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Báo cáo khoa học: " Clinical review: Patient-ventilator interaction in chronic obstructive pulmonary disease" pps

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Báo cáo khoa học: " Clinical review: Patient-ventilator interaction in chronic obstructive pulmonary disease" pps

... beengained in our understanding of the extremely complex issue of patient-ventilator interaction in COPD patients. Given theincreasing use of assisted modes, this heightened under-standing has ... 2) In the case of assisted ventilatory modes, both the ventilatorand the patient provide the required pressure, equation 1becoming:Review Clinical review: Patient-ventilator interaction in chronic obstructive ... encountered in bothintubated patients and those ventilated with non-invasiveventilation. Much knowledge has been gained over the years in ourunderstanding of the mechanisms underlying the difficult inter-action...
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Báo cáo khoa học: "Clinical review: Respiratory mechanics in spontaneous and assisted ventilation" pot

... ofPEEP used in the ‘high PEEP’ group was changed during thestudy, potentially altering the outcome [20]. Clinical research has proven that large Vts are detrimental in ARDS. In 2000, findings were ... successof extubation.Weaning trials are recommended for patients with prolongedintubation or cardiopulmonary causes for intubation [45]. In general, a weaning trial involves reducing the work performedby ... technique. Maintaining alow inspiratory flow rate on the mechanical ventilator (lessthan 10 l/min) minimizes resistance, permitting estimation ofthe PV curve [2]. All methods used to obtain a PV...
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Báo cáo khoa học: "Clinical review: Mechanical ventilation in severe asthm" docx

... lengthened by using higher inspiratoryflow settings (70–100 l/min) during volume cycled ventilation,using a shorter inspiratory time fraction, reducing respiratoryrate, and eliminating any inspiratory ... Similarly,when using pressure cycled ventilation, decreasing tidalvolumes may indicate gas-trapping. Other situations in whichclinicians should suspect gas-trapping include increasingchest wall ... gas-trapping by splinting the airways open [29]. In terms ofreducing the work of breathing, the addition of extrinsic PEEP in patients with dynamic hyperinflation would theoreticallyreduce the inspiratory...
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Báo cáo khoa học: "Clinical review: Alternative vascular access techniques for continuous hemofiltration" ppsx

... kinking is lessof an issue in catheters placed in the subclavian or internaljugular positions, and that improvements in technology arebeing directed at the problem of sheath kinking.Mini-introducer ... kinking and cracking). The traditional sheath wascomposed of Teflon, which is stiffer than polyurethane. TheCordis AVANTI®+ Sheath Introducer is designed to be kink-resistant by integrating ... a soft, flexible inner layer with a stifferouter layer. The manufacturer (Arrow International Inc.Reading, PA, USA) claims that the catheter will maintain itspatency ‘even in tortuous anatomy...
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Báo cáo khoa học: "Clinical review: The implications of experimental and clinical studies of recruitment maneuvers in acute lung injury" pptx

... Those investigators showed that, afterRMs, PEEP set at 2 cmH2O above the lower inflection pointwas more effective in maintaining gas exchange and minimiz-ing inflammation and lung injury ... sustained inflation. Loop C: PEEP higherthan the lower inflection point after a sustained inflation. Sustainedinflation promoted alveolar recruitment at low PEEP levels (loop B).Sustained inflation ... insuflation with a positive end-expiratory pressure (PEEP) below the lower inflection point before asustained inflation. Loop B: tidal insuflation with a PEEP below thelower inflection point...
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Báo cáo khoa học: "Clinical review: Corticotherapy in sepsis" pot

... bound to proteins. The two main binding proteins arethe cortisol-binding globulin (CBG) and albumin [1].Review Clinical review: Corticotherapy in sepsisHelene Prigent1, Virginie Maxime2and ... gluconeogenesis.Finally, they are involved in bone and mineral metabolism,activating osteoclasts, inhibiting osteoblasts, decreasingintestinal calcium uptake and increasing calcium urinarysecretion ... are involved in gluconeogenesis (glucagon and adrenaline), and inhibit cellu-lar uptake of glucose by inducing peripheral insulin resis-tance. The main consequence of these actions is a rise in blood...
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Báo cáo khoa học: "Clinical review: Outreach — a strategy for improving the care of the acutely ill hospitalized patient" pps

... trainingtimes and reduced hours of work in the clinical environment,objective systems are becoming increasingly importantbecause inexperienced practitioners may fail to recognizeimpending ... conditions [13], and is much increased in severely illpatients who undergo life-saving invasive interventions [14].Discontinuities in care [15] created by shift working or poorinformation transfer ... ade-quate resourcing and training, and simple methods of clinical monitoring. Three models are currently employed: hospitalists in the USA, the MET in Australia, and outreach care in the UK.HospitalistsHospitalists...
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Báo cáo khoa học: "Clinical review: Reappraising the concept of immediate defibrillatory attempts for out-of-hospital ventricular fibrillation" pptx

... M, Madsen CD, Barton CW, Sounders CE, Pointer J: Arandomized clinical trial of high-dose epinephrine and norepi-nephrine vs standard-dose epinephrine in prehospital cardiacarrest. JAMA 1992, ... procedures in previous clinical trials when they weresuccessful in the laboratory [16–18]. In keeping with interna-tional guidelines, these study protocols called for the use ofthe test intervention ... evolving concept of providing ‘preshock’ interventions forVF may explain why several teams of investigators were notable to demonstrate the efficacy of so-called ‘high doseadrenaline [epinephrine]’...
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Báo cáo khoa học: "Clinical review: New technologies for prevention of intravascular catheter-related infections" pdf

... been demonstrated in clinical studies[15,25], an in vitro study demonstrated a 10- to 16-foldincrease in the minimal inhibitory concentration of the minocy-cline–rifampin combination with respect ... for infection, includingvancomycin–heparin and vancomycin–ciprofloxacin–heparinsolutions [42,44]. Because the use of vancomycin is an inde-pendent risk factor for the acquisition of vancomycin-resistantenterococci ... already been proven tobe effective in clinical trials in preventing CVC infections, par-ticularly those intended for short-term use, should be consid-ered in clinical practice. Moreover, many...
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Báo cáo khoa học: "Clinical review: Bedside assessment of alveolar recruitment" doc

... lower inflexion point is definitively not a‘magic’ point reflecting the opening pressure of the lung. More-over, the clinical relevance of the study is high since the lowerinflexion point of ... lung volume change, due to aPEEP increase, by continuously recording the inspired andexpired tidal volumes as well as changes in peak pressure. Aninteresting finding of this study was that PEEP-related ... approximately above the lower inflexion point[16]. PEEP induced an upward shift of the PEEPpressure–volume curve in all patients, indicating recruitment.Interestingly, recruitment was associated...
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