Báo cáo y học: "Acute kidney injury on admission to the intensive care unit: where to go from here" docx

... Access Available online http://ccforum.com/content/12/6/189 Page 1 of 2 (page number not for citation purposes) Vol 12 No 6 Commentary Acute kidney injury on admission to the intensive care unit: where to go ... critically ill patients with AKI did not decrease mortality, improve recovery of kidney function or reduce the rate of non-renal organ failure compared to...

Ngày tải lên: 13/08/2014, 11:23

... anaesthesia, intubation and artificial ventilation are only indicated to facilitate surgery by ensuring an open airway. In the ICU these are absolute indications, and rapid return of spontaneous ... aminoglycoside antibiotics, contribute to this neuropathy [2]. Therefore, nowadays relaxants are only administered in the ICU for specific indications, such as when decreased muscle tone i...

Ngày tải lên: 12/08/2014, 18:21

... and of the Shock- Trauma/Intermountain Respiratory ICU, and to the Respiratory Care Department of the LDS Hospital, for collaboration during the past 25 years. I recognize the contributions of ... decision-makers in the ICU. Competing interests None declared. Acknowledgements I am indebted to the medical, nursing, and respiratory therapy staffs of the Intermountain Respi...

Ngày tải lên: 12/08/2014, 18:21

... determine the pH and proton concentration. Other attempts at classification rely upon nomograms with imprecise ‘grey zones’ to account for the imprecision in the Henderson–Hasselbach equation solutions. ... hinge on generation of protons from the liberation of metabolic acids such as lactate or carbonic acid from increased CO 2 . Most traditional views rely on the Henderso...

Ngày tải lên: 12/08/2014, 20:20

... Tillyard notes. The reasons for this may be multifactorial, ranging from the demands of managed care in which the doctor–patient relationship has been undercut by the consumer-driven market, to the ... the issue. We ought not to be overly concerned with the execution and application of advanced directives but with the motivation behind them and the dialogue they enge...

Ngày tải lên: 13/08/2014, 08:20

... more complex to manage for a variety of reasons: they are difficult to intubate, difficult to ventilate, difficult to wean, difficult to move – the list goes on. And on. But are these generalisations ... million people being classified as obese, whereas starvation affects almost one-half of the global population. Indeed, the obesity epidemic is highlighted here in the Unit...

Ngày tải lên: 13/08/2014, 11:23

... information, the MR catheters are the optimal decision because they return the highest net monetary benefits relative to all other catheter types. However, the probability of error in this conclusion ... infection control, decision makers are likely to pay more attention to the cost effectiveness of interventions they employ to reduce rates of CR-BSI [5]. A-CVC: antimicrobia...

Ngày tải lên: 13/08/2014, 16:20

... varies from less than 0.1% to 18%, with an associated mortality ranging from 7 to 83% [12,13,17-19]. In particular, the study by Bagshaw and a studybyYuanwereabletoshowtheapplicationofthe RIFLE ... by RIFLE category the crude mortality was 23% for Risk, 19% for Injury, and 22% for Failure. To better understand mortality distribution we divided the mortality into early (less t...

Ngày tải lên: 13/08/2014, 23:21

... ‘aggressive’ diagnostic and therapeutic approach, then prevention of AKI, both primary and secondary, remains the key to continued improvement in outcome. Ideally, we would like to be able to prevent progression of ... universal, particularly in developing countries. Until then, we have to continue to rely on, and improve, the clinical clock. Currently, consensus definitions fo...

Ngày tải lên: 13/08/2014, 08:20

... working on developing and validating biomarkers of kidney injury and the glomerular filtration rate (GFR), the proposed diagnostic criteria from the Acute Kidney Injury Network are based on an ... Modification of Diet in Renal Disease (MDRD) study [2]. In analogy with chronic kidney disease, implementation of the MDRD equation would probably grant more clinically usefu...

Ngày tải lên: 13/08/2014, 11:22