abdominal infections in trauma and critical care

... UTIs in the critically ill Richards and colleagues reported on intensive care unit (ICU) nosocomial infections in the National Nosocomial Infections Surveillance System (NNIS) database and found ... nosocomial infections in medical/surgical ICUs [1,8] Finklestein and colleagues determined an incidence of 10–14 UTI per 1000 catheter days among 337 patients in a single Israeli ICU [9] Rosser and ... trained intensivists and are administered by the Department of Critical Care Medicine, University of Calgary, and CHR These include a 14-bed cardiovascular surgery ICU (CVICU) and multidisciplinary...

Ngày tải lên: 12/08/2014, 20:21

... 2.1 In contrast, when the creatinine declined by 0.2 mg/dl, the relative risk was 0.46 In summary, this article demonstrated a strong link between an initial decline in serum creatinine level and ... creatinine levels and neurologic outcomes Utilizing the Acute Kidney Injury Network guidelines for acute kidney injury, the researchers not only determined that this complication is very common in ... affected more frequently In reviewing the results, one parameter that might be useful in determining outcome in patients after cardiac arrest is the change in serum creatinine over the first 24 hours...

Ngày tải lên: 13/08/2014, 21:21

... National Guard soldiers and their extended families It has one of the largest critical care units in the Kingdom serve 40 beds and runs by qualified pulmonary and critical care board certified consultants ... pulmonary tuberculosis Conclusion In emerging nations infections such as tuberculosis requiring intensive care are not uncommon Clinician awareness of the symptomatology and contributory factors of ... our intensive care unit in a period over six years and to examine the characteristics, presentation, underlying risk factors, outcome of patients and to highlight the possible causes of delaying...

Ngày tải lên: 15/02/2014, 12:20

... that the skills to approach and resolve ethical dilemmas are innate in all intensivists, and instead strive to create and develop our ability to think critically in bioethics so as to confront ... to think critically about our ability to reconcile the interests of society, patients, their families, and critical care practitioners, using logic and reaching agreement on common goals In the ... Critical Care February 2002 Vol No Hawryluck and Crippen involved in the design and/ or funding of a project, then what are the responsibilities and obligations of the investigator...

Ngày tải lên: 12/08/2014, 18:21

... during and after liberation from mechanical ventilation using pressure support, CPAP, and T-piece (n = 20 each) During weaning, plasma insulin and glucose as well as urinary vanilmandelic acid increased ... acute hypoxia Although plasma renin activity and angiotensin II immunoreactivity increased during hypoxia, angiotensin-converting enzyme inhibition and type angiotensin II receptor blockade did not ... in pediatric patients when uncuffed ETTs are used, effective VT is inaccurate and VT is most accurately estimated at the airway opening Conditioning inspired gases with heat and moisture in invasively...

Ngày tải lên: 12/08/2014, 22:22

... Roch A, Gainnier M, Sainty JM, Auffray JP, Papazian L: Correction: Influence of support on intra -abdominal pressure, hepatic kinetics of indocyanine green and extravascular lung water during prone ... significantly influenced resting short-term breathing patterns by selectively affecting the duration of expiration A reduction in PEEP was paralleled by an increase in respiratory rate and in minute ... positioning in patients with ARDS: a randomized crossover study Crit Care 2005, 9:308 Michelet P, Roch A, Gainnier M, Sainty JM, Auffray JP, Papazian L: Influence of support on intra -abdominal pressure,...

Ngày tải lên: 12/08/2014, 23:24

... markedly increased ERK1 and ERK2 expression and attenuated reperfusion lung injury and apoptosis, thus presenting a promising approach for moderating lung injury and supporting recovery after clinical ... represents another challenging circumstance in intensive care medicine Interestingly, selective activation of A3 adenosine receptor (AR) subtype attenuated I/R-induced lung injury and associated apoptosis ... the c-Jun amino-terminal protein kinases (JNKs), and p38 kinases Notably, whereas ERK1 and ERK2 exert a cytoprotective effect and are involved in cell proliferation, transformation, and differentiation,...

Ngày tải lên: 13/08/2014, 03:21

... pressure using a part task trainer Continuing Education in Anaesthesia, Critical Care & Pain, 5(2), 45À8 Sinclair, R C F & Luxton, M C (2005) Rapid sequence induction Continuing Education in Anaesthesia, ... cuff by inserting a syringe into the valve housing and removing the air until a definite vacuum is noted in the syringe and the pilot balloon is collapsed 10 Extubate the patient, following currently ... carried out in Australia and Scandinavia over a number of years Myles et al (2004) published findings from a large randomised controlled trial using Bispectral Index (BIS) monitoring as a potential...

Ngày tải lên: 13/08/2014, 03:21

... anaesthesia are intravenous and inhalational Intravenous is more frequently used than inhalational induction in adults whereas in paediatric anaesthesia both intravenous and inhalational induction ... inhalational induction Intravenous and inhalational methods of inducing anaesthesia are both widely used techniques in paediatrics Intravenous induction has become less traumatic for a child since the ... for injury and pain especially during placement into the lithotomy position if hip rotation and over abduction occur Intubation difficulties can be increased due to shortening and thickening...

