Báo cáo y học: "Early mobilization improves functional outcomes in critically ill patients" pdf

... To assess effi cacy of combining daily inter- ruption of sedation with physical and occupational therapy on functional outcomes in patients receiving mechanical ventilation in intensive care. Design: ... returning to independent functional status at hospital discharge defi ned as the ability to perform six activities of daily living and the ability to walk independently. Secondary...

Ngày tải lên: 13/08/2014, 21:21

Ngày tải lên: 13/08/2014, 10:20

... were retrans- formed using the Duan smearing method [18] to yield incre- mental days and dollars, respectively. The co-variates initially included in the multivariate analyses were patient demograph- ics ... end-points of hospital discharge or death. Second, having been performed in a single health care system, the underlying population characteristics may limit the gener- alizability of...

Ngày tải lên: 13/08/2014, 10:20

... identify patients at higher risk of death. The current reference range for lactate in the critically ill may need to be re-assessed. Introduction In healthy individuals there is a continuous cycle ... reference range (absolute hyperlactataemia) are common and associated with increased hospital mortality in the critically ill [5-12]. Their usefulness in identifying criti- call...

Ngày tải lên: 13/08/2014, 20:21

... critical illness and impact the mortality rate, especially in sepsis. Retinol binding protein 4 (RBP4) promotes insulin resistance in mice and is systemically elevated in patients with obesity and type ... the circulation, thereby providing a link between adipocyto- kines, inflammation and systemic insulin resistance [7,8]. Retinol binding protein 4 (RBP4), a 21-kDa p rotein synthesized...

Ngày tải lên: 13/08/2014, 21:21

... cords, and that they needed to be changed to a standard tracheostomy possibly within hours, but certainly within days. This was not always feasible in unstable and critically ill patients, and ... endotracheally intubated beyond 21 days prior to placement of the surgical airway (Table 1). Discussion Translaryngeal intubation is the mainstay for temporary airway management. Early experie...

Ngày tải lên: 12/08/2014, 19:21

... swallowing dysfunction. Neuromuscular and neuropsychological events Critical illness polyneuropathy/myopathy, another manifesta- tion of the systemic response inflammatory syndrome [41], occurred in ... damage and gastrointestinal hemor- rhage occurs in up to 25% of critically ill patients [42]. Not- withstanding the use of prophylactic therapy, clinically significant bleeding occurre...

Ngày tải lên: 12/08/2014, 23:24

... applicable to continuous rapidly changing multivariate physiologic data in critically injured patients, yielding important insight into patient physiology and outcomes. We define that at any time, the patient ... self- organizing maps to visualize patterns in microdialysis data from patients with traumatic brain injury, finding that individuals were likely to cluster together, in con...

Ngày tải lên: 13/08/2014, 20:21

... by GEDVI may distinguish between pulmonary edema due to increased capillary permeability or increased hydrostatic pressure [11,12]. Furthermore therapy driven by EVLWI measurements may improve ... not always synchronized. Based upon this study it is questionable if a routine chest x-ray in critically ill children is justified to quantify the amount of pulmonary edema. This is in accor...

Ngày tải lên: 13/08/2014, 20:22

... Thus, the relatively rapid changes in the size of the oxygen-rich external domains coincide with increasing organism complexity. This points towards a key role in the increase in abundance and ... wasting syndrome [74,75] (Figure 4). The immune response underlying the expression of the leukocyte phenotype could also have a gastrointestinal origin. The gastrointestinal tract mucosa conta...

Ngày tải lên: 13/08/2014, 23:21