analgesia and sedation in the critically ill patients
Báo cáo khoa học: "Clinical review: Agitation and delirium in the critically ill – significance and management" ppt
... encountered in critically ill patients J Clin Neurophysiol 2005, 22:128-135 46 Nasraway S, Wu E, Kelleher R, Yasuda C, Donnelly A: How reliable is the bispectral index in critically ill patients ? A prospective, ... management of acute agitation Drugs 2005, 65:1207-1222 Walder B, Tramèr M: Analgesia and sedation in critically ill patients Swiss Med Wkly 2004, 134:333-336 Jacobi J, Fraser G, Coursin D, Riker ... examinations, that is, that mental disorders occurring in ICU patients are associated with a global brain dysfunction In addition, in some patients, particularly when these disorders are associated...
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Báo cáo y học: "Nicotine withdrawal and agitation in ventilated critically ill patients" docx
... Results Patients In total, 916 admissions were screened for enrollment One hundred fifty consecutive patients met the inclusion criteria Six patients were secondarily excluded, leaving 144 patients ... (31%) patients in the overall cohort received noninvasive ventilation In this subgroup of patients, the rate of intubation was 62% related to failure of noninvasive ventilation Thus, only 17 patients ... data file 1), obtained from patients or their closest relatives Patient dependency was dichotomized in weak and strong by using a threshold value of in this smoking scale Patients were divided into...
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Báo cáo y học: " Age of red blood cells and mortality in the critically ill" ppsx
... in critically ill patients JAMA 2002, 288:1499-1507 Rao MP, Boralessa H, Morgan C, Soni N, Goldhill DR, Brett SJ, Boralessa H, Contreras M: Blood component use in critically ill patients Anaesthesia ... only on cardiac surgery patients Third, the study excluded more than 28% of patients because those patients received both fresh and older RBCs Fourth, the study separated patients into two groups ... population of critically ill patients Nonetheless, our findings must be seen in light of three recent large retrospective studies in cardiac surgery patients [10], in trauma patients [32], and in...
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Báo cáo y học: "Enteral feeding in the critically ill: comparison between the supine and prone positions A prospective crossover study in mechanically ventilated patients" pdf
... Goldhill DR: A model of gastric emptying using paracetamol absorption in intensive care patients Intensive Care Med 1997, 23:256–260 HeylandDK, Cook DJ, Winder B, Guyatt GH: Do critically ill patients ... mechanically ventilated patients: a randomised trial Lancet 1999, 354:1851–1858 Papen HD, Duinslaeger L, Diltoer M, Gillet R, Bossuyt A, Huygens LP: Gastric emptying in critically ill patients is accelerated ... critically ill patients Intensive Care Med 1996, 22:1339–1344 Albert RK: One good turn … Intensive Care Med 1994, 20: 247–248 Fridrich P, Krafft P: The effects of long-term prone positioning in patients...
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Báo cáo y học: "Occurrence and adverse effect on outcome of hyperlactatemia in the critically ill" pptx
... large population of critically ill adult medical and surgical patients, and assess the effect of hyperlactatemia on mortality Materials and methods Study population The patients included in the study ... including the city of Calgary and surrounding smaller cities (population 1.2 million) [13] Critically ill adult patients in the Calgary Health Region (CHR) are managed in closed ICUs under the ... purposes) Patients were classified into four admission categories based on available information Cardiac surgical patients were those admitted to the cardiovascular surgery ICU Trauma/neuro patients...
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Báo cáo y học: " Anaemia and its treatment in neurologically critically ill patients: being reasonable is easy without prospective trials" doc
... observational data simply show sicker patients have worse outcomes despite the statistical correction for older age and larger haemorrhage size, then you will probably (successfully) justify keeping ... do.’ Conclusion Anaemia is generally associated with worse outcomes in neurologically critically ill patients Whether the outcome can be improved by more frequent use of PRBC transfusion remains ... doi:10.1186/cc8981 Cite this article as: Naidech AM: Anaemia and its treatment in neurologically critically ill patients: being reasonable is easy without prospective trials Critical Care 2010, 14:149 ...
