Báo cáo y học: "Microcirculation in cardiogenic shock: from scientific bystander to therapy target " doc

... microcirculatory  ow in small vessels increases after ceasing IABP therapy. This study not only highlights the need for optimal timing of weaning from IABP support but also supports recent  ndings ... alterations may be reversed by extracorporeal support devices. A study by Munsterman and colleagues adds to the body of evidence showing that in patients deemed ready for discon...

Ngày tải lên: 13/08/2014, 21:21

... Su F, Wang Z, Cai Y, Rogiers P, Vincent JL: Fluid resuscitation in severe sepsis and septic shock: albumin, hydroxyethyl starch, gelatin or Ringer’s lactate- does it really make a di erence? ... Society; European Society of Clinical Microbiology and Infectious Diseases; European Society of Intensive Care Medicine; et al.: Surviving Sepsis Campaign: international guidelines for manag...

Ngày tải lên: 13/08/2014, 20:21

... of verapamil in MG is unmasked by the narrow safety margin resulting in a reduction in “receptor reserve”. Similarly, verapamil- induced aggravation of Lambert-Eaton myasthenic syn- drome has ... http://jmedicalcasereports.com/jmedicalcasereports/article/view/8219 Do you have a case to share? Submit your case report today • Rapid peer review • Fast publication • PubMed indexing • Incl...

Ngày tải lên: 11/08/2014, 14:20

... exacerbating into cardiogenic shock refractory to standard intensive medical treatment. IABP has been the most widely used mechanical hemo- dynamic assist device. In spite of beneficial hemodynamic effects ... improves symptoms and reduces mortality by 36% in patients with ischemic and non-ischemic cardiomyo- pathy in NYHA class III-IV. This is documented for stable patients on opti...

Ngày tải lên: 10/08/2014, 09:22

... compares favorably with catecholamines. In a complementary investigation the same group compared the regional macro- circulatory and microcirculatory effects of epinephrine, nor- epinephrine and phenylephrine. ... hyperlactatemia during low-dose infusion of terlipressin in a long-term resuscitated porcine endotoxic shock model [2], but interestingly, this hyperlactatemia did not originate...

Ngày tải lên: 13/08/2014, 08:21

... right heart into the pulmonary artery. With the pig in the supine position, a midline laparotomy was performed. A catheter was inserted into the urinary bladder for drainage of urine. A second ... secondary to hypovolemia may cause secretory dys- function, edema, and inflammation [18]. Vasopressin has been reported to increase urine output [21,22] and creatinine clearance [23] in sept...

Ngày tải lên: 13/08/2014, 08:21

... predefined by the drug regulatory body, the Medicines Control Council (MCC) of South Africa. For women who have no other means of income, this may be the motivating factor encouraging enrolment into ... on study outcomes. We hope to alleviate this problem in the future at trial sites in Kwa- Zulu-Natal by instituting an electronic biometrics/finger- printing system which will identify...

Ngày tải lên: 10/08/2014, 05:21

... tenofovir-associated renal toxicity for the safety in this strategy is required. The safety issue will be very important in many resource-constrained setting, where laboratory monitoring is less accessible. Identification ... proteinuria, especially in the patients receiving nevirapine-based ART. This is explained by tenofovir itself primarily involves in renal tubular dys- function a...

Ngày tải lên: 10/08/2014, 05:21

... with estrogen-only therapy. Thus, hormone replacement therapy should generally be reserved for patients with severe climacteric complaints, and if indi- cated, combined therapy should be used ... obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor -in- Chief of this journal. Compe...

Ngày tải lên: 11/08/2014, 17:21

... burden). In recent years this has been refined by adding monitoring of the early response to induction chemotherapy (i.e. monitoring of minimal r esidual disease). However, due to the high frequency ... maintenance therapy, clinical implementation Introduction Individualized medicine In individualized medicine, physicians seek to balance treatment to obtain optimal clin- ical eff...

Ngày tải lên: 13/08/2014, 13:20