Báo cáo y học: "Recently published papers: a little less ventilation, a little more oxygen please" pot

... completely have already introduced hardware and software upgrades that remedy the problem. However, in the meantime, perhaps we should keep mobile phones and ventilators at a safe distance, or at least ... the authors must be applauded for using straightforward parameters that focus on drastic acute changes but also include the sensible caveat that a staff member is worried about a pati...

Ngày tải lên: 12/08/2014, 20:20

... should receive renal replacement therapy sooner rather than later). A large randomized trial is needed to investigate this further. As things stand at the moment at best, we can state that an association ... These are important questions but they are not easily answered. Anxiolysis, analgesia, amnesia and sedation are just a few of the elements to be considered. It is now widely accepted...

Ngày tải lên: 12/08/2014, 19:22

... critically ill medical patients projected to need ventilatory support for more than 14 days to either early percutaneous dilational tracheotomy within 48 hours or delayed tracheotomy at days 14–16. ... to mortality or need for mechanical ventilation. Those in the surfactant group had significantly greater arterial oxygen tension : fractional inspired oxygen ratios between 4 and 24 hours...

Ngày tải lên: 12/08/2014, 20:20

... Twenty-eight day mortality was the primary outcome measure. Patients were eligible if they were intubated (or tracheostomized) with an arterial oxygen tension (Pa O 2 )/fractional inspired oxygen ... trial failed to show a reduction in mortality after early prone positioning for acute hypoxaemic failure, despite an improvement in oxygenation and a reduction in ventilator associated pn...

Ngày tải lên: 12/08/2014, 20:21

... Two large trials investigating the optimal ventilatory approach to patients with acute lung injury have recently been published. In the first, a combined Canadian, Australian and Saudi Arabian ... fashion [3]. The oxygenation index, cardiac index, extravascular lung water index and pulmonary vascular permeability index were assessed preoperatively and postoperatively as well as pre and 50...

Ngày tải lên: 13/08/2014, 11:22

... accepted that hyperglycaemia should be controlled after head injury - but clearly we need to be careful because tight control may cause harm. Cardiac arrest management Meanwhile, the search for ... and results are now awaited. More evidence that tight glucose control may not be beneficial for all patients came from a paper by Oddo and colleagues [6]. They performed a retrospective analy...

Ngày tải lên: 13/08/2014, 15:21

... care team versus daily sedation holds with specific early exercise and mobilisation (physical and occupational therapy). In their group of 104 patients, early physical and occupational therapy ... mortality associated with this intervention [9]. They performed a dual- centre randomised controlled trial comparing standard ICU practice of daily sedation holds and therapy as per the primary .....

Ngày tải lên: 13/08/2014, 18:22

... treatment of vasodilatory septic shock. J Trauma 1999, 47:699-703. 6. Tsuneyoshi I, Yamada H, Kakihana Y, Nakamura M, Nakano Y, Boyle WA III: Hemodynamic and metabolic effects of low-dose vasopressin ... that is known to carry a high mortality rate, and it may be that the time for a larger outcome trial approaches. The March/April edition of Intensive Care Monitor [7] comments on a p...

Ngày tải lên: 12/08/2014, 18:21

... of gastrointestinal motility may be effective salt and 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 ... that serum hypoalbuminaemia may be predictive of mortality risk in the critically ill. This was no doubt triggered by the Acute Physiology and Chronic Health Evaluation (APACHE...

Ngày tải lên: 12/08/2014, 18:21

... can prevent the need to reintubate, and that a trial of NIPPV is sometimes warranted, not least as a failed trial is unlikely to harm the patient. Ventilator-associated pneumonia remains a major ... the hands of Neumann and DeLegge [21], essentially because nasojejunal tube placement results in a significant delay in the start of feeding. Surely the pragmatic approach is to start with...

Ngày tải lên: 12/08/2014, 19:21