Báo cáo y học: "Recently published papers: Sugar, soap and statins – an unlikely recipe for the critically ill" pdf

... than the first few days of the illness, although they proposed no reason for the observed increase in mortality in the group treated for fewer than 3 days [5]. What is clear is that hypoglycaemia ... investigators have noticed an increase in hypoglycaemic events, similar to those reported by van den Berghe and colleagues. They therefore set out to identify the factors that m...

Ngày tải lên: 12/08/2014, 23:23

... delay. There is a lack of institutional data and, as such, a few underperforming centres may therefore have contributed to the majority of delayed transfers, which may be explained by other factors independent ... availability of an intensivist outside working hours and mortality was observed. This may in part be explained by the excellent provision of ICU-trained doctors in The Ne...

Ngày tải lên: 13/08/2014, 08:20

... three year period was analysed and corrected for age, gender and illness severity. The odds of death increased 7.4 times in morbidly obese patients requiring intensive care for 4 days or more. Physiological ... those in the French study. Oropharyngeal decontamination with either CHX or CHX/ COL reduced and delayed the development of VAP. Daily risk of acquiring VAP decreased:...

Ngày tải lên: 13/08/2014, 01:20

... reactivity is attenuated by NADR but increased with AVP and to an even greater extent with F-180. The implication is that the desired pressor response may be specifically V1 mediated and therefore ... treatment and so on. It remains important to pursue ways of minimising trans- fusions and the EPO agonists may indeed play a crucial part. The potential of other EPO agonists w...

Ngày tải lên: 13/08/2014, 10:20

... initiation of antibiotic therapy. Analysis for type III cytotoxins was undertaken and results indicated that about 50% of the patients had persistence of type III secretory system cytotoxins. The rest had ... although there was not much impact Commentary Recently published papers: Pseudomonas , brain and bowel injury and novel cardiac therapies Uma M Bandarupalli and Gareth...

Ngày tải lên: 13/08/2014, 11:22

... recent paper on the effects of methylprednisolone in unresolving acute respiratory distress syndrome [10], and may account for a therapeutic modality by which high-dose steroid therapy works. It ... time to shock reversal and effect on serum cytokine concentration. By day 3 the Sequential Organ Failure Assessment score was lower in the hydrocortisone group than in the placebo gr...

Ngày tải lên: 12/08/2014, 18:21

... of gastrointestinal motility may be effective salt and water balance. In a study by Lobo and colleagues [4], prompted by Commentary Recently published papers: We are what we eat? LG Forni Consultant, Worthing ... of mortality risk in the critically ill. This was no doubt triggered by the Acute Physiology and Chronic Health Evaluation (APACHE) III as well as the study reporte...

Ngày tải lên: 12/08/2014, 18:21

... safe and inexpensive, and that there is now good evidence to support its routine use in the severest cases, it only remains for the optimal dose and duration of therapy to be established. Other ... reported by Weber and colleagues [22]. Sadly, adoption of this technique, in the UK at least, awaits the deliberation of the government and judiciary. Finally, if you have bee...

Ngày tải lên: 12/08/2014, 19:21

... however, is the association between mortality and transfusion. Vincent and colleagues used a propensity scoring system to identify two distinct groups and control for confounders, and found an odds ... surgery, trauma and sepsis patients. Their findings confirmed further that when therapy is aimed at improving oxygen delivery (especially in the severely ill, in whom control...

Ngày tải lên: 12/08/2014, 19:21

... sedation, haemodynamic stability and time to extubation, among others. Unsurprisingly, the studies showed wide clinical heterogeneity and this precluded formal statistical analysis. Although the authors ... and ICU days and consequently outcome, and that a sedation protocol including daily cessation of sedative agents is of benefit. However, is any one agent or group of agents s...

Ngày tải lên: 12/08/2014, 19:22