Báo cáo khoa học: "Contemporary management of infected necrosis complicating severe acute pancreatitis" pot

... of gas can indicate infection. It should also be remembered that a clinical diagnosis of infected necrosis based on fever, leucocytosis and other markers of sepsis without substantive proof of ... Pancreatic necrosis: assessment of outcome related to quality of life and cost of management. Br J Surg 1993, 80:1579-1582. 3. McKay CJ, Imrie CW: The continuing challenge of e...

Ngày tải lên: 12/08/2014, 23:20

... increased rate of bacterial translocation in acute pancreatitis [18], but the role of IAH in this remains to be elucidated. Patients with IAH had necrosis more often and were operated on more often. ... performed. Introduction Despite recent advances in the management of patients, such as early enteral nutrition and withholding surgery until proven infection of pancreatic necro...

Ngày tải lên: 12/08/2014, 22:22

... controlled hypotension with a mean arterial pressure of 65 mmHg maintained with an opiate infusion. Similarly, the use of controlled hypotension is only recommended in patients known to be free of cardiovascular ... blood loss. Acute normovolemic hemodilution is the process of removing one or more units of blood before the operation for transfusion to the patient either during...

Ngày tải lên: 09/08/2014, 02:21

... no histor y of radiotherapy pre- sented with gradual swelling of the neck and dyspnea of 7 to 8 months duration. Magnetic resonance imaging (MRI) and computed tomography (CT) scans of the neck ... of the right main- stem bronchus. Passage of an upper gastrointestinal endoscope proved difficult with compression of the eso- phagus. Through an initial collar incision and with rota-...

Ngày tải lên: 09/08/2014, 03:21

... treatment' of a voluminous mass simulat- ing a malignancy of the pancreatic-duodenal area. JOP 2005, 6:348-53. BioMed Central Page 1 of 4 (page number not for citation purposes) World Journal of Surgical ... Journal of Surgical Oncology 2009, 7:68 http://www.wjso.com/content/7/1/68 Page 3 of 4 (page number not for citation purposes) causing pancreatitis, presumably due to obs...

Ngày tải lên: 09/08/2014, 04:21

... in danger of being c ompressed at the bifurcation with a high risk of occlusion. As a result, a hybrid approach with deployment of an aorto-uni-iliac (AUI) device fol- lowed ... had symptoms suggestive of C CF. A duplex ultra sound con- firmed exclusion of arterial flow from the iliocaval vessels. Discussion Penetrating traumatic injury remains the most common cause of abdominal ....

Ngày tải lên: 10/08/2014, 23:20

... input. Author details 1 Deapartment of Nephrology, Graduate School of Medicine, Institute of Health-Bio-Science, University of Tokushima, Tokushima, Japan. 2 Division of Nephrology, Hyogo Prefectural ... amyloidosis because the complete reduction of pleural effusion w as observed in only two of the five p atients reported to be treated with bevacizumab [4,5]. Conclusion Managem...

Ngày tải lên: 11/08/2014, 02:21

... of in-hospital death only in the subgroup of patients with Revised Cardiac Risk Index (RCRI) scores of 3 or more. This study deserves several comments. First, the subgroup with a RCRI score of ... fluctuated over the 8 h period, independently of changes in DO2 [9]. Patients with lower ScvO2 values had more post-operative complications. The ScvO2 cut-off value of 64.4% can be used...

Ngày tải lên: 12/08/2014, 23:20

... hemodynamically stabilized during the initial application of mechanical ventilation regardless of the mode used. The recruited lung requires less fraction of inspired oxygen, less ventilating pressure, ... maintain open ≥ 95% of the lung. This required the use of high peak airway pressure (40 to 60 cmH 2 O) with high PEEP levels (25 to 45 cmH 2 O) and the careful selection of the...

Ngày tải lên: 13/08/2014, 03:20

... but the clinical ability of these criteria to predict outcome of ICU HIV -infected patients has not yet been assessed. We sought to evaluate retrospectively the ability of the RIFLE criteria (Table ... degree of acute renal dysfunction. Of these, 12 patients (26%) were class R, 9 patients (19.5%) were class I, and 25 patients (54.3%) were class F; these patients did not differ in...

Ngày tải lên: 13/08/2014, 03:20