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Báo cáo hóa học: " Red blood cell transfusion in the critically ill patient" docx
... critically ill patients N Engl J Med 2007, 357:965-976 89 Tinmouth AT, McIntyre LA, Fowler RA: Blood conservation strategies to reduce the need for red blood cell transfusion in critically ill patients ... problematic in patients with stenotic coronary arteries especially when tachycardia is present, which can decrease diastoledependent left ventricle perfusion Therefore, in critically ill patients, ... transfusions have been associated with worse outcomes in several populations of patients, including critically ill patients In a recent systematic review of 45 observational studies reporting the...
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General ultrasound In the critically ill - part 2 pdf
... diaphragmatic course in critically ill patients A distended stomach will come against the anterior wall, making gut shding hard to detect Consequently, analysis of gut sliding will contribute more if the ... maxillary sinuses If it had, the percentage of patients benefiting from the ultrasound approach would not have been 22% but a number not far from 100% As an example, the following pages will ... automatic and be executed in a precise order Loss of time will be minimal and the device will remain microorganism-free The only problem will occur in case of multiple operators: each operator must...
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General ultrasound In the critically ill - part 3 pptx
... of physician presence in medical patients and 23 days for surgical patients This means a frequency 20 times lower for medical patients In our critically ill patients with a stable status and ... This finding will be accessory: the dilatation of the right heart and the lung disorder will then be recognized at the same time A cirrhotic liver will give numerous signs we will not detail ... intercostal scans will be taken, provided the probe is small enough Liver analysis is often not exhaustive in such conditions, but we will see that this limitation is relative in the critically ill patient...
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General ultrasound In the critically ill - part 4 ppsx
... dynamic scan of the ultrasound probe upward and downward will prevent the error: the bladder will be identified below, and this fluid image will have an opened shape above Fig 9.15 a Two elements ... that mortality is greatly increased in patients with such thromboses, but we must first eliminate selection bias (thrombosis may occur in the most severely ill patients, etc.) Given that death is ... CR, Onseng F, Chokshi V (1987) Nondilated obstructive uropathy Radiology 162:879 Maillet PJ, Pelle-Francoz D, Laville M, Gay F, Pinet A (1986) Nondilated obstructive acute renal failure: diagnostic...
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General ultrasound In the critically ill - part 5 ppsx
... ill patient admitted in the ICU (in particular, the medical ICU) are rare In this patient, it is illusory to consider symptomatic and asymptomatic patients Pulmonary embolism affects 50,000 patients ... normality, internal jugular veins will be analyzed If normal, the inferior caval and iliac veins will be included in the analysis Lastly, subclavian veins and then calf veins will be investigated This ... the venous lumen of the inferior vena cava isfilledwith echoic material, indicating here a recent thrombosis Note that this recent thrombus is still soft Hence, a compression maneuver may collapse...
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General ultrasound In the critically ill - part 6 pot
... free pleural effusion will therefore be in contact with the bed in a supine patient This zone will not be easy to approach Rotating the patient in the lateral decubitus will not be entirely satisfactory, ... advisable to go further still Only thoracentesis will sions are minimal effusions Paradoxically, ultra- provide an accurate diagnosis sound can perfectly detect effusions on the millimeter scale (Fig ... critical care, 2nd edn, McGraw Hill, New York, pp 180-184 Tocino IM, Miller MH, Fairfax WR (1985) Distribution of pneumothorax in the supine and semirecumbent critically ill adult Am J Roentgenol 144:...
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General ultrasound In the critically ill - part 7 pptx
... 142:265-267 Peruzzi W, Garner W, Bools J, Rasanen J, Mueller CF, Reilley T (1988) Portable chest roentgenography and CT in critically ill patients Chest 93:722-726 Wiener MD, Garay SM, Leitman BS, Wiener ... gas exchanges occur at the fine, not yet edematous area of the alveolocapillary membrane [27] Surface lung ultrasonography will indicate that the septa are dry, and that a safety margin exists if ... bumps are made in the bed The fluid level will thus be moved As for bowel occlusion or hydropneumothorax (see pp 39 and 111), the ultrasound translation will be strong, highly suggestive dynamics:...
