ultrasound and how is it used in the intensive care unit icu
Báo cáo khoa học: " Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit"
... this could have introduced the potential for bias in the results and is a limitation of the study Medical errors are among the leading causes of death in the United States In its highly publicised ... change in vital signs There were four errors, however, that caused either patient harm or increased monitoring and 34 intercepted errors that could have potentially caused harm had they been administered ... concern with this CPOE system This is not an isolated finding [13] and should be noted by clinical directors as they review the need for CPOE on their units As clinicians embrace CPOE, they should...
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Báo cáo y học: "Patients with ischaemic, mixed and nephrotoxic acute tubular necrosis in the intensive care unit – a homogeneous population" pps
... analysis of ARF in the ICU One possible explanation for this is that a relatively low creatinine threshold was used in the definition of ARF; in comparison with studies using a creatinine of ... conditions (Table 2) Reason for intensive care unit admission The reasons for ICU admission were similar in the three groups, with postoperative patients and those with infection dominating, ... mortality rates in patients with ischaemic and mixed ARF to be three times the rate in patients with nephrotoxic ARF It is conceivable that ischaemia is a determining factor in mortality rates in...
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Báo cáo y học: "Urinary cystatin C is diagnostic of acute kidney injury and sepsis, and predicts mortality in the intensive care unit" pptx
... it was less than the initial creatinine on entry to the ICU and not obviously AKI (n = 45) If a preadmission creatinine was not available, then the lowest value of either the initial creatinine ... of the time course and reliability role of uCysC in the critically ill Key Messages • In the ICU, urinary cystatin C is diagnostic of acute kidney injury • In the ICU, urinary cystatin C is independently ... years, and creatinine was stable (within 15% of the lowest ICU creatinine) (n = 7); (c) pre -ICU value >365 days, if it was less than initial creatinine on entry to ICU (n = 58); and (iv) pre-ICU...
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Báo cáo y học: "Endothelial Circulating soluble urokinase plasminogen activator receptor is stably elevated during the first week of treatment in the intensive care unit and predicts mortality in critically ill patients" potx
... pathophysiological and therapeutic targets in critical disease At present, it is unclear whether serum suPAR is truly causatively involved in mechanisms of critical disease resulting in high mortality or whether ... with SIRS and suspicion of having communityacquired infections in a non -intensive care setting suPAR was found to have a low accuracy in diagnosing bacterial infection in SIRS patients [17] The ... the first week after ICU admission We next investigated whether suPAR levels changed in individual patients during the first week of ICU treatment Within the first week, the following surviving...
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báo cáo hóa học:" Alterations in vitamin D status and anti-microbial peptide levels in patients in the intensive care unit with sepsis" pot
... wasting of vitamin D and its metabolites, providing another mechanism to explain why vitamin D insufficiency is common in patients with sepsis The classic function of vitamin D is to maintain ... subjects with Plasma criticallyD binding protein insepsis andillhealthy subPlasma vitamin D binding protein in critically ill subjects with sepsis, critically ill subjects without sepsis and healthy ... decreased in critically ill subjects with sepsis which further exacerbates vitamin D insufficiency Whether this effect is due to decreased vitamin D binding protein synthesis, increased clearance and/ or...
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Báo cáo y học: " Alarms in the intensive care unit: how can the number of false alarms be reduced" doc
... Principle and Practice of Intensive Care Monitoring Edited by Tobin MJ New York: McGraw-Hill, Inc; 1998:33–44 Lawless ST: Crying wolf: false alarms in a pediatric intensive care unit Crit Care Med ... prognosis for existing monitors in the intensive care unit Crit Care Med 1997, 25:614–619 Chambrin MC, Ravaux P, Calvelo D, Jaborska A, Chopin C, Boniface B: Multicentric study of monitoring alarms ... description of the signal composition is given in terms of its characteristics in time and frequency according to the level of priority, resulting in a sequence of notes in a distinctive rhythm...
