patient s admission to the postoperative intensive care unit
Báo cáo y học: "A pilot study on peritraumatic dissociation and coping styles as risk factors for posttraumatic stress, anxiety and depression in parents after their child''''s unexpected admission to a Pediatric Intensive Care Unit" ppt
... health problems in mothers and fathers three months after discharge from the PICU n PTSD Mothers Fathers Subclinical PTSD Mothers Fathers Anxiety Mothers Fathers Depression Mothers Fathers n Above ... HADS (ntot=53) n = 30 mothers and 23 fathers PDEQ, UCL & SRS-PTSD n = mothers n = fathers PDEQ, UCL, SRS-PTSD & HADS n = 25 mothers n = 16 fathers PDEQ, UCL & HADS n = mothers n = fathers ntot ... and 54 fathers SRS-PTSD n = 10 mothers n = 11 fathers SRS-PTSD & HADS n = 59 mothers n = 35 fathers HADS n = 15 mothers n = 19 fathers ntot = 21 ntot = 94 ntot = 34 Participating families (one...
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Báo cáo y học: "Diagnostic value of real-time polymerase chain reaction to detect viruses in young children admitted to the paediatric intensive care unit with lower respiratory tract infection" pptx
... most studies selected patients on the basis of respiratory test results, rather than selecting patients by admission diagnosis Exceptions include the studies conducted by Weinberg and coworkers ... influenzaviruses A and B, PIV 1–3 and adenoviruses (DaKo, Glostrup, Denmark) Rhinoviruses were identified using acid lability tests Some of the material was subjected to DIF assays to detect respiratory syncytial ... respiratory virus in six PICU patients; RSV and adenovirus were detected in four and two patients, respectively (Table 2) The DIF assay appeared to be more sensitive to detect respiratory viruses than...
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Báo cáo y học: "Role of bedside electroencephalography in the adult intensive care unit during therapeutic neuromuscular blockade" doc
... for these modes is difficult for the patient to tolerate, and paralysis is necessary to avoid the patient fighting against this unequal inhalation: exhalation (I:E) ratio Other uses for therapeutic ... function monitoring is not assessed are not only possible, they are likely The risk to the patient from non-invasive cerebral functioning is non-existent and the potential benefits at least theoretically ... excitability as a result of peripheral chemoreceptor stimulation and its attendant effects on the brain 's reticular activating system [20] If hypoxia persists and overwhelms compensatory systems, diffuse...
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Báo cáo y học: " Predisposing factors for delirium in the surgical intensive care unit" pps
... [8,30] The goal in diagnosis is to discover reversible causes for delirium In this study series, we determined that conditions such as disease or symptom variables (respiratory diseases, symptomatic ... suddenly or slowly over a period of hours or days A single episode lasts up to week The symptoms may be so slight they go unnoticed or so serious they could be life threatening The clinical signs ... Discussion Delirium, a syndrome associated with long hospital stays and high rates of morbidity and mortality [10], is a sign of deterioration in the homeostasis and physical status of the patient...
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Báo cáo y học: "Recently published papers: Changing practices in the modern intensive care unit" pps
... years and were at least American Society of Anesthesiologists class III The conclusions were that there was no benefit to therapy directed by pulmonary artery catheters over standard care in this ... expected to benefit most, such as the sickest surgical patients 112 This is an important study in the context of elderly high-risk surgical patients, but whether goal-directed therapy should be ... the most impressive feats for those of us who live and work on this small island is that, when follow-up appointments were missed, the patient was given the opportunity to reschedule or request...
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Báo cáo khoa học: "Myocardial injury in infants ventilated on the paediatric intensive care unit: a case control study" pot
... 0.007, respectively) compared with the older infants admissions' levels Discussion Admissions to paediatric intensive care had significantly raised cTnT levels compared to controls and this elevation ... of the necrotic area [1] Many paediatric intensive care admissions receive intensive care prior to their admission (sometimes for many hours), either in peripheral hospitals or neonatal units ... older intensive care admissions; ***p < 0.001 compared with healthy infants Analysis was performed using Arcus BioStat (Biostat Inc., Englewood, NJ, USA) and SPSS (SPSS Inc., Chicago, IL, USA)...