Ngày tải lên: 13/08/2014, 03:21

... administered via a single shot, intended to bring about uterine contraction as the foetus is being delivered, or as an infusion if the surgeon indicates that the uterus is flaccid and lacking ... three in common use: syntocinon, ergometrine and syntometrine, which is a combined preparation of the other two They have the action of contracting the myometrium, although in differing manners and ... of causing nausea and vomiting and can induce a general vasoconstriction leading to a rise in blood pressure, an effect unwanted if the mother is already hypertensive Interestingly, according to...

Ngày tải lên: 13/08/2014, 03:21

... including staffing and training issues are addressed Basic good practice guidelines about consent and treatment have now been issued and ECT clinics are now being inspected and audited both internally ... internally and externally by health and government bodies including the Mental Health Act Commission and ECTAS This inevitably will bring about higher and better maintained standards for the care of ... of avoiding intubation either temporarily, or if successful can be instrumental in eliminating the need for intubation altogether Non-invasive ventilation is used in the clinical setting when...

Ngày tải lên: 13/08/2014, 03:21

... relevance to monitoring and therapy of ventilator induced lung injury Current Opinion in Critical Care, 5, 17À20 Shelly, M & Nightingale, P (1999) ABC of Intensive Care M Singer & I Grant, eds ... relevant information and evidence can be collected and stored centrally For some, portfolio building will have begun at an early stage in their career and will mainly include the education and training ... store of information This portfolio needs careful recording and sorting of information to help establish and build a picture of the individual’s development Organising the information into chronological...

Ngày tải lên: 13/08/2014, 03:21

... practitioners and remaining professional tensions seem increasingly less important in the face of NHS reform and modernisation Broad principles surrounding legal, 199 200 S Wordsworth professional and ... history of intestinal 34 intracranial 40, 46, 71 (see also brain; intracranial pressure) intracranial surgery 71 (see also intracranial pressure) justified risk taking during 54 obstetric and gynaecological ... Negligence Law: Seeking a Balance Aldershot: Dartmouth Publishing Index (tables and figures in italics) AAGBI (Association of Anaesthetists of Great Britain and Ireland), guidelines for ODP qualifications...

Ngày tải lên: 13/08/2014, 03:21

... group-box protein 1, lipopolysaccharide-binding protein and procalcitonin levels were higher in patients than in healthy control individuals None of the biomarkers of interest discriminated between ... lipopolysaccharide-binding protein and procalcitonin in severe community-acquired infections and bacteraemia: a prospective study Crit Care 2007, 11:R76 22 Nobre V, Harbarth S, Graf JD, Rohner P, Pugin J: ... E: A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group...

Ngày tải lên: 13/08/2014, 11:22

... Society of Intensive Care Medicine’s Task Force for intensive care unit triage during an influenza epidemic or mass disaster Intensive Care Med 2010, 36:428-443 Hick J, Rubinson L, O’Laughlin D, Farmer ... of inspired oxygen (SpO2/FiO2) ratio correlations derived by Pandharipande and colleagues [15] were used Our institution’s pandemic flu protocol called for the involvement of critical care in ... confidence interval Adeniji and Cusack Critical Care 2011, 15:R39 http://ccforum.com/content/15/1/R39 Page of Table Discrimination of initial SOFA score groupings in predicting mortality in our...

Ngày tải lên: 14/08/2014, 07:21

... agents and exenatide; 120 from evidence to recommendations 11 11.1 11.2 11.3 11.4 Glucose control: insulin therapy Oral agent combination therapy with insulin Insulin therapy Insulin detemir Insulin ... human insulin in which change of the amino-acid sequence alters duration of action after injection 4 Glossary and definitions Insulin regimen A therapeutic combination of different insulin preparations, ... within the NHS to develop appropriate and consistent advice on healthcare technologies, and to commission evidence-based guidelines NPH insulin Neutral protamine Hagedorn insulin – a basal insulin,...

Ngày tải lên: 08/03/2014, 14:20

Ngày tải lên: 08/03/2014, 14:20

... men and masculinities is required in the context of recognising them as explicitly gendered Finally, feminist, gay and other critical scholarships offer crucial insights in understanding men and ... repression of femininity within men (he did recognise its presence within men), but on the resulting balance between a masculine persona and a feminine anima He came to argue that the feminine interior ... universalism and its apparent privileging of the site of caretaking as the locus of producing and reproducing male domination and female subordination Chodorow, it is argued, was guilty of generalising inappropriately...

Ngày tải lên: 14/03/2014, 23:20

... magazine full of interesting information, articles and facts for health managers and staff 2 Using systems-thinking in health and social care practice Martin J Booy LEARNING OUTCOMES The learning ... and information technology (CIT) and genetics ~: Economic factors are a political and moral minefield Inheallh and social care demand always outweighs supply because finance isfinite and demand ... structures of health and social care in the UK • An insight into why health and social care changes • An understanding of the impact of changes in health and social care on the individual practitioner...

Ngày tải lên: 22/03/2014, 20:21