1 background improving outcomes in pediatric cardiac surgery
Báo cáo y học: "Duration of red blood cell storage and outcomes in pediatric cardiac surgery: an association found for pump prime blood" doc
... acquisition and interpretation GI was involved in data acquisition and interpretation, and manuscript drafting SB and AB were involved in data acquisition AF was involved in data interpretation ... used Cardiac arrest was obtained and maintained using antegrade intermittent blood cardioplegia After completion of the CPB and removal of the cannulas, heparin was reversed using protamine sulfate ... receiving newer vs older blood in the cardiopulmonary bypass circuit circuit outcomes in pediatric patients treated with either blood-containing or bloodless priming solutions There is conflicting...
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Tài liệu Guidance on Cancer Services Improving Outcomes in Breast Cancer pdf
... Clinical breast examination in primary care Each primary care team should include at least one practitioner who has had specific training in carrying out clinical breast examination (CBE) in ... cytopathology5 guidelines from the UK National Breast Screening Programme These are valuable aids to auditing and improving the consistency of diagnostic performance and inducing improvements in clinical practice ... Teams in centres which routinely carry out axillary clearance should consider training in less invasive forms of surgery When axillary sampling is used, at least four nodes should be removed Sentinel...
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Guidance on Cancer Services - Improving Outcomes in Head and Neck Cancers pot
... skills training They should be involved in co-ordinating care for individual patients, but should not be expected to take on the administrative burden of co-ordinating MDT meetings 69 44 In the ... the promotion of healthy eating Effective interventions for reducing smoking are described in the guidance document on lung cancer in this series (Improving Outcomes in Lung Cancer: The Manual).40 ... NHS National Institute for Clinical Excellence Guidance on Cancer Services Improving Outcomes in Head and Neck Cancers The Manual Improving Outcomes in Head and Neck Cancers Cancer...
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Guidance on Cancer Services - Improving Outcomes in Children and Young People with Cancer pptx
... cancer in children and young people 39 • information for parents/carers and families • training and education for staff in all care settings in which chemotherapy is given • Improving Outcomes in ... Foreword Improving Outcomes in Children and Young People with Cancer This guidance is the latest in the Improving Outcomes in Cancer series and is the first to be produced by the National Collaborating ... establishing and maintaining central venous access or the insertion of a gastrostomy tube to aid nutrition Guidance on cancer services: cancer in children and young people 41 Improving Outcomes in...
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Guidance on Cancer Services – Improving Outcomes in Colorectal Cancers – Manual pdf
... NHS National Institute for Clinical Excellence Guidance on Cancer Services Improving Outcomes in Colorectal Cancers Manual Update Improving Outcomes in Colorectal Cancers Cancer ... three main tasks The first was to breathe new life into dialogue about services for managing bowel cancer by highlighting key issues and enhancing and clarifying the original text In refocusing attention ... evidence is given in the review of research evidence Information from sources which are not included in either review of research evidence is referenced in this document Improving Outcomes in Colorectal...
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Báo cáo y học: "Results of consecutive training procedures in pediatric cardiac surger" ppt
... study in adults showed that training and non-training cardiac cases have similar long-term outcomes [4] In summary, operative training is possible in consecutive congenital cases without increased ... surgeons in training Circulation 2008, 118:S1-6 doi:10.1186/1749-8090-5-105 Cite this article as: Stoica and Campbell: Results of consecutive training procedures in pediatric cardiac surgery Journal ... can be maximized All training deterrents enumerated in the introduction were consistently neutralized By including consecutive patients and trainees selection bias is eliminated Despite a significant...
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Báo cáo y học: "Extracorporeal life support in pediatric cardiac dysfunction" pptx
... are given in Table Causes of DCM are not reported in this study since myocardial biopsies was not available in all patients Indication for an ECLS is achieved after failing attempts weaning off ...
