitivity in insulin-resistant indi- viduals (16,62). The acute effects of hyperglyce- mia-dependent endothelial cells dysfunction ... superoxide by the mitochondrial electron transport chain would nor- malize the pathways involved in the development of the oxidative stress (68). If our findings are proven b...

Ngày tải lên: 26/10/2012, 09:39

... exercising and muscle activity can stimulate venolymphatic return due to external compression on the vessels; the au- thors suggest the use of the term ‘myolymphokinetic therapy’ when these ... Godoy JMF, Godoy MFG, Batigalia F. Preliminary evaluation of a new, more simplified physiotherapy technique for lymphatic drainage. Lymphology 2002;35:91-3. 2. Godoy JMP, Braile DM, Godoy...

Ngày tải lên: 26/10/2012, 09:39

... re-established. The increase of the oxygen gradient facilitates the transportation of toxins and inhibitors inducing thereby the wound healing [16]. As a result of the increased angiogenesis, the local ... gained over the years. Moreover, it is unknown whether the polyurethane sponges of the V.A.C. – system would have the same outcome as the polyvinylalcohol spong...

Ngày tải lên: 26/10/2012, 09:53