integrating the management of the critical care patient

... characteristics of the patients managed using one of the three main initial therapeutic options (conservative measures, BAE or surgery) and to help better define the role of BAE, according to the severity of ... of the volume of haemoptysis (median, quartile) on admission according to the cause Distribution of the volume of haemoptysis (median, quartile) on admission according to the cause Plots of the ... arteriography Distribution of the cumulated volume of haemoptysis on ICU admission, according to the first attempt of bronchial arteriograFigure phy Distribution of the cumulated volume of haemoptysis on...

Ngày tải lên: 12/08/2014, 15:20

... the skin at a 45° angle in the direction of the right or the left nipple (for cannulation of the right or the left IJV, respectively) The return of venous blood into the syringe attached to the ... provided a clear image of both walls of the vessel (the actual vein puncture using either the longitudinal or the transverse axis of the 2D image was left to the discretion of the operator) Also, ... ultrasound-guided approach with the landmark technique in the cannulation of the IJV in critical care patients Successful placement of the CVC was assessed by a chest xray obtained after the procedure Mechanical...

Ngày tải lên: 13/08/2014, 03:20

... Patients requiring these services can be identified early and the care of these patients often requires significant other specialized human and healthcare resources Absolute regionalization of ... Prioritizing the organization and management of intensive care services in the United States: the PrOMIS Conference Crit Care Med 2007, 35:10031011 Angus DC, Black N: Improving care of the critically ... Caring for the critically ill patient Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease: can we meet the requirements of an aging...

Ngày tải lên: 13/08/2014, 16:20

... in intensive care unit patients Crit Care 2009, 13:R70 doi:10.1186/cc9083 Cite this article as: Dixon J, Philips B: The interpretation of brain natriuretic peptide in critical care patients; will ... in the assessment and prediction of outcome in cardio-renal syndrome type It is clear that the interpretation of BNP concentrations in critical care is fraught with difficulty, but in selected patients ... dysfunction has limited the interpretation of BNP concentrations in the critical care setting Rudiger [9] found that BNP levels in patients with sepsis were similar to those in patients with DHF and...

Ngày tải lên: 13/08/2014, 20:22

... Endothelial function ↓ Endothelial function FFAs Guidelines From Professional Organizations on the Management of Glucose Levels in the ICU Treatment Threshold Target Glucose Level Definition of ... 80% of 24-h insulin requirement: 80% of (2 U/h x 24) = 38 U Basal dose is 50% of SC TDD: 50% of 38 U = 19 U of long-lasting analogue Bolus total dose is 50% of SC TDD: 50% of 38 U = 19 U of total ... teach patient “survival skills”) 33 PREVENTION OF HYPOGLYCEMIA 34 Potential Harm From Insulin Therapy • The Joint Commission considers insulin to be of the highest-risk medicines in the inpatient...

Ngày tải lên: 23/07/2015, 21:12

... Critical Care February 2002 Vol No Whitley and Ball that cover the ideas presented in this series, and more, in considerably greater detail [1–4] However, even these might frequently ... these might frequently not be sufficient and it is vital that researchers recognise their own limitations and seek professional advice whenever it is needed, if only for reassurance Medical statistics ... role only after years of training and practical experience Most academic departments, and also many clinical departments, include properly qualified medical statisticians and they should be consulted...

Ngày tải lên: 25/10/2012, 10:45

... context, the quality of the reports of meta-analyses in the critical care literature was compared to the quality of the reports of meta-analyses and systematic reviews published in the fields of emergency ... improvement in the quality of meta-analyses As such, the effect of the publication of the QUOROM statement [20] on the quality of these reports was also examined Finally, to place the results of this ... appraise the reports prior to consideration of the recommendations made in the report of the meta-analysis [4] While the overall quality of reports is of some interest, the results of the component...

Ngày tải lên: 12/08/2014, 22:22

... intensive care unit In contrast, the mortality of NRBC-negative patients was 9.8% (31/316; p < 0.001) Furthermore, the mortality of patients who were NRBC-positive on the day of relocation from the ... the blood In-hospital mortality of medical intensive care patients in relation to the concentration of nucleated red blood cells (NRBCs) in the blood Numbers in parenthesis denote the ratio of ... considering the presence of NRBCs as an independent variable in this score, as suggested for the abbreviated burn severity index in patients with burns [25] The analysis of the lifespan of the patients...

Ngày tải lên: 13/08/2014, 03:21

... the correlation between the biomarkers and the severity of the disease, the provision of prognosis, and the ease of performing the test The use of cardiac biomarkers in the ICU continues to evolve ... sampling time, the cutoff points chosen), the clinician’s belief and approach, as well as the clinical context The main attractions of using biomarkers are the close link between the Page of (page ... citation purposes) Critical Care Vol 12 No McLean et al Figure Common cardiac conditions encountered in the intensive care unit and the related biomarkers Note the lack of specificity of some biomarkers...

Ngày tải lên: 13/08/2014, 10:20

... and intrahospital transport of critically ill patients Crit Care Med 2004, 32:256-262 23 Faculty of Intensive Care of the Australian and New Zealand College of Anaesthetists and Australasian College ... conceived the study All authors contributed to the study design and interpretation of the data EF and RDM performed the literature search and abstracted the data EF wrote the first draft of the manuscript, ... the other three included studies Discussion The main finding of this systematic review is the paucity of studies examining adverse events and their associated risk factors in critically ill patients...

