surfactant therapy in adult respiratory distress syndrome
Báo cáo khoa học: "High frequency oscillatory ventilation compared with conventional mechanical ventilation in adult respiratory distress syndrome: a randomized controlled trial" potx
... study investigators have a financial interest in SensorMedics Corporation The authors declare that they have no competing interests Authors' contributions AJvV initiated the study, participated in ... (PEEP) resulted in additional overinflation contributing to ventilator-induced lung injury [17] The combination of high levels of PEEP and over-distension are directly reflected in the OI HFOV ... only in patients with a higher initial OI This is in Available online http://ccforum.com/content/9/4/R430 Figure Conclusion In this study, we were not able to find significant differences in efficacy...
- 10
- 218
- 0
Báo cáo y học: " Surfactant disaturated-phosphatidylcholine kinetics in acute respiratory distress syndrome by stable isotopes and a two compartment model" potx
... pertaining to the surfactant system (i.e infiltrating inflammatory cells), or to a combination of these ARDS = acute respiratory distress syndrome k21 and k12 = disaturated-phosphatidylcholine inter-conversion ... written, informed consent was obtained After intubation with a cuffed tube, all patients received into the trachea 20 ml of normal saline containing 7.5 mg of 13C-dipalmitoylphosphatidylcholine and ... head injury Clinical characteristics of the 12 ARDS and controls are reported in Table ARDS was induced by an indirect insult in all but one patient (patient 5, Table 2) Mean age was comparable in...
- 12
- 224
- 0
Báo cáo y học: "Time-dependent changes in pulmonary surfactant function and composition in acute respiratory distress syndrome due to pneumonia or aspiration" pot
... calculated in 10 out of 15 patients Surfactant proteins were analyzed in large surfactant aggregates (SP-A, SP-B, SP-C) or in BALF (SP-D): Surfactant protein A (SP-A) was measured using an ELISA ... although there is only limited information available with regard to surfactant properties in response to surfactant treatment As outlined in one recent investigation in surfactant treated ARDS patients, ... regimen, may indeed promote better outcome in ARDS In this line of reasoning, multiple surfactant dosing with persistent improvement in gas exchange may ultimately improve outcome in ARDS Conclusion...
- 11
- 273
- 0
Báo cáo y học: "Inhaled nitric oxide in acute respiratory distress syndrome with and without septic shock requiring norepinephrine administration: a dose–response study" ppt
... dopamine, epinephrine or norepinephrine tend to reinforce hypoxic pulmonary vasoconstriction In the present study, patients with circulatory shock receiving vasodilating inotrops were excluded in ... oxide in patients with adult respiratory distress syndrome Anesthesiology 1994, 80:761-770 Young JD, Brampton WJ, Knighton JD, Finfer SR: Inhaled nitric oxide in acute respiratory failure in adults ... et al Figure Individual changes in mean pulmonary artery pressure (MPAP) and PaO2/FiO2 induced by increasing inspiratory intratracheal concentrations of inhaled NO (Insp IT NO) in eight patients...
- 16
- 569
- 0
Báo cáo y học: "Lung recruitment manoeuvres are effective in regaining lung volume and oxygenation after open endotracheal suctioning in acute respiratory distress syndrome" ppt
... and recruitment during prolonged breathing in porcine lung injury J Appl Physiol 1998, 85:1533-1543 Stenqvist O, Lindgren S, Karason S, Sondergaard S, Lundin S: Warning! Suctioning A lung model ... routines in our intensive care unit, the Figure Timeline of the study in minutes The order of the two suctioning procedures α and β was randomized The vertical lines above the timeline indicate blood ... pressure in a patient with acute respiratory distress syndrome Crit Care Med 2000, 28:1210-1216 26 Pelosi P, Cadringher P, Bottino N, Panigada M, Carrieri F, Riva E, Lissoni A, Gattinoni L: Sigh in...
- 8
- 227
- 0
Báo cáo y học: "Gastric intramucosal pH is stable during titration of positive end-expiratory pressure to improve oxygenation in acute respiratory distress syndrome" pptx
... PEEPbaseline The pHi at PEEPmax was lower in 12 (70.6%) and higher in five (29.4%) patients as compared with baseline values The P(t–a)CO2 values increased in nine (52.3%) patients at PEEPopt and in ... changes in pHi and P(t–a)CO2 during PEEP titration differed between individual patients (Table 3) The pHi decreased in eight patients (47%), it increased in five (29.4%) and it was unchanged in four ... present study indicate that incremental increases in PEEP not impact on splanchnic perfusion, as assessed by gastric tonometry, when cardiac output (and consequently DO2) is maintained R20 In animals,...
