Báo cáo y học: "Clinical review: Balancing the therapeutic, safety, and economic issues underlying effective antipseudomonal carbapenem use" ppt
Báo cáo y học: "Clinical review: Myocardial depression in sepsis and septic shock" pptx
... 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...
Báo cáo y học: "Clinical review: High-frequency oscillatory ventilation in adults — a review of the literature and practical applications" ppsx
... 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...
Báo cáo y học: "Clinical review: Drotrecogin alfa (activated) as adjunctive therapy for severe sepsis – practical aspects at the bedside and patient identification Pierre-François Laterre and Xavier Wittebole" pdf
... 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...
Báo cáo y học: "Clinical review: The management of hypertensive crises" ppsx
... 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...
Báo cáo y học: "Clinical review: Acid–base abnormalities in the intensive care unit" doc
... 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...
Báo cáo y học: "Clinical review: Noninvasive ventilation in the clinical setting – experience from the past 10 year" pps
... 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...
Báo cáo y học: " Clinical review: Vasculitis on the intensive care unit – part 1: diagnosis" doc
... 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...
Báo cáo y học: "Clinical review: Vasculitis on the intensive care unit – part 2: treatment and prognosis" ppsx
... 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...
Báo cáo y học: "Clinical review: The meaning of acid–base abnormalities in the intensive care unit – effects of fluid administration" potx
... 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...
Báo cáo y học: "Clinical review: Emergency department overcrowding and the potential impact on the critically il" pot
... 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...