postoperative and critical care in the elderly cardiac surgery patient

... to reconcile the interests of society, patients, their families, and critical care practitioners, using logic and reaching agreement on common goals In the coming months, Critical Care Forum will ... novel therapeutics and to explore how these may best be used to improve further the survival and decrease the morbidity of our patients Until recently, few critical care training programs included ... Critical Care February 2002 Vol No Hawryluck and Crippen involved in the design and/ or funding of a project, then what are the responsibilities and obligations of the investigator...

Ngày tải lên: 12/08/2014, 18:21

... of critical incident management Crit Care 2001, 5:315-317 Lingard L, Espin S, Evans C, Hawryluck L: The rules of the game: interprofessional collaboration on the intensive care unit team Crit Care ... treated at the closest hospital Crit Care 2005, 9 :in press Frykberg ER: Terrorist bombings in Madrid Crit Care 2005, 9 :in press Martinez C, Gonzalez D: The World Trade Center attack: doctors in the ... Similarities to the 1988 earthquake in Armenia: time to teach the public life-supporting first-aid? Crit Care 2001, 5:312-314 Hammond J, Brooks J: The World Trade Center attack: helping the helpers: the...

Ngày tải lên: 12/08/2014, 20:20

... dramatic, in terms of both life-saving and ICU resources In summary, the use of AEDs by the average person may be considered one of the greatest advances in critical care medicine during the past ... endotracheal intubation, mechanical ventilation, therapeutic hypothermia, and various intravenous pharmacological infusions [10,11] Therefore, with the rapid use of AEDs by random bystanders, the usual ... guidelines and through the help of everevolving technology, the average person may very well become an even more effective critical care practitioner’ over the next decade Competing interests The...

Ngày tải lên: 12/08/2014, 23:21

... health care, including vaccination and nutrition, is not critical care However, in many hospital wards of developing countries, the majority of patients dying of AIDS, complicating infections, and ... may exist Health and critical care in the developing world There are two major challenges to providing critical care in the least developed countries [17] First, there is little infrastructure ... provision of intensive care [10,11] In North America, intensive care consumes up to 1% of the GDP [12,13], and critical care services tend to dominate clinical expenditures in other jurisdictions...

Ngày tải lên: 13/08/2014, 11:22

... critically ill patients in the ED is incomplete The primary objective of this study is to determine the length of stay of critically ill patients receiving care in a tertiary care adult emergency ... was defined as the time from hospital admission to patient discharge The critical care procedures recorded During the study period, 68,765 patients presented to the ED and 178 patients met inclusion ... 53.6%) had the CVC inserted within the first hours of admission to the ICU Similarly, arterial catheters were inserted in 99/178 patients (55.6%) with 14.1% (14/99) inserted in the ED and 71.7%...

Ngày tải lên: 13/08/2014, 23:20

... measured at the midline, and along the infraorbital vertical line and the zycomatic vertical line representing the sites of the first premolar and the first molar RRR was estimated by comparing the measured ... loss of viability and death of Candida albicans Rinsing the dentures in the evening and keeping them overnight in the open air can indeed be the easiest way to carry out "disinfection" (Stafford ... Aging Study (HAS), the oral and dental health and dental hygiene habits of 364 old elderly, born in 1904, 1909 and 1914 and living in Helsinki, was examined in 1990 and 1991 The main objective of...

Ngày tải lên: 05/03/2014, 18:20

... and the Netherlands, for example, specialists are concentrated in hospitals In Finland, Belgium and Spain most of the specialist work is in hospital outpatient departments and in Spain and Finland ... in- patient out -patient physician care care services in- patient care Share of (in %) out -patient physician care services 1995 Belgium Denmark Finland France Germany Netherlands Spain United Kingdom ... from the long-term care insurance schemes The institutional care data for Finland include all institutional care and residences with 24-hour surveillance and the home care data include all caregiving...

Ngày tải lên: 05/03/2014, 18:20

... USE AND HEALTH OUTCOMES 1935 groups: Medicare only, Medicare with some private insurance, Medicare with other public insurance including Medicaid, and Medicare with private and other public insurance ... toward the null, indicating the strong confounding effect of the total number of prescriptions taken Adding predisposing and enabling variables in Model C, the coefficient remained virtually the ... suggesting the relative robustness and reliability of the full Model F In specifying the full model, there was a concern about multicollinearity within the right-hand side variables in the model...

Ngày tải lên: 14/03/2014, 20:20

... preceding year period, the expert provided further opinions, insights and data, based on experience at the University Hospital of the West Indies, the leading tertiary care and medical teaching institution ... of methods and strategies to provide evidence and insights regarding falls among the elderly in Jamaica These included a search and review of existing literature, docket and patient information ... environment and minimize the injuries sustained from falls was recommended Williams-Johnson, Wilks, and McDonald further illuminate the situation regarding falls among the elderly in Jamaica [15] In examining...

Ngày tải lên: 28/03/2014, 16:20

... access to the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analyses Study concept and design: CA and OB Acquisition of data: CA and OB Analysis ... neurophysiology and regulates the metabolism of neurotransmitters including dopamine, acetylcholine, serotonin and gamma aminobutyric acid [70,78], and the synthesis of certain growth factors such as ... [70] and have been proposed as the missing link between seasonal changes in photoperiod and seasonal mood swings [70] In line with this, one clinical trial supported the efficacy of vitamin D...

Ngày tải lên: 19/06/2014, 08:20

... on behalf of China Critical Care Clinical Trial Group (CCCCTG): Clinical review: Critical care medicine in china mainland Crit Care 2010, 14:206 Depasse B, Pauwels D, Somers Y, Vincent JL: A profile ... these countries resulting from acute illness or injury, acute care surely should have a place in the curriculum Competing interests The author declares that he has no competing interests Published: ... as the Global Healthcare Workforce Alliance [5] are currently working to minimize the deficiency of 4.3 million healthcare workers in developing countries With a high proportion of deaths in these...

Ngày tải lên: 13/08/2014, 20:21

... resulting increase in SVITD following fluid loading (Fig 2b) These findings are in accordance with those of other studies [7,13] and emphasize the importance of TEE in detecting acute changes in ... wrote the manuscript CF collected the clinical data AK collected the clinical data and participated in the study design SL collected the clinical data CP designed the study and collected the clinical ... whereas there was a lack of correlations between changes in the remaining preload-indicating variables and ∆SVITD, suggesting that increased cardiac preload is more reliably reflected by CEDV index...

Ngày tải lên: 12/08/2014, 22:21

... groups) and resulted mainly from the use of glucose-insulin infusions in the cardiac patients, which was dictated by the patients' immediate postoperative condition The insulin requirements were ... (33%) patients (30 and 36, or 29% and 37%, respectively, in AOX and placebo groups; P = 0.11); it was most frequent in the cardiac patients (P < 0.0001) and least frequent in SAH (2 in AOX and in ... and 1.3 days shorter in the AOX group in the surviving cardiac and trauma patients, respectively The length of hospital stay was days shorter overall in the AOX group, being 13 days shorter in...

Ngày tải lên: 13/08/2014, 11:22

... from 3.0% in the Control group to 0.9% in the Insulin group (p < 0.05), representing a relative reduction of 70.0% In diabetics, the incidence was 5.6% in the Control and 2.5% in the Insulin group ... output (as defined by the definition of RIFLE), and in (1.2%) solely to an increase in serum creatinine Between groups, there were significantly more patients in the Insulin group scoring R, I or ... < 0.026) than in the Control group Maximal RIFLE scores were lower in the Insulin group and there were significantly more '0-RIF' patients in the Insulin group (54.0%) than in the Control group...

Ngày tải lên: 13/08/2014, 11:23

... Discussion Main findings Among the participating GPs, definitions of health promotion interventions in the elderly widely varied The opinion regarding the effectiveness of health promotion in the elderly ... interviews in Geneva, the interview guide was translated into French As an introduction to the discussion, we asked questions concerning the opinion of the GPs about health promotion in the elderly ... health promotion in the elderly K Interface problems in health promotion in the elderly L Other important aspects Coding system: Categories for the coding process, used with the ATLAS.ti software...

Ngày tải lên: 22/03/2014, 14:20

... needs and access to care for older adults with dementia is important in helping to develop policies that support caregivers in their care management, including finding and using information and ... in timing of diagnosis of the disease; and (4) disparities in access to care to treat the disease Although each of these issues is distinct, they are interconnected in creating and perpetuating ... access to care for older adults with dementia is important in helping to develop policies that support caregivers in their care management, including finding and using information and assistive...

Ngày tải lên: 22/03/2014, 14:20

... issues, and the expectations of healthcare professionals and managers with an eye to determining the defining features of the intervention While improving and reorganizing elderly care in modern ... involved holding four focus groups with the same participants to refine the findings and to define the expected key features of the intervention The content of the focus group discussions was then iteratively ... complemented data gathered through interviews and focus groups Data ordering, analysis, and definition of the key features of an intervention in elderly care All individual interviews and focus groups...

Ngày tải lên: 11/08/2014, 05:21

... regardless of the origin of the decision tool, the implementation of the tool occurs at the hospital level [22] Therefore, adequate workforce knowledge and training regarding the underlying principles ... Similarly, the ANZIC (Australian and New Zealand Intensive Care) investigators reported that the Aboriginals (2.5% of the population) represented 9.7% of the ICU admissions in Australia and the Maoris ... continuous revalidation and refinement of any triage model and its scoring systems at the point of outbreak and throughout all of its phases to thereby determine their suitability and discriminating...

Ngày tải lên: 14/08/2014, 07:21

... distributing the numbers properly, or whether the patient perseverates or forgets the task and continues numbering past 12 • Ask the patient to place hands on the clock showing the time to be 10 minutes ... to document patients under their care who have a condition incompatible with safe driving and to instruct these patients to stop driving If the physician learns that the patient continues to drive ... in elderly patients taking risperidone in clinical studies † The US Food and Drug Administration issued a health advisory in March 2005 reporting increased mortality (1.6 -1.7 fold increase in...

Ngày tải lên: 13/02/2014, 18:20