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Báo cáo y học: "Readmission to a surgical intensive care unit: incidence, outcome and risk factor" ppt
... SOFA scores at admission were higher on initial admission to the ICU than on the first readmission; however, the SOFA scores increased steadily over the first few days of the first readmission ... diseases, 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 ... compared with the first readmission Hospital mortality was similar for planned and unplanned readmissions (17.6% versus 15.7%; p = 0.667) Risk factors for readmission to the ICU Factors associated...
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Báo cáo khoa học: "Remifentanil versus fentanyl for analgesia based sedation to provide patient comfort in the intensive care unit: a randomized, double-blind controlled trial [ISRCTN43755713]" ppsx
... shows the SAS scoring system The Ramsay Sedation Scale is considered the ‘gold standard’ scoring system for assessing sedation in the ICU patient and was designed as a test of arousability The SAS ... used by Carrasco and coworkers is less stringent than the SAS score of used in the present study Our study therefore demonstrates that the use of a remifentanil based sedation technique has the ... test NS, not significant; NT, not tested; SAS, Sedation–Agitation Scale patients were admitted to the ICU after cardiac surgery In total, 84% of patients were elective admissions Baseline SAS...
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Báo cáo khoa học: "Performance of six severity-of-illness scores in cancer patients requiring admission to the intensive care unit: a prospective observational study" pot
... in the present study In those patients with multiple hospital admissions, the most recent was considered For patients readmitted to the ICU during the same hospital stay, only the first ICU admission ... SAPS, Simplified Acute Physiology Score requiring ICU care is still restricted and most reports are limited by relatively small sample sizes and/or the statistical analyses used in the assessment ... curves for the six severity-of-illness scores (solid lines) for the sample (excluding scheduled surgical patients; nn= 542) The diagonal dotseverity-of-illness scores (solid lines) for the sample...
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Báo cáo y học: "Acute kidney injury on admission to the intensive care unit: where to go from here" docx
... among survivors, requirement for in-hospital care was even higher The study also showed that a perfect mortality prediction model is still missing As addressed by the authors, the study has some ... consultation with specialists in the field The success of these simple non-technical steps depends on combined efforts by anybody looking after patients in hospital The overall action plan to ... plans for streamlined focussed research are major steps in the right direction to tackle the problems associated with established AKI [6] The study by Kolhe and colleagues in Critical Care illustrates...
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Báo cáo y học: "Two devils: hypernatremia and hyponatremia can show faces to the same patient in the intensive care unit" pps
... The epidemiology of intensive care unit- acquired hyponatremia and hypernatremia in medical–surgical intensive care units Crit Care 2008, 12:R162 Page of (page number not for citation purposes) ... Critical Care Vol 13 No Eghtesadi-Araghi et al Competing interests The authors declare that they have no competing interests Reference Stelfox HT, Ahmed SB, Khandwala F, Zygun D, Shahpori R,...
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Báo cáo y học: "Risk stratification of early admission to the intensive care unit of patients with no major criteria of severe community-acquired pneumonia: development of an international prediction rule" potx
... classes of risk for ICU admission on days to 3, ranging from 0.7 to 31% This index might help ED physicians and intensivists in the disposition decision Competing interests MJF consults for the ... of these patients admitted to the ICU, respectively Among these 41 patients, 10 were classified as high-risk using the Pneumonia Severity Index (PSI) and none subsequently died The area under the ... citation purposes) The risk of admission to the ICU on days to increased significantly from risk class I to risk class IV within each of the four original cohorts (P < 0.001 for each cohort) The area...
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Báo cáo y học: "Eosinopenia is a reliable marker of sepsis on admission to medical intensive care units"
... forms Sepsis is a SIRS associated with the presence of an infectious process Severe sepsis is a sepsis associated with organ dysfunction, hypoperfusion, or hypotension (systolic blood pressure ... admission The aim of the present study was to assess the value of eosinopenia in differentiating sepsis-related conditions (sepsis, severe sepsis, septic shock) from other noninfection causes of SIRS ... pertaining to each patient and independently classified the diagnosis as SIRS, sepsis, severe sepsis, or septic shock at the time of admission on the basis of the review of the complete patient charts,...
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Báo cáo y học: " An integrated approach to diagnosis and management of severe haemoptysis in patients admitted to the intensive care unit: a case series from a referral centre" ppsx
... 0) because haemoptysis persisted or worsened The patients (148 males) were 51 years old Cough, persistent bloody sputum and dyspnea were the main respiratory symptoms on admission Physical examination ... variables and laboratory data were analyzed using usual descriptive statistics Results were expressed as mean ± standard deviation (range), unless otherwise stated Between groups comparisons used the ... associated severe cardiovascular and pulmonary comorbidities The cumulated amount of bleeding on admission was assessed from the onset of bleeding until the first hours of admission to our unit using the...
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Báo cáo khoa học: "Assessment of six mortality prediction models in patients admitted with severe sepsis and septic shock to the intensive care unit: a prospective cohort study" ppt
... criteria for severe sepsis The objective of the present study is to assess the validity of six mortality prediction systems for the severe sepsis and septic shock patient population This was, to our ... and septic shock in the first 24 hours of ICU admission Severe sepsis is defined as the presence of sepsis associated with organ dysfunction Septic shock is defined as sepsis-induced hypotension ... of ICUs [9–12] Some of these systems have been customized for patients with specific conditions such as sepsis, and liver transplantation and long-stay ICU patients [13,14] If these systems are...
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Báo cáo khoa học: "Bench-to-bedside review: Treating acid–base abnormalities in the intensive care unit – the role of renal replacement therapy" potx
... manage the acid–base disorders in ARF and critically ill patients in general Acid–base analysis using the Stewart–Figge methodology As described above, the pathogenesis of acid–base disorders of ... acidosis has been demonstrated to be an indicator of poor prognosis [5] The rationale behind the perceived need to correct severe acidosis lies in the potential adverse cellular effects of such ... remains unknown and the cause of acidosis in ARF patients is probably multifactorial It is hard to quantitatively approciate such multifactorial metabolic disorders by means of the classical...
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Báo cáo khoa học: "Case mix, outcome and length of stay for admissions to adult, general critical care units in England, Wales and Northern Ireland: the Intensive" pptx
... the outcomes of admissions to intensive care with specific conditions There are two ways in which admissions with specific conditions can be identified in the CMPD The ICM codes may be used to ... within the same hospital stay, direct transfers in from other critical care units and admissions missing all 12 physiology variables These patients were not excluded from any other analyses Figure ... and to consider carefully how to address these important issues to ensure their database is representative and accurate Determining scores for some elements of the DoCDat evaluation is necessarily...
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Báo cáo khoa học: " How to compare adequacy of algorithms to control blood glucose in the intensive care unit" pptx
... the subcutaneous adipose tissue still require validation in the ICU setting Availability and validation of such devices will render intensive insulin therapy easier and safer Closed loop systems, ... coworkers [1] propose that the HGI is such a tool They claim that the HGI takes into account the unequal distribution of glucose sampling and is not falsely lowered by low glucose values There ... introduced to the nursing staff If the performance of such algorithms is to be assessed, then a tool for objectively evaluating the adequacy of blood glucose control is indeed mandatory Vogelzang...
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Báo cáo khoa học: "Bench-to-bedside review: Treating acid–base abnormalities in the intensive care unit – the role of buffers" ppt
... of the underlying process causing the acidosis – hypoperfusion, sepsis, or diabetic ketoacidosis for example – is difficult Nevertheless, lowering the arterial pH has rather convincingly been shown ... pressure, whereas pulmonary vascular resistance is not changed [8] The responsiveness of adrenergic receptors to circulating catecholamines is decreased [9–11], and the load tolerance of the ... much less effectively than the same solution without any weak acid Also, the use of the term ‘buffer’ obscures the unique mechanisms of each agent Neverthess, because of its widespread use, we...
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