Báo cáo y học: "Advanced directives and treatment decisions in the intensive care unit" potx

... of illness/injury they will suffer and what types of medical interventions they must consider [5]. Because medicine is not static, making a prospective determination regarding the types of treatment ... or against specific types of treatment; it typically becomes effective only when the patient is incompetent and either terminally ill or permanently unconscious. A durable power of...

Ngày tải lên: 13/08/2014, 08:20

... recently in Intensive Care Medicine add more weight to the arguments against such views [2,3]. In the study by Sakr and colleagues, the European obser- vational Sepsis Occurrence in Acutely Ill ... reading. There was no association between increased mortality and obesity. There was, however, an increase in morbidity with a trend towards longer length of stay, both in...

Ngày tải lên: 13/08/2014, 11:23

... mortality rate than cardiac arrest in succinylcholine-induced hyperkalaemia alone [8]. Unpredictable activity In intensive care patients there is large variability in the activity of plasma cholinesterase, ... an enzyme that metabolizes Commentary Is succinylcholine appropriate or obsolete in the intensive care unit? Leo HDJ Booij Institute for Anaesthesiology, University...

Ngày tải lên: 12/08/2014, 18:21

... nursing, and respiratory therapy staffs of the Intermountain Respiratory Intensive Care Unit and of the Shock- Trauma/Intermountain Respiratory ICU, and to the Respiratory Care Department of the ... While our understanding of underlying mechanisms of injury and inflammation in sepsis and ARDS has blossomed, our under- standing of clinical management of sepsis and A...

Ngày tải lên: 12/08/2014, 18:21

... events are probably insignificant for the young and otherwise physiologically sound patients, they may be significantly physiologically challenging for the elderly or for those with physiologic decompensation ... strongly consider including each of these variables in their methodology. Further evaluation of these and potentially other markers of morbidity and resource utilization...

Ngày tải lên: 12/08/2014, 20:20

... sensory loss, and absent reflexes distally in the Figure 1 A flow chart giving an approach to generalized weakness and/ or ventilatory failure in the intensive care unit. CK, creatine kinase; ... creatine kinase may help to identify CIM, but the peak may be missed in the membranopathy/necrotizing varieties or creatine kinase may not be significantly elevated in cases wi...

Ngày tải lên: 12/08/2014, 20:20

... obtained at the direction of the ICU team as clinically indicated. ECGs were performed by a technologist during the day, and by the ICU bedside nurse in emergencies and during the evenings and ... should determine the prognostic importance of ele- vated troponin in the ICU by more comprehensively examining other diagnoses and their consequences, and by evaluating...

Ngày tải lên: 12/08/2014, 22:22

... chlorhexidine silver sulfadiazine; ICER, incremental cost effectiveness ratio; ICU, intensive care unit; int/ext, internally and externally coated; QALY, quality-adjusted life year; MR, minocycline and ... catheters; CH/SSD, chlorhexidine silver sulfadiazine; CR-BSI, catheter related bloodstream infection; ICU, intensive care unit; int/ext, internally and externally coated; MR,...

Ngày tải lên: 13/08/2014, 16:20

... numerous pub- lications and research projects in the past 5 years [1-4], including the study by Kolhe and colleagues [1] in Critical Care. Interestingly, as facts about AKI and its impact on prog- nosis ... kidney injury (AKI) is a common problem, especially in critically ill patients. In Critical Care, Kolhe and colleagues report that 6.3% of 276,731 patients in 170...

Ngày tải lên: 13/08/2014, 11:23

... E, Fine MJ: Investigation of the ability of the Pneumonia Severity Index to accurately predict clinically relevant outcomes: a European study. Clin Microbiol Infect 2007, 13:923-931. 9. Yealy DM, ... of the attending physicians and missing values were assumed to be normal. This strategy is widely used in the clinical application of prediction rules and reflects the methods use...

Ngày tải lên: 13/08/2014, 16:20