Báo cáo khoa học: "Clinical review: Independent lung ventilation in critical care" doc

... benefits before proceeding with ILV. Competing interests The author(s) declare that they have no competing interests. References 1. Tuxen D: Independent lung ventilation. In Principles and Prac- tice ... establishing and maintaining lung isolation. Nevertheless, ILV can be used in the intensive care setting safely with a good understanding of its limitations and potential complicat...

Ngày tải lên: 12/08/2014, 23:20

... low incidence in the critical care environment. In fact, the acquisition of the skills for diagnosing pneumothorax is the most difficult part of lung ultrasound training. Lung ultrasound has intrinsic ... (a). In the case of pneumothorax and absent lung sliding, horizontal lines only are visualised (b). In a patient examined in the supine position with partial pneumothorax,...

Ngày tải lên: 13/08/2014, 03:20

... noted in previous major incidents [19,21]. Broadband access to the Internet and satellite-linked devices (which do not depend on telephone landline integrity) have become valuable in receiving information ... concerned were mainly medical trainees in anaesthesia (who are used to working in the ED and frequently move from one hospital to another as part of their training) and ED nurses...

Ngày tải lên: 12/08/2014, 22:21

... encountered in both intubated patients and those ventilated with non-invasive ventilation. Much knowledge has been gained over the years in our understanding of the mechanisms underlying the difficult inter- action ... been gained in our understanding of the extremely complex issue of patient-ventilator interaction in COPD patients. Given the increasing use of assisted modes, this he...

Ngày tải lên: 13/08/2014, 03:20

... technical concerns remain, particularly for continuous EEG monitoring [43]. In addition, several issues remain unanswered regarding continuous EEG recording in the ICU, namely its exact indication, the ... morbidity and mortality [2]. Length of stay in the ICU as well as in the hospital may also be increased, in turn leading to an increase in costs. In addition, compared to that...

Ngày tải lên: 13/08/2014, 03:21

... tidal ventilation at high lung volumes. Those investigators showed that, after RMs, PEEP set at 2 cmH 2 O above the lower inflection point was more effective in maintaining gas exchange and minimiz- ing ... with a PEEP below the lower inflection point after a sustained inflation. Loop C: PEEP higher than the lower inflection point after a sustained inflation. Sustained inflation promote...

Ngày tải lên: 12/08/2014, 19:22

... gluconeogenesis. Finally, they are involved in bone and mineral metabolism, activating osteoclasts, inhibiting osteoblasts, decreasing intestinal calcium uptake and increasing calcium urinary secretion ... bound to proteins. The two main binding proteins are the cortisol-binding globulin (CBG) and albumin [1]. Review Clinical review: Corticotherapy in sepsis Helene Prigent 1 , Virginie...

Ngày tải lên: 12/08/2014, 19:22

... training times and reduced hours of work in the clinical environment, objective systems are becoming increasingly important because inexperienced practitioners may fail to recognize impending critical ... conditions [13], and is much increased in severely ill patients who undergo life-saving invasive interventions [14]. Discontinuities in care [15] created by shift working or poor inf...

Ngày tải lên: 12/08/2014, 20:20

... M, Madsen CD, Barton CW, Sounders CE, Pointer J: A randomized clinical trial of high-dose epinephrine and norepi- nephrine vs standard-dose epinephrine in prehospital cardiac arrest. JAMA 1992, ... evolving concept of providing ‘preshock’ interventions for VF may explain why several teams of investigators were not able to demonstrate the efficacy of so-called ‘high dose adrenaline [epinephr...

Ngày tải lên: 12/08/2014, 20:20

... been demonstrated in clinical studies [15,25], an in vitro study demonstrated a 10- to 16-fold increase in the minimal inhibitory concentration of the minocy- cline–rifampin combination with respect ... for infection, including vancomycin–heparin and vancomycin–ciprofloxacin–heparin solutions [42,44]. Because the use of vancomycin is an inde- pendent risk factor for the acquisition of v...

Ngày tải lên: 12/08/2014, 20:20