diagnostic procedures in pulmonary and critical care medicine
Báo cáo y học: "Eighth World Congress of Intensive and Critical Care Medicine, 28 October–1 November 2001, Sydney, Australia: Harm minimization and effective risk managemen" doc
... using a continuous infusion of insulin called the ‘intensive insulin schedule’ (IIS), or to a conventional strategy of treating blood sugar levels above 12.0 mmol/l with the ‘restrictive insulin ... monitoring This technology is in its infancy and there are several questions that remain unanswered, the main being which tissue bed should be monitored Speaking on the oxygen affinity of haemoglobin, ... membranes in achieving significant clearance of cytokines such as interleukin-1 without losing albumin, by using haemofiltration and highvolume exchanges This therapy can potentially alter the way in...
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Báo cáo khoa học: "Innovations in technology for critical care medicine" docx
... Telemedicine An infrastructure for providing intensivist-led care from a distance is receiving much attention Two years ago a report examined the poor uptake of information technology into medicine ... physiological parameters and audiovisual contact with patient and their bedside critical care nurse in a remote hospital This requires a nerve centre with 24-hour intensivist and critical care nurse coverage ... Healthcare Innovations in Technology Systems Partnerships Awards in 2001 Intensivists remain a scarce resource in many centres [11,12] Further data regarding the efficacy of remote monitoring as...
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Tài liệu Clinical presentation and outcome of patients diagnosed with active pulmonary tuberculosis in a large critical care unit docx
... 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 ... active pulmonary tuberculosis admitted to our intensive care unit in a period over six years and to examine the characteristics, presentation, underlying risk factors, outcome of patients and to ... 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...
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Infectious Diseases in Critical Care Medicine Third Edition pdf
... present and are becoming important in critical care Infectious Diseases in Critical Care Medicine (third edition) remains the only book exclusively dedicated to infectious diseases in critical care ... Colonization and Infection in the Critical Care Unit 102 C Glen Mayhall PART II: CLINICAL SYNDROMES IN CRITICAL CARE Clinical Approach to Sepsis and Its Mimics in Critical Care Burke A Cunha Meningitis and ... by clinicians in infectious diseases in critical care and is meant as a handbook to provide valuable information not included in critical care textbooks The text is unique in its emphasis and...
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Báo cáo y học: "Blending science and compassion: The 30th educational symposium of the Society of Critical Care Medicine, San Francisco, USA, 10–14 February 2001" pptx
... fall into the trap of thinking like Thomas Sydenham It is not the beginning of the end of sepsis research, but the end of the beginning For a related commentary in this issue by Martin Llewelyn and ... are currently in press and will be published in Critical Care Medicine What targets could a tailored treatment be based on? For Gram-negative bacteria, endotoxin is an immediate candidate The ... methylprednisolone in preventing parenchymal lung injury and improving mortality in patients with septic shock Am Rev Respir Dis 1988, 138:62–68 Cronin L, Cook DJ, Carlet J, Heyland DK, King D, Lansang...
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Báo cáo y học: " Ethics and critical care in the new millennium" pps
... 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...
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Báo cáo y học: "ICUs worldwide: An overview of critical care medicine in South Africa" potx
... to work in the ICU train in technical colleges and undergo further hands-on training and experience once in the ICU There are no formal training programmes for respiratory therapists in South ... critical care in Africa Critical Care Clin 1997, 13:255265 NIH Consensus Development Conference on critical care medicine Crit Care Med 1983, 11:466-469 Marik PE, Kraus P, Lipman J: Intensive care ... factors impose major challenges on health care in South Africa in general, but also on critical care medicine in particular Can critical care survive in South Africa? There is no easy answer There...
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Báo cáo khoa học: "Bench-to-bedside review: Humanism in pediatric critical care medicine – a leadership challenge" pot
... humanistic culture in critical care where several disciplines with differing opinions and agendas may be involved in caring for a critically ill child For example, in a PICU many disciplines (pulmonology, ... recognized by leaders in paediatric intensive care and incorporated into the daily routines of the PICU Caring for children in the PICU also involves responding to the needs of dying patients It is ... understand the patient and relieve suffering [26] These are difficult goals in that barriers to mindfulness, including fatigue, dogmatism and a closed mind to ideas and feelings, are common in medical...
