procedures in critical care dialysis and apheresis

... during and after liberation from mechanical ventilation using pressure support, CPAP, and T-piece (n = 20 each) During weaning, plasma insulin and glucose as well as urinary vanilmandelic acid increased ... acute hypoxia Although plasma renin activity and angiotensin II immunoreactivity increased during hypoxia, angiotensin-converting enzyme inhibition and type angiotensin II receptor blockade did not ... in pediatric patients when uncuffed ETTs are used, effective VT is inaccurate and VT is most accurately estimated at the airway opening Conditioning inspired gases with heat and moisture in invasively...

Ngày tải lên: 12/08/2014, 22:22

... participants and in public trust in the research enterprise Challenges in oversight and monitoring The lack of effective oversight and monitoring in clinical research makes it similar in many respects ... their monitoring and oversight We not see it that way Although perplexing challenges related to monitoring and oversight in critical care research will invariably arise [13–15], such as informed ... research administration, we are forging what we believe is a fruitful new direction in research monitoring and oversight We are working to create a climate and culture within the institution...

Ngày tải lên: 12/08/2014, 20:20

... response to infection in patients with septic shock Insulin and glycemia in sepsis Rusavy and colleagues [16] compared energy expenditure and glucose uptake in response to insulin in non-diabetic ... numerous investigations in sepsis Goscinski and colleagues [21] investigated the ability of tobramycin and ceftazidime to alter the inflammatory response to endotoxin infusion Prior to endotoxin administration, ... Z: The influence of N-acetyl-Lcystein infusion on cytokine levels and gastric intramucosal pH during severe sepsis Crit Care 2004, 8:R172-R179 Bernard GR, Reines HD, Halushka PV, Higgins SB,...

Ngày tải lên: 12/08/2014, 22:22

... onto ORSA plates (Oxacillin Resistance Screening Agar; Oxoid, Basingstoke, UK) and then suspended in ml colistin-salt broth (brain–heart infusion with 10 µg colistin/ml and 2.5% NaCl) as a backup ... saved using the qMRSA test • A substantial decrease in MRSA infections was seen in the medical ICU after increasing compliance with onadmission screening and implementing a strategy that linked ... in MRSA infections was seen in the medical ICU after increasing compliance with on-admission screening and linking the rapid test to preemptive isolation and cohorting of MRSA patients Despite...

Ngày tải lên: 12/08/2014, 23:21

... Critical Care Vol 10 No Pepe and Wigginton survivors, who typically remained in coma for significant periods [10,11], these rapidly wakening patients clearly did not ... survivors had never been trained how to use them [9] In essence, technology has now made the average person readily capable of delivering life-saving critical care Considering that sudden cardiac ... laypersons and health professionals with significant life-saving effects [12] However, its infrequent performance has been cited as perhaps the weakest link in the worldwide chain of survival and a...

Ngày tải lên: 12/08/2014, 23:21

... expanding the use of simulations Microsimulation in critical care is no experiment, no hobby; it is present and part of the very near future If intensivists remain at the barrier, they will definitely ... paper by Saka and colleagues, however, included additional data from the clinical course before they entered the intensive care unit (age, gender, and ethnicity), thus ‘recreating individual patients’ ... of the Working Group on Sepsis-related Problems of the European Society of Intensive Care Medicine Intensive Care Med 1996, 22:707-710 Clermont G, Kaplan V, Moreno R, Vincent JL, Linde-Zwirble...

Ngày tải lên: 13/08/2014, 03:21

... deprivation’, ‘actigraphy’, ‘actimetry’ and ‘polysomnography’, in combination with critical illness’, ‘intensive care , critical care , and ‘intensive care unit’ Reference lists of all identified ... those pertaining to sleep measurement in adult patients during their critical care admission and published in full in English Study comparing different sleep measurement techniques In the context ... generally considered inaccurate and manual sleep staging remains the preferred option Even manual sleep staging may be subjective, particularly in identifying drowsiness and sleep onset in stage All...

Ngày tải lên: 13/08/2014, 08:20

... NIMV failed in HIV-negative cases and in HIV-positive case and after first-line endotracheal intubation in HIV-negative case and in HIV-positive cases Mortality Mortality was higher in HIV-negative ... often failed in HIV-negative patients and should be cautiously monitored in this population Key messages • • The incidence of Pneumocystis pneumonia requiring critical care increased in patients ... analysis, and interpretation of data and to the drafting of the manuscript OH contributed to the collection of data AD, CG, CM, and PB were involved in drafting the manuscript or revising it for intellectual...

Ngày tải lên: 13/08/2014, 10:20

... groups taking Drug (dark lines) and Drug (light lines) OA and OC represent the results of one trial, and AB and CD the other trial OA has the lesser slope, meaning Drug is superior in this trial ... uses individual patient data and is prospectively planned, suggesting future clinical investigators should carefully consider the advantages and disadvantages of this approach Competing interests ... A: A comparison of sucralfate and ranitidine for the prevention of upper gastrointestinal bleeding in patients requiring mechanical ventilation Canadian Critical Care Trials Group N Engl J Med...

