Báo cáo y học: " Clinical review: Scoring systems in the critically ill" ppsx

... resource use. In this article we review the most commonly used scoring systems in each of these three groups. We examine the history of the development of the initial major systems in each group, ... 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...

Ngày tải lên: 13/08/2014, 20:21

... 8-year retrospective study in which they investigated the changes in clinical practice of NIV in COPD patients. In that survey the failure rate with NIV was constant over time, regardless of the increasing ... COPD exacerbations to standard medical therapy alone or medical therapy combined with NIV. Intubation and mortality rates in the NIV group were lower than in the...

Ngày tải lên: 12/08/2014, 20:20

... it maintains airway patency and prevents pulmonary infection. However, tracheal suctioning induces mucosal injury, exposing the basement membrane and thereby facilitating bacterial adhesion in ... respiratory infections, length of stay in the hospital and the ICU, and mortality in critically ill patients. Available data are distilled into recommendations for the maintenance of...

Ngày tải lên: 13/08/2014, 08:21

... without the help of others. Over the last 200 years, the economies of Africa have grown by approximately 0.7% per year, while the US has grown by 1.7% per year, resulting in a 25-fold increase in ... the nearly 6 billion people in the world today, roughly 1 billion live in extreme poverty. They are nearly all inhabitants of ‘developing’ countries, predominantly in sub-Sa...

Ngày tải lên: 13/08/2014, 11:22

... 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 ... Monitoring Study in Intensive Care) and the ICUSRS (Intensive Care Unit Safety Reporting System) have been developed with the goal of balancing the strengths and limitations of error...

Ngày tải lên: 25/10/2012, 10:35

... 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 and in vivo models ... advances in the under- standing of its pathophysiology [1]. The incidence of severe sepsis in the United States today is estimated at 750,000 cases per year, resulting...

Ngày tải lên: 12/08/2014, 19:21

... anticipated being in a situation that put their personal safety, health and potentially their lives and those of their families on the line. Questions arose regarding whether there is a duty to care and ... 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...

Ngày tải lên: 12/08/2014, 20:21

... 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 Using the ... of sedation or antipsychotic therapy required in these patients may be increased by their presence. The support and financing of polysomnography in terms of sleep laboratory e...

Ngày tải lên: 13/08/2014, 08:20

... third-generation rotary pumps the spinning rotor fl oats by means of either a magnetic fi eld or hydrodynamic levitation, never touch- ing the pump housing, thereby eliminating mechanical wear. ... are in the normal range, cardiovascular dysfunction is very likely related to vascular dysfunction. In treating myocardial dysfunction, consider the following options, either alone or...

Ngày tải lên: 13/08/2014, 19:20

... depending on the outcome of interest. Interleukin-1 αα and interleukin-1 ββ IL-1, a potent proinflammatory cytokine released by macrophages, also plays a key role in mediating endotoxin lethality ... proinflammatory cytokines, and anti-inflamma- tory cytokines (Table 1). The outcome of an inflammatory response is dictated by a variety of factors, including the pathogenicity and durati...

Ngày tải lên: 12/08/2014, 19:22