in any urgent procedure in the critically ill

... surgical critical illness? Shock 2007, 28:165-171 Hendrickson JE, Hillyer CD: Noninfectious serious hazards of transfusion Anesth Analg 2009, 108:759-769 Benson AB, Moss M, Silliman CC: Transfusion-related ... hemoglobin or hematocrit trigger, and for the same level of hemoglobin, some patients will well, whereas others will not Thus, the decision to transfuse a patient should be individualized, taking ... transfusion in the critically ill Current clinical practice in the United States Crit Care Med 2004, 32:32-52 22 23 24 25 26 27 Rao MP, Boralessa H, Morgan C, Soni N, Goldhill DR, Brett SJ, Contreras...

Ngày tải lên: 20/06/2014, 23:20

... automatic and be executed in a precise order Loss of time will be minimal and the device will remain microorganism-free The only problem will occur in case of multiple operators: each operator must ... diaphragmatic course in critically ill patients A distended stomach will come against the anterior wall, making gut shding hard to detect Consequently, analysis of gut sliding will contribute more if the ... study (or, to save already sedated, and all interventional procedures 14 Chapter Specific Notions of Ultrasound in the Critically III will be facilitated Other remarkable features should render...

Ngày tải lên: 09/08/2014, 15:20

... This finding will be accessory: the dilatation of the right heart and the lung disorder will then be recognized at the same time A cirrhotic liver will give numerous signs we will not detail ... intercostal scans will be taken, provided the probe is small enough Liver analysis is often not exhaustive in such conditions, but we will see that this limitation is relative in the critically ill patient ... A series of 322 procedures described a null mortality rate and a morbidity rate of 2%-5% [18] This procedure [19] was advocated as an alternative to surgery in the critically ill [17,20] It provides...

Ngày tải lên: 09/08/2014, 15:20

... dynamic scan of the ultrasound probe upward and downward will prevent the error: the bladder will be identified below, and this fluid image will have an opened shape above Fig 9.15 a Two elements ... obstructive uropathy Radiology 162:879 Maillet PJ, Pelle-Francoz D, Laville M, Gay F, Pinet A (1986) Nondilated obstructive acute renal failure: diagnostic procedures and therapeutic management ... ultrasound will provide, like CT, a global overview of the lumen, thrombosis, wall thickness (increased in the case of inflammation) and collateral vessels In the case of leakage, a collection will be...

Ngày tải lên: 09/08/2014, 15:20

... jugular veins will be analyzed If normal, the inferior caval and iliac veins will be included in the analysis Lastly, subclavian veins and then calf veins will be investigated This procedure, which ... always visualized during its catheterized, with an immediate procedure in 11 of penetration This problem will be evoked in them When the procedure is over, absence of pneu- Chap 26 mothorax (if needed) ... ultrasound unit can break down Second, the ultrasound-assisted procedure, although very efficient, does not improve one's techniques in bUnd procedures, since the landmarks are completely different...

Ngày tải lên: 09/08/2014, 15:20

... free pleural effusion will therefore be in contact with the bed in a supine patient This zone will not be easy to approach Rotating the patient in the lateral decubitus will not be entirely satisfactory, ... advisable to go further still Only thoracentesis will sions are minimal effusions Paradoxically, ultra- provide an accurate diagnosis sound can perfectly detect effusions on the millimeter scale (Fig ... critical care, 2nd edn, McGraw Hill, New York, pp 180-184 Tocino IM, Miller MH, Fairfax WR (1985) Distribution of pneumothorax in the supine and semirecumbent critically ill adult Am J Roentgenol 144:...

Ngày tải lên: 09/08/2014, 15:20

... These criteria are often present 127 Large series will specify more fully where this procedure should be placed The other invasive or semi-invasive procedures involve a small but present risk, accuracy ... gas exchanges occur at the fine, not yet edematous area of the alveolocapillary membrane [27] Surface lung ultrasonography will indicate that the septa are dry, and that a safety margin exists if ... bumps are made in the bed The fluid level will thus be moved As for bowel occlusion or hydropneumothorax (see pp 39 and 111), the ultrasound translation will be strong, highly suggestive dynamics:...