Ngày tải lên: 13/08/2014, 11:22

Ngày tải lên: 13/08/2014, 16:20

... hormone-producing and cytokine-producing machinery, adipose tissue cannot stand passively by in the face of severe threat to life, and is involved in numerous inflammatory responses including production ... Pratley RE, Tataranni PA: Hypoadiponectinemia in obesity and type diabetes: close association with insulin resistance and hyperinsulinemia J Clin Endocrinol Metab 2001, 86:1930-1935 13 Kern PA, ... Nisbett J, Cohen J, Prins J: Changes in serum adiponectin concentrations in critical illness: a preliminary investigation Crit Care 2009, 13:R105 Friedman JM: Obesity in the new millennium Nature 2000,...

Ngày tải lên: 13/08/2014, 18:22

... related Inotropes Dobutamine

Ngày tải lên: 13/08/2014, 21:21

... errors involving continuously infused medications in a surgical intensive care unit Crit Care Med 2004, 32:428-432 80 Stambouly JJ, McLaughlin LL, Mandel FS, Boxer RA: Complications of care in a ... Reporting near misses would substantially increase the number of reports Some systems such as the AIMS-ICU (Australian Incident Monitoring Study in Intensive Care) and the ICUSRS (Intensive Care ... errors in critical care are frequent, serious, and predictable Human factor research in nonmedical settings suggests that demanding greater vigilance from providers of medical care may not result in...

Ngày tải lên: 25/10/2012, 10:35

... fifth birthday The term carers applies to staff working in child care and early years settings including local authority and private nurseries, and childminders Healthy eating and physical activity ... childcare places in England compared with around 637,000 in 1997 and of these 21% were with childminders, 52% in day care nurseries and 24% in out-of-school clubs (Child care provision in Scotland, ... in England in 2005 (see Child care in England, 2005, below) The largest childcare providers are those offering full-day care and sessional day care (periods of less than hours of continuous care) ...

Ngày tải lên: 05/03/2014, 10:20

... Colonization and Infection in the Critical Care Unit 102 C Glen Mayhall PART II: CLINICAL SYNDROMES IN CRITICAL CARE Clinical Approach to Sepsis and Its Mimics in Critical Care Burke A Cunha Meningitis and ... in the critical care unit Infectious diseases maintain their preeminence in the critical care unit setting because of their frequency and importance in the critical unit patient population Since ... present and are becoming important in critical care Infectious Diseases in Critical Care Medicine (third edition) remains the only book exclusively dedicated to infectious diseases in critical care...

Ngày tải lên: 06/03/2014, 06:20

... adequate for training in basic CCE for most critical care residents when combined with a 12-hour learning program blending didactics, interactive clinical cases, and tutored hands on sessions ... reviewed) In Australia and New Zealand, the critical care community has developed a two-tier system for training in CCE Basic level training requires 10 hours of course Mayo Annals of Intensive Care ... when presenting themselves as trained in advanced CCE Training fellows is less challenging than training attending level intensivists who did not have opportunity to gain experience during their...

Ngày tải lên: 21/06/2014, 00:20

... (O), and Italy and Spain none TRAINING IN INTENSIVE CARE MEDICINE IN THE UK An increasing number of appointments in ICM are now available to trainees in general internal medicine at senior house ... rehabilitation.9 TRAINING IN INTENSIVE CARE MEDICINE Improved training of medical and nursing staff and organisational changes have undoubtedly played their part in improving the outcome of critical illness ... vigorous intravenous uid loading and inotropes, usually dobutamine The mathematical linkage caused by calculating both VO2 and DO2 using common measurements of Qt and CaO23 and the physiological linkage...

Ngày tải lên: 29/06/2014, 11:20

... advantages and increasing use of handheld computers in medicine, we evaluated the benefits and drawbacks associated with introducing this technology in an academic ICU Harris-Benedict equation Intravenous ... a Tiny BASIC programming language interpreter and editor, was used to develop software to perform common critical- care calculations, such as calculated creatinine clearance and intravenous infusion ... The handheld computer in critical care medicine Am Surg 1986, 52:452-455 Fong BC, Doyle DJ: Respiratory consultant: a hand-held computer-based system for oxygen therapy and critical care medicine...

Ngày tải lên: 12/08/2014, 18:21

... Tube placement studies (examining the role of prokinetics in aiding transpyloric intubation) 351 Patient outcome studies (examining pneumonia and mortality or gastric and pulmonary colonization) ... Metoclopramide versus erythromycin and cisapride* 10 *Studies of agents that are available as prokinetics in contemporary practice In view of recent critical care trials, it is disappointing that neither the ... 147 Erythromycin versus placebo* 30 Metoclopramide versus placebo* 26 Study design Studies that examined the effects of the prokinetic agents on gastrointestinal transit and feeding intolerance...

Ngày tải lên: 12/08/2014, 19:21

... conflicting results regarding albumin, and as such clinicians have been confused on the issue of the safety of albumin Finally, at least for critically ill patients, with the publication of the Saline ... of nearly 7000 critically ill patients requiring intravascular fluid resuscitation The Australian and New Zealand Intensive Care Society Clinical Trials Group set out to determine the safety ... albumin in sepsis has been examined in various in vitro and animal models, but the physiologic basis of this effect in vivo is not known [2] The increased risk of mortality among trauma patients in...

Ngày tải lên: 12/08/2014, 20:20