fundamental principles of surgical intensive care

... laboratory values and level of care (full care, full care without cardiopulmonary resuscitation (CPR), comfort care) Severity of illness at inception (within the first day of ICU admission) was assessed ... intensive care during the first 50 days ofserum sodium Proportion of intensive care unit (ICU) patients with serum sodium valvalues outside the normal range during the first 50 days of ICU stay* ... three medical -surgical ICUs in a single health region Although our data are population based and reflect the management of all patients admitted to ICUs under the care of 26 intensive care specialists,...

Ngày tải lên: 25/10/2012, 10:31

... performance of a bronchoalveolar lavage for culture, or start of or a change in antimicrobial therapy in case of unexpected infiltrates on the CXR; repositioning of tubes in case of malposition of orotracheal ... ultrasound of the thorax in case of pleural effusion on the CXR, start or change in medication (diuretics); insertion of a pleural drain; and repositioning of devices in the case of malposition of medical ... number of chest radiographs (% of all daily routine chest radiographs) bAbsolute number of patients (% of all patients with daily routine chest radiographs) -, not scored for; ICU, intensive care...

Ngày tải lên: 25/10/2012, 10:39

... patients in a surgical ICU Intensive Care Med 1996, 22:1335-1338 Strain DS, Kinasewitz GT, Vereen LE, George RB: Value of routine daily chest x-rays in the medical intensive care unit Crit Care Med ... medical intensive care unit: Effects and costs Crit Care Med 1997, 25: 801-805 Bekemeyer WB, Crapo RO, Calhoon S, Cannon CY, Clayton PD: Efficacy of chest radiography in a respiratory intensive care ... Barie PS: Utility of routine chest radiographs in the surgical intensive care unit Arch Surg 1995, 130:764-768 Price MB, Chellis Grant MJ, Welkie K: Financial impact of elimination of routine chest...

Ngày tải lên: 25/10/2012, 10:45

... Studying outcomes of intensive care unit survivors: measuring exposures and outcomes Intensive Care Med 2005, 31:1153-1160 American College of Chest Physicians/Society of Critical Care Medicine: ... Andersson R: Quality of life, morbidity, and mortality after surgical intensive care: a follow-up study of patients treated for abdominal sepsis in the surgical intensive care unit Eur J Surg ... Critical care organization Crit Care Clin 2005, 21:43-53 Ferdinande P: Recommendations on minimal requirements for intensive care departments Intensive Care Med 1997, 23:226-232 Fisher M: Critical care- the...

Ngày tải lên: 13/08/2014, 03:20

... of Critical Care Medicine: Recommendations for end -of- life care in the intensive care unit: a consensus statement by the American College [corrected] of Critical Care Medicine Crit Care Med 2008, ... and nursing staff of intensive care unit endof-life decisions Am J Respir Crit Care Med 2003, 167:1310-1315 Westphal DM, McKee SA: End -of- life decision making in the intensive care unit: physician ... Robert Wood Johnson Foundation Critical Care End -Of- Life Peer Workgroup Members: Quality indicators for end -of- life care in the intensive care unit Crit Care Med 2003, 31:2255-2262 14 Davidson...

Ngày tải lên: 14/08/2014, 07:21

... infections during a period of 16 months in a 10-bed intensive care unit, irrespective of type and severity of infection The goal of the study was to assess the application of a de-escalation strategy ... antibiotic therapy of nosocomial pneumonia in the intensive care unit: a prospective observational study Crit Care 2006, 10:R78 Hoffken G, Niederman MS: Nosocomial pneumonia: the importance of a de-escalating ... et al.: De-escalation as part of a global strategy of empiric antibiotherapy management A retrospective study in a medico -surgical intensive care unit Critical Care 2010 14:R225 Submit your next...

Ngày tải lên: 14/08/2014, 07:21

... during the first 10 10 days intensive care Nutrition administered toto all 504 patients during the firstdays of of intensive care Feeding at represents the administration of nutrition between admission ... describe organ dysfunction/failure On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine Intensive Care Med 1996, 22:707-710 15 Garner JS, Jarvis ... Figure Daily blood glucose levels during the first days of of intensive Daily blood glucose levels during the first 10 10 daysintensive care care Medians and interquartile ranges (IQR) during the...

Ngày tải lên: 25/10/2012, 10:35

... executive officers were the chiefs or representatives of the four quarters of the City of Mexico In each of these quarters there was a place where periodical offerings were made in reverence of one of ... active agent in spreading the fundamental set of ideas derived The Fundamental Principles of Old and New by Zelia Nuttall 21 from the observation of Polaris In lapse of time, by transmission, its ... sort of cross-symbol A careful study of the conventional representation of the face of "the lord of the North," in fig 19, gives the impression that it was also used to convey the idea of duality,...

Ngày tải lên: 21/02/2014, 11:20

... than any other aspect of security Any type of physical access to an internal site creates a major exposure of the site Secure files, passwords, certificates and all sorts of other data can usually ... aspects of security, deciding what type of firewall to use will depend upon factors such as traffic levels, services needing protection and the complexity of rules required The greater the number of ... part of the normal needs of the host Additionally firewall rules on the INTERNAL side that block suspicious connections out of the organization can help prevent worms spreading back out of an...

Ngày tải lên: 28/03/2014, 22:20

Ngày tải lên: 02/04/2014, 16:27

... use ofmaximum SOFA score to quantify organ dysfunction/failure in intensive care Results of a prospective, multicentre study Working Group on Sepsis Related Problems of the ESICM Intensive Care ... SAPS from evaluation of the patient to evaluation of the intensive care unit Part 2: development of a prognostic model for hospital mortality at ICU admission Intensive Care Med 2005, 31:1345-1355 ... The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care...