- 7
- 231
- 0
Báo cáo y học: "Effects of positive end-expiratory pressure on gastric mucosal perfusion in acute respiratory distress syndrome" doc
... mortality in the acute respiratory distress syndrome N Engl J Med 1998, 338:347-354 Gutierrez G, Palizas F, Doglio G, Wainsztein N, Gallesio A, Pacin J, Dubin A, Schiavi E, Jorge M, Pusajo J, Klein ... high PEEP levels induced a decrease in cardiac output [20] In contrast, we found no decrease in cardiac output in our patients tested with increasing PEEP levels when fluid administration was ... and Chronic Health Evaluation; Crs, Respiratory system compliance; Dbt, dobutamine; Dp, dopamine; LIP, lower inflection point; NE, norepinephrine (noradrenaline); NL, no LIP found; NS, not significant;...
- 6
- 349
- 0
Báo cáo y học: " Positive end-expiratory pressure in acute respiratory distress syndrome – an old yet mysterious too" pps
... perfusion, thus potentially influencing the findings of the study [14] References 10 11 12 13 14 Ashbaugh DG, Bigelow DB, Petty TL, Levine BE: Acute respiratory distress in adults Lancet 1967, 2:319-323 ... disorders [13] In the case of abdominal diseases leading to ARDS (which was the case in three out of eight patients), intra-abdominal pressure may be increased, thus compromising both systemic ... additional limitations were addressed in part by the authors themselves, and should be kept in mind when considering the findings of the study First, the patients included fulfilled the criteria for...
- 2
- 200
- 0
Báo cáo khoa học: " Uneven distribution of ventilation in acute respiratory distress syndrome" docx
... but was present only in one patient (no 13) Clinical data are given in Table Twenty healthy nonsmoking students independent of the investigating institutions were enrolled and interviewed to rule ... and tissue in acute respiratory distress syndrome III Consequences for the effects of positive end-expiratory pressure CT Scan ARDS Study Group Adult Respiratory Distress Syndrome Intensive Care ... ventilation by a moderate increase in PEEP Accordingly, increasing PEEP from to 15 cmH2O has been shown in a study of pulmonary mechanics to increase pulmonary compliance in some patients, which...
- 7
- 412
- 0
Báo cáo khoa học: " A Systematic review of determinants of mortality in high frequency oscillatory ventilation in acute respiratory distress syndrome" potx
... 22 23 24 respiratory distress syndrome – a pilot study Crit Care Med 1997, 25:937-947 Ware LB: Prognostic determinants of acute respiratory distress syndrome in adults: impact on clinical trial ... oscillation in adults with acute respiratory distress syndrome Crit Care Med 2001, 29:1360-1369 Derdak S: High-frequency oscillatory ventilation for adult acute respiratory distress syndrome: a ... Heinrichs W, Neumann M, Joost T, Markstaller K, Eberle B: High-frequency oscillatory ventilation in adult acute respiratory distress syndrome Intensive Care Med 2003, 29:1656-1665 Mehta S, Lapinsky...
- 6
- 315
- 0
Báo cáo khoa học: "Bench-to-bedside review: Distal airways in acute respiratory distress syndrome." doc
... parenchyma in the adult respiratory distress syndrome Clin Chest Med 1982, 3:35-56 Haitsma JJ, Papadakos PJ, Lachmann B: Surfactant therapy for acute lung injury/acute respiratory distress syndrome ... not observe inflammatory cell infiltration into the airways or increased proinflammatory cytokines in alveolar fluid They interpreted this to indicate the earliest distal airway injury results ... reflecting the average intrinsic PEEP It is important to remember that intrinsic PEEP may not be accurately detected if the exogenous PEEP is greater than the intrinsic PEEP Consequently, if intrinsic...
