Báo cáo khoa học: "Recently published papers: Tracheostomy: why rather than when? Obesity: does it matter? And stroke: diagnosis, thrombosis and prognosis" ppt
Báo cáo khoa học: "Recently published papers: Tracheostomy: why rather than when? Obesity: does it matter? And stroke: diagnosis, thrombosis and prognosis" ppt
... associated withobesity rather than obesity per se are risk factors. Theysuggest a high BMI may provide a nutritional reserve in timesof stress but admit that although BMI is widely used, it does not ... conventional ward.Compared with conventional ward based care, the strokeunits were associated with reduced mortality and disability -these benefits persisted across all age ranges and clinicalcharacteristics ... attempted.This does emphasize the importance of strict adherence toprotocols or guidelines that aim to reduce sedation require-ments in the ICU. Obesity: does it matter? Obesity, a preventable...
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Báo cáo khoa học: "Recently published papers: Curing, caring and follow-up" pot
... suffered a lower mortality than those who did not. As pointed out in Angus and Crowther’s typically erudite and enlightening accompanyingeditorial, this data must be treated with caution becauseheparin ... http://ccforum.com/content/7/5/339Ups and downs in the fight against sepsisSepsis is a major cause of critical illness, with a mortality rate inthe range of 30–50%. Two landmark papers have been published in the ... rapid and withno concomitant pulmonary hypertension using HSD.• HSD maintains its haemodynamic effects longest postcessation of fluid administration.• Sodium concentration and osmolality were...
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Báo cáo khoa học: "Recently published papers: Asking the unanswerable – measuring the immeasurable and decontaminating the infected" docx
... thatCommentaryRecently published papers: Asking the unanswerable –measuring the immeasurable and decontaminating the infectedHardeep S Benepal1 and Lui G Forni21Renal and Critical Care Registrar, ... observed mortalitybenefit, rather than intensive insulin therapy. The data alsoimplied that patients whose glucose levels remainedpredominantly below 10 mmol/l fared better than did thosepatients ... glucoseconcentration associated with increased mortality [1].Glycaemic control was split into six bands that weredetermined prospectively. The patients were predominantlymale, over 60 years old and overweight....
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Báo cáo khoa học: "Recently published papers: all the usual suspects and carbon dioxide" pps
... safe, but is it useful?Since 1996, when Connors and colleagues published datasuggesting right heart catheterisation in critically ill patientswas associated with an increase in mortality [1], ... significantdifferences in either inhospital mortality, length of stay or costbetween patients who had or who had not had a pulmonaryartery catheter.In the second, French, study, 676 patients with either shock,acute ... thecontroversies regarding optimal cardiovascular management rather than any intrinsic problem with flow monitoring.The murky world of the recruitmentmanoeuvreThe ARDSnet group continue in their quest...
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Báo cáo khoa học: "Recently published papers: choose well, treat well, get well – which matters most" ppsx
... choice, and on what basis? Perrin and colleagues surveyed UK clinicians (general and respiratory physicians, and intensivists) to investigate theirclinical decision-making and criteria for initiation ... and reduced incidence ofnosocomial pneumonia (with shock). Ferrer and colleaguesalso specifically show reduced intubation rates in thosepatients with pneumonia and no underlying predisposition ... benefits, atleast in terms of costs incurred on the ICU and thoseassociated with VAP. Assuming similar costs elsewhere,notwithstanding the benefits of oral decontamination,perhaps this is a strategy...
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Báo cáo khoa học: "Recently published papers: Bugs, fluids, obesity and food" pps
... thebenefit of aggressive fluid and haemodynamic management.Obesity in the intensive care unit It should come as no surprise to intensivists that obesityincreases morbidity and mortality in ICUs; ... renalreplacement therapy, and deep venous thrombosis and stress ulcer prophylaxis.CommentaryRecently published papers: Bugs, fluids, obesity and foodNeil Hall1 and Gareth Williams21Specialist ... tworandomized, double-blind studies, 544 patients withsuspected Gram-positive VAP (including 264 with provenGram-positive VAP and 91 with MRSA) were treated withlinezolid 600 mg or vancomycin 1 g every...
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Báo cáo khoa học: "Recently published papers: Out with the old and in with the new … then something new for the old" pptx
... shock, and secondary end-points included duration of stay in criticalcare and mechanical ventilation, and survival to hospitaldischarge and at 60 days. The trial recruited patients withsevere ... anyinfluence on or interference with treatment. Potassiumdichromate can cause multisystem toxicity and allergicsensitivities if it is administered undiluted, but it was notfound to be harmful ... [8], and therefore it comes as nosurprise that glucocorticoids may be of benefit to patientsoutside the ICU. Research has shown that ‘nonsurviver’patients compared with ‘survivor’ patients with...
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Báo cáo khoa học: "Recently published papers: An ancient debate, novel monitors and post ICU outcome in the elderly" potx
... heterogeneity betweenthe inclusion and exclusion criteria of the studies. The authorsacknowledge this limitation. The hospital and 30-day mortalityrates were no different between the two groups, and ... more often in nonteaching hospitals than inCommentaryRecently published papers: An ancient debate, novel monitors and post ICU outcome in the elderlyJames Sadler1 and Gareth Williams21Specialist ... Williams21Specialist Registrar in Anaesthesia, University Hospitals of Leicester, Leicester, UK2Consultant in Anaesthesia and Critical Care, University Hospitals of Leicester, Leicester, UKCorresponding...
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Báo cáo khoa học: "Recently published papers: What not to do and how not to do it" ppsx
... between severity of disease and fataloutcomes from sepsis, and levels of serum lipoproteins[21,22] suggest that measuring total cholesterol and quantifying its high-density and low-density fractions ... Tornberg DC, Lundberg JO, Weitzberg E:Intragastric nitric oxide is abolished in intubated patients and restored by nitrite. Crit Care Med 2005, 33:1722-1727.26. Rothschild JM, Landrigan CP, Cronin ... normallevels of salivary nitrite and gastric infusion of nitritesuccessfully increased intragastric NO levels, implying thatsaliva is not reaching the stomach. Trials of intragastric nitrite...
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Báo cáo khoa học: "Recently published papers: Treating sepsis, measuring troponin and managing the obese" pdf
... theme, Levy and colleagues from Francereport an interesting and rather brave study in septic shock [3].In this prospective study, 110 patients with septic shock as apresumptive initial diagnosis ... groups as well as non-standardisation of volumeCommentaryRecently published papers: Treating sepsis, measuring troponin and managing the obeseNicholas D Mansfield1 and Lui G Forni21Specialist ... troponin and myocardial infarction in the intensive care unit: Aprospective study. Crit Care 2005, 28:R636-644.12. King D, Almog Y: Myocardial infarction complicating criticalillness. Crit Care...
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