Báo cáo y học: "Recently published papers: Renal replacement therapy: which route and how much? Intracerebral haematomas: does the size matter? β blockers and steroids: will we ever know" doc

... demonstrating profound and resistant vascular hyporeactivity. Bolus terlipressin resulted in a progressive increase in mean arterial pressure, allowing withdrawal of noradrenaline (norepinephrine) in ... was lower in the hydrocortisone group than in the placebo group (P < 0.05). No difference in mortality was found. Interleukin-6 and interleukin-8 were both significantly reduce...

Ngày tải lên: 12/08/2014, 18:21

... accelerate recovery 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 ... recent study reported by Yap and coworkers [7]. They retrospectively studied more than 1000 patients over an 18-month period, their hypothesis being that serum hypoalbuminaemi...

Ngày tải lên: 12/08/2014, 18:21

... reported by Weber and colleagues [22]. Sadly, adoption of this technique, in the UK at least, awaits the deliberation of the government and judiciary. Finally, if you have been seduced by the attractive ... the dermal tolerance and user acceptability of six alcohol-based hand disinfectants for hygienic hand disinfection. J Hosp Infect 2002, 51:114-120. 25. Laffey JG, Kavanagh BP: Hypo...

Ngày tải lên: 12/08/2014, 19:21

... mortality and transfusion. Vincent and colleagues used a propensity scoring system to identify two distinct groups and control for confounders, and found an odds ratio of 1.37 for mortality in transfusion ... recommendations regarding plateau pressures. Kern and Shoemaker [11] recently looked back at the successes of haemodynamic goal-directed therapy in a meta- analysis of...

Ngày tải lên: 12/08/2014, 19:21

... 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 that unbridled ... 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 u...

Ngày tải lên: 12/08/2014, 19:22

... benefit to therapy directed by pulmonary artery catheters over standard care in this patient group. Indeed, there was a higher rate of pulmonary embolism in the catheter group than in the standard ... treatment arm. The physiological goals and treatment priorities in the pulmonary artery catheter group were defined by the investigators before the study began, and assessm...

Ngày tải lên: 12/08/2014, 19:22

... They reported an alarmingly high incidence of peripheral neurological deficits on examination (13/22, 59% of Commentary Recently published papers: small pieces of the puzzle and the long-term view Jonathan ... study undoubtedly provides further evidence to support the enormous ongoing efforts to tackle this phenomenon. Obesity Against the background of the glob...

Ngày tải lên: 12/08/2014, 19:22

... we may be able to alter and influence the underlying pathophysiology of sepsis. Many reports from those who believe that this may lie in the hypothalamic–pituitary–adrenal axis have recently been published. ... human sepsis? Time and more research will tell. Commentary Recently published papers: inflammation, elucidation, manipulation? Justin Kirk-Bayley 1 and Richard Venn 2 1 Resear...

Ngày tải lên: 12/08/2014, 19:22

... spent on mechanical ventilation or in the duration of renal replacement therapy between the two treatment groups. The study was pragmatically planned, dictating only the fluid resuscitation of the ... the patients, leaving clinicians free to manage all other aspects of the patients’ care as they saw fit. This freedom was controlled by stratification of randomization such that indivi...

Ngày tải lên: 12/08/2014, 20:20

... days, ICU-free days, or organ failure-free days. Lactate clearance From the emergency department in Detroit, home of early goal-directed therapy [5], comes another simple and elegant study of the ... medical therapy. The primary outcome measures were ICU mortality and need for reintubation. The trial was stopped at an interim analysis because of a statistically significant increase in...

Ngày tải lên: 12/08/2014, 20:20

... standard therapy alone with standard therapy plus a maximum of four intratracheal doses of a recombinant surfactant protein C-based surfactant given within 24 hours. They failed to demonstrate any ... papers: Clunk-click every trip, smile, but don’t stop for a drink on the way Jon Stacey 1 and Richard Venn 2 1 Senior House Officer, Department of Critical Care, Wo...

Ngày tải lên: 12/08/2014, 20:20

... group was also shown. An equally unappetizing prospect is the combination of ARF and haematological malignancy. A further study appearing in Chest [14] compared NIV with invasive intubation and ventilation ... oxygen therapy alone in acute cardiogenic pulmonary oedema. Specifically, CPAP and BIPAP resulted in much improved Pa O 2 /FiO 2 ratios and a lower incidence of endotr...

Ngày tải lên: 12/08/2014, 20:21

... of breathing a hydrogen oxygen atmosphere and half to nitrogen oxygen. The anti-inflammatory effects of the hydrogen were very striking. The impracticality of repeating this study in any clinical ... in mortality at 7, 14, 28 and 90 days, or indeed, serial sequential organ failure assessment (SOFA) score or a variety of haemo- dynamic end points. The study was prompted by limited evidence...

Ngày tải lên: 13/08/2014, 08:20

... only one country in the world”. However, patients in these series were predominantly undergoing major vascular surgery and had documented wall motion abnormali- ties on dobutamine stress ECHO, and, ... because their opinion was almost entirely based on the DECREASE series [10] by Poldermans and colleagues, which were “mainly observational, done primarily only on vascular surgery pa...

Ngày tải lên: 13/08/2014, 11:22

... critically ill patients do, on occasion, require renal support in whatever guise whereas the mainstay Commentary Recently published papers: Renal support in acute kidney injury - is low dose the new high ... benefit. Finally, a study on cessation of therapy. A further subgroup analysis of the BEST kidney data (Beginning and Ending Supportive Therapy f...

Ngày tải lên: 13/08/2014, 20:21