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Báo cáo y học: "Insulin resistance, adiponectin and adverse outcomes following elective cardiac surgery: a prospective follow-up study" docx
... low-grade inflammation associated with insulin resistance might be accentuated during surgery, and in particular patients undergoing cardiac surgery experience aggravated inflammation and insulin resistance ... outcome markers, including preoperative insulin resistance and adiponectin which have attracted practically no attention concerning preoperative risk prediction in cardiac surgery Accordingly, the ... that can increase the risk related to cardiac surgery Further insights in the relation between metabolic risk-markers in cardiac surgery could potentially open new avenues for improving pre-,...
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Báo cáo y học: "Intra-operative intravenous fluid restriction reduces perioperative red blood cell transfusion in elective cardiac surgery, especially in transfusion-prone patients: a prospective, randomized controlled trial" ppsx
... size, are independent predictors of transfusion in cardiac surgery [5-8] Existing guidelines underline the importance of limiting hemodilution, applying blood salvage techniques and using alternative ... medications (except aspirin) were discontinued at least 72 hours before surgery Pharmacologic agents used to decrease blood loss in cardiac surgery (such as aprotinin, aminocaproic acid or tranexamic ... represented 95% of volume administered in group A but only 50% in group B, with the rest being crystalloid (not including saline for drug dialyses) Fluid administered in the period before CPB differed...
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báo cáo khoa học: "The importance of organizational characteristics for improving outcomes in patients with chronic disease: a systematic review of congestive heart failure" pdf
... to be effective in improving outcomes We interpret this as providing further evidence that the clinical settings are CASs For interventions to be effective in improving patient outcomes, they ... approach disseminating research findings into routine care The CAS framework suggests that local contexts and local interactions between individuals are critical considerations in designing interventions, ... of the growing number of studies of interventions to improve CHF outcomes through changing the way that care is delivered in clinical settings Our second purpose is to compare the findings of the...
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Báo cáo khoa học: "Protocolized resuscitation with esophageal Doppler monitoring may improve outcome in post-cardiac surgery patients." ppt
... with respect to routine care than in other institutions Alternatively, there could be contamination bias between arms, resulting in more aggressive monitoring and intervention in the control arm, ... volume expansion reduces the incidence of gut mucosal hypoperfusion during cardiac surgery Arch Surg 1995, 130:423-429 Sinclair S, James S, Singer M: Intraoperative intravascular volume optimisation ... Competing interests The authors declare that they have no competing interests References McKendry M, McGloin H, Saberi D, Caudwell L, Brady AR, Singer M: Randomised controlled trial assessing the...
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Báo cáo khoa học: "Plasma neutrophil gelatinase-associated lipocalin predicts acute kidney injury, morbidity and mortality after pediatric cardiac surgery: a prospective uncontrolled cohort study" pps
... measurements various time points after CPB obtained using Triage® NGAL device at various time points after CPB AKI was defined as a 50% increase in serum creatinine from baseline Values are expressed ... AKI in a variety of acute clinical settings in pilot studies [25] In a cohort of 20 patients who developed AKI to days after cardiac surgery, plasma NGAL measured using a research enzyme-linked ... Other outcomes included percentage change in serum creatinine, days in AKI, dialysis requirement, length of hospital stay, and mortality Other variables we obtained included age, sex, ethnic origin,...
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Báo cáo y học: "entral venous oxygen saturation and blood lactate levels during cardiopulmonary bypass are associated with outcome after pediatric cardiac surgery" potx
... if detected both during cardiopulmonary bypass (CPB) [7,8] and at the arrival in the intensive care unit (ICU) in adult patients [9] In pediatric patients undergoing cardiac surgery for congenital ... mortality in pediatric cardiac operations are still lacking At present, venous oxygen saturation may be continuously measured during CPB, by using specific detectors placed in the venous line of ... used Cardiac arrest was obtained and maintained by using antegrade intermittent blood cardioplegia After completion of the CPB and removal of the cannulas, heparin was reversed by using protamine...
