Báo cáo y học: "Bench-to-bedside review: Avoiding pitfalls in critical care meta-analysis — funnel plots, risk estimates, types of heterogeneity, baseline risk and the ecologic fallacy" ppsx

... study results has the advantage of using evidence already subjected to peer Review Bench-to-bedside review: Avoiding pitfalls in critical care meta-analysis — funnel plots, risk estimates, types ... prospective meta-analysis in the planning of any clinical trial. Reporting of meta-analysis Even if appropriately conducted, a meta-analysis must be a...

Ngày tải lên: 13/08/2014, 11:22

... Monitoring Study in Intensive Care) and the ICUSRS (Intensive Care Unit Safety Reporting System) have been developed with the goal of balancing the strengths and limitations of error reporting [72]. Conclusion Patient ... associated safety risks. Finally, lack of continuity of care at discharge from the ICU is a well-known feature putting the patient at risk for...

Ngày tải lên: 25/10/2012, 10:35

... sedation or antipsychotic therapy required in these patients may be increased by their presence. The support and financing of polysomnography in terms of sleep laboratory equipment and skilled staff, ... days and nights. Polysomnography is the gold standard for monitoring the quantity and quality of a patient’s sleep. However, polysomnography is technically difficult,...

Ngày tải lên: 13/08/2014, 08:20

... and may involve de novo protein synthesis. The generation of NO may be central to both early and late depression of myocytes in in vitro and in vivo models of septic shock. The role of NO in cardiac ... antagonist. The relative contribution of these cytokines will determine the severity of the septic episode. If the inflammatory reaction is particularly int...

Ngày tải lên: 12/08/2014, 19:21

... proinflammatory cytokines, and anti-inflamma- tory cytokines (Table 1). The outcome of an inflammatory response is dictated by a variety of factors, including the pathogenicity and duration of the stimulus, ... concentrations, and a single serum level taken at a variable time point after the onset of the inflammatory insult may tell us little about the amount of IL...

Ngày tải lên: 12/08/2014, 19:22

... duration of invasive ventilation, and decreasing the incidence of nosocomial infections, mortality, and length of ICU and hospital stays. The International Consensus Conference [37] on the use of NIV in ... surgery No active gastrointestinal bleeding No impairment in swallowing Hemodynamic and rhythm stability Adequate fitting of the interface 102 A multicenter r...

Ngày tải lên: 12/08/2014, 20:20

... more fulminant presentations of these conditions and the role of the critical care physician in their diagnosis and management. Keywords antineutrophil cytoplasmic antibody, critical care, Churg–Strauss ... particularly in PAN. Urinalysis must be performed. Is the patient being treated for urinary sepsis on the basis of blood and protein on the urine dipstick...

Ngày tải lên: 12/08/2014, 20:20

... admission to the ICU patients with fulminant vasculitis may be hypotensive because of a combination of dehydration, haemorrhage and systemic inflammatory response syndrome. As such they may require ... acutely during treatment of the vasculitis, and in 20–40% of cases this will need to continue in the long term [4]. Unfortunately, of those who avoid long-term renal rep...

Ngày tải lên: 12/08/2014, 20:20

... situation may arise quickly and without much warning, taxing the resources of any health care system and the ability of its personnel to cope. The most fundamental guidance we offer is that you need ... Network and the Interdepartmental Division of Critical Care, University of Toronto, Toronto, Ontario, Canada 2 Mount Sinai Hospital and the Interdepartmental Div...

Ngày tải lên: 12/08/2014, 20:21

... therapy decreases the rate of nosocomial pneumonia, and may reduce the length of stay in the ICU and the hospital. The high cost of kinetic beds may be offset by a shortening of stay and a decreased use of systemic ... respiratory infections, length of stay in the hospital and the ICU, and mortality in critically ill patients. Available data are disti...

Ngày tải lên: 13/08/2014, 08:21