Báo cáo y học: "Clinical review: Critical care in the global context – disparities in burden of illness, access, and economics" potx

... developing world Of the nearly 6 billion people in the world today, roughly 1 billion live in extreme poverty. They are nearly all inhabitants of ‘developing’ countries, predominantly in sub-Saharan ... without the accident of latitude. Tailored to the needs of the region, the provision of critical care has a role, even in the context of limited prevent...

Ngày tải lên: 13/08/2014, 11:22

... volume and vasogenic edema by improving perfusion and oxygenation to the injured areas of the brain [125]. This is achieved in theory by maintaining an euvolemic state with normal hemoglobin, hematocrit, ... effects of succinylcholine include hyperkalemia, cardiac arrhythmias, exacerbation of neuropathy or myopathy, malignant hyperthermia, and elevation of intracranial pre...

Ngày tải lên: 13/08/2014, 11:23

... disciplines of clinical medicine in mainland China. As in many other countries, critical care was initially practiced in a variety of postoperative recovery rooms and/ or an isolation area within the ... medicine as a specialty in mainland China In mainland China, physicians of other relevant special- ties were the fi rst to be assigned to work in ICUs because of...

Ngày tải lên: 13/08/2014, 20:21

... of cardiac surgery should be based on the time of occurrence: – precardiotomy – failure to wean – postcardiotomy and on the haemodynamic severity of the condition of the patient: – crash and ... rotary pumps the spinning rotor fl oats by means of either a magnetic fi eld or hydrodynamic levitation, never touch- ing the pump housing, thereby eliminati...

Ngày tải lên: 13/08/2014, 19:20

... 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 ... momentarily line up [71]. Therefore, it is not surprising that models of quality improvement based on identifying and removing ‘bad apple’ clinicians...

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

... advocated in the early days of intensive care, there is no evidence that digoxin or any other antiarrhythmic drug can prevent AF in critically ill patients [41,45]. There are no trials investigating ... length of stay (LOS) in a mixed medical– cardiac ICU [2]. Onset of AF in a patient in the surgical ICU increases their LOS in the ICU and in the hospital [11,16,...

Ngày tải lên: 25/10/2012, 10:35

... 222 Critical Care June 2003 Vol 7 No 3 Ryan and Levy The goal of the present review is to question, by critically evaluating the literature, the practice of routinely treating fever in the ICU ... patients. Task Force of the American College of Critical Care Medicine of the Society of Critical Care Medicine in collaboration with the Infectious Dis...

Ngày tải lên: 12/08/2014, 19:22

... utility identified in some studies that is conspicuously lacking in others? The answer may be found in the timing. Much like base excess, the value of the SIG may be related to the time of assay. ... of outcome in the critically ill, and they should be incorporated into a prognostication method. Future studies of acid–base prediction of outcome should strongly...

Ngày tải lên: 12/08/2014, 20:20

... patients, both in the ED and upon arrival in the ICU [35]. Finally, in the UK study conducted by Gray and coworkers [13] the second most commonly noted reason for transfer of critically ill ED patients ... today. Hospital finance committees considering the cost of critical care should look beyond the ICU, and examine how ED care, ED–ICU transfer times, delay...

Ngày tải lên: 12/08/2014, 20:20