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prevalence and incidence of intra abdominal hypertension

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Báo cáo y học: " Successful treatment of severe sinusoidal obstruction syndrome despite multiple organ failure with defibrotide after allogeneic stem cell transplantation: a case report" ppsx

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... antagonist with up-regulation of the endothelium release of t-PA, nitric oxide, prostacyclin, prostaglandin E2 and thrombomodulin, as well as downregulation of the release of plasminogen activator-inhibitor ... general, management of SOS should be based on prophylaxis: identification of patients at risk, avoidance of SOSinducing therapies, preventative medical therapy [9] and, finally, therapy of the syndrome ... centrolobular necrosis and, later, fibrous obliteration of the hepatic venules and perivenular fibrosis [2,3] Fifteen days after the onset of the disease, the clinical symptoms vanished and liver enzymes...
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Báo cáo khoa học: "Year in review 2006: Critical Care – multiple organ failure, sepsis, and shock" doc

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... response and cardiac function [11,12] Dehydroepiandrosterone (DHEA), the precursor of androstendione, testosterone, and estrogen, is synthetized in gonads and adrenal glands of both males and females, ... (JNKs), and p38 kinases Notably, whereas ERK1 and ERK2 exert a cytoprotective effect and are involved in cell proliferation, transformation, and differentiation, p38 and JNK promote cell injury and ... lung injury and apoptosis and determined the modulation of MAPK (ERK1, ERK2, p38, and JNK) pathways after A3AR activation in a feline model of lung I/R Both A3AR agonist MRS3558 and IB-MECA attenuated...
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Báo cáo khoa học: "Bench-to-bedside review: Thrombocytopenia-associated multiple organ failure – a newly appreciated syndrome in the critically ill" pdf

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... clinical indicator of TMA in patients with MOF, and resolution of thrombocytopenia is an indicator of resolving TMA Therefore, resolution of thrombocytopenia is the goal for directed use of therapy Activated ... first 24 hours of disease, and is required for an average of 15.8 days to restore platelet counts without recrudescence of thrombocytopenia The endpoint of therapy is resolution of thrombocytopenia ... tranexamine, and aprotinin Recently, Ono and colleagues [24] reported that the degree of ADAMTS 13 deficiency in DIC patients is associated with both the degree of renal failure and the likelihood of resolution...
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Báo cáo y học: "Role of PPAR-δ in the development of zymosaninduced multiple organ failure: an experiment mice study" pot

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... laboratory using standard laboratory techniques For the evaluation of acid base balance and blood gas analysis (indicator of lung injury) arterial blood levels of pH, PaO and PaCO and bicarbonate ... shown) Effect of GW0742 treatment on NO formation and iNOS expression Effect of GW 0742 -treatment on Fas-ligand expression and apoptosis The analysis of exudates (Figure 11A) and plasma (Figure ... loss of physiological balance between pro- and anti-apoptotic factors with an increase of Bax and a decrease of Bcl-2 expression in zymosan-administered mice and, in contrast, a reduction of Bax...
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Báo cáo y học: " Successful treatment of HIV-associated multicentric Castleman’s disease and multiple organ failure with rituximab and supportive care: a case report" potx

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... reflecting better understanding of HIV-associated disease, the availability of new combination antiretroviral therapy, the improved care of HIV patients both outside and within the ICU, and protective ... acknowledge the expert and dedicated contribution of doctors, nurses, physiotherapists and all other health care professionals involved in the care of this patient Author details Department of Intensive ... her acute renal failure and profound metabolic acidosis (serum lactate of 18.5 mmol/L), haemofiltration was undertaken with large volume litre cycles (~90 ml/kg/hour) of lactatefree replacement...
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Báo cáo khoa học: "Early veno-venous haemodiafiltration for sepsis-related multiple organ failure" ppt

