26— neuromuscular diseases in the neurological intensive care unit

Ngày tải lên: 13/08/2014, 11:22

... increasing with excitement and decreasing with tranquility These rhythms occur mainly in the posterior head and are the predominant brain activity in the normal brain The beta rhythm occurs in ... administered mg intravenous midazolam during continuous EEG monitoring The frequency diminished quickly in about min, demonstrating the rapid clinical action of the short acting sedative The ... administered 100 mg intravenous fentanyl during continuous EEG monitoring The frequency quickly diminished in about min, demonstrating the rapid clinical action of the short-acting analgesic sedative...

Ngày tải lên: 12/08/2014, 18:20

... four staff work daily in the ICU department The ICU has 24 beds with continuous non-invasive monitoring and ventilators There are windows in the bed areas of the ICU Trained clinician-researchers ... acetylcholine activity in the brain 2.5–26.4 Elevated level of serum urea nitrogen The prevalence of delirium in the Emergency Department was 9.6% [28] In this series, the rate of delirium was 18.5% in ... surgeons and anesthesiologists could reduce the incidence of delirium in the patients who are at high risk by carefully ordering and monitoring the dosages of drugs, and watching for signs of...

Ngày tải lên: 12/08/2014, 18:21

... pulmonary artery catheters over standard care in this patient group Indeed, there was a higher rate of pulmonary embolism in the catheter group than in the standard treatment arm The physiological ... priorities in the pulmonary artery catheter group were defined by the investigators before the study began, and assessment of achievement of these goals was based on the highest value obtained; however, ... being adopted with the same enthusiasm as that of the balloon directed pulmonary artery catheter in the early 1980s There is some good news for the pulmonary artery catheter enthusiasts – there...

Ngày tải lên: 12/08/2014, 19:22

... under the care of the Department of Critical Care Medicine These ICUs are closed units, staffed by fully trained intensivists and currently include one 24-bed medical-surgical ICU that serves as the ... unit (ICU) patients with ICU stay* ues outside of intensive care during the first 50 days ofserum sodium Proportion of intensive care unit (ICU) patients with serum sodium valvalues outside the ... Schijndel RJ, Thijs LG: Hypernatremia in the intensive care unit: an indicator of quality of care? Crit Care Med 1999, 27:1105-1108 Lindner G, Funk GC, Schwarz C, Kneidinger N, Kaider A, Schneeweiss...

Ngày tải lên: 25/10/2012, 10:31

... detected in seven of the eight children infected with multiple viruses, including all three patients infected with a coronavirus Of the 14 children with a single infection, nine had RSV The other ... patients were included in the study LRTI, lower respiratory tract infection; PICU, paediatric intensive care unit the probes All samples had been spiked before extraction with an internal control ... causes of the common cold On the other hand, there is increasing evidence that they are also important causes of severe lower respiratory disease Rhinovirus infections have been reported in elderly...

Ngày tải lên: 12/08/2014, 23:23

... troponin healthy infants older intensive care admissions along with healthy infants The boxes are the interquartile ranges, the whiskers are the 5th to 95th percentiles, with the heavy black line ... compatible with myocardial injury being related to the acute illness leading to PICU admission in these infants Competing interests The authors declare that they have no competing interests Authors' ... and writing of the paper DS participated in recruiting patients, and collecting and interpreting the data SWH participated in the design of the study, recruiting patients and collecting data...

Ngày tải lên: 13/08/2014, 03:20

... provided in the morning if necessary Written informed consent was obtained from the parents, and the study was approved by the ethical committee of the institute Demographics and health status information's ... that represent the largest amount of variance C: The corresponding cycle of the largest peak in the periodogram intensities was reconstructed from the FFT coefficient to fit the sinusoidal function: ... in all data collection, in the analysis and discussion of the results, and in the writing of the manuscript MO participated in clinical data collection and advised on clinical implications of...

Ngày tải lên: 10/08/2014, 09:20

... analyzed regarding the minimum inhibitory concentrations of penicillin, oxacillin, erythromycin, clindamycin, gentamicin, ciprofloxacin and vancomycin The rate of resistance according to the NCCLS ... against penicillin, was 86% against oxacillin, was 48% against erythromycin, was 42% against clindamycin, was 54% against gentamicin, was 66% against ciprofloxacin and was 0% against vancomycin ... finally, the staff could carry these strains and transmit them to the patients during nursery and physical examination Since the present study was not designed to monitor the skin flora, either...

Ngày tải lên: 12/08/2014, 20:20

Ngày tải lên: 12/08/2014, 23:21

... 0.484; Table 1) There was no overall change in ScvO2 between baseline and six hours in either the surviving or non-surviving group of patients However, there was a significant increase in ScvO2 at ... system; FiO2, inspired fractional oxygen concentration; ICU, intensive care unit; LOSbefore ICU, length of stay in hospital before intensive care unit admission; LOShospital, length of stay in hospital; ... either in the whole collective or in the different patient groups Discussion The main finding of this study was that low ScvO2 at admission was associated with increased risk of mortality in...

