Báo cáo khoa học: "Clinical review: Alternative vascular access techniques for continuous hemofiltration" ppsx

... establish vascular access for patients of any size in need of continuous hemofiltration even in the face of peripheral edema, bleeding diathesis or hypercoagulability. Options for venous access for continuous ... ports for introduction of larger guide wires for insertion of standard hemofiltration catheters. Additional alternatives can be devised by adapting established v...

Ngày tải lên: 13/08/2014, 03:20

... largely responsible for β 2 adrenoceptor mediated IL-10 production in monocytes [29]. IL-10 inhibits lipopolysaccharide (LPS) mediated TNF-α production both in vivo and in vitro [30], and it can therefore Available ... and CREB compete for the same KIX binding site on the coactivator molecule CREB-binding protein and are transcriptionally active if they are bound to CREB-binding protein o...

Ngày tải lên: 12/08/2014, 20:20

... require formal training aimed at acquiring the necessary knowledge and skills. If several lung ultrasound examinations are performed on a daily basis, the learning curve for acquiring skills for ... the procedure [6]. For these different reasons, lung CT remains a radiological test, access to which is limited in many ICUs, and bedside lung ultrasound appears as an attractive alternat...

Ngày tải lên: 13/08/2014, 03:20

... the role of non-anticoagulant measures for circuit survival. Non-anticoagulant measures to improve circuit life 1. Reducing stasis of flow Vascular access Vascular access is a major determinant of ... with vascular access problems. J Vasc Access 2006, 7:53-59. 14. Hernández D, Díaz F, Rufino M, Lorenzo V, Pérez T, Rodríguez A, De Bonis E, Losada M, González-Posada JM, Torres A...

Ngày tải lên: 13/08/2014, 03:21

... used in experimental and human studies to perform recruitment maneuvers Methods Study References Continuous positive airway pressure at 30–60 cmH 2 O for 15–60 s Saline lavage, oleic acid, and ... pressure at 40 cmH 2 O for 2 min Volume controlled mode: 20 breaths at tidal volume of 20ml/kg Anesthetized healthy animals [21] Continuous positive airway pressure at 30–45 cmH 2 O for 15...

Ngày tải lên: 12/08/2014, 19:22

... Corti- sol circulates in plasma either in its free and active form (which accounts only for 5–10% of total cortisol) or in its inactive form, reversibly bound to proteins. The two main binding proteins ... that possess a ketone group at position 11 have an affinity for both glucocorticoid and mineralocorticoid receptors, which accounts for the weak mineralocorticoid activity of glucocor...

Ngày tải lên: 12/08/2014, 19:22

... rising public expectations, and improved public access to information about quality of care and out- Review Clinical review: Outreach — a strategy for improving the care of the acutely ill hospitalized ... Hodgetts and coworkers [67] analyzed factors that predicted risk for cardiac arrest and could therefore be used as triggers to call for help (‘activation criteria’). Variables wit...

Ngày tải lên: 12/08/2014, 20:20

... just before arrival of the rescuers with a defibril- lator. Therefore, having the technology or ability to predict the level of ischemia in the heart would be more useful than a stopwatch. Fortunately, ... score. Studies have shown, for example, that basic CPR and certain pharma- cologic interventions can (but not always) improve the VF waveform score [12,24–26]. Therefore, one might specul...

Ngày tải lên: 12/08/2014, 20:20

... measures *Adapted from the Centers for Disease Control and Prevention guidelines for the prevention of intravascular catheter-related infections [1]. Category IB: strongly recommended for implementation and ... in place for >5 days Chlorhexidine–silver sulfadiazine impregnated catheters Short-term CVCs Only the external surface of the CVC is coated. Not effective for CVCs left in...

Ngày tải lên: 12/08/2014, 20:20

... criteria for PEEP titration in daily clinical practice. Since recruitment is the main mechanism by which the PEEP improves oxygena- Available online http://ccforum.com/content/8/3/163 Figure 3 An alternative ... increased at the higher value to maximize inspiratory flow. Alternative techniques Mergoni and colleagues have reported an original method for bedside measurement of PEEP-re...

Ngày tải lên: 12/08/2014, 20:20