applying quality improvement principles in caring for the high risk infant
ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 1 ppsx
Ngày tải lên :
13/08/2014, 03:21
... estimating peri-operative risk 17 ANAESTHESIA FOR THE HIGH RISK PATIENT • This philosophy maintains that risk scoring systems and guidelines are most useful, therefore, only as guides for inexperienced ... is graded according to the time interval since their infarction (table 1.1).18 • The difficulty arises in identifying those patients with occult CAD ANAESTHESIA FOR THE HIGH RISK PATIENT Table ... (and these surgeons were in a minority) Few UK general surgeons would, therefore, not fall in the high volume group – with some performing that many in a month As regards, the anaesthetist, there...
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ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 2 potx
Ngày tải lên :
13/08/2014, 03:21
... anaesthetists for the 1998/99 report.3 41 ANAESTHESIA FOR THE HIGH RISK PATIENT • The NCEPOD clinical coordinators, together with the advisory groups for anaesthesia and surgery, review the completed ... Unfortunately few patients will have read the chapter in this text on the meaning of risk! 25 ANAESTHESIA FOR THE HIGH RISK PATIENT Further reading Adams AM, Smith AF Risk perception and communication: ... coexisting cardiovascular or neurological disorder 45 ANAESTHESIA FOR THE HIGH RISK PATIENT Adequate pre-operative assessment and preparation for theatre is vital in the management of the high risk...
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ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 3 potx
Ngày tải lên :
13/08/2014, 03:21
... result RISK FACTORS IN PAIN MANAGEMENT Site of injury Pain that interferes with deep breathing and coughing confers the greatest risk to the patient and therefore the anatomical site of the surgery ... recommended the systematic assessment and recording of 54 ANALGESIA FOR THE HIGH RISK PATIENT pain during the postoperative period.4 There is no objective measure of pain, the report of the patient is the ... during needle siting, heparinisation within h of needle, catheter siting and concomitant aspirin therapy: • If intravenous heparin is to be commenced following a spinal or epidural, then there...
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ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 4 pps
Ngày tải lên :
13/08/2014, 03:21
... either total IV anaesthesia or inhalational anaesthesia, for the critically ill patient in the operating theatre Few have much experience of Ketamine in the UK Therefore, despite its strong theoretical ... adrenaline infusions perioperatively is controversial THE CRITICALLY ILL PATIENT IN THE OPERATING THEATRE • For information on the support of regional circulations including the use of Dopamine ... number of lines, tubes and bags increases with the severity of the patient’s condition Every piece of equipment inserted into the patient is there for a reason 79 ANAESTHESIA FOR THE HIGH RISK PATIENT...
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ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 5 ppt
Ngày tải lên :
13/08/2014, 03:21
... considered for limb, perineum and lower abdominal surgery and for laparotomy when combined with GA 111 ANAESTHESIA FOR THE HIGH RISK PATIENT When choosing GA in the elderly, the following should ... ANAESTHESIA FOR THE HIGH RISK PATIENT • The other two groups were admitted preoperatively to intensive care and given goal directed therapy with either adrenaline or dopexamine lasting for at ... soluble drugs • The reduction in albumin concentration in the elderly increases the free fraction of protein bound (i.e lipid soluble) drugs and therefore increases the bioavailabilty at their effector...
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ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 6 docx
Ngày tải lên :
13/08/2014, 03:21
... monitoring be instituted before the induction of any form of anaesthesia in these high- risk patients In addition to routine standard monitoring, anaesthetists should have a very low threshold for ... during systole Conduct of anaesthesia Anaesthetic goals include: • • • 148 avoid increases in afterload, maintain a relative tachycardia (about 90 beats/min), maintain relatively high filling ... Excessive distension of the RV also results in leftward displacement of the interventricular septum, causing a form of ‘internal tamponade’ 149 ANAESTHESIA FOR THE HIGH RISK PATIENT One model...
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ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 7 pdf
Ngày tải lên :
13/08/2014, 03:21
... of providing anaesthesia for the high risk gastrointestinal patient will be gleaned purely from experience gained in managing other patients In other words, anaesthesia for gastrointestinal surgery ... operating theatre • Monitoring should be appropriate to the status of the patient There should be a low threshold for invasive monitoring for high risk patients undergoing gastrointestinal surgery ... Different definitions focus on different points in this continuum: Normal Progressive renal insufficiency Anuric/no intrinsic function 179 ANAESTHESIA FOR THE HIGH RISK PATIENT Useful clinical definitions...
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ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 8 pps
Ngày tải lên :
13/08/2014, 03:21
... improve GFR.10 Thus increasing blood pressure with noradrenaline (norepinephrine) may improve creatinine clearance 189 ANAESTHESIA FOR THE HIGH RISK PATIENT For example, there are numerous studies ... angioplasty in reducing untoward peri-operative cardiac complications remains incompletely defined The indications for angioplasty in the peri-operative setting are currently the same as for the use ... hypertension FURTHER CARDIAC TESTING PRIOR TO NON-CARDIAC SURGERY The decision to recommend further non-invasive testing or invasive testing for the individual patient being considered for surgery...
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ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 9 ppt
Ngày tải lên :
13/08/2014, 03:21
... important mechanism in maintaining CO in the impaired ventricle Further, increases in CO are mediated through aortic chemoreceptors inducing sympathetically mediated increases in contractility (and ... is less than g/dl’ Many anaesthetists are applying these principles in the operating theatre and this is probably safe and appropriate for most patients Caution THE RISKS OF ANAEMIA AND BLOOD TRANSFUSION ... use of stored blood in all patients 217 ANAESTHESIA FOR THE HIGH RISK PATIENT Transmission of infection by blood transfusion There remains an exceedingly small but real risk of infection from transfusion...