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Báo cáo khoa học: "Worldwide research productivity in critical care medicine" pdf
... Chalfin DB, Cohen IL, Lanken PN: The economics and costeffectiveness of critical care medicine Intensive Care Med 1995, 21:952-961 Halpern NA, Pastores SM, Greenstein RJ: Critical care medicine in ... 'intensive care medicine' originating from Europe, the following phrase was used (where 'AD' means 'address'): intensive care medicine [journal] AND journal article [pt] AND (Andorra [AD] OR Austria ... take into account the fact that many articles regarding critical care med- R262 Critical Care Vol No Michalopoulos et al Table 'Total product' of articles published in 'critical care medicine' :...
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Báo cáo khoa học: " Year in review in Critical Care, 2003 and 2004: respirology and critical care" potx
... 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 ... by candesartan would inhibit HPV in dogs subjected to acute hypoxia Although plasma renin activity and angiotensin II immunoreactivity increased during hypoxia, angiotensin-converting enzyme inhibition ... protocol-based weaning procedure helped reduce duration of MV and ICU stay Koksal and coworkers [17] compared plasma insulin, cortisol, glucose and urinary vanilmandelic acid in patients ventilated...
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Báo cáo y học: "Year in review 2005: Critical Care — Respirology: mechanical ventilation, infection, monitoring, and education" ppsx
... observed in animal models and in patients with ALI with reduction in intrapulmonary shunt These data suggest that allowing spontaneous breathing activity in ALI could help to reduce lung injury ... 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 ... 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...
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Báo cáo khoa học: "Year in review 2006: Critical Care – multiple organ failure, sepsis, and shock" doc
... 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 ... 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 ... hand, but protecting lung epithelial cells and inducing cell recovery on the other hand Mura and colleagues [20] estimated the VEGF expression in lung tissue and its concentration in plasma and...
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Core Topics in Operating Department Practice Anaesthesia and Critical Care – Part 3 pdf
... 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...
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Core Topics in Operating Department Practice Anaesthesia and Critical Care – Part 6 doc
... anaesthesia are intravenous and inhalational Intravenous is more frequently used than inhalational induction in adults whereas in paediatric anaesthesia both intravenous and inhalational induction ... experience in the past with intravenous induction or prefer this method of induction An inhalational induction is often used in babies and small infants because of difficulties obtaining venous ... 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...
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Core Topics in Operating Department Practice Anaesthesia and Critical Care – Part 7 pot
... possibility include pre-loading with IV fluids Obstetric anaesthesia and/ or vasopressor drugs such as ephedrine, which can be prepared as an IV infusion, stand-by syringe containing 50 mg in 10 ml, ... morphine maintains a place whether administered in the traditional intravenous and intramuscular routes or via a titrated PCA system It is clear that the obstetric AP has a role within both outlying ... level and need of the post-registration AP While having to interpret and incorporate this knowledge into their own clinical role, APs must also maintain awareness of personal limitations and be...
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Core Topics in Operating Department Practice Anaesthesia and Critical Care – Part 8 ppt
... 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...
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Core Topics in Operating Department Practice Anaesthesia and Critical Care – Part 9 doc
... 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 ... myocardial infarction New England Journal of Medicine, 310, 830À6 Goldman, B U., Christenson, R H., Hamm, C W., Meinertz, T & Ohman, E M (2001) Implications of troponin testing in clinical medicine...
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Core Topics in Operating Department Practice Anaesthesia and Critical Care – Part 10 pps
... 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...
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Báo cáo y học: " Year in review 2007: Critical Care – multiple organ failure and sepsi" pdf
... 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 ... E: A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group ... through increased expression of heat shock protein 70 with glutamine administration [40] Heat shock proteins are a group of proteins that are induced by a wide range of stimuli and serve to maintain...
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Báo cáo y học: "The essential nature of healthcare databases in critical care medicine" pptx
... Outcomerea Database Investigators: Reliability of diagnostic coding in intensive care patients Crit Care 2008, 12:R95 Martin GS: Epidemiology studies in critical care Crit Care 2006, 10:136-137 ... catheterization [8], and the ICNARC, Cub-Réa and NHDS databases have provided novel information regarding sepsis and factors that influence its incidence and outcome [9-16] Competing interests The authors ... Critical Care Vol 12 No Martin many healthcare databases, their use has expanded from the original intent to permit novel research investigations for important areas in healthcare For...
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