comprehensive management of patients with traumatic aortic injury

... early management of patients with a head injury, 14 followed in 1999 by the Galasko report from the Royal College of Surgeons.15 SIGN published SIGN 46: Early management of patients with a head injury ... over 65 years of age.45,46 1++ 2+ 13 Early management of patients with a head injury Mechanism of injury was associated with intracranial injury, with ORs of 1.65 and 2.8 reported.39,47 In children, ... for patients with minor head injury Entry criteria were loss of consciousness or post -traumatic amnesia following a head injury, in patients with a GCS of 13-15 The study excluded all patients with...

Ngày tải lên: 17/03/2014, 15:20

... rFVIIa in trauma patients Thus, TE events occurred in 4% (6 of 138) of the placebo-treated patients as compared with 4% (6 of 139) of the rFVIIa-treated patients The incidence of fatal TE events ... accurate diagnosis and severity assessment of the head injury in the majority of these patients Therefore, to identify patients with a TBI component of their injury, we were obliged to perform a post ... Six of these patients had additional polytrauma The outcome of these patients was poor and 15 of 20 patients died The authors attributed this high mortality rate to the severity of brain injury...

Ngày tải lên: 13/08/2014, 08:20

... culture in the CSF eSOFA pre: value of the Sepsis related Organ-Failure Assessment (SOFA) score before the beginning of the barbiturate coma fSOFA maximum: maximum value of the SOFA during the barbiturate ... Thoracic injury 0.13 Abdominal injury 0.34 Extremities injury 0.20 Diffuse injury without brain swelling 12 0.046 Diffuse bilateral brain swelling 12 Diffuse unilateral brain swelling with midline ... by the Traumatic Coma Data Bank [8] We also recorded findings of CTs conducted before inclusion of the patients in the study The CT findings on inclusion were regarded to be the worst of the...

Ngày tải lên: 13/08/2014, 11:22

... 42 ANNEXES 43 MANAGEMENT of patients with dementia 44 ANNEXES 45 MANAGEMENT of patients with dementia 46 ANNEXES 47 MANAGEMENT of patients with dementia Annex Short form of the Informant Questionnaire ... than in people with Alzheimer’s disease  MANAGEMENT of patients with dementia Dementia with Lewy bodies Characteristic features of dementia with Lewy bodies (DLB) are fluctuation of awareness ... limited number of behavioural problems in patients with mild to moderate dementia.97,98,101-105 1++ 1+ One small study of augmentation of perphenazine in patients with moderate dementia, with either...

Ngày tải lên: 08/03/2014, 14:20

... 1994; Moffatt et al 1994; Simon et al 1994) Strength of evidence IAssessment of Patients with Leg Ulcers The management of patients with venous leg ulcers Assessment 2.1 Assessment of Patients with ... also fall with age Strength of evidence II 10 The management of patients with venous leg ulcers Assessment 2.2 Management of Patients with Venous Leg Ulcers The records show that patients with venous ... photocopy of each form before sending it 24 The management of patients with venous leg ulcers Appendix 2: Audit Form The management of patients with venous leg ulcers Notes 25 26 The management of patients...

Ngày tải lên: 15/03/2014, 23:20

... SIGN 119 Management of patients with stroke: identification and management of dysphagia6 and SIGN 108 Management of patients with stroke or TIA: assessment, investigation, immediate management ... stroke patients and their families and liaised with services with the aim of improving aspects of participation and quality of life for patients with stroke and/or their carers The backgrounds of ... an update of SIGN 64 Management of patients with stroke: rehabilitation, prevention and management of complications, and discharge planning and supersedes it Since the publication of SIGN 64...

Ngày tải lên: 17/03/2014, 15:20

... as offering the best compromise between accuracy of staging and containment of morbidity 17 MANAGEMENT OF PATIENTS WITH LUNG CANCER 6.2.5 RESECTION IN PATIENTS WITH STAGE IIIA NSCLC A number of ... for patients with stage 1A lung cancer and 38-65% for patients with stage 1B lung cancer Surgery gives the highest chance of cure for patients with stage I and II lung cancer D 6.2.2 Patients with ... palliative radiotherapy with single fractions of 8Gy 23 MANAGEMENT OF PATIENTS WITH LUNG CANCER Chemotherapy The greatest change in the management of lung cancer since the publication of the original...

Ngày tải lên: 28/03/2014, 23:20

... days of drug dispensed based on the assessment schedule Patients with values between 80% and 100% were considered to be treatment compliant Of the 153 patients enrolled in the study, 106 patients ... mg/day Of the 153 patients enrolled in the study, 106 patients (69.2%) were compliant with treatment During the 12-week switching period, no patients received diphenhydramine and five patients ... demonstrated the effectiveness of aripiprazole compared with standard -of- care treatment in outpatient-treated patients with schizophrenia, especially in the areas of symptom improvement, clinical...

Ngày tải lên: 09/08/2014, 01:21

... in patients with SMI were also evaluated, along with current Page of 10 evidence on how improvements in the management of the CVD risk factors may impact SMI patients mortality and quality of ... in individuals with SMI in the community, 29% of men and almost 60% of women with SMI were obese [51] The prevalence of obesity in patients with SMI is equal or higher than that of the general ... 60% of patients with depression and post -traumatic- stress disorder are smokers, while in patients with schizophrenia the prevalence of smoking can be as high as 65% to 90% [66] Relative risk of...

Ngày tải lên: 09/08/2014, 01:21

... impact of non-operative management of advanced CRC in an unselected, consecutive series of patients presenting with newly diagnosed disease It reviews and compares the outcomes of patients with ... formation in patients presenting with malignant large bowel obstruction One of the concerns in managing patients with surgically incurable CRC without resection of the primary tumour is the risk of the ... score of operated patients, stoma rates in operated patients and the indications for surgery in emergency patients Patients deemed surgically incurable at presentation were studied Patients with...