Ngày tải lên: 13/08/2014, 03:20

... to the ICUs of 21 university, teaching, and non-teaching hospitals in the Netherlands The data were obtained from the database of the Dutch National Intensive Care Evaluation (NICE) [8] For the ... from the analysis, resulting in 6,867 admissions GCS had 977 missing values; these were considered to be normal (value = 15) and were therefore imputed in the training and the validation sets The ... prefer intensive care treatment over palliative care that aims at comfort and pain relief Interestingly, when presented hypothetical scenarios, patients state that they would decline intensive...

Ngày tải lên: 13/08/2014, 03:20

... sterilization during the manufacturing process Competing interests The authors declare that they have no competing interests Authors' contributions FAL designed the study, was involved in the care of ... pathogens, in this case B cepacia in the moisturizing body milk used in the care of bedridden ICU patients In this case, the epidemiological chain began with contamination of the lotion during manufacturing, ... cepacia was isolated, are shown in Table In four patients specimens were obtained in the ICU, whereas in the remaining patient the pathogen was isolated in a urine sample collected before ICU...

Ngày tải lên: 13/08/2014, 10:20

... drafted the manuscript LP and NdK were involved in the set-up of the study, performed the statistical analyses and helped in interpreting the results and writing the manuscript PK was involved in the ... involved in the set-up of the study, interpreting the results and writing the manuscript JJ, DdL, PvdV, RB, RdW and RW were involved in interpreting the results and writing the manuscript All authors ... variable denoting the 'hospital' was included into these models to correct for potential differences in overall in- hospital mortality between the five hospitals In the model focusing on the entire...

Ngày tải lên: 13/08/2014, 11:23

... performed by the transfusion authorities in our hospital and regular training is given by special personnel Definitions Comorbidities were defined according to the definitions provided in the original ... blood units in the ICU, and the maximum number of transfused units within 24 hours during the ICU stay Colinearity between variables was excluded before modeling Variables were introduced into ... unplanned), the type of surgery, the presence of sepsis during the ICU stay, hemoglobin concentration on admission to the ICU, the minimum hemoglobin concentration during ICU stay, the number...

Ngày tải lên: 13/08/2014, 20:22

... resulting in 504 monitored patient-days during the baseline period and 5,901 during the intervention period (3,200 during the first half and 2,701 during the second half) The average time invested ... Figure Type, incidence and severity of prescribing errors found by intensive care unit hospital pharmacists during the whole study period Data for prescribing errors found by intensive care unit hospital ... Before the start of the study, both ICU hospital pharmacists completed a training period of weeks in the ICU During this training, they familiarized themselves with the daily practices and routines...

Ngày tải lên: 13/08/2014, 21:21

... Proportions of patients included in the study according to their antimicrobial therapy status During their intensive care unit stay in each ICU represented on the vertical axis In ICUs to 16 no written ... better quality of care in general in the ICUs, thereby explaining the link between availability of guidelines and prognosis This point was clearly emphasized in the studies assessing the effects of ... (in

Ngày tải lên: 14/08/2014, 07:21

... stopped In the remaining two patients no other clinical cause of the coma was apparent The only other agent used routinely in these patients that could have significantly contributed to their reduced ... in their decisions regarding further clinical intervention In practice, morning requests were available for interpretation by the evening round Unit characteristics The ICU at Guy's and St Thomas' ... 1-OHMG individually based on their isotopic patterns The studies were performed on the basis of clinical need, and in all cases they were requested by the consultant intensivist, normally during the...

Ngày tải lên: 12/08/2014, 20:20

... for bias in the results and is a limitation of the study Medical errors are among the leading causes of death in the United States In its highly publicised report, the Institute of Medicine estimates ... those reported in a recent study of prescription errors in UK critical care units [12] There was no difference in the mean APACHE II score in the HWP and CPOE periods, indicating that it is unlikely ... using the Clinical Informacomputerised physician order entry (CPOE) using the Clinical Information System with 95% confidence intervals Hand-written prescribing (HWP) data collection began on the...

Ngày tải lên: 25/10/2012, 10:39

... participated in the collection and interpretation of the data and were involved in drafting the manuscript MG participated in analysis and interpretation of the data and in drafting the manuscript ... finding' was any old finding not expected by the attending physician If an important finding (as mentioned in Table 1) was found, then we determined whether any action was taken because of the ... http://ccforum.com/content/10/1/R11 attending physician; and 'old expected finding' was any old finding predicted by the attending physician; a 'new unexpected finding' was any new finding not predicted by the attending physician;...

Ngày tải lên: 25/10/2012, 10:39