- 8
- 118
- 0
Báo cáo khoa học: "Computer simulation allows goal-oriented mechanical ventilation in acute respiratory distress syndrome" ppt
... low flow in a porcine acute respiratory distress syndrome model Clin Physiol Funct Imaging 2006, 26:113-119 Woolcock AJ, Macklem PT: Mechanical factors influencing collateral ventilation in human, ... seeks the ventilator setting that is optimal for reaching these goals In the present context, the simulation goals were defined with the intention being to minimize VT, maintain normocapnia (Paco2 ... ventilator setting providing normocapnia at a PPLAT of 30 cmH2O at 40 breaths/min In spite of the high starting frequency, further gains in terms of a modest but significant reduction in VT could...
- 6
- 368
- 0
Báo cáo y học: "Positive end-expiratory pressure in acute respiratory distress syndrome: should the ‘open lung strategy’ be replaced by a ‘protective lung strategy" pot
... Menaldo E, Davini O, Gandini G, Herrmann P, Mascia L, Quintel M, Slutsky AS, Gattinoni L, Ranieri VM: Tidal hyperinflation during low tidal volume ventilation in acute respiratory distress syndrome ... and tissue in acute respiratory distress syndrome III Consequences for the effects of positive end-expiratory pressure CT Scan ARDS Study Group Adult Respiratory Distress Syndrome Intensive Care ... ‘protective’ against VILI In oleic-acid-induced and endotoxin-induced lung injuries, distal lung units are expanded, are filled with haemorrhagic or proteinaceous oedema, and are infiltrated by inflammatory...
- 3
- 337
- 0
Báo cáo y học: "Respiratory effects of different recruitment maneuvers in acute respiratory distress syndrome" potx
... and tissue in acute respiratory distress syndrome III Consequences for the effects of positive end-expiratory pressure CT Scan ARDS Study Group Adult Respiratory Distress Syndrome Intensive Care ... Constantin et al Table Respiratory and hemodynamic parameters before and after recruitment maneuver Extended sigh Continuous positive airway pressure Baseline minutes 60 minutes Baseline minutes ... Gandini G, Herrmann P, Mascia L, Quintel M, Slutsky AS, Gattinoni L, Ranieri VM: Tidal hyperinflation during low tidal volume ventilation in acute respiratory distress syndrome Am J Respir Crit Care...
- 9
- 411
- 0
Báo cáo y học: "The influence of venous admixture on alveolar dead space and carbon dioxide exchange in acute respiratory distress syndrome: computer modelling" pot
... would result in increases in V'A (or in PaCO2) of 18%, 29% and 39%, respectively (Figure 6) Regarding dead space of a non-VdAS origin, the increase in total ventilation needed to maintain PaCO2 would ... haemoglobin levels and metabolic acidosis • Maintained homeostasis mitigates these effects of shunt Competing interests Clinically relevant effects of increasing VdAS/VtA are permissively increased ... is present in the respiratory zone [3,14] The essence of intensive care is to support the patient by maintaining homeostasis In ARDS, adequate oxygenation may be achieved by reducing intrapulmonary...
- 7
- 335
- 0
Báo cáo y học: "Education and support needs during recovery in acute respiratory distress syndrome survivors" ppsx
... patients learning to re-integrate into independent community living Dominant themes included the need for psychological counseling and rehabilitation services to improve recovery Information needs ... identified during and persisting following critical illness Intensive Care Med 2006, 32:923-926 Larson MJ, Weaver LK, Hopkins RO: Cognitive sequelae in acute respiratory distress syndrome patients ... support, and/or training? ARDS = acute respiratory distress syndrome; All interviews were conducted either in- person or by telephone because the quantity and quality of data colected in these two ways...
- 11
- 178
- 0
Báo cáo y học: "Pressure-dependent stress relaxation in acute respiratory distress syndrome and healthy lungs: an investigation based on a viscoelastic model" pps
... conventional twopoint analysis [37-39] Therefore, we excluded data corresponding to that time interval from the fitting and included, instead, the loading interval during volume inflation for the ... Guttmann J, Kersting K, Kuhlen R, Putensen C, Sydow M, Kramer S: Analysis of respiratory pressure-volume curves in intensive care medicine using inductive machine learning Artif Intell Med 2002, ... 342:1301-1308 Stenqvist O, Odenstedt H, Lundin S: Dynamic respiratory mechanics in acute lung injury/acute respiratory distress syndrome: research or clinical tool? Curr Opin Crit Care 2008, 14:87-93 Hotchkiss...