Ngày tải lên: 09/08/2014, 04:21

... Effect of prone positioning on the survival of patients with acute respiratory failure N Engl J Med 2001, 345:568-573 The ARDS Network: Ventilation with lower tidal volumes as compared with traditional ... 40–49 31–40 0–31 Quartiles of SAPS II Proning may benefit the most seriously ill subset of patients with acute respiratory distress syndrome Those in the quartile with the highest Simplified ... that withholding the option to prone was unethical, based on their early experience Thirdly, a post hoc analysis of the data indicated a marked mortality benefit with proning in the subset of patients...

Ngày tải lên: 12/08/2014, 18:21

... led to a relative risk reduction of almost 30% in patients with septic shock [9] The survival benefit of combination therapy was significant only in patients with blunted response to ACTH stimulation ... effects of catecholamine dysfunction and refractory hypotension [5] Downregulation of catecholamine receptors occurs with prolonged use of exogenous catecholamines and this may be reversed with ... similar resistance because of poor experiences with identical drugs given in higher doses [18] Levels of cortisol and responsiveness to ACTH stimulation in patients with sepsis vary considerably...

Ngày tải lên: 12/08/2014, 18:21

... the rate of infection of pancreatic necrosis [4] Pooling of the data from these 183 patients by Bosscha and colleagues in a meta-analysis resulted in a group of 95 patients treated with prophylactic ... to acute pancreatitis Con: No, antibiotics are not important in the management of patients with pancreatitis with evidence of pancreatic necrosis Lorne H Blackbourne and Stephen M Cohn Limiting ... mortality (64%) compared with those patients without Candida (19%, P < 0.01) Certainly, critically ill patients developing superinfections tend to be those with more severe disease, with longer antibiotic...

Ngày tải lên: 12/08/2014, 19:22

... mind that most patients with acute respiratory distress syndrome still die of multiple organ failure and not of hypoxemia In this regard, PPV is now used (and normalized by the use of fluid) routinely ... outcome of patients undergoing high-risk surgery PPV as a tool to track changes in contractility? Determinants of pulse pressure variation Pulse pressure variation (PPV) is a marker of the position ... Michard et al Figure Patients who have reached the plateau of the Frank–Starling relationship can be identified as patients in whom PPV is low The clinical and intraoperative goal of ‘maximizing stroke...

Ngày tải lên: 13/08/2014, 03:21

... http://ccforum.com/content/14/2/307 Commentary Traumatic brain injury (TBI) is devastating with catastrophic consequences Early recognition of injury and prompt delivery of focused care of the traumatic brain injured ... known to be associated with increased mortality from traumatic brain injury Analyses were conducted in all patients and in subgroups according to severity of traumatic brain injury The authors found ... Assistant Professor, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA 4Professor, Department of Critical Care Medicine, University of Pittsburgh...

Ngày tải lên: 13/08/2014, 20:21

... 1-month mortality of patients Serial change in plasma resistin level in patients with TBI Correlations of plasma resistin level with GCS scores After TBI, plasma resistin level in patients increased ... proportion of patients in the nonsurvival group suffered from hyperglycemia (P = 0.003), had CT classification of The predictive significance of plasma resistin level for 1month mortality of patients ... patients had the presence of traumatic subarachnoid hemorrhage After admission, 21 (22.3%) patients presented with neurological deterioration In the first 24 hours, 40 (42.6%) patients underwent intracranial...

Ngày tải lên: 13/08/2014, 21:21

... characteristics of patients within their respective subgroups As expected, patients with TBI had sustained a higher overall magnitude of injury as compared to patients without TBI (P < 0.001) Patients without ... whether TBI patients have the same association of improved survival with a more balanced transfusion of FFP and pRBCs In patients with TBI, there is a component of local tissue release of thromboplastin ... into patients with TBI (Abbreviated Injury Scale (AIS) score, head ≥3) and patients without TBI (AIS score, head

Ngày tải lên: 14/08/2014, 07:21

... 1) patients with severe dementia or aphasia; 2) patients whose visual or hearing impairment does not allow possibility of interaction with the system; 3) patients with hemispatial neglect; 4) patients ... of the patients, achieving a system that reinforces the motivation of the patients during the rehabilitative process and providing the therapists with objective data of the evolution of the patients ... consisted of 11 men and women ranging from 16 to 76 years old (47.3 ± 17.8) and a mean chronicity of 570.9 ± 313.2 days Etiology of acquired brain injury in this group of patients included severe traumatic...

Ngày tải lên: 19/06/2014, 08:20

... association of BNP levels with RV dilatation and with patient outcomes (mortality) in patients with ALI Although BNP levels were elevated in patients with ALI, there was no association with RV dilatation ... levels in patients with ALI are caused by RV strain In patients with isolated RV dysfunction due to variety of conditions, BNP levels have been shown to be elevated For example, patients with chronic ... compared with patients with chronic respiratory failure without cor pulmonale or controls [32,33] In patients with idiopathic pulmonary hypertension, BNP was elevated and was correlated with the...

Ngày tải lên: 21/06/2014, 03:20

... and all patients gave written informed consent All OA patients fulfilled the criteria of the American College of Rheumatology for the classification of OA [24] Isolation and culture of synovial ... 23/53 OA patients DREAM mRNA was significantly reduced by 63% in PBMCs from OA patients, with a pain score on the VAS (0 to 100) of greater than 40 (n = 14) compared with healthy controls OA patients ... compared with healthy controls (❍) and with OA patients with a low pain score (VAS score of less than or equal to 40; ∇) No significant differences were observed between healthy controls and OA patients...

Ngày tải lên: 09/08/2014, 10:23