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... group (responders), there were 22 cases of bacterial pneumonia and eight cases of sepsis of extrapulmonary origin among medical patients, and 10 cases of peritonitis among surgical patients In ... group (nonresponders) there were 11 cases of bacterial pneumonia and seven cases of sepsis of extrapulmonary origin among medical patients, and two cases of peritonitis among surgical patients No ... did not use high-volume haemofiltration, as defined by Ronco and coworkers [28] as a threshold of 35 ml/kg per hour Use of 2,000 ml/hour haemofiltration in our group of patients, whose average...
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Báo cáo y học: " Decompressive laparotomy for abdominal compartment syndrome – a critical analysis" pps

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... definitions of intraabdominal hypertension, and abdominal compartment syndrome (primary, secondary and recurrent) according to WSACS Term Definition IAH IAH is defined by a sustained increase in IAP of ... temporary abdominal wall closure) ACS, abdominal compartment syndrome; APP, abdominal perfusion pressure; DL, decompressive laparotomy; IAH, intraabdominal hypertension; WSACS, World Society of Abdominal ... John R, Stahl WM: Intraabdominal hypertension after life-threatening penetrating abdominal trauma: prophylaxis, incidence, and clinical relevance to gastric mucosal pH and abdominal compartment...
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Báo cáo y học: "Early venovenous haemodiafiltration for sepsis-related multiple organ failure" pptx

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... Drs Jacobs and Brivet point out that we did not use highvolume haemofiltration It is true that we used a flow rate of only 2000 ml/hour, leading to an average convection exchange of 28 ml/kg ... CVVHDF, we also used 1000 ml/hour of dialysis, leading to a ‘global exchange’ of about 40 ml/kg per hour Finally, Drs Jacobs and Brivet suggest that the lack of improvement in base excess in nonresponders ... Hanique G, Matson JR: Prospective evaluation of short-term, high volume isovolemic hemofiltration on the hemodynamic course and outcome in patients with intractable circulatory failure resulting...
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Báo cáo khoa học: "Visualizing multiple organ failure: a method for analyzing temporal and dynamic relations between failing systems and interventions" pptx

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... Care Vol 11 No Kiliç et al Figure Graphical representation of the performance of LOD, SOFA and MODS: cardiovascular system Shown are data of another patient, illustrating differences between organ ... Assessment) score to describe organ dysfunction/failure On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine Intensive Care Med 1996, 22:707-710 ... statistical methods to analyze these relations quantitatively Competing interests YAK is the author and director of the Muavenet Intensive Care Information System, which is an open access, online academic...
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Báo cáo y học: " Multiple organ failure after trauma affects even long-term survival and functional status" pdf

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... others in activities of daily living MOF is a major cause of morbidity after severe injury [4] Recent studies of ICU trauma populations have found an incidence of MOF of between 5% and 25% [2-4] In ... almost half of the trauma patients developed MOF It is likely that the case-mix and differences in ICU admission policy can explain most of this large variation in reported incidence of MOF In addition, ... 144 patients without MOF, 94% had a Karnofsky Index above 60, and in the MOF group, 74% had a Karnofsky Index above 60 Using logistic regression with adjustment for age, sex, and severe head injury,...
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Báo cáo y học: "Post-injury multiple organ failure and late outcome. Is it just an association" docx

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... that the admission SOFA score, SOFA Max, and the changes in SOFA over the first 48 hours are correlated with mortality [9] Ulvik shows that measuring SOFA score on admission and SOFA max may categorise ... identification of patients who, developing MOF, are at major risk of poor longterm survival and impaired functional status Is this a suggestion for a standardisation of scoring MOF in trauma? ... M, Osborn J, SOFA Group: Application of SOFA score to trauma patients Intensive Care Med 1999, 25:389-394 Ferreira FL, Bota DP, Bross A, Mélot C, Vincent JL: Serial evaluation of SOFA score to...
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Báo cáo y học: " Year in review 2007: Critical Care – multiple organ failure and sepsi" pdf

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... nitric oxide content of septic exosomes was significantly greater than that of healthy control individuals Taken together, the studies of Gambim and colleagues and of Azevedo and colleagues suggest ... Because of the deleterious effects of transfusion [30], this feature of early goal-directed therapy remains one of the most controversial of the protocol This survey preceded a randomized trial of ... sepsis and at least two organ failures Decisions regarding the use of rhAPC were at the discretion of the clinical team Subjects completed the Short Form-36 at 28 days and at 3, 5, and months, and...
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Báo cáo y học: " Long-term survival of chronic dialysis patients following survival from an episode of multiple-organ failure" pdf

