Báo cáo y học: "Recently published papers: Clunk-click every trip, smile, but don’t stop for a drink on the way" ppt

... standard therapy alone with standard therapy plus a maximum of four intratracheal doses of a recombinant surfactant protein C-based surfactant given within 24 hours. They failed to demonstrate any ... papers: Clunk-click every trip, smile, but don’t stop for a drink on the way Jon Stacey 1 and Richard Venn 2 1 Senior House Officer, Department of Critical Care, Wo...

Ngày tải lên: 12/08/2014, 20:20

... that is known to carry a high mortality rate, and it may be that the time for a larger outcome trial approaches. The March/April edition of Intensive Care Monitor [7] comments on a paper that ... Ashton RC Jr, Landry DW, Townsend RN: Low-dose vasopressin in the treatment of vasodilatory septic shock. J Trauma 1999, 47:699-703. 6. Tsuneyoshi I, Yamada H, Kakihana Y, Nakamura M...

Ngày tải lên: 12/08/2014, 18:21

... triggered by the Acute Physiology and Chronic Health Evaluation (APACHE) III as well as the study reported by McCluskey and colleagues [8]. Unlike the latter study, Yap and coworkers failed to show that ... befriend an amenable surgeon. An alternative approach to accelerate recovery of gastrointestinal motility may be effective salt and water balance. In a study by Lobo and colleagues...

Ngày tải lên: 12/08/2014, 18:21

... [22]. Sadly, adoption of this technique, in the UK at least, awaits the deliberation of the government and judiciary. Finally, if you have been seduced by the attractive qualities of alcohol-based hand ... can prevent the need to reintubate, and that a trial of NIPPV is sometimes warranted, not least as a failed trial is unlikely to harm the patient. Ventilator-associated pneu...

Ngày tải lên: 12/08/2014, 19:21

... intervals for this verge on unity, pointing out the problems of analysis with just so many variables. One day soon someone may take up the gauntlet of a matched interventional study so that we can ... Brain Trauma Foundation, American Association of Neurological Surgeons, Joint Section on Neurotrauma and Critical Care: Guidelines for the management of severe head injury. Brain...

Ngày tải lên: 12/08/2014, 19:21

... often? These are important questions but they are not easily answered. Anxiolysis, analgesia, amnesia and sedation are just a few of the elements to be considered. It is now widely accepted that unbridled ... that this phenomenon may be used to risk stratify patients in early ARF (i.e. diuretic nonresponders should receive renal replacement therapy sooner rather than later). A large r...

Ngày tải lên: 12/08/2014, 19:22

... as the oesophageal Doppler are being 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 ... and the patients were all aged over 60 years and were at least American Society of Anesthesiologists class III. The conclusions were that there was no benefit to therapy directed...

Ngày tải lên: 12/08/2014, 19:22

... Intensive Care” [3] have all finally reached print. Although much contained within these ‘stock takes’ will be familiar, they serve as valuable and timely summaries. The only concern I have is that the ... T, Vaagenes P, Auestad BH, Steen PA: Delaying defibrillation to give basic cardiopul- monary resuscitation to patients with out-of-hospital ventricu- lar fibrillation: a randomized tr...

Ngày tải lên: 12/08/2014, 19:22

... produced as part of the septic inflammatory process because the coagulation cascade is activated too. Carraway and coworkers [4] have already shown that pretreating baboons with active site-inactivated factor ... in established Gram-negative sepsis will attenuate this damage [5]. Using a baboon model again, they blocked coagulation cascade initiation using active site-inactivated factor...

Ngày tải lên: 12/08/2014, 19:22

... hospital stay. There were also no differences in the time spent on mechanical ventilation or in the duration of renal replacement therapy between the two treatment groups. The study was pragmatically ... pragmatically planned, dictating only the fluid resuscitation of the patients, leaving clinicians free to manage all other aspects of the patients’ care as they saw fit. This...

Ngày tải lên: 12/08/2014, 20:20