Báo cáo y học: "Recently published papers: Changing bandwagons, innovations and questioning dogma" pot

... death and severe disability after traumatic brain injury and the contradictory trial evidence surrounding all therapies, including mannitol, hypertonic saline, mild therapeutic hypothermia and decompressive ... looking at iatrogenic hypoglycaemia. One of the purported mecha- nisms by which tight glycaemic control may confer harm is by the near universal increase in the incidence of hypo...

Ngày tải lên: 13/08/2014, 16:20

... cancer. Perhaps the study that will attract most attention is that by Sandham and coworkers [4]. This is an impressive randomized trial that compared goal-directed therapy guided by pulmonary artery catheter ... of severe injury. What the study does highlight is the fact that our knowledge of critical illness polyneuropathy and myopathy is scant. The challenge now is to try to identify ri...

Ngày tải lên: 12/08/2014, 19:22

... were significantly longer for the obese patient (1.48 days and 1.08 days, respectively; P = 0.04 and P = 0.009, respectively). The authors conclude that obesity in critically ill patients is ... effect of obesity on ICU mortality, length of stay and duration of mechanical ventilation for both medical and surgical patients. This meta-analysis reviewed 15,347 patients with a body mass i...

Ngày tải lên: 13/08/2014, 08:21

... on the effects of methylprednisolone in unresolving acute respiratory distress syndrome [10], and may account for a therapeutic modality by which high-dose steroid therapy works. It is difficult ... Jr, Landry DW, Townsend RN: Low-dose vasopressin in the treatment of vasodilatory septic shock. J Trauma 1999, 47:699-703. 6. Tsuneyoshi I, Yamada H, Kakihana Y, Nakamura M, Nakano Y, Boyle W...

Ngày tải lên: 12/08/2014, 18:21

... to 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 ... 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 hypoalbuminaemia may be pre...

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 ... 2002, 166:1-2. 3. Brealey D, Brand M, Hargreaves I, Heales S, Land J, Smolenski R, Davies NA, Cooper CE, Singer M: Association between mito- chondrial dysfunction and severity and...

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 ... surgery, trauma and sepsis patients. Their findings confirmed further that when therapy is aimed at improving oxygen delivery (especially in the severely ill, in whom control g...

Ngày tải lên: 12/08/2014, 19:21

... particularly by doctors. Which agent(s) should be used, and how much and how often? These are important questions but they are not easily answered. Anxiolysis, analgesia, amnesia and sedation ... measures were employed, including costing, quality of sedation, haemodynamic stability and time to extubation, among others. Unsurprisingly, the studies showed wide clinical heterogeneity an...

Ngày tải lên: 12/08/2014, 19:22

... phenomenon. Obesity Against the background of the global epidemic of obesity, the impact of body mass index on the short-term outcomes of critical illness has been investigated by Tremblay and Bandi [5]. ... global SARS (severe acute respiratory syndrome) epidemic and a war in Iraq beamed live into our daily lives. The weekly medical journals have covered these events and contributed to...

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. ... renal injury, metabolic acidosis and sepsis-induced coagulopathy. Can we manipulate this therapeutically in human sepsis? Time and more research will tell. Commentary Recently...

Ngày tải lên: 12/08/2014, 19:22