Báo cáo y học: "Clinical review: What is the role for autopsy in the ICU" doc

... reason for the decline in autopsy rates is the growing reluctance of pathologists to perform autopsies. Several studies analyzing the delay of pathology reports show a long delay (up to 90 days) ... of the role of autopsy and gives an overview of the studies performed in the ICU. Reasons for the decline in autopsy rate Costs  e costs for post-mortem ana...

Ngày tải lên: 13/08/2014, 20:21

... AF. Owing to the proinflammatory state, this incidence is probably higher than in other patients with AF. On the other hand, there is also an increased, but unquantified, bleeding risk. Risks ... reduced in ICU patients with anticoagulation. There are no clear data that this risk reduction outweighs the increased bleeding risk in these patients. The proinflammatory state pro...

Ngày tải lên: 25/10/2012, 10:35

... management. Conclusion There is a select group of patients in whom the risk for death and serious complications following major surgery is in excess of 20%. The risk is not related to the surgery per se but mainly ... guidelines is the use of dobutamine stress echocardiography to identify patients at high risk for perioperative myocardial ischaemia. This process of eva...

Ngày tải lên: 12/08/2014, 20:20

... Moreover, plasmatherapy is known to be rarely effective in this setting [29,33]. The recent guidelines of the British Society of Haematology did not recommend plasmatherapy in cancer- related TMA or in TMA ... filtration rate [34]. The most widely used protective measure is saline infusion to induce solute diuresis. Cisplatin is usually administered in divided doses for...

Ngày tải lên: 12/08/2014, 23:23

... differences in severity of brain oedema and in associated hypoxia and herniation, thereby introducing bias into the interpretation of the results. MRS findings vary greatly according to time since TBI. ... correlate with severity of the initial injury or the existence of herniation, another possibility is that they directly contribute to the prognosis. Studies involving multim...

Ngày tải lên: 13/08/2014, 08:20

... ways to define the baseline creatinine – such as the creatinine at hospital admission, the creatinine at ICU admission, or the creatinine estimated from the MDRD formula as was suggested by the ... importantly, this study looks only at the first ICU day; therefore, the 48-hour timeframe of AKIN does not come into play at all. Perhaps this is not the optimal study design f...

Ngày tải lên: 13/08/2014, 16:20

... infiltration into the lungs and to increased pulmonary proinflammatory cytokine expression [7]. However, the initial events induced by hyperoxia, thereby leading to acute inflammatory lung injury, remain ... cytokine-mediated oxidant injury Another anti-inflammatory cytokine that is involved as a reg- ulatory element in lung injury is IL-11. For instance, the role of IL-11 was...

Ngày tải lên: 12/08/2014, 19:21

... lipopolysaccharide- induced proinflammatory cytokine biosynthesis in an I κκ B- αα /NF- κκ B-dependent mechanism. Evidence for the amplification of an antiinflammatory pathway in the alveolar epithelium. ... involvement of RTP801 in the pathogenesis of ischemic diseases. A hypothetical schematic depicting the role of HIF-1 in lung injury is displayed in Fig. 3. Conclus...

Ngày tải lên: 12/08/2014, 19:21

... in S. cerevisiae or the fission yeast Schizosaccharomyces pombe. These genes are of particular interest to those interested in fungus-host interactions, because many might play roles in the infection process. ... Physicians and Surgeons (New York, USA). The original isolate number was 1775 and the strain is identical with strain NYOH#4657 in the New York State Department o...

Ngày tải lên: 09/08/2014, 20:20

... behavior is misdirected or omitted. The person has the right idea but performs the wrong execution. For example, forgetting to restart an infusion of heparin postoperatively is a lapse. Restarting the ... haunt providers for many years [32]. What is unique about the ICU and medication errors? The ICU brings together high-risk patients and interventions in a complex e...

Ngày tải lên: 25/10/2012, 10:35