Ngày tải lên: 09/08/2014, 15:20

... minute signs using Doppler data will have two effects One effect will be beneficial: the tamponade feature will be highlighted One effect will be deleterious: time will be lost in searching for a ... diagnosis of maxillary sinusitis Normal sinus Complete sinusogram Incomplete sinusogram No sinusogram Mucosal thickening Miscellaneous (polyp) Maxillary sinusitis (fluid level) Maxillary sinusitis ... injustice This is why we hope that the measurement of the optic nerve caliper will fill this gap The Face The submaxillary glands and the lingual muscle are accessible using ultrasound Parotiditis,...

Ngày tải lên: 09/08/2014, 15:20

... Zouaoui A, Leguillou JL, Bodin L, Khac TD, Marsault C, Poete P, Nicolas MH, Jarlier V, Viars P (1994) Risk factors and clinical relevance of nosocomial maxillary sinusitis in the critically ill Am } ... Imaging and labelling techniques in the critically ill Springer-Verlag, London, pp 127-135 Weill FS (1989) Echographie abdominale du postopere In: Weill FS (ed) L'ultrasonographie en pathologie digestive ... advantages: a bedside procedure, permanent control of the procedure, no irradiation for the patient or for the operator's hands; it is the method of choice for others [4] Procedures regarding...

Ngày tải lên: 09/08/2014, 15:20

... from heparin, reducing the need for venography or spiral CT • Maxillary sinusitis will no longer need CT To sum up, if radiological procedures must be forgotten, they can be, provided the patient ... characteristic of pneumothorax Ultrasound-aided Procedure A procedure is ultrasound aided when done after ultrasound location, as opposed to a procedure carried out with permanent ultrasound ... Maxillary sinusitis, a possible source of pneumonia All these situations can delay weaning Pregnancy Contribution of Routine General Ultrasound in a Long-Stay Intensive Care Unit Patient We will...

Ngày tải lên: 09/08/2014, 15:20

... CATHETER-RELATED INFECTIONS IN THE CRITICALLY ILL CATHETER-RELATED INFECTIONS IN THE CRITICALLY ILL Edited by Naomi P O’Grady, M.D Critical Care Medicine Department Warren ... Infections in the Critically Ill vi The Management and Treatment of Intravascular Catheter-Related Infections Professor T.S.J Elliott Education as the Primary Tool for Prevention Phillippe Eggimann, M.D., ... catheter-related infection We hope too that the strategies highlighted to prevent infection will be implemented and will have a measurable impact in decreasing rates of infection in the intensive care...

Ngày tải lên: 10/08/2014, 16:22

... gram-negative bacilli In contrast, with long-term surgically implanted devices, such as cuffed and tunneled catheters, PICCs, and subcutaneous central venous ports, gram-negative bacilli, which gain ... mortality in critically ill patients with nosocomial bloodstream infections Chest 1991;100:164-167 Pittet D, Tarara D, Wenzel RP Nosocomial bloodstream infection in critically ill patients:excess ... critically ill patients Am J Respir Crit Care Med 2001;163:1584-1590 Rello J, Ochagavia A, Sabanes E, et al Evaluation of outcome of intravenous catheterrelated infections in critically ill patients...

Ngày tải lên: 10/08/2014, 16:22

... critically ill patients Arch Surg 198; 121:591-4 Gil RT, Kruse JA, Thill-Baharozian MC, Carlson RW Triple- vs single-lumen central venous catheters A prospective study in a critically ill population ... PS (eds.) Little, Brown and Company, Boston, 1992, pp 849-98 Cooper GL, Schiller AL, Hopkins CC Possible role of capillary action in pathogenesis of experimental catheter-associated dermal tunnel ... conservative procedure for the diagnosis of catheter-related infections Arch Int Med 1990; 150:1417-20 Fan ST, Teoh-Chan CH, Lau KF, Chu KW, Kwan AKB, Wong KK Predictive value of surveillance skin...

Ngày tải lên: 10/08/2014, 16:22

... study will be required to determine the role, if any, for this novel serological test in the diagnosis of catheter-related infection 54 Catheter-Related Infections in the Critically Ill Figure ... However, further data will be required to define the utility of this method in the diagnosis of catheter-related infection and CRBSI Catheter-Related Infections in the Critically Ill 56 REFERENCES ... Sanchez F, Barraquer P, Ballus J, Cotura A, and Prats G Serial surveillance cultures of skin and catheter hub specimens from critically ill patients with central venous catheters: molecular epidemiology...