- 10
- 348
- 0
Báo cáo y học: "New and conventional strategies for lung recruitment in acute respiratory distress syndrome" pps
... maneuver, the following seem particularly interesting: 1) incremental increase in PEEP limiting the maximum inspiratory pressure; 2) pressure-controlled ventilation applied with escalating PEEP and ... abdominal contents and heart [22], yielding a redistribution of ventilation; (b) increased endexpiratory lung volume resulting in a reduction in stress and strain [25]; and (c) changes in regional ... the sustained in ation technique, in which a continuous pressure of 40 cmH2O is applied to the airways for up to 60 sec [8] Sustained in ation has been shown to be effective in reducing lung...
- 7
- 334
- 0
Báo cáo y học: "Small airway remodeling in acute respiratory distress syndrome: a study in autopsy lung tissue" ppsx
... proteins and MMPs was determined in IHC-stained slides The area of ECM proteins positive staining was determined in three airway regions: inner, SM and outer layers The area of MMP-positive staining ... in 10% buffered formalin for 24 hours, routinely processed and paraffin embedded Five μmthick sections were stained with hematoxylin and eosin (H&E) and with Weigert’s Resorcin-Fuchsin staining ... mast cells in the acute respiratory distress syndrome Thorax 1998, 53:823-829 Krein PM, Sabatini PJB, Tinmouth W, Green FHY, Winston BW: Localization of insulin-like growth factor-i in lung tissues...
- 12
- 205
- 0
Báo cáo y học: "High levels of circulating leukocyte microparticles are associated with better outcome in acute respiratory distress syndrome" pdf
... be associated with increased circulating levels of MPs such as acute coronary syndromes, severe chronic renal failure (defined as creatinine clearance
- 10
- 357
- 0
- the role of energy in the respiratory system
- allogeneic hematopoietic cell transplantation in patients with myelodysplastic syndromes
- use of energy in the respiratory system
- the role of energy metabolism in the respiratory system
- non accidental head injury in infants the shakenbaby syndrome
- optimal timing of allogeneic hematopoietic stem cell transplantation in patients with myelodysplastic syndrome
- energy in the respiratory system
- role of energy in the respiratory system
- prone positioning in severe acute respiratory distress syndrome pdf
- non accidental head injury in infants — the shakenbaby syndrome
- oxidative stress and antioxidant therapy in parkinson disease
- psychosocial therapy in the treatment of adults with attentiondeficit hyperactivity disorder
- ali acute respiratory distress syndrome ards
- 2007 quot continuous renal replacement therapy in the adult intensive care unit history and current trends critical care nurse 27 2 tr 67 79
- hội chứng shh cấp tiến triển ards acute respiratory distress syndrome
Tìm thêm: hệ việt nam nhật bản và sức hấp dẫn của tiếng nhật tại việt nam khảo sát chương trình đào tạo của các đơn vị đào tạo tại nhật bản khảo sát chương trình đào tạo gắn với các giáo trình cụ thể xác định thời lượng học về mặt lí thuyết và thực tế tiến hành xây dựng chương trình đào tạo dành cho đối tượng không chuyên ngữ tại việt nam điều tra với đối tượng sinh viên học tiếng nhật không chuyên ngữ1 khảo sát các chương trình đào tạo theo những bộ giáo trình tiêu biểu nội dung cụ thể cho từng kĩ năng ở từng cấp độ xác định mức độ đáp ứng về văn hoá và chuyên môn trong ct phát huy những thành tựu công nghệ mới nhất được áp dụng vào công tác dạy và học ngoại ngữ mở máy động cơ rôto dây quấn hệ số công suất cosp fi p2 đặc tuyến mômen quay m fi p2 đặc tuyến tốc độ rôto n fi p2 đặc tuyến dòng điện stato i1 fi p2 động cơ điện không đồng bộ một pha thông tin liên lạc và các dịch vụ từ bảng 3 1 ta thấy ngoài hai thành phần chủ yếu và chiếm tỷ lệ cao nhất là tinh bột và cacbonhydrat trong hạt gạo tẻ còn chứa đường cellulose hemicellulose chỉ tiêu chất lượng theo chất lượng phẩm chất sản phẩm khô từ gạo của bộ y tế năm 2008 chỉ tiêu chất lượng 9 tr 25