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Báo cáo y học: "Is succinylcholine appropriate or obsolete in the intensive care unit" docx
... wide as with succinylcholine [18] Many studies have shown that rocuronium is a highly acceptable replacement for succinylcholine in the ICU; therefore, in my opinion, succinylcholine is obsolete ... with sepsis, malignancy, burn trauma and liver disease [12] In such patients there is a wide variability in the neuromuscular blocking effect, onset and duration of paralysis caused by succinylcholine ... Finally, the histamine-releasing properties of muscle relaxants are well known, and succinylcholine has the strongest histaminereleasing effect of all such agents Candidates to replace succinylcholine...
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Báo cáo khoa học: " Research ethics in the intensive care unit: current and future challenges" pdf
... learned, to discuss the dilemmas we continue to face and to discover together how to resolve them In the upcoming Critical Care theme issue on research ethics, we shall examine some of the common ... arise in the publication stage How journals increase their readership impact score? What obligations they have to the broader ICU community to ensure the quality of research or the quality of the ... some of the common challenging ethical and legal issues that plague us within the ICU community, provide guidance in avoiding common pitfalls, and discuss an approach to think through as yet unresolved...
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Báo cáo khoa học: " How to compare adequacy of algorithms to control blood glucose in the intensive care unit" pptx
... of such devices and their ability to optimize life-saving intensive insulin therapy in the ICU Until this becomes a reality, insulin titration algorithms should include frequent measurement of ... morbidity as well as mortality [8] 152 In order to achieve normoglycaemia during intensive care, most ICUs require a titration algorithm, particularly during the start-up phase when it is introduced ... adipose tissue still require validation in the ICU setting Availability and validation of such devices will render intensive insulin therapy easier and safer Closed loop systems, with computer-assisted...
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Báo cáo khoa học: "Clinical review: Moral assumptions and the process of organ donation in the intensive care unit" pptx
... Surgeons, intensivists and the covenant of care — administrative models and values affecting care at the end of life — updated Crit Care Med 2003, 31:1551-1559 66 Levy MM End-of-life care in the intensive ... responsibility for it, studying it and writing about it, and being accountable for all aspects of the process — including the determination of brain death, identification of the possibility of organ ... legitimacy of the family decision The discussion might therefore begin (after evident understanding of the fact and meaning of brain death from the family) with a statement such as “There is one other...
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Báo cáo khoa học: "Elevated troponin and myocardial infarction in the intensive care unit: a prospective study" potx
... other diagnostic tests, the use of intermittent 12-lead ECG in combination with monitoring troponin levels is the practical approach that most physicians use to diagnose MI in the ICU In the ICU, ... obtained at the direction of the ICU team as clinically indicated ECGs were performed by a technologist during the day, and by the ICU bedside nurse in emergencies and during the evenings and ... MI and both ICU and hospital mortality Because troponin is a key component of the diagnosis of MI but may be increased in conditions other than MI, we examined the independent additional risk...
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Bóa cáo y học: " Helicobacter pylori infection is not associated with an increased hemorrhagic risk in patients in the intensive care unit" potx
... RC, Cerra F, Kaye W: Descriptive analysis of critical care units in the United States: patient characteristics and intensive care unit utilization Crit Care Med 1993, 21:279-291 26 Hebert PC, ... incubation for exactly minutes at ambient room temperature Tests were recorded as positive if there was a blue line in the control window and a pink line in the test window, and negative if there ... unexplained decline in the hemoglobin level, showing gastric or duodenal ulcer in 45%, oesophageal ulcer in 24% and diffuse gastritis in 12% of the cases H pylori antigen was positive in 2.5% of the patients...
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Báo cáo y học: "Acute kidney injury in the intensive care unit: current trends in incidence and outcome" potx
... definitions for AKI exist and are being increasingly used in the literature [7,8] The advent of RIFLE (Risk-InjuryFailure-Loss of renal function-Endstage renal disease) and AKIN (Acute Kidney Injury ... is crucial Aside from how to intervene, the other important question is when to intervene Over the time course of AKI, just like with sepsis, we can distinguish between a biological and a clinical ... criteria provides us a framework for identifying and staging AKI This will not only aid us in recruiting patients, but also serve as clinical endpoints for evaluating interventions in AKI In the...
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Báo cