Báo cáo y học: "Bench-to-bedside review: β-Adrenergic modulation in sepsis" pps
Báo cáo y học: "Clinical review: Myocardial depression in sepsis and septic shock" pptx
... postulated that cytokine synergy
plays a key role in septic myocardial depression. When con-
sidering IL-1β and TNF-α independently, substantially higher
concentrations of each cytokine are required ... bio-
chemical pathway than the early depression, and may involve
de novo protein synthesis.
The generation of NO may be central to both early and late
depression of myocytes in in vitro an...
Báo cáo y học: "Bench-to-bedside review: β-Adrenergic modulation in sepsis" pps
... generated by the coagulation process, the fibrinolytic
system degrades fibrin by its key enzyme, plasmin. Plasmin
formation from plasminogen is mainly activated by tissue
plasminogen activator and inhibited ... G
s
proteins and increased inhibitory activity of G
i
proteins [38].
The sustained adrenergic stimulation per se may trigger cyto-
kine production by cardiomyocytes [39].
From another...
Báo cáo y học: "Clinical review: Medication errors in critical care"
... reporting
barriers partly owing to fewer liability concerns, and an
opportunity to study recovery patterns [75]. Ideally, error
reporting should be voluntary, anonymous, centralized to
increase ... The
technology permits clinicians to enter orders directly into a
computer workstation that is linked to a hospital clinical infor-
mation system [47]. The main advantages of these systems
are that...
Báo cáo y học: "Science review: Genetic variability in the systemic inflammatory response" pdf
... +250
GG genotype, again suggesting that polymorphisms may be
‘good’ or ‘bad’, depending on the outcome of interest.
Interleukin-1
αα
and interleukin-1
ββ
IL-1, a potent proinflammatory cytokine released ... transition in the first intron of LT-α, has
been identified as a potentially influential locus in many
inflammatory conditions. This polymorphism is part of a
complex haplotype includi...
Báo cáo y học: "Clinical review: Noninvasive ventilation in the clinical setting – experience from the past 10 year" pps
... with increasing physician
experience. Carlucci and coworkers [9] reported an 8-year
retrospective study in which they investigated the changes in
clinical practice of NIV in COPD patients. In that ... surgery
No active gastrointestinal bleeding
No impairment in swallowing
Hemodynamic and rhythm stability
Adequate fitting of the interface
102
A multicenter randomized controlled trial...
Báo cáo y học: "Clinical review: SARS – lessons in disaster management" potx
... while
maintaining infection control measures), and serve as a way to
train treatment teams at different hospital sites. Indeed,
internet-based technology proved invaluable during the SARS
outbreak in ... placed
in quarantine after exposure, some of them falling ill,
becoming critically ill and even succumbing to SARS.
Staff morale was addressed in some institutions by
encouraging and co...
Báo cáo y học: "Clinical review: Sleep measurement in critical care patients: research and clinical implications" pdf
... examining the full effects of sleep inter-
ventions over multiple days, identifying appropriate endpoints
and in a relatively large number of patients. Polysomnography
is currently the definitive ... more interventions. In clinical
practice, they offer the only real means of assessing the
efficacy of interventions in attempting to improve individual
patients’ sleep.
Patient assessment
U...
Báo cáo y học: "Clinical review: Airway hygiene in the intensive care unit" pptx
... it maintains airway patency and prevents
pulmonary infection. However, tracheal suctioning induces
mucosal injury, exposing the basement membrane and
thereby facilitating bacterial adhesion in ... maintain airway hygiene
independently and remain symptomatic after 24 hours of
aggressive chest physiotherapy (every 4 hours). Clinical
experience indicates that atelectasis recurs frequently afte...
Báo cáo y học: "Clinical review: Critical care in the global context – disparities in burden of illness, access, and economics" potx
... critical care may be poorly
organized, with ICUs usually being ad hoc areas within
hospitals [17]. Specialty trained intensivists are rare. Physi-
cians and nurses are in short supply and underpaid ... health care, including vaccination and nutrition, is not
‘critical care’. However, in many hospital wards of developing
countries, the majority of patients dying of AIDS, complicating
infec...
Báo cáo y học: " Clinical review: Scoring systems in the critically ill" ppsx
...
compared to MODS in patients with brain injury [46].
Severity assessment based on nursing workload use
The Therapeutic Intervention Scoring System (TISS)
TISS was originally developed in 1974 to assess ... Metnitz P: The changing prognostic determinants in
the critically ill patient. In 2007 Yearbook of Intensive care and Emergency
Medicine. Edited by Vincent JL. Heidelberg: Spring...