pulmonary considerations in critical care

... error interception Intensivist participation in ICU care Adequate staffing Pharmacist participation in ICU care Incorporation of quality assurance into academic education ICU, intensive care unit ... 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 ... Impact of a clinical pharmacist in a multidisciplinary intensive care unit Crit Care Med 1994, 22:10441048 66 Baldinger SL, Chow MS, Gannon RH, Kelly ET 3rd: Cost savings from having a clinical pharmacist...

Ngày tải lên: 25/10/2012, 10:35

... 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 Importantly, Infectious ... 19 Infections in Cirrhosis in Critical Care Laurel C Preheim 20 Severe Infections in Asplenic Patients in Critical Care Mohammed S Ahmed and Nancy Khardori 21 Infections in Burns in Critical Care ... 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...

Ngày tải lên: 06/03/2014, 06:20

... pulmonary TB cases and circumstances of patients on beginning hospitalization in NITRD in 1995 Int J Tubercul Lung Dis 1998;2(11):S243 Kumar P, Clark M Respiratory disease In: clinical medicine ... cases particularly pulmonary who are infectious to the community is the best way of controlling TB in our country The delay in diagnosis and inability to cure a high proportion of pulmonary smear ... colleagues14 These findings are in agreement with earlier findings that tendency to disease and mortality from TB is higher in females as compared to males.15 Females from illiterate families in general...

Ngày tải lên: 15/03/2014, 03:20

... Following the development of the Statement on Competence, a working group met in 2009 to develop guidelines for training in critical care ultrasonography Representatives from major critical care ... Training Standards serve as useful guides both for the intensivist who seeks training and for faculty intensivists who will be training their colleagues in this important skill Competing interests ... cardiologist who is trained in echocardiography It includes training in transesophageal echocardiography (TEE) Competence in advanced level CCE is not a key element of competence in critical care ultrasonography...

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 ... the growing numbers of respiratory physicians who pursue a subspecialty interest in this clinical arena T EVOLUTION OF INTENSIVE CARE MEDICINE AS A SPECIALTY In Europe intensive care medicine (ICM)...

Ngày tải lên: 29/06/2014, 11:20

... critical- care calculations, such as calculated creatinine clearance and intravenous infusion rates Additional software for medical reference data was introduced during the study period, including ... 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 ... used This appeared to relate more to inadequate training than to faults in the databases In many cases, the PDA users were unaware that certain information was in their PDAs This was because data...

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) ... Gastrointestinal promotility drugs in the critical care setting: a systematic review of the evidence Crit Care Med 2002, 30:1429-1435 Tisherman SA, Marik PE, Ochoa J: Promoting enteral feeding ... erythromycin were attenuated in healthy individuals when their blood glucose concentrations were increased from approximately to 15 mmol/l [18] Another study [19], published in June 2002 in Critical Care...

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 ... in the albumin arm with significantly less fluid administration, in a ratio of 1:1.4 (albumin versus normal saline) over the first days However, various subgroup analyses did reveal interesting ... 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

... both in terms of the safety of research participants and in public trust in the research enterprise Challenges in oversight and monitoring The lack of effective oversight and monitoring in clinical ... investigators and clinical departments, and institutional pride in affording these issues the time, resources and intellectual commitment that they deserve The appropriate role for critical care ... challenges inherent in critical care research, it would be tempting to propose a separate and distinct approach to their monitoring and oversight We not see it that way Although perplexing challenges...

Ngày tải lên: 12/08/2014, 20:20

... in Medline/PubMed and CINAHL databases using combinations of the following keywords: Ethics, Clinician-Manager, Critical Care, Intensive Care Unit (ICU), Management, Leadership, Decision-making, ... have been captured in the initial search We also hand-searched the following journals: Bioethics (1997 to present), Critical Care, Critical Care Clinics, Critical Care Medicine (1985 to present), ... withdrawal of intensive care Chest 1990, 97:949-958 Nelson RM: Ethics in the intensive care unit: creating an ethical environment Crit Care Clinics 1997, 13:691-710 York NL: Implementing a family...

Ngày tải lên: 12/08/2014, 20:20

... (GDP) icine are published in journals other than those included in the 'critical care medicine' category Furthermore, a proportion of articles published in journals included in the 'critical care ... example, in order to search for articles published in 'intensive care medicine' originating from Europe, the following phrase was used (where 'AD' means 'address'): intensive care medicine [journal] ... take into account the fact that many articles regarding critical care med- R262 Critical Care Vol No Michalopoulos et al Table 'Total product' of articles published in 'critical care medicine':...