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ANAESTHESIA FOR THE HIGH RISK PATIENT - PART 10 pptx
Ngày tải lên :
13/08/2014, 03:21
... that there is no single level of risk that is universally acceptable.4 For example, some individuals will choose what they 244 THE MEANING OF RISK Everyday risks Clinical risks in 1 in 10 Very high ... scales in everyday use include the Richter scale for earthquake magnitude, the pH scale for hydrogen ion concentration and the decibel scale for sound intensity 243 ANAESTHESIA FOR THE HIGH RISK ... 10 9.07 3.87 0.48 Risk in 10 in 11 in 25 in 200 Transposing these figures to the risk ladder in figure 17.1 shows that the risks of undergoing a surgical procedure are not insignificant (table...
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báo cáo khoa học: " NorthStar, a support tool for the design and evaluation of quality improvement interventions in healthcare" ppt
Ngày tải lên :
11/08/2014, 05:22
... definitions or explanations in the glossary, examples or illustrations Print: Selecting 'Print' in the browser or from the Windows Help system will print the contents of the main NorthStar window ... clicking on the +/- sign to the left of the book symbols Search: The user can search for words anywhere in the text Hypertext: The hypertext links help to navigate NorthStar, for example by bringing ... outline of NorthStar sections This section contains the following An outline of the section Introduction Things to consider One or two paragraphs introducing the topic Checklists; background information;...
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Caring for the Elderly and Holding Down a Job: How Are Women Coping in Japan? potx
Ngày tải lên :
14/03/2014, 20:20
... with other characteristics of the woman (including age) and of the parent (including health status) held constant, based on multinoomial logistic regression In the simplest form of the model, the ... on the family of medical care for the elderly New pol- ried women are required to care for One interesting result of the regres- icies included the introduction of a co- their elderly parents -in- law ... Care of the elderly and women’s labor force participation in Japan Paper presented at the Seminar on Population Ageing in the Industrialized Countries: Challenges and Responses Hosted by the International...
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LINH DAM NEW TOWN - SOLUTION FOR THE HIGH-DENSITY DEVELOPMENT OF NEW SETTLEMENTS IN THE SOUTH-WEST OF HANOI
Ngày tải lên :
29/08/2013, 08:15
... north Linh Dam, following the third ring road to approach the main axes However, the ring road seems to split the area into two parts making it difficult for spatial connection to each other The ... tropical climate Among these, the outstanding point is the area of highstorey apartments and office buildings in the center of Linh Dam peninsula, surrounding by low-storey buildings, parks, open ... from the city center The New Town includes three components: Bac Linh Dam (North of Linh Dam), Linh Dam peninsula in the middle and Linh Dam expansion (South of Linh Dam) The success of the project...
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LINH DAM NEW TOWN - SOLUTION FOR THE HIGH-DENSITY DEVELOPMENT OF NEW SETTLEMENTS IN THE SOUTH-WEST OF HANOI
Ngày tải lên :
29/08/2013, 08:15
... nặng nhọc với mức thu nhập thấp, kéo theo điều kiện sống mức tối thiểu, tạm bợ khu nhà trọ rẻ tiền với điều kiện sinh hoạt an ninh không đảm bảo Đời sống tinh thần lao động hạn chế Họ thấy cô ... làm việc chợ lao động thuê trọ theo ngày (đêm), lại thuê nhà theo tháng Có khoảng 22,86% nữ lao động tự phải sống nơi có điều kiện sinh hoạt không đảm bảo, vệ sinh; 40,95% không sử dụng nước ... vật chất, tinh thần lao động nghèo nàn Họ thường tiêu tiết kiệm cho khoản chi phí sinh hoạt thiết yếu Có 22,86% nữ lao động tự phải sống nơi có điều kiện sinh hoạt thiếu thốn, vệ sinh Họ thường...
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Developing a system of exercises to improve public speaking skill in interpreting for the 4th year students of english at vinh university
Ngày tải lên :
25/12/2013, 20:21
... interpretation is a kind of interpreting in which interpreter and speaker are sitting together in the same location with an audience In this type of interpreting, the interpreter begins their interpretation ... Interpreting In Nababan (1999), simultaneous interpreting is a kind of interpreting process in which the interpreter and speaker are speaking together with the same material In this kind of interpreting, ... the speaker has stopped producing the source utterance In consecutive interpreting, the interpreters sit next to the speaker and interpret into the TL once the speaker has finished speaking The...
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Tài liệu Support for Cancer Caregivers: Caring for the Caregiver pptx
Ngày tải lên :
15/02/2014, 04:20
... new changes in your body Finding meaning during cancer Cancer causes many caregivers to look at life in new ways They think about the purpose of life And they often focus on what they value most ... Another free NCI booklet, When Someone You Love Is Being Treated for Cancer, contains more detailed information for caregivers To order this booklet, see the National Cancer Institute listing ... mean? Giving care can mean helping with daily needs These include going to doctor visits, making meals, and picking up medicines It can also mean helping your loved one cope with feelings Like...
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Ergonomic Principles and Checklists for the Selection of Office Furniture and Equipment doc
Ngày tải lên :
08/03/2014, 13:20
... (adjustable by fore-and-aft movement of the backrest) is the horizontal distance, measured from the front edge to the foremost point of the backrest on the centre line of the seat's width The minimum ... extent by allowing the chair to swivel, but in this case, an under-desk drawer unit on the right limits the swivelling range Leaning forward can bring more items into reach, and finally the person ... standards since conformity with them is desirable for maximising potential markets, The procedures for developing checklists for office chairs were typical of the development of other checklists They...
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