Ngày tải lên: 12/08/2014, 23:20

... and Scales Critical Care 2010, 14:302 http://ccforum.com/content/14/1/302 Page of were observed in the higher intensity group Dr Cooper concluded that the results of this study and the recently ... for critically ill patients already under way and it promises to maintain the same very high standard of critical care education Save the date: to 10 November 2010 Intensive care unit follow-up ... update reports distributed to delegates during each day of the conference DCS is a member of the organizing committee for the Critical Care Canada Forum Industry and medicine Dr Tom Stossel (Boston,...

Ngày tải lên: 13/08/2014, 20:21

... of waste type per total waste in PHC centres TABLE Basic elements of the safe management of HCW for PHC centres ANNEX A Further sources of information on the management of health -care ... steps to increase the safety of health care waste management Table 2: Basic elements for the safe management of health -care waste for PHC centres - Selection of options • Choice of off site options ... dividing the annual costs of waste management by the approximate number of syringes treated, or by dividing the cost per kilogram of waste managed by the number of syringes per kg The total number of...

Ngày tải lên: 22/03/2014, 16:21

... to perioperative care for the high-risk patient A practical approach to perioperative care for the high-risk patient The first step in the care of such patients is to identify the individual at ... to the fact that management is individually tailored to the requirements of each patient The use of a fixed dose will result in the unnecessary use of dopexamine in some patients, who are therefore ... group of the patients further benefit may be accrued with the additional use of vasoactive therapy Figure Identify at risk patient Investigate according to ACC/AHA Task Force guidelines Use of vasoactive...

Ngày tải lên: 12/08/2014, 20:20

... education The protocol now in use is largely based on that used in the study and is run by the nurse assigned to the care of the patient Immediately on return from the operating theatre, the patient ... value of 600 ml/min/m2, initially with intravenous colloid and then with the addition of dopexamine at a dose no higher than µg/kg/min The target value is not reached in a minority of patients, ... lives will be saved To the delight of the hospital managers it is estimated that because of the projected reduction in hospital stay there should be an annual cost saving of at least £2,000,000...

Ngày tải lên: 12/08/2014, 23:22

... leaving the abdomen free for laparotomy One must be aware of the possibility of nerve lesions and of perforation of the pelvic organs, particularly in cases of comminutive fractures of the sacrum, ... false aneurysm The selectivity of catheterization and the type of occlusion agents depends, on one hand, on the type of lesion and its accessibility; on the other hand, it depends on the need for ... fixation device, by implanting pins in the crest of the coccyx bone, behind the anterior superior iliac spine and above the roof of the acetabulum, between the anterior superior and anterior inferior...

Ngày tải lên: 13/08/2014, 03:20

... practice, they offer the only real means of assessing the efficacy of interventions in attempting to improve individual patients’ sleep Patient assessment Using the patients’ own assessment of their ... number of processed EEG monitoring devices have been developed for monitoring sedation in the anaesthesia and critical care environments Of these, the BIS is the most studied for the measurement of ... However, the use of sleep diaries in critically ill patients is limited by the cognitive and physical capabilities of the patient For these reasons, sleep diaries have not been adopted for critical care...

Ngày tải lên: 13/08/2014, 08:20

... primary therapy of VA and the prevention of SCD Harvard Medical School VA & SCD Related to Specific Pathology LV Dysfunction Due to Prior MI I IIa IIb III Implantation of an ICD is reasonable in patients ... optimal medical therapy Strength of Evidence = A Harvard Medical School Improvement in LVEF with CRT Harvard Medical School What Do Your Do In The Patient At Risk for SCD When There Still Is Angina? ... Our Goals of Treatment in Chronic Stable Angina with Arrhythmia and LV Dysfunction? • In order to determine whether the ablation or ablation is the treatment we have to define: – Is the treatment...

Ngày tải lên: 30/08/2015, 11:23

... understanding about the purpose and composition of maintenance care and that they recommend it to the majority of their patients [4] However, it is not known if there is a general or uniform management ... including the option of maintenance care In other words, the chiropractors were to match each scenario with the management strategy of his/her choice The questionnaire was distributed to a group of ... changes to the management strategies, which resulted in further improvements to the contents, wording and lay-out of the questionnaire The Clinical Significance of the Nine Scenarios in the Questionnaire...

Ngày tải lên: 13/08/2014, 14:20

... were the same as those used in the two previous studies The participants in the new study, who were unaware of the previous two studies, were then asked to describe the patients that would fit these ... in front of them For each group, a chairman was selected for the duration of the workshop by The other participants were divided into two teams, called team and team on the basis of the last ... contained one of the following six management strategies: I would refer the patient to another health care practitioner for a second opinion ("Second opinion") I would tell the patient that the treatment...

Ngày tải lên: 13/08/2014, 14:20

... Each of the reasons for admission or each of the conditions relevant to the admission was searched in turn for the conditions in the order defined above and the admission was allocated to the ... (1.5% of all admissions) to ICUs between December 1995 and March 2007 Table presents the characteristics of the patients Fifty-five per cent of patients were ventilated during the first 24 hours of ... Calibration plot of SAPS II, APACHE II and ICNARC physiology scores scores A comparison of the goodness -of- fit of the SAPS II, APACHE II and ICNARC physiology scores Strengths of the study The present...

Ngày tải lên: 13/08/2014, 18:22