Báo cáo y học: "Clinical review: Prognostic value of magnetic resonance imaging in acute brain injury and coma" pot
Báo cáo y học: "Clinical review: Prognostic value of magnetic resonance imaging in acute brain injury and coma" pot
... axonal injury due to nonmissile head injury in humans: an analysis of 45cases. Ann Neurol 1982, 12:557-563.51. Levin HS: Neuroplasticity following non-penetrating traumatic brain injury. Brain Inj ... differences in severity of brain oedema and in associated hypoxia and herniation,thereby introducing bias into the interpretation of the results.MRS findings vary greatly according to time since TBI. ... from the injury. Magnetic resonance imaging findings in specific critical neurological conditionsTraumatic brain injury Conventional magnetic resonance imaging MRI was first used to investigate...
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Báo cáo y học: "Clinical review: The meaning of acid–base abnormalities in the intensive care unit – effects of fluid administration" potx
... J,Cooper G, Tremayne AB, Bernard SS, Ponsford J; HTS StudyInvestigators: Prehospital hypertonic saline resuscitation of patients with hypotension and severe traumatic brain injury: arandomized controlled ... extracellularfluid. Although a potential disadvantage in traumatic brain injury [55], this was not borne out in a comparison withhypertonic saline given prehospital to hypotensive brain- injured patients ... tendency of standard albumin and gelatin based colloids to causemetabolic acidosis is probably similar to that of saline. Bycontrast, hetastarch and pentastarch are not weak acids, and the SID of...
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Báo cáo y học: "Clinical review: The management of hypertensive crises" ppsx
... hypertension, accompanied by evidence of renal disease and by signs of vascular injury to the heart, brain, retina and kidney, and by a rapidly fatal course ending in heart attack, renal failure, ... with acute coro-nary syndromes or acute pulmonary edema.Hydralazine is a direct acting vasodilator. Following intramuscu-lar or intravenous administration there is an initial latency period of ... [29,43–45]. In addition toactivation of the renin–angiotensin system, vasopressin,endothelin, and catecholamines are postulated to playimportant roles in the pathophysiology of hypertensiveemergencies...
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Báo cáo y học: "Clinical review: Specific aspects of acute renal failure in cancer patients" pot
... anti-inflammatory drugs.reported with many anti-cancer agents, including gemcita-bine, bleomycin, cisplatin, CCNU, cytosine arabinoside,daunorubicin, deoxycoformycin, 5-FU, azathioprine and interferon ... unit; SOS = Sinusoidalobstruction syndrome; TLS = tumour lysis syndrome; TMA = thrombotic microangiopathy.20. Ying WZ, Sanders PW: Mapping the binding domain of immunoglobulin light chains for Tamm-Horsfall ... morbidity and mortality.Moreover, ARF may preclude optimal cancer treatment by requiringa decrease in chemotherapy dosage or by contraindicatingpotentially curative treatment. The pathways leading...
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Báo cáo y học: "Clinical review: Major consequences of illicit drug consumption" doc
... hypertrophy [11]. Widespreadvasoconstriction causes increased myocardial oxygendemand, and with cocaine’s sympathomimetic activity causingtachycardia and hypertension, myocardial ischaemia and infarction ... and infarction may occur; the risk of MI in patients with cocaine-induced chest pain is approximately 6%. The usual clinicalpresentation is of an acute coronary syndrome in a youngindividual often without ... Creatine kinase (CK) and myocardialCK may well be elevated in the absence of MI, due to increasedmotor activity, hyperthermia, and skeletal-muscle injury. Management is with oxygen, aspirin (unless...
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Báo cáo y học: "Clinical review: The role of the intensive care physician in mass casualty incidents: planning, organisation, and leadership" pot
... ultimatelyadmitted to the ICU.ReviewClinical review: The role of the intensive care physician in masscasualty incidents: planning, organisation, and leadershipPeter J Shirley and Gerlinde ManderslootRoyal ... especially truefor intensive care beds since these are often running at, orclose to, maximum capacity during normal daily hospitaloperations. The ability to successfully and safely expand and maintain ... checking of staff identity) is maintained?Who is the lead intensivist and who is the senior nurse? Are their roles clearly defined?What is the absolute limit in terms of increasing bed capacity?...
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Báo cáo y học: "Clinical review: The impact of noise on patients’ sleep and the effectiveness of noise reduction strategies in intensive care units" ppsx
... the effect of night and day on infants in a newborn nursery. Besides turning off the radio, lights and covering the windows with thick and dark curtains, thebehaviour of the staff and visitors ... cause of Author and of age of of ICU stay Number sleep year published Method patients patients ICU type (days) Main noise sources ventilated disruption?Hilton, 1976 [24] Polysomnography + continuous ... theeffects of experimentally induced sleep disturbance in healthy volunteers toy lormetazepam and zolpidem. J ClinPsychopharm 1995, 15:132-137.13. Kawada T, Kiryu Y, Sasazawa Y, Suzuki, S: Instantaneouschange...
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Báo cáo y học: "Clinical review: The role of biomarkers in the diagnosis and management of communityacquired pneumonia" potx
... with CAP, copeptin increased with increasing severity of the PSI and was an independent predictor of outcome, in contrast to other clinical symp-toms and fi ndings [49]. In a study of 302 patients ... independent of, and stronger than, that of age or the Acute Physiology and Chronic Health Evaluation II score. In one prospective study, each point increment in the International Society of ... diagnosisProcalcitonin, C-reactive protein and leukocyte count e diagnostic and prognostic accuracy of clinical signs and symptoms and a range of laboratory markers were recently assessed in a planned...
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Báo cáo y học: "Clinical review: What is the role for autopsy in the ICU" doc
... reluctance of pathologists to perform autopsies. Several studies analyzing the delay of pathology reports show a long delay (up to 90 days) [6]. is indicates a lack of interest in autopsy fi ndings, ... and Alufuzoff [2] found a signifi cant increase in infectious diseases in autopsy patients, from 27% in the 1970s to 32% in the 1980s, and an increase in undiagnosed infections of 30%. Gerain ... understand the importance of the results of autopsy in medical develop ment. Autopsies can lead to an increased awareness for rare and emerging diseases and eventually result in better daily clinical...
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Báo cáo y học: "Clinical review: mechanical circulatory support for cardiogenic shock complicating acute myocardial infarction" ppsx
... diffi culty of obtaining timely consent and randomization in the critically ill. For example, the SMASH (Swiss Multicenter Evaluation of Early Angioplasty for Shock Following Myocardial Infarction) ... Angiography and Interventions, and the Society of Thoracic Surgeons: endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine. ... resulted in a signifi cant reduction of mortality when compared with medical therapy, including fi brinolysis. Importantly, IABP use was 86% in both groups, and mortality in the medical therapy group...
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