Bóa cáo y học: "Clinical review: Thyroid hormone replacement in children after cardiac surgery – is it worth a try" docx

... started within 20 minutes after dopamine withdrawal [45]. Thus, dopamine infusion induces or aggravates partial hypopituitarism and SES in critically ill infants and children. Iodinated antiseptics ... with thyroid hormones after cardiac surgery Based on the findings after cardiac surgery and the pharmacological profile of thyroid hormones, it has been postulated that...

Ngày tải lên: 12/08/2014, 23:23

... administration. However, because HSS reduces but does not completely abrogate proinflammatory pathways, there is an adequate balance between proinflammatory and anti-inflammatory cytokines, thus maintaining ... ischemia that occurs in sepsis may perpetuate damage to organs. A therapy that simultaneously blocks both of the damaging components of sepsis, namely ischemia and inflammation,...

Ngày tải lên: 12/08/2014, 19:21

... for anticoagulation [15]. Along with a surge in proinflammatory mediators, there is a parallel rise in anti-inflammatory substances in sepsis, which creates a state of ‘immunoparalysis’ that is ... complicating factor asso- ciated with the development of ARF as well as mortality in this population, it is intriguing to speculate that increased inflammatory mediator remova...

Ngày tải lên: 12/08/2014, 19:22

... gap. Critical Care April 2005 Vol 9 No 2 Kaplan and Frangos Abstract Acid–base abnormalities are common in the critically ill. The traditional classification of acid–base abnormalities and a ... uncovering acid–base abnormalities that were unappreciated using traditional classification and interpretation schemes [4]. Lactic acidosis and hyperlactatemia The most common acid–base abnormalit...

Ngày tải lên: 12/08/2014, 20:20

... Cullinane S, Choudhri AF, Rose EA, Smith CR, Edwards NM, Landry DW, Oz MC: Arginine vaso- pressin in the management of vasodilatory hypotension after cardiac transplantation. J Heart Transplant ... oxygen extraction increased. These modifications may carry a risk for tissue hypoxia, expecially in septic states in which oxygen demand is typically incrased. Terlipressin was also u...

Ngày tải lên: 12/08/2014, 20:20

... multiple inflammatory pathways [21]. From the equation above, increasing DO 2 is achieved by increasing CO and/or CaO 2 . As dissolved oxygen is small, CaO 2 is increased by increasing the arterial ... l/minute/m 2 in patients under- going elective coronary artery bypass grafting surgery. This therapy was instituted immediately after induction of anaesthesia and continued in the...

Ngày tải lên: 13/08/2014, 19:20

... intensive care unit admission, an inability to include major factors (acidosis and coagulation) in the statistical model and a surprisingly low mortality (6%) for massive transfusions. Snyder ... clear and easy to follow delay in initiating 1:1 transfusions in the intervention arm Close cooperation between blood bank, trauma, anaesthesia and critical care Thawed AB plasma 24/7 or...

Ngày tải lên: 13/08/2014, 20:21

... that we do not have a minimum national standard for intensivists. Critical care research in mainland China is in its infancy. Most study results are published in national medical journals in ... critical care training, either abroad or domestically, before returning to practice as intensivists [4,5]. Development of critical care medicine as a specialty in mainland China...

Ngày tải lên: 13/08/2014, 20:21

... 2005, 294:3093-3100. 55. Aasbo JD, Lawrence AT, Krishnan K, Kim MH, Trohman RG: Amiodarone prophylaxis reduces major cardiovascular mor- bidity and length of stay after cardiac surgery: a meta-analy- sis. Ann Intern ... placebo [91,94-97]. A meta-analysis showed that class IA, class IC and class III antiarrhythmic agents are equally effective in obtaining SR [98]. Meta-analyses com...

Ngày tải lên: 25/10/2012, 10:35

... Conversely, high-reliability organizations such as aircraft carriers, nuclear power plants, and air traffic controllers have markedly improved safety by standardizing practices and investing in safety ... essential care and yet relatively little is known about medical equipment failures and the associated safety risks. Finally, lack of continuity of care at discharge from the ICU is a...

Ngày tải lên: 25/10/2012, 10:35