Báo cáo y học: "Clinical review: Goal-directed therapy in high risk surgical patients" docx

... only 10% to 20% [13]. Sadly, many or most of the current clinical risk indices’ still highlight issues such as age, risk factors for coronary artery disease, valvular heart disease, arrhythmias ... echocardiography findings and functional capacity; ventricular dysfunction on echo- cardiography may well be associated with moderate to good functional capacity. A study performed by the Study...

Ngày tải lên: 12/08/2014, 20:20

... undergoing high- risk surgery, with an expected mortality of greater than 5%. There has been considerable interest in ways of identifying these patients as Review Clinical review: Goal-directed therapy ... benefits of augmenting oxygen delivery in high- risk surgical patients during the peri-operative period [23]. In 1988 Shoemaker and colleagues [8] showed that morbidity...

Ngày tải lên: 13/08/2014, 19:20

... 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 ... Conversely, high- reliability organizations such as aircraft carriers, nuclear power plants, and air traffic controllers have markedly improved safety by standardizing practices and investing in...

Ngày tải lên: 25/10/2012, 10:35

... 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...

Ngày tải lên: 12/08/2014, 19:21

... surgery No active gastrointestinal bleeding No impairment in swallowing Hemodynamic and rhythm stability Adequate fitting of the interface 102 A multicenter randomized controlled trial recently reported ... randomized clinical trial. Am J Respir Crit Care Med 2003, 168:1438-1444. 17. Lin M, Yang Y, Chiany H, Chang M, Chiany BN, Chitlin MD: Reap- praisal of continuous positive airway pressu...

Ngày tải lên: 12/08/2014, 20:20

... currently function at very high occupancy rates, absorbing such additional numbers is unimaginable. Meeting these needs clearly requires us to move from institution-based to system-based thinking. In ... 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...

Ngày tải lên: 12/08/2014, 20:21

... 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 ... during the recording is a significant risk and the amount of sedation or antipsychotic therapy required in these patients may be increased by their presence. The support and financing of...

Ngày tải lên: 13/08/2014, 08:20

... it maintains airway patency and prevents pulmonary infection. However, tracheal suctioning induces mucosal injury, exposing the basement membrane and thereby facilitating bacterial adhesion in ... citation purposes) Chest physiotherapy Chest physiotherapy, including gravity-assisted drainage, chest wall percussion, chest wall vibrations, and manual lung hyperinflation, aids in the re-expa...

Ngày tải lên: 13/08/2014, 08:21

... 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...

Ngày tải lên: 13/08/2014, 11:22

... or 18 years, patients with a very short length of ICU stay, and so on). Second, the accuracy of any scoring system is highly dependent on the quality of the input. To be used correctly, the ... 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 t...

Ngày tải lên: 13/08/2014, 20:21