Ngày tải lên: 10/08/2014, 09:23

... rates of morbidity and mortality [10], is a sign of deterioration in the homeostasis and physical status of the patient [17] Approximately 10–15% of patients on general surgical wards and 15–25% of ... 12.9% of patients with HBP, in 50% of those with fistulas, in 20.8% of those exposed to trauma, in 8.2% of those with acute abdominal diseases, in 9.3% of those with malignancies, and in 18.4% of ... their hospital stay Approximately 30% of patients in surgical ICUs and cardiac ICUs, and 40–50% of patients who are recovering from hip fractures have an episode of delirium [1,22] The delirium rate...

Ngày tải lên: 12/08/2014, 18:21

... intensive care Intensive Care Med 2002, 28: 38-43 Jones C, Humphris G, Griffiths RD: Preliminary validation of the ICUM tool for assessing memory of the intensive care experience Clin Intensive Care 2000, ... impact of delirium in the intensive care unit on hospital length of stay Intensive Care Med 2001, 27:1892-1900 Jones C, Griffiths RD: Disturbed memory and amnesia related to intensive care Memory ... memory of intensive care J Crit Care 2001, 16:83-89 Rundshagen I, Schnabel K, Wegner C, Schulte am Esch J: Incidence of recall, nightmares, and hallucinations during analgosedation in intensive care...

Ngày tải lên: 12/08/2014, 20:20

... PD: Task Force of the American College of Critical Care Medicine of the Society of Critical Care Medicine and the American Society of HealthSystem Pharmacists, American College of Chest Physicians ... Task Force of the American College of Critical Care Medicine (ACCM) of the Society of Critical Care Medicine (SCCM), American Society of Health-System Pharmacists (ASHP), American College of Chest ... exacerbation of COPD and pulmonary edema JAMA 2003, 290:2985-2991 Appendix The following is a brief listing of manufacturers of various critical care technologies This is not an endorsement of any of the...

Ngày tải lên: 12/08/2014, 20:20

... negative charge of 19 mEq/l [2,3] Because Eqn invokes the conservation of mass and not the conservation of charge, Constable [19] computed [ATOT] in units of mass 185 Critical Care April 2005 ... The A.B.C of Acid–Base Chemistry Chicago: University of Chicago Press; 1974 27 Singer RB, Hastings AB: Improved clinical method for estimation of disturbances of acid-base balance of human blood ... Stewart theory to the analysis of whole blood and quantitatively to the level of titrated BE 189 Critical Care April 2005 Vol No Corey Figure Table Classification of acid–base disorders Stewart...

Ngày tải lên: 12/08/2014, 20:20

... in the blood of surgical intensive care patients was performed Our study revealed that 32% of the surgical intensive care patients were NRBC-positive at least once The detection of NRBCs was ... in medical intensive care patients could serve as an early indicator of medical intensive care patients at extremely high risk Our study revealed that 18% of the medical intensive care patients ... prognostic power of the mechanized detection of NRBCs in blood in terms of mortality The total in-hospital mortality of NRBC-positive patients of this Figure medical intensive care patients blood...

Ngày tải lên: 13/08/2014, 03:21

... prediction of acute renal failure in medical intensive care Intensive Care Med 1991, 17:19-24 18 Chertow GM, Lazarus JM, Paganini EP, Allgren RL, Lafayette RA, Sayegh MH: Predictors of mortality ... the intensive care unit: clinical and resource implications of renal recovery Crit Care Med 2003, 31:449-455 33 Gopal I, Bhonagiri S, Ronco C, Bellomo R: Out of hospital outcome and quality of ... Bagshaw et al Table Summary of kidney function for patients admitted to the intensive care unit with acute kidney injury from the Australia New Zealand Intensive Care Society Adult Patient Database...

Ngày tải lên: 13/08/2014, 03:21

... critical care outreach team (CCOT), but during the event all of the intensive care patients were accommodated within the physical space of the ICU All of these patients required ongoing critical care ... burst of activity was just the start of a prolonged -care phase that greatly increased the surgical, anaesthetic, and intensive care workload As soon as the emergency department was cleared of casualties ... emphasis on the impact of this phase of care Page of (page number not for citation purposes) from the ICU point of view or, in fact, on what is now termed ‘the prolonged -care phase’ following...

Ngày tải lên: 13/08/2014, 10:20

... the intensive care unit a useful measure of hospital performance? Med Care 1999, 37:399-408 Durbin CG Jr, Kopel RF: A case-control study of patients readmitted to the intensive care unit Crit Care ... the source of admission, SAPS II and SOFA scores on admission, SOFAmax, the type of surgery undergone, the presence of sepsis syndromes and parameters of organ function on the day of discharge ... characteristics of unexpected readmissions Crit Care Med 1983, 11:61-66 Snow N, Bergin KT, Horrigan TP: Readmission of patients to the surgical intensive care unit: patient profiles and possibilities...

Ngày tải lên: 13/08/2014, 11:23

... documentation of the diagnosis of ALI or one of several synonyms in the medical record; measurement of patient height; measurement of plateau pressure during the first three days of ALI; and the use of ... staffing: a survey of intensive care unit directors J Crit Care 2007, 22:97-103 Pronovost P, Thompson DA, Holzmueller CG, Dorman T, Morlock LL: Impact of the Leapfrog Group's intensive care unit physician ... mandatory versus on-demand critical care specialist presence on quality of care and family and provider satisfaction in the intensive care unit of a teaching hospital Crit Care Med 2008, 36:36-44 Multz...

Ngày tải lên: 13/08/2014, 11:23