echocardiography in the pediatric critical care setting
Báo cáo khoa học: " Communication in the Toronto critical care community: important lessons learned during SARS" docx
... working in the ICU in the event of a staffing shortage Finally, leaders from the ICU community were appointed to deal directly with the Ministry of Health to bring forward (in one voice) critical ... coordinated data collection for the purposes of better understanding the critical care aspects of the illness [4,5] As a result, thrice weekly teleconference calls involving critical care clinicians, ... ongoing communication initiatives within the Toronto critical care community Education and training staff in the use of appropriate protective equipment continues Efforts related to debriefing...
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Báo cáo khoa học: "A Key advances in critical care in the out-of-hospital setting: the evolving role of laypersons and technology" docx
... dramatic, in terms of both life-saving and ICU resources In summary, the use of AEDs by the average person may be considered one of the greatest advances in critical care medicine during the past ... research efforts [8] In addition to evaluating the concept of markedly abbreviating the time taken to provide effective training for the masses [13], recent investigations using sophisticated (but ... everevolving technology, the average person may very well become an even more effective critical care practitioner’ over the next decade Competing interests The author(s) declare that they have...
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Strategies s1 management of hyperglycemia in the critical care setting 070915
... From Insulin Therapy • The Joint Commission considers insulin to be of the highest-risk medicines in the inpatient setting – Consequences of errors with insulin therapy can be catastrophic • In ... therapies reduce insulin needs? 19 Calculating the SC Insulin Dose • Establish the 24-hour insulin requirement by extrapolating from the average intravenous insulin dose required over the previous ... • Initiate prandial doses of rapid-acting analogue with the first dietary trays, even if patient is receiving IV insulin infusion Find a 6- to 8-h interval during IV insulin infusion when the...
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Báo cáo khoa học: "Bench-to-bedside review: Humanism in pediatric critical care medicine – a leadership challenge" pot
... 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 ... death and care of the dying in various clinical settings [17] Although the authors’ slant relates more to adults, the principles they espouse are equally relevant to the dying child The authors ... humanistic care Humanism in caring for the child Putting the child first entails a thorough appreciation of their special needs, including their psychological well being Available online http://ccforum.com/content/9/4/371...
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Báo cáo y học: "Establishing the Irish Critical Care Trials Group: ‘who wins in battle makes many calculations before the battle is fought" pps
... sepsis occurring in the first 24 hrs in intensive care units in England, Wales, and Northern Ireland Crit Care Med 2003, 31:2332-2338 Irish Critical Care Trials Group: Acute lung injury and the acute ... relatively contentious border linking the Irish Republic with the United Kingdom is scientifically encouraging Competing interests The authors declare that they have no competing interests Page of (page ... The value of the present data will be more fully realised when the Irish Critical Care Trials Group produces further, hypothesis-testing studies Having taken advice from the ANZICS Critical Care...
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Tài liệu Clinical presentation and outcome of patients diagnosed with active pulmonary tuberculosis in a large critical care unit docx
... was initiated on the basis of the clinical diagnosis made during admission to the ICU in 18 (54%) patients The initial diagnosis at the time of admission to ICU was as followings: community-acquired ... failure and dissemination of disease Unfortunately treatment in the ICU during the past five decades has contributed little to reducing the threat of these disease entities (3,6) On the contrary, ... settings in which drug resistance is prevalent (16) Among the patient cohort in our study fever was the most common clinical symptom observed upon presentation to the hospital, and was seen in...
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Báo cáo y học: "Organizational factors and depression management in community-based primary care settings" pptx
... to primary care settings directly or can potentially be derived for use in primary care settings of IT recommended in the Institute of Medicine's report 'Crossing the Quality Chasm' The scale ... Microsystems in health care: Part Learning from high-performing front-line clinical units Joint Commission Journal on Quality Improvement 2002, 28:472-493 Pincus HA, Zarin DA, West JC: Peering into the ... of delivering depression care [56,71] In the context of primary care, the key coordination variables are MHS location, difficulty in arranging specialist referrals, and coding/billing practices...
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báo cáo khoa học: " Organizational factors and depression management in community-based primary care settings" pdf
... to primary care settings directly or can potentially be derived for use in primary care settings of IT recommended in the Institute of Medicine's report 'Crossing the Quality Chasm' The scale ... Microsystems in health care: Part Learning from high-performing front-line clinical units Joint Commission Journal on Quality Improvement 2002, 28:472-493 Pincus HA, Zarin DA, West JC: Peering into the ... of delivering depression care [56,71] In the context of primary care, the key coordination variables are MHS location, difficulty in arranging specialist referrals, and coding/billing practices...
