abcdea systematic approach to critically ill patients

... enterally feeding critically ill patients is often associated with intolerance, thereby predisposing them to aspiration pneumonia. The goal of this systematic review is to critically appraise ... insufficient to draw conclusions about the relation between enteral nutrition and nosocomial pneumonia. Conclusions: Nutritional interventions in critically ill patients appear to have a modest ... H 2 RA; over from jejunal to reviewed blinded persistent patients according to 2 H 2 RA and antacids; gastric group and to group infiltrate and computer 8 sucralfate and 2 patients crossed assignment...

Ngày tải lên: 12/08/2014, 18:20

... ICU patients. Is the iron metabolism imbalance seen in chronic inflammatory states similar to that found in ICU patients? To Review Bench -to- bedside review: Iron metabolism in critically ill patients Martin ... response to the administration of iron supplementation in anemic critically ill patients [24]. In this study, all patients (36 patients) received 1 mg folic acid daily. One-third of the patients ... further studies are needed to determine whether FID in critically ill patients is simply a marker of nutritional status or is a predictor for outcome. Iron stores are difficult to evaluate in the presence...

Ngày tải lên: 12/08/2014, 20:20

... primarily to deprive bacteria of nutritionally required iron. In fact, in just a few hours, proinflammatory and anti-inflammatory cytokines cause a decrease in the iron level in blood. Proinflammatory ... decrease the mRNA expression of transferrin receptor [8]. Interferon-γ stimulates Commentary Role of iron in anaemic critically ill patients: it’s time to investigate! Michael Piagnerelli 1 and Jean-Louis ... Ltd See Review, page 356 Abstract Anaemia is a common problem in critically ill patients admitted to intensive care units. Many factors can be involved in its development, including rapid alterations...

Ngày tải lên: 12/08/2014, 20:20

... haemofiltration/haemodialysis as measures to prevent contrast nephropathy in critically ill patients. Only one published report on measures to prevent contrast- induced nephropathy included critically ill patients [43]. Huber ... Regrettably, however, patients were admitted to different wards (patients assigned to receive haemofiltration were admitted to an intensive care unit, whereas control patients were admitted to a step-down facility). ... contrast-induced nephropathy in critically ill patients and attempt to provide clear recommendations regarding whether/when these new preventive measures may be applied in critically ill patients. Search results A...

Ngày tải lên: 12/08/2014, 20:21

... monitoring, and therapeutic intervention rather than stratifying severity of illness. Patients are assigned to a class from I to IV, ranging from those who do not require intensive therapy to ... unresolved. In the USA there are more than 110 million ED visits per year [1]. The proportion of critically ill patients presenting to the ED and admitted to the intensive care unit (ICU) has also ... was a 59% increase in the number of visits of critically ill patients to the ED from 1990 to 1999 [2]. Inpatient telemetry and ICU beds continue to be fully occupied for a significant amount...

Ngày tải lên: 12/08/2014, 22:21

... therapy in the critically ill patients. N Engl J Med 2001, 345:1359-1367. 2. Krinsley JS: Effect of an intensive glucose management proto- col on the mortality of critically ill adult patients. Mayo ... the papers selected was required to be glycaemic control in critically ill patients; the blood glucose target was required to be 10 mmol/l or under (or use of a protocol that resulted in a mean ... glycaemic control. One of the steps we took before we implemented a glucose regulation protocol was to review published trials employing insulin/glucose algorithms in critically ill patients. Methods We conducted...

Ngày tải lên: 12/08/2014, 23:21

... Clinical relevance of Aspergillus iso- lation from respiratory tract samples in critically ill patients. Critical Care 2006, 10:R31. 2. Denning DW: Invasive aspergillosis. Clin Infect Dis 1998, ... C, Álvarez-Lerma F, Nolla-Salas J, Iruretagoyena JR, Barcenilla F: Isolation of Aspergillus spp. from the respiratory tract in criti- cally ill patients: risk factors, clinical presentation and outcome. Crit ... of invasive aspergillosis in patients refractory to or intolerant of conventional antifungal therapy. Clin Infect Dis 2004, 39: 1563-1571. 11. Ascioglu S, Rex JH, de Pauw B, Bennett JE, Bille J, Corkaert...

Ngày tải lên: 12/08/2014, 23:22

... purposes) tion of Acinetobacter in critically ill patients. Crit Care Med 1999, 27:1794-1799. 22. Kollef MH, Silver P, Murphy DM, Trovillion E: The effect of late- onset ventilator-associated pneumonia ... NR [21] Acquisition of Ab in critically ill patients in ICU; medical and surgical ICU in Spain 75 patients (48 infected, 27 colonized) with Ab isolation 75 patients without any Ab isolation (1) ... that to attribute the difference in mortality between cases and controls directly to colonization or infection with Acinetobacter (attributable mortality) is more than a simplified approach to...

Ngày tải lên: 12/08/2014, 23:23

... need to transport a critically ill patient. The transport of critically ill patients is often logistically difficult and exposes the patient to increased likelihood for adverse events and risk to ... important questions remain to be addressed regard- ing the use of tracheostomies in critically ill patients. While there is divided opinion as to the optimal timing of tracheos- tomy, there is as yet ... transport of critically ill patients. Crit Care Med 2004, 32:256-262. 44. Waydhas C: Intrahospital transport of critically ill patients. Crit Care 1999, 3:R83-89. 45. Beckmann U, Gillies DM, Berenholtz...

Ngày tải lên: 12/08/2014, 23:23

... are related to redox imbalance in critical ill patients. Therefore, intake of antioxidant vitamins should be carefully monitored so that it is as close as possible to RDA. Introduction Critically ill patients ... objective was to evaluate the relation between oxidative stress in critically ill patients and antioxidant vitamin intake and severity of illness. Methods Spectrophotometry was used to measure in ... related to redox imbalance in critically ill patients. Therefore, intake should be carefully monitored to ensure that the patient receives antioxi- dant vitamins as close as possible to the RDA. ...

Ngày tải lên: 13/08/2014, 03:20

... 0.24 to 0.68] to adjusted OR 0.30 [95% CI 0.11 to 0.86]; SDD, crude OR 0.12 [95% CI 0.05 to 0.29] to adjusted OR 0.12 [95% CI 0.04 to 0.36]; candi- demia: SAP, crude OR 0.32 [95% CI 0.12 to 0.82] ... drugs may be advised as prophylaxis in patients with a high risk of developing Candida bloodstream infections, whereas SDD may be given to critically ill patients to prevent Candida colo- nisation ... 3.8% in these critically ill patients, the prophylactic use of SAP in the general population of ICU patients does not seem justified, a reported high mortality rate of 25% to 60% [29] in patients with...

Ngày tải lên: 13/08/2014, 10:20

... interven- tion on sleep in critically ill patients. Am J Crit Care 1998, 7:288-299. 24. Richards KC, O'Sullivan PS, Phillips RL: Measurement of sleep in critically ill patients. J Nurs Meas ... common in critically ill patients and when sleep does occur it traverses the day-night periods. The reduction in plasma melatonin levels and loss of circadian rhythm observed in critically ill patients ... for melatonin in the routine care of critically ill patients. Our pharmacokinetic analysis suggests that the 10-mg dose used in this study is too high in these patients and may lead to carryover...

Ngày tải lên: 13/08/2014, 10:20

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Ngày tải lên: 13/08/2014, 11:23

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Ngày tải lên: 14/08/2014, 07:21

Ngày tải lên: 14/08/2014, 07:21

Ngày tải lên: 14/08/2014, 07:21