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... coagulopathies and disorders of the autonomic and peripheral nervous systems [7] There have been few data published describing the effect of an episode of multiple-organ failure on the long-term survival of ... The number of comparisons was modest and a significance level of 5% was selected Statistical analysis was performed using Excel (Microsoft Corporation) and Prism (version 5, GraphPad Software, ... allocation of 1:1 for ICU survivors and controls, excluding early deaths, to demonstrate a mortality difference with a relative risk of 0.9 and a study power of 0.8 would require enrolment of 2150...
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Báo cáo y học: " Abdominal Compartment Syndrome: pathophysiology and definitions" ppt

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... Hypertension Pathophysiologic Implications of Intra- abdominal Hypertension The effects of intra- abdominal hypertension are not limited just to the intra- abdominal organs, but rather have an impact ... of Experts on Intra- abdominal Hypertension and Abdominal Compartment Syndrome II Recommendations Intensive Care Med 2007, 33:951-962 Cheatham ML: Non-operative management of intra- abdominal hypertension ... development of severe intraabdominal hypertension and a diagnosis of abdominal compartment syndrome 21 References 10 11 12 13 Schein M: Abdominal Compartment Syndrome:Historical Background In Abdominal...
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Báo cáo y học: " Surgical management of abdominal compartment syndrome; indications and techniques" potx

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... available and inexpensive, and maintain the abdominal domain In addition, the preservation of the accessibility to the abdominal cavity and the feasibility of gradual closure of the abdominal ... major source of morbidity is associated with the management and complications of the open abdomen Management of the open abdomen In view of the complicated and often fatal outcome of patients ... management and better understanding of the open abdomen, there is a high risk of persistent open abdomen requiring split-thickness skin grafting and delayed reconstruction of the abdominal wall...
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Báo cáo y học: "Close relationship of tissue plasminogen activator–plasminogen activator inhibitor-1 complex with multiple organ dysfunction syndrome investigated by means of the artificial pancreas" doc

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... coagulation and fibrinolysis The mMOF score (mMOF score = MOF score – the points of coagulopathy of MOF score) was positively correlated with (a) the DIC score, (b) TAT and (d) tPA–PAI-1 complex, and ... microcirculation and leads to MODS [8,10] There were close correlations between MOF score (mMOF score) and TAT and tPA-PAI-1 complex, but no significant correlations between MOF score (mMOF score) and PAI-1, ... calculating the MOF score, however, correlations between the mMOF score, in which the points of coagulopathy of the MOF score are excluded, and parameters related to coagulation and fibrinolysis...
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Báo cáo khoa học: "Cutaneous vascular reactivity and flow motion response to vasopressin in advanced vasodilatory shock and severe postoperative multiple organ dysfunction syndrome" pot

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... continuous infusion of sufentanil and midazolam) There was no difference in the dosage of analgesic and sedative drugs between groups No patient was paralyzed at the time of study measurements ... transport and consumption variables, norepinephrine and milrinone requirements, as well as pH and arterial lactate concentrations were documented immediately before and hour after randomization ... No differences in the pre-ischaemic AUC of the Doppler signal and in the magnitude of reactive hyperaemia occurred between groups before and hour after randomization Patients receiving AVP/norepinephrine...
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Báo cáo y học: "Argatroban therapy for heparin-induced thrombocytopenia in ICU patients with multiple organ dysfunction syndrome: a retrospective study" pps

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... contributions BS, VP, and GM contributed to the conception and design of the study They were responsible for acquisition, analysis, and interpretation of data BS drafted the manuscript RMS and WH participated ... sources of heparin and initiate an alternative anticoagulant on reasonable suspicion of HIT The choice of alternative anticoagulant agent and initial dose is at the discretion of the treating physician ... Spearman correlation, a limited number of factors with high a priori probability of impact on the mean argatroban dose (such as APACHE II score) and markers of hepatic and renal failure were included...
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