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Báo cáo y học: "Role of bedside electroencephalography in the adult intensive care unit during therapeutic neuromuscular blockade" doc
... increasing with excitement and decreasing with tranquility These rhythms occur mainly in the posterior head and are the predominant brain activity in the normal brain The beta rhythm occurs in ... administered mg intravenous midazolam during continuous EEG monitoring The frequency diminished quickly in about min, demonstrating the rapid clinical action of the short acting sedative The ... cortex), which may then be interpreted more quickly in the acute care setting, resulting in a faster clinical intervention where needed Sophistication in bedside EEG hardware is increasing, with multi-channel...
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Báo cáo y học: " Predisposing factors for delirium in the surgical intensive care unit" pps
... four staff work daily in the ICU department The ICU has 24 beds with continuous non-invasive monitoring and ventilators There are windows in the bed areas of the ICU Trained clinician-researchers ... acetylcholine activity in the brain 2.5–26.4 Elevated level of serum urea nitrogen The prevalence of delirium in the Emergency Department was 9.6% [28] In this series, the rate of delirium was 18.5% in ... surgeons and anesthesiologists could reduce the incidence of delirium in the patients who are at high risk by carefully ordering and monitoring the dosages of drugs, and watching for signs of...
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Báo cáo y học: "Recently published papers: Changing practices in the modern intensive care unit" pps
... pulmonary artery catheters over standard care in this patient group Indeed, there was a higher rate of pulmonary embolism in the catheter group than in the standard treatment arm The physiological ... priorities in the pulmonary artery catheter group were defined by the investigators before the study began, and assessment of achievement of these goals was based on the highest value obtained; however, ... being adopted with the same enthusiasm as that of the balloon directed pulmonary artery catheter in the early 1980s There is some good news for the pulmonary artery catheter enthusiasts – there...
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Báo cáo khoa học: "Innovations in technology for critical care medicine" docx
... senses in estimating the condition of the patient’ A study published in the Lancet last year demonstrated that the findings on physical examination by an attending physician were pivotal in the ... 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 ... 17% [10] The company achieved first place in the Healthcare Innovations in Technology Systems Partnerships Awards in 2001 Intensivists remain a scarce resource in many centres [11,12] Further data...
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Báo cáo y học: " intensive care unit-acquired urinary tract infections in a regional critical care system" ppt
... among all critically ill adults in the CHR to better delineate the occurrence, microbiology, and risk factors for acquiring ICU-acquired UTIs and determine whether these infections increase the risk ... RP: Nosocomial infections in medical intensive care units in the United States National Nosocomial Infections Surveillance System Crit Care Med 1999, 27:887-892 Finkelstein R, Rabino G, Kassis ... 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...
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Báo cáo y học: "Year in review 2005: Critical Care — resource management" pps
... in the treatment group This intriguing finding must be demonstrated in other settings, but this could be a future approach to settings where inflammation is a key factor and infection comes into ... cannot be inferred from these data Prognosis in sepsis With the scarce intensive care unit (ICU) resources of the present day and the increasing costs of critical care, rationing beds and therapy ... clinical studies on the fundamental topic of fluid resuscitation in critical care Clinicians are left to guide their care based on their personal training and interpretation of Available online...
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Báo cáo y học: "Year in review 2005: Critical Care — Respirology: mechanical ventilation, infection, monitoring, and education" ppsx
... ventilator setting must be adjusted by reducing the steepness of the ramp in biphasic intermittent positive airway pressure and assisted spontaneous breathing, or by reducing the tidal volume in pressure-limited ... ventilator-associated lung injury, but no indices of lung injury were assessed These data are in support of the hypothesis that active contractions of the diaphragm are a major explanatory factor in the improved ... aerosolized colistin Survival and clinical cure rates for the infection were better in patients with pneumonia who received additional aerosolized colistin, although these findings were not statistically...
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Báo cáo y học: " Year in review 2005: Critical Care – cardiology" pdf
... itself can result in abnormal troponin levels [23,24] Lim and coworkers [25] examined the role of troponin in the diagnosis of myocardial infarction (MI) in the ICU The study, once again, was of a ... troponin T finding (> 0.04 µg/l), only 56% met the agreed criteria for MI Mortality was increased in those patients who were diagnosed with MI In keeping with the findings presented by King and ... venous catheter related infection In all, 2595 line insertions were studied A distinction was made between catheter-related local infection and catheter-related bloodstream infection The latter...
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Báo cáo khoa học: "Year in review 2006: Critical Care – multiple organ failure, sepsis, and shock" doc
... increase of interstitial cellularity, interstitial edema, and vascular congestion together with enhanced severity of lung injury were observed in the intestinal I/R group These findings are consistent ... studies of lung injury in humans, showing reduction in intrapulmonary VEGF levels in the early stages of ARDS Whereas there were no intergroup differences in VEGF plasma levels, protein concentration, ... (CPB), 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...
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