... characteristics ofthe patients managed using one ofthe three main initial therapeutic options (conservative measures, BAE or surgery) and to help better define the role of BAE, according to the severity of ... ofthe volume of haemoptysis (median, quartile) on admission according to the cause Distribution ofthe volume of haemoptysis (median, quartile) on admission according to the cause Plots ofthe ... arteriography Distribution ofthe cumulated volume of haemoptysis on ICU admission, according to the first attempt of bronchial arteriograFigure phy Distribution ofthe cumulated volume of haemoptysis on...
... the skin at a 45° angle in the direction ofthe right or the left nipple (for cannulation ofthe right or the left IJV, respectively) The return of venous blood into the syringe attached to the ... provided a clear image of both walls ofthe vessel (the actual vein puncture using either the longitudinal or the transverse axis ofthe 2D image was left to the discretion ofthe operator) Also, ... ultrasound-guided approach with the landmark technique in the cannulation ofthe IJV in criticalcare patients Successful placement ofthe CVC was assessed by a chest xray obtained after the procedure Mechanical...
... Patients requiring these services can be identified early and thecareof these patients often requires significant other specialized human and healthcare resources Absolute regionalization of ... Prioritizing the organization and managementof intensive care services in the United States: the PrOMIS Conference Crit Care Med 2007, 35:10031011 Angus DC, Black N: Improving careofthe critically ... Caring for the critically ill patient Current and projected workforce requirements for careofthe critically ill and patients with pulmonary disease: can we meet the requirements of an aging...
... 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 criticalcare patients; will ... in the assessment and prediction of outcome in cardio-renal syndrome type It is clear that the interpretation of BNP concentrations in criticalcare is fraught with difficulty, but in selected patients ... dysfunction has limited the interpretation of BNP concentrations in thecriticalcare setting Rudiger [9] found that BNP levels in patients with sepsis were similar to those in patients with DHF and...
... Endothelial function ↓ Endothelial function FFAs Guidelines From Professional Organizations on theManagementof 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 ofthe highest-risk medicines in the inpatient...
... CriticalCare 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...
... context, the quality ofthe reports of meta-analyses in thecriticalcare literature was compared to the quality ofthe reports of meta-analyses and systematic reviews published in the fields of emergency ... improvement in the quality of meta-analyses As such, the effect ofthe publication ofthe 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 ofthe recommendations made in the report ofthe meta-analysis [4] While the overall quality of reports is of some interest, the results ofthe component...
... 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 ofthe lifespan ofthe patients...
... the correlation between the biomarkers and the severity ofthe 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) CriticalCare 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...
... and intrahospital transport of critically ill patients Crit Care Med 2004, 32:256-262 23 Faculty of Intensive Careofthe Australian and New Zealand College of Anaesthetists and Australasian College ... conceived the study All authors contributed to the study design and interpretation ofthe data EF and RDM performed the literature search and abstracted the data EF wrote the first draft ofthe 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...
... and Scales CriticalCare 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 ofcriticalcare education Save the date: to 10 November 2010 Intensive care unit follow-up ... update reports distributed to delegates during each day ofthe conference DCS is a member ofthe organizing committee for theCriticalCare Canada Forum Industry and medicine Dr Tom Stossel (Boston,...
... of waste type per total waste in PHC centres TABLE Basic elements ofthe safe managementof HCW for PHC centres ANNEX A Further sources of information on themanagementof health -care ... steps to increase the safety of health care waste management Table 2: Basic elements for the safe managementof 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...
... to perioperative care for the high-risk patient A practical approach to perioperative care for the high-risk patientThe first step in thecareof such patients is to identify the individual at ... to the fact that management is individually tailored to the requirements of each patientThe use of a fixed dose will result in the unnecessary use of dopexamine in some patients, who are therefore ... group ofthe 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...
... education The protocol now in use is largely based on that used in the study and is run by the nurse assigned to thecareofthepatient Immediately on return from the operating theatre, thepatient ... 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 ofthe hospital managers it is estimated that because ofthe projected reduction in hospital stay there should be an annual cost saving of at least £2,000,000...
... leaving the abdomen free for laparotomy One must be aware ofthe possibility of nerve lesions and of perforation ofthe pelvic organs, particularly in cases of comminutive fractures ofthe 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 ofthe coccyx bone, behind the anterior superior iliac spine and above the roof ofthe acetabulum, between the anterior superior and anterior inferior...
... 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 criticalcare 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 ofthepatient For these reasons, sleep diaries have not been adopted for critical care...
... 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 ThePatient 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...
... 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 themanagement strategy of his/her choice The questionnaire was distributed to a group of ... changes to themanagement strategies, which resulted in further improvements to the contents, wording and lay-out ofthe questionnaire The Clinical Significance ofthe Nine Scenarios in the Questionnaire...
... were the same as those used in the two previous studies The participants in the new study, who were unaware ofthe 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 ofthe workshop by The other participants were divided into two teams, called team and team on the basis ofthe last ... contained one ofthe following six management strategies: I would refer thepatient to another health care practitioner for a second opinion ("Second opinion") I would tell thepatient that the treatment...
... Each ofthe reasons for admission or each ofthe 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 ofthe 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 ofthe goodness -of- fit ofthe SAPS II, APACHE II and ICNARC physiology scores Strengths ofthe study The present...