Báo cáo y học: "Clinical review: mechanical circulatory support for cardiogenic shock complicating acute myocardial infarction" ppsx

... Clinical review: mechanical circulatory support for cardiogenic shock complicating acute myocardial infarction. Critical Care 2010, 14:235. Cove and MacLaren Critical Care 2010, 14:235 http://ccforum.com/content/14/5/235 Page ... perpetuate ischaemia by increasing myocardial oxygen demand.  erefore, mechanical circulatory support should be considered early wh...

Ngày tải lên: 13/08/2014, 21:21

... 9.2 days of additional hospital stay [11], and Fagon et al. calculated the median length of stay in the ICU for the patients that developed VAP to be 21 days, versus a median of 15 days for control ... VAP by minimising the development of condensate within ventilator circuits [54], they are well tolerated by most patients, and they are easy to use. Heat and moisture exchangers should ther...

Ngày tải lên: 12/08/2014, 18:21

... Huang septic shock, performed in the ED before ICU admission, reduced not only mortality but also the need for mechanical ventilation and pulmonary artery catheter use. Similarly, noninvasive ... physiologic improvement, as measured by Acute Physiology and Chronic Health Evaluation II, Simplified Acute Physiology Score II and Multiple Organ Dysfunction Score, occurred during the ED s...

Ngày tải lên: 12/08/2014, 20:20

... index and oxygen delivery. Oxygen consumption decreased whereas oxygen extraction increased. These modifications may carry a risk for tissue hypoxia, expecially in septic states in which oxygen demand ... MC, Landry DW: Vasopressin deficiency and pressor hypersensitivity in hemodynamically unstable organ donors. Circulation 1999, Suppl:II244-II246. 15. Tsuneyoshi I, Yamada H, Kakihana Y, N...

Ngày tải lên: 12/08/2014, 20:20

... monophasic waveforms and allow lower energy defibrillation, which minimizes myocardial injury and the severity of the newly identified condition ‘post- resuscitation myocardial dysfunction’ [13,14]. Postresuscitation ... is progressively impaired over an interval of 4 hours, with gradual recovery over the following days [20]. The severity of postresuscitation myocardial dysfunction is m...

Ngày tải lên: 12/08/2014, 20:20

... anoxic/hypoxic encephalopathy. Severe hypoglycaemia has been likened to hypoxic encepha- lopathy. Imaging study data in patients with hypoglycaemic coma are scant [63,72,73]. Interestingly, DWI ... in anoxic/hypoxic encephalopathy Acute phase Early subacute phase Late subacute phase Chronic phase (<24 hours) (24 hours to day 13) (days 14 to 20) (>21 days) Characteristics Brain swelli...

Ngày tải lên: 13/08/2014, 08:20

... contraction, by irregularity of ventricular contraction [43], by inadequate filling time for the left ventricle due to tachycardia, and by tachycardiomyopathy [8,44]. Tachycardiomyopathy can occur ... U, Tatar H: Supraventricular tachyarrythmia prophylaxis after coronary artery surgery in chronic obstructive pulmonary disease patients (early amiodarone prophylaxis trial). Eur J Cardiothorac...

Ngày tải lên: 25/10/2012, 10:35

... fewer 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 ... [58], complications by 50% [59], ICU mortality, ICU length of stay, and hospital length of stay and to improve patient safety [60]. Pharmacists, similarly, have an important role to play in m...

Ngày tải lên: 25/10/2012, 10:35

... ventilation, systemic hypotension commonly appears. The determinant factors of systemic hypotension are sedation, hypovolemia, and primar- ily lung hyperinflation. Dynamic hyperinflation, as previously discussed, ... administration (hyperglycemia, hypertension, hypokalemia, psychosis, sus- ceptibility to infections), myopathy should be considered seri- ously in the intubated and mechanically...

Ngày tải lên: 12/08/2014, 18:21

... generally clinically sus- pected, so therapy with antimicrobial agents active against anaerobes is often instituted empirically. Empirical therapy may provide coverage for anaerobes in only half ... primary infection, which will typically include fever, chills and leukocytosis. Anemia, shock and intravascular coagulation may also be present. Bacteroides bacteremia is generally characteriz...

Ngày tải lên: 12/08/2014, 18:21