Báo cáo y học: "Recently published papers: Novel therapies in chronic obstructive pulmonary disease, cardiac chemicals and intensive care outcomes" ppt

... expiratory muscle fati- guing protocol, than following an equivalent exercise duration when not first fatigued [36]. Interestingly, in that study subjects exercising with prior expiratory mus- cle fatigue ... muscle fatigue to develop in healthy individuals [18,19]. In COPD, the abdominal muscles are frequently recruited even during resting breathing [20]. When walking to ex...

Ngày tải lên: 12/08/2014, 11:20

... induced chronic obstructive pulmonary disease exacerbations: a pilot study Patrick Mallia 1 , Simon D Message 1 , Tatiana Kebadze 1 , Hayley L Parker 1 , OnnMKon 2 and Sebastian L Johnston* 1 Address: ... study to experimentally infect COPD patients with a respiratory virus. Our aim was to assess the feasibility and safety of developing a human experimental model...

Ngày tải lên: 12/08/2014, 16:20

... demonstrating profound and resistant vascular hyporeactivity. Bolus terlipressin resulted in a progressive increase in mean arterial pressure, allowing withdrawal of noradrenaline (norepinephrine) in ... was lower in the hydrocortisone group than in the placebo group (P < 0.05). No difference in mortality was found. Interleukin-6 and interleukin-8 were both significantly reduce...

Ngày tải lên: 12/08/2014, 18:21

... 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 we eat? LG ... 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 hypoalbuminaemi...

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 ... the dermal tolerance and user acceptability of six alcohol-based hand disinfectants for hygienic hand disinfection. J Hosp Infect 2002, 51:114-120. 25. Laffey JG, Kavanagh BP: Hypo...

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 ... recommendations regarding plateau pressures. Kern and Shoemaker [11] recently looked back at the successes of haemodynamic goal-directed therapy in a meta- analysis of...

Ngày tải lên: 12/08/2014, 19:21

... These are important questions but they are not easily answered. Anxiolysis, analgesia, amnesia and sedation are just a few of the elements to be considered. It is now widely accepted that unbridled ... the lack of consensus on which, if any, agent is best and the wide variability on what is considered to be a good measure of best sedation. It is probably a case of not what you u...

Ngày tải lên: 12/08/2014, 19:22

... benefit to therapy directed by pulmonary artery catheters over standard care in this patient group. Indeed, there was a higher rate of pulmonary embolism in the catheter group than in the standard ... treatment arm. The physiological goals and treatment priorities in the pulmonary artery catheter group were defined by the investigators before the study began, and assessm...

Ngày tải lên: 12/08/2014, 19:22

... been gained in our understanding of the extremely complex issue of patient-ventilator interaction in COPD patients. Given the increasing use of assisted modes, this heightened under- standing has ... 2) In the case of assisted ventilatory modes, both the ventilator and the patient provide the required pressure, equation 1 becoming: Review Clinical review: Patient-ventilator i...

Ngày tải lên: 13/08/2014, 03:20

... impact Commentary Recently published papers: Pseudomonas , brain and bowel injury and novel cardiac therapies Uma M Bandarupalli and Gareth Williams University Hospitals of Leicester NHS Trust, Infirmary Square, ... load? Hyperventilation therapy after traumatic brain injury Neumann and coworkers reported data from the BrainIT database concerning use of hyperventila...

Ngày tải lên: 13/08/2014, 11:22

... recently in Intensive Care Medicine add more weight to the arguments against such views [2,3]. In the study by Sakr and colleagues, the European obser- vational Sepsis Occurrence in Acutely Ill ... [4,5]. Commentary Recently published papers: Heavyweight problems in the intensive care unit? Lui G Forni 1,2 1 Department of Critical Care, Worthing General Hospit...

Ngày tải lên: 13/08/2014, 11:23

... of < /b> hospital-acquired < /b> infections, < /b> the < /b> ability < /b> of < /b> intensivists < /b> to < /b> perform < /b> echocardiography, < /b> and < /b> the < /b> benefit < /b> of < /b> polymyxin < /b> B haemoperfusion in < /b> abdominal sepsis James Hayward and < /b> Richard Venn Department ... with a < /b> high affinity for endotoxin. Haemoperfusion was perf...

Ngày tải lên: 13/08/2014, 18:22

... multicentre observational study examining the relationship between the amount of energy and protein administered during ICU stay and clinical outcomes in critically ill patients, and the extent to which ... Enquiry into Patient Outcome and Death) interest recently and data into provision of care and outcomes have been published [13]. French investigators Floccard and colle...

Ngày tải lên: 13/08/2014, 19:20

... critically ill patients do, on occasion, require renal support in whatever guise whereas the mainstay Commentary Recently published papers: Renal support in acute kidney injury - is low dose the new high ... benefit. Finally, a study on cessation of therapy. A further subgroup analysis of the BEST kidney data (Beginning and Ending Supportive Therapy f...

Ngày tải lên: 13/08/2014, 20:21

... strategy (NPPV combined with FBO in COPD with hypercapnic encephalopathy) in the most challenging patients. Abbreviations COPD, chronic obstructive pulmonary disease; FBO,  breoptic bronchoscopy; ... Naldi M, Maccari U: Early  beroptic bronchoscopy during non- invasive ventilation in patients with decompensated chronic obstructive pulmonary disease due to community-...

Ngày tải lên: 13/08/2014, 20:22