Ngày tải lên: 10/08/2014, 16:22

... values for surveillance skin cultures remained very low Therefore, targeted quantitative skin cultures (when CRI is suspected) are useful to rule out the diagnosis of CRI, and surveillance skin ... Critically Ill Cultures of the catheter hub (Table 2), which explore mainly the endoluminal mechanism, are more useful in patients with long-term catheters Indeed, in 50 critically ill patients ... evaluate the validity of the technique in critically ill patients with short-term catheters 70 Catheter-Related Infections in the Critically Ill The practicability of the method may have some...

Ngày tải lên: 10/08/2014, 16:22

... Colardyn FA Outcome and attributable Mmortality in critically ill patients with bacteremia involving methicillin-susceptible and methicillin- resistant Staphylococcus aureus Arch Intern Med 2002; ... Colardyn FA Outcome and attributable mortality in critically Ill patients with bacteremia involving methicillin-susceptible and methicillin-resistant Staphylococcus aureus Arch Intern Med 2002;162(19):2229-35 ... and the University of Virginia Health System, Charlottsville, Virginia Case Report A 44 year-old man without significant past medical illness was thrown from a horse during a fly-fishing trip...

Ngày tải lên: 10/08/2014, 16:22

... Infectious morbidity in critically ill patients with cancer Critic Care Clin 2001; 17: 531–570 112 37 38 39 40 41 42 43 44 45 Catheter Related Infections in the Critically Ill Patient Rex JH, Bennett ... vitro synergy of caspofungin and amphotericin B against Aspergillus and Fusarium spp Antimicrob Agents Chemother 2002; 46: 245-247 Gaillard JL, Merlino R, Pajot N, et al Conventional and nonconventional ... rather than peripheral devices (1) and the latter will therefore not be considered in this chapter In the US it has been estimated that more than million central venous catheters (CVC) are used each...

Ngày tải lên: 10/08/2014, 16:22

... Phillippe Eggimann and Didier Pittet 131 132 Catheter Related Infections in the Critically Ill Phillippe Eggimann and Didier Pittet 133 134 Catheter Related Infections in the Critically Ill ... but data from surveillance programs have shown repeatedly that they are generally either not applied or inadequately so 128 Catheter Related Infections in the Critically Ill GUIDELINES Thousands ... Practice of Infectious Diseases 5th ed New York: Churchill Livingstone; 2000 p 2092-2100 Chapter EDUCATION AS THE PRIMARY TOOL FOR PREVENTION Phillippe Eggimann, M.D., Didier Pittet, M.D., M.S Medical...

Ngày tải lên: 10/08/2014, 16:22

... bacilli, 104–105 Aerobic gram-positive bacilli, 104 Aeruginosa pseudomonas, 104 AIDS, risk of infection with, 11 Aminoglycoside, 122 Amphotericin, 122 Ampicillin aminoglycoside, 122 Ampicillin-resistant ... catheter-related infections in critically ill patients Am J Respir Crit Care Med 2000;162:1027-30 Heiselman D Nosocomial bloodstream infections in the critically ill JAMA 1994;272:1819-20 Centers for ... Surveillance (NNIS) System report, data summary from January 1992-June 2001, issued August 2001 Am J Infect Control 2001;in press Centers for Disease Control National Nosocomial Infections Surveillance...

Ngày tải lên: 10/08/2014, 16:22

... Goldhill DR: A model of gastric emptying using paracetamol absorption in intensive care patients Intensive Care Med 1997, 23:256–260 HeylandDK, Cook DJ, Winder B, Guyatt GH: Do critically ill ... Lancet 1999, 354:1851–1858 Papen HD, Duinslaeger L, Diltoer M, Gillet R, Bossuyt A, Huygens LP: Gastric emptying in critically ill patients is accelerated by adding cisapride to a standard enteral ... Evans TW: Effects of enteral and parenteral nutrition on gut mucosal permeability in the critically ill Am J Respir Crit Care Med 1995, 152: 1545–1548 Deitch EA: Bacterial translocation: the influence...

Ngày tải lên: 12/08/2014, 18:21