Báo cáo y học: " Recently published papers: Delivery, volume and outcome – what is best for our patient" pps

... were Commentary Recently published papers: Delivery, volume and outcome – what is best for our patient? Lui G Forni 1,2 1 Department of Nephrology & Critical Care, Worthing General Hospital, Lyndhurst ... supporting this approach. This leads on to a study by Peelen and colleagues published in this journal examining the influence of volume and ICU organi...

Ngày tải lên: 13/08/2014, 08:20

... first few days of the illness, although they proposed no reason for the observed increase in mortality in the group treated for fewer than 3 days [5]. What is clear is that hypoglycaemia was ... insulin therapy may not, as suggested previously, be universally applicable and is not without risk. This latter point was addressed by Vriesendorp and co- workers [7]. Since employing...

Ngày tải lên: 12/08/2014, 23:23

... VAP has previously been shown to significantly increase both morbidity and mortality. Two recent trials [7,8] have shown a reduction in VAP rates by using antiseptics for oropharyngeal decontamination ... methicillin-resistant Staphylococcus aureus (MRSA). Colistin has both Gram-positive and negative cover, but is generally reserved for treatment of multiresistant Gram- negatives. C...

Ngày tải lên: 13/08/2014, 01:20

... reactivity is attenuated by NADR but increased with AVP and to an even greater extent with F-180. The implication is that the desired pressor response may be specifically V1 mediated and therefore this ... by the administration of AVP or TP and systemic haemodynamic parameters recovered better in the AVP and TP groups. It is therefore reassuring that mesenteric ischaemia was not...

Ngày tải lên: 13/08/2014, 10:20

... impact Commentary Recently published papers: Pseudomonas , brain and bowel injury and novel cardiac therapies Uma M Bandarupalli and Gareth Williams University Hospitals of Leicester NHS Trust, Infirmary ... endotracheal tube may reduce this burden. Does activated protein C improve outcome from acute lung injury and what is the role played by hyperventilation therapy in t...

Ngày tải lên: 13/08/2014, 11:22

... effects of methylprednisolone in unresolving acute respiratory distress syndrome [10], and may account for a therapeutic modality by which high-dose steroid therapy works. It is difficult to ... Although such reports are somewhat anecdotal, the results are promising for a condition that is known to carry a high mortality rate, and it may be that the time for a larger outcome t...

Ngày tải lên: 12/08/2014, 18:21

... water balance. In a study by Lobo and colleagues [4], prompted by Commentary Recently published papers: We are what we eat? LG Forni Consultant, Worthing General Hospital, Lyndhurst Road, Worthing, ... brine! For those interested, a balanced view to this work is provided by Heyland and Paterson [5]. An interesting alternative with respect to volume resuscitation was recentl...

Ngày tải lên: 12/08/2014, 18:21

... Cook and colleagues have published a timely survey on this issue [16]. They conclude that a classic case of system failure exists with regard to patient positioning, and they suggest a number of ... negative study has been published [18]. The authors randomised a heterogeneous group of patients who developed respiratory distress within 48 hours of extubation to receive standard therap...

Ngày tải lên: 12/08/2014, 19:21

... Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory dis- tress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl ... interventional study so that we can really be sure that transfusion is as beneficial as we would hope. Finally, and perhaps fittingly so, what should intensivists do when, desp...

Ngày tải lên: 12/08/2014, 19:21

... review is the lack of consensus on which, if any, agent is best and the wide variability on what is considered to be a good measure of best sedation. It is probably a case of not what you use ... to be considered. It is now widely accepted that unbridled sedation, given with best of intentions, is harmful in terms of ventilator and ICU days and consequently outcom...

Ngày tải lên: 12/08/2014, 19:22