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Improved Outcomes in Colon and Rectal Surgery part 1 ppsx
... Terry C Hicks MD Colon and Rectal Surgery Ochsner Clinic Foundation New Orleans, Louisiana USA M Benjamin Hopkins MD Department of Colon and Rectal Surgery Ochsner Clinic Foundation New Orleans, Louisiana ... Hunt MD Colon and Rectal Surgery Section Division of General Surgery Washington University St Louis, Missouri USA Syed G Husain MD Brown Program in Colon and Rectal Surgery Warren Alpert Medical ... Colon and Rectal Surgery Lahey Clinic Tufts University Burlington, Massachusetts USA Patricia L Roberts MD Department of Colon and Rectal Surgery Lahey Clinic Medical Center Burlington, and Tufts...
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Cardiac Surgery in Chronic Renal Failure - part 1 doc
... practitioners involved in this field A plea is made for a prospective study of PCI vs CABG surgery, in the modern era, in the ESRD population, comparing drug-eluting stents and surgical advances including ... their outcomes These pointers include factors such as limiting the crystalloid prime administered to these patients, while maintaining adequate hemodilution The authors also advocate the routine ... of cardiac disease remain very high in this group of patients Hopefully, this book will act as a catalyst to get more clinicians involved in looking for solutions to reduce the burden of cardiac...
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Báo cáo y học: "Improving outcomes for ill and injured children in emergency departments: protocol for a program in pediatric emergency medicine and knowledge translation science" doc
... and reliable clinical decision rule for CT use in children with minor head injury We are going to examine the clinical impact and costs of implementing this CT head rule in both pediatric and ... intervention sites This includes educational initiatives, mandatory online reminders, and attaining physician agreement in ordering CT scans by the CATCH rule Proposed primary and secondary outcomes ... Despite the heightened interest in clinical guidelines, there remains much uncertainty about how best to introduce them into routine practice [9-11], partially due to the varying effectiveness of...
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báo cáo khoa học: " Improving outcomes for ill and injured children in emergency departments: protocol for a program in pediatric emergency medicine and knowledge translation science" potx
... and reliable clinical decision rule for CT use in children with minor head injury We are going to examine the clinical impact and costs of implementing this CT head rule in both pediatric and ... intervention sites This includes educational initiatives, mandatory online reminders, and attaining physician agreement in ordering CT scans by the CATCH rule Proposed primary and secondary outcomes ... Despite the heightened interest in clinical guidelines, there remains much uncertainty about how best to introduce them into routine practice [9-11], partially due to the varying effectiveness of...
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Perioperative Considerations in Cardiac Surgery Edited by Cuneyt Narin docx
... The signalling throughout the cell during anesthetic preconditioning include protein kinase C (PKC), protein tirozin kinase (PTK), mitogenactivated protein kinases (MAPK), protein kinase-B, mitochodria ... Anesthesia Information Management System in Cardiac Surgery In: Proceedings of Computing in Cardiology, Hangzhou, China, September, 2011 Dalmiani, S.; Taddei, A.; Glauber, M & Emdin, M (2002) An informative ... Management in Cardiac Surgery Fig From test ordering in the wards to laboratory processing and EMR reporting fluid or blood administrations or losses, and any event of interest, for displaying physiological...
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Special Topics in Cardiac Surgery Edited by Cuneyt Narin potx
... be maintained by several factors including the production of cytokines such as TNF-alpha (α), interleukin (IL-1), IL-1 (beta), interleukin (IL-2), interleukin ( IL-6), interleukin (IL-8), interleukin ... Topics in Cardiac Surgery Commonly used catecholamines such as dopamine, dobutamine, isoproterenol, epinephrine, norepinephrine and inotropic catecholamines not milrinone and levosimendan, being ... norepinephrine infusion in line and this study was carried out monitoring of renal function with infusion of norepinephrine in postsurgical hypotension TAM
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