Ngày tải lên: 12/08/2014, 22:21

... 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, ... N-acetylcysteine infusion in patients with severe sepsis Patients in the N-acetylcysteine group (n = 27) received an intravenous bolus followed by a continuous infusion for 411 Critical Care August ... 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...

Ngày tải lên: 12/08/2014, 22:22

... in different times for pulmonary arterial emptying Hypoxic pulmonary arterial hypertension Data concerning the role of angiotensin II in hypoxic pulmonary vasoconstriction (HPV) are conflicting ... 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 ... with aerosolized colistin as an adjunct to intravenous antimicrobial therapy (including intravenous colistin in 6/8 patients) for Gram-negative nosocomial pneumonia (seven Acinetobacter baumannii,...

Ngày tải lên: 12/08/2014, 22:22

... work Competing interests The author(s) declare that they have no competing interests References Laporta D, Burns J, Doig C: Bench to bedside review: Dealing with increased intensive care unit ... S, Heffner J, Carson S: Attitudes and perceptions of internal medicine residents regarding pulmonary and critical care subspecialty training Chest 2005, 127:630-636 423 ... recruit and retain staff [11] The other key factor in this process is the use of a team work approach Team work training in the areas of conflict resolution, learning styles and giving feedback...

Ngày tải lên: 12/08/2014, 22:22

... online http://ccforum.com/content/9/6/594 Table Table Indications for independent lung ventilation in critical care Comparative sizing of single-lumen , Univent and double-lumen tubes [12] Independent ... degrees to the left and finally advanced into the left main stem bronchus until resistance is felt Keeping the double-lumen tube stylet in place after intubation increases positioning accuracy from ... tried in pre-operative assessment, their practicality in critical care medicine is questionable Chest X-rays are subsequently used to assess correct positioning post-intubation by identifying the...

Ngày tải lên: 12/08/2014, 23:20

... 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 ... for controlling methicillin-resistant Staphylococcus aureus in intensive care units Intensive Care Med 2005, 31:1051-1057 Page of (page number not for citation purposes) Critical Care Vol 10 ... streaked 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...

Ngày tải lên: 12/08/2014, 23:21

... 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 ... center-stage in resuscitation research efforts [8] In addition to evaluating the concept of markedly abbreviating the time taken to provide effective training for the masses [13], recent investigations ... 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...

Ngày tải lên: 12/08/2014, 23:21

... Critical Care Vol 10 No Struelens and Denis endemic MRSA in The Netherlands and Scandinavia [5,6] Clinical practice recommendations include MRSA carrier screening to inform patient ... should be commended for performing this intervention study that documents the benefit of replacing conventional screening by rapid PCR testing and re-organizing critical care towards systematic use ... Pugin J, Ricou B, Pittet D: Evaluation of rapid screening and pre-emptive contact isolation for detecting and controlling methicillin-resistant Staphylococcus aureus in criti- Available online...

Ngày tải lên: 12/08/2014, 23:22

... that include longitudinal data provide important additional insights into sepsis epidemiology while minimizing seasonal influences Continued investigation is necessary to optimize healthcare ... research studies according to the characteristics of the disease Large-scale longitudinal studies in sepsis In the present issue of Critical Care, investigators from the Intensive Care National Audit ... in Norway in 1999 Crit Care 2004, 8:R180-R184 Vincent JL, Bihari DJ, Suter PM, Bruining HA, White J, NicolasChanoin MH, Wolff M, Spencer RC, Hemmer M: The prevalence of nosocomial infection in...

Ngày tải lên: 12/08/2014, 23:23

... catheters inserted into the IJV have been associated with higher risk for infection than those inserted into the subclavian or femoral vein [25,26] In this study, the incidence of bacterial strains ... result in a lower incidence of CVC-BSI compared with the landmark technique ods in the intensive care unit setting, and helped to draft the manuscript GK performed both methods in the intensive care ... advice concerning catheter associated blood stream infections DAT participated in the design of this study and performed both methods in the intensive care unit setting MMK participated in the design...

Ngày tải lên: 13/08/2014, 03:20