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General ultrasound In the critically ill - part 8 pptx
... minute signs using Doppler data will have two effects One effect will be beneficial: the tamponade feature will be highlighted One effect will be deleterious: time will be lost in searching for a ... the entire area of projection (Fig 21.1), or incomplete (Fig 21.2) One hundred maxillary sinuses of critically ill patients were analyzed in our institution For simple and clinically relevant correlations, ... diagnosis of maxillary sinusitis Normal sinus Complete sinusogram Incomplete sinusogram No sinusogram Mucosal thickening Miscellaneous (polyp) Maxillary sinusitis (fluid level) Maxillary sinusitis...
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General ultrasound In the critically ill - part 9 pot
... Zouaoui A, Leguillou JL, Bodin L, Khac TD, Marsault C, Poete P, Nicolas MH, Jarlier V, Viars P (1994) Risk factors and clinical relevance of nosocomial maxillary sinusitis in the critically ill Am } ... addition, medical personnel should be taught to wisely apply dressings, since critically ill postoperative patients will unavoidably have ultrasound examinations Apart from the anomalies described in ... Disorders Lower Extremity Veins Ultrasound is more laborious in surgical patients than in medical patients, especially trauma patients, as the dressings, surgical devices, pain and postcontusion...
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General ultrasound In the critically ill - part 10 docx
... RM, Fulkerson WJ Ir, Vidaillet H, Broste S, Bellamy P, Lynn I, Knaus WA (1996) The effectiveness of right heart catheterization in the initial care of critically ill patients I Am Med Assoc 276:889-897 ... searched for in a calmer atmosphere Selective intubation will be checked using ultrasound The wise reader can ask if this use of ultrasound will decrease mortality and morbidity (e.g., neurological ... Maxillary sinusitis, a possible source of pneumonia All these situations can delay weaning Pregnancy Contribution of Routine General Ultrasound in a Long-Stay Intensive Care Unit Patient We will...
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CATHETER-RELATED INFECTIONS IN THE CRITICALLY ILL - PART 1 doc
... infection As patients require catheters for longer periods of time, the types of catheters that are being placed are changing Although tunneled catheters are still frequently placed in patients who ... and discuss controversial topics in specific infectious problems involving critically ill patients Each topic will be discussed by two authors representing the different management perspectives ... critically ill patients, from their perspective Jordi Rello, M.D Series Editor This page intentionally left blank Chapter THE EPIDEMIOLOGY OF CATHETERRELATED INFECTION IN THE CRITICALLY ILL Nasia...
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CATHETER-RELATED INFECTIONS IN THE CRITICALLY ILL - PART 2 docx
... mortality in critically ill patients with nosocomial bloodstream infections Chest 1991;100:164-167 Pittet D, Tarara D, Wenzel RP Nosocomial bloodstream infection in critically ill patients: excess length ... critically ill patients Am J Respir Crit Care Med 2001;163:1584-1590 Rello J, Ochagavia A, Sabanes E, et al Evaluation of outcome of intravenous catheterrelated infections in critically ill patients ... and subclavian venous catheterization in critically ill patients: a randomized controlled trial JAMA 2001;286:700-707 Goetz AM, Wagener MM, Miller JM, Muder RR Risk of infection due to central...
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CATHETER-RELATED INFECTIONS IN THE CRITICALLY ILL - PART 3 ppsx
... critically ill patients Arch Surg 198; 121:591-4 Gil RT, Kruse JA, Thill-Baharozian MC, Carlson RW Triple- vs single-lumen central venous catheters A prospective study in a critically ill population ... Sánchez F, Barraquer P, Ballús J, Cotura A, Prats G Serial surveillance cultures of skin and catheter hub specimens from critically ill patients with central venous catheters: Molecular epidemiology ... fat per se (46) Thus, the higher risk of CRBI occasionally found in patients on 36 Catheter-Related Infections in the Critically Ill TPN can be attributed to confounding factors such as the catheterization...
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