Báo cáo y học: " Mechanical ventilation with high tidal volume induces inflammation in patients without lung disease" ppt

... use of lower tidal volumes may limit pulmonary inflammation in mechanically ventilated patients even without lung injury. Abbreviations ALI: acute lung injury; APACHE: Acute Physiology and Chronic ... were higher in the high V T group than in the low V T group. Conclusions: The use of lower tidal volumes may limit pulmonary inflammation in mechanically ventilated pa...

Ngày tải lên: 13/08/2014, 20:21

... of mechanical ventilation with a lower tidal volume (V T ) strategy versus those of greater V T in patients with or without acute lung injury (ALI)/ acute respiratory distress syndrome (ARDS) ... not increase sedation use in patients with acute lung injury. Crit Care Med 2005, 33:766-771. 6. Schultz MJ, Haitsma JJ, Slutsky AS, Gajic O: What tidal volumes should b...

Ngày tải lên: 13/08/2014, 08:20

... TAHs. After they have had a TAH implanted, patients typically remain tracheally intubated and mechanically ventilated for several days to weeks. While caring for such patients in our institution, ... ultimately leading to autocycling in the case of a flow trigger. Given the frequency of auto- cycling in the ICU, this information may be applicable to other patients who are mechanic...

Ngày tải lên: 10/08/2014, 09:22

... strategy also modulates alveolar and plasma levels of pro-inflammatory cytokines in patients with acute lung injury [5,31]. The ability of MV to induce inflammation may be in part explained by its ... those cytokines. Therefore, their study also suggests that TLRs play a role in the inflammatory response initiated by MV in healthy lungs. Our study is complementary to a study b...

Ngày tải lên: 12/08/2014, 11:20

... X-ray with worsening of infiltrates, or pulmonary edema accompanied by either 1kg weight gain in 24h or intake > output by 1000cm 3 in 24h. Calculate by intake (not blood), minus urine, minus ... pulmonary specialists were found exclusively in the RRHs. Family physicians, general internists and general surgeons managed most patients in the RH ICUs. A single RH physician typical...

Ngày tải lên: 12/08/2014, 18:20

... is life-saving, a logical conclusion of the large body of data on ventilator-induced lung injury (VILI) is that it might be causing or perpetuating the pulmonary inflammation, pre- venting or delaying ... acade- mic centers with 75 intensive care units (ICUs) enrolled patients with acute lung injury or ARDS into the trial, which compared a control ventilatory strategy with a tid...

Ngày tải lên: 12/08/2014, 18:20

... provides easily understandable explanations of many difficult concepts in a way that I have not found in other textbooks. In summary, this is a comprehensive and easily understandable book on mechanical ventilation ... difficult concepts. The style of writing is relaxed, which makes the book easy to read. There are many anecdotes, especially in the first section, that had me chuck...

Ngày tải lên: 12/08/2014, 19:22

... pre-existing lung injury. Introduction Mechanical ventilation (MV) may aggravate pre-existing lung injury or even cause lung injury in healthy lungs, a phenomenon frequently referred to as ventilator-induced ... Scheffer GJ: Mechanical ventilation in healthy mice induces reversible pul- monary and systemic cytokine elevation with preserved alve- olar integrity: an in v...

Ngày tải lên: 13/08/2014, 11:23

... rats with endotoxin-induced lung injury and patients with acute lung injury [29]. Treatment with sRAGE significantly attenuated the increase in neutrophil infiltration, lung permeability, production ... AGE may be enhanced by mechani- cal ventilation (MV) (double-hit principle). MV induces inflam- mation of healthy lungs or aggravates pre-existing lung injury (ventilator...

Ngày tải lên: 13/08/2014, 16:21

... facility-wide levels of weaning activity may also help the individual clinician to identify his role in the weaning process. Weaning protocols seem to be a good idea [26,8,3]. This study indicates, ... the care of critically ill and injured patients. Almost half the time patients spend on mechanical ventilation is devoted to weaning [1]. Delays in weaning the patient from MV increa...

Ngày tải lên: 13/08/2014, 23:20