Báo cáo y học: "Clinical review: Balancing the therapeutic, safety, and economic issues underlying effective antipseudomonal carbapenem use" ppt

... Holliday RL, Anderson RA, Lobb TR, Duff JH: Pulmonary hypertension in sepsis: measurement by the pulmonary artery diastolic-pulmonary wedge pressure gradient and the influence of passive and active ... [31]. Etiology of myocardial depression in sepsis and septic shock Myocardial hypoperfusion The possibility of myocardial dysfunction in sepsis was origi- nally proposed and descr...

Ngày tải lên: 12/08/2014, 19:21

... by varying the back pressure on the mushroom valve through which the bias flow vents into the room. The P aw can thus be modified by either adjusting the bias flow rate or the back pressure. The ... generally greatly attenuated through the endotracheal tube and larger airways so the pressure swings in the alveoli are much less. The P aw , on the other hand, is beli...

Ngày tải lên: 12/08/2014, 19:22

... failure and hemodialysis are not contraindications to this therapy, and no drug dosage adjustment is indicated. Finally, the type and source of infection, and its anticipated natural history, may determine ... (activated) as adjunctive therapy for severe sepsis. In the PROWESS study, the time window between the development of the first organ dysfunc- tion and the start o...

Ngày tải lên: 12/08/2014, 19:22

... hydralazine’s prolonged and unpre- dictable antihypertensive effects and the inability to titrate the drug’s hypotensive effect effectively, hydralazine is best avoided in the management of hypertensive ... pre-existing hypertension. The risks for developing malignant hypertension are related to the severity of the underlying hypertension, and therefore the role of mecha...

Ngày tải lên: 12/08/2014, 19:22

... these events are probably insignificant for the young and otherwise physiologically sound patients, they may be significantly physiologically challenging for the elderly or for those with physiologic decompensation ... prediction of outcome should strongly consider including each of these variables in their methodology. Further evaluation of these and potentially other markers of morb...

Ngày tải lên: 12/08/2014, 20:20

... In these investigations the mean arterial pH of the study populations was close to normal and the benefit from NIV was limited. In these studies the enrolment of patients with only slightly compromised respiratory ... respiratory wards, Plant and colleagues [10] randomly assigned 236 patients suffering from COPD exacerbations to standard medical therapy alone or medical therapy co...

Ngày tải lên: 12/08/2014, 20:20

... Churg–Strauss syndrome (CSS) and polyarteritis nodosa (PAN). We explore the diagnosis of these entities in the setting of the ICU and discuss their treatment, with an emphasis on the role of the ICU. ... assuring appropriate therapy. Particular attention is paid to the more fulminant presentations of these conditions and the role of the critical care physician in their d...

Ngày tải lên: 12/08/2014, 20:20

... may dramatically reduce oxygen delivery to the tissues. On admission to the ICU patients with fulminant vasculitis may be hypotensive because of a combination of dehydration, haemorrhage and systemic ... of pulmonary oedema and haemorrhage. Such patients may require invasive haemodynamic monitoring [1]. Pulmonary oedema, haemorrhage and the potential for development of the acute...

Ngày tải lên: 12/08/2014, 20:20

... primarily by differential alteration in [Na + ] and [Cl – ]. If these changes increase SID then the effects of A TOT dilution are enhanced, and if they decrease SID then they oppose them (Table ... Peachey T, Stephens R, Mythen MG: The effects of balanced versus saline-based het- astarch and crystalloid solutions on acid-base and electrolyte status and gastric mucosal perfusion...

Ngày tải lên: 12/08/2014, 20:20

... boarding in the ED are physically separated from the watchful eye of the intensivists who are ultimately responsible for their care. All of these factors could potentially lead to delays in recognizing ... questioned the ability of the entire US emergency care system to provide safe care during the current surge in demand for emergency services. Causes The causes of ED overcrowd...

Ngày tải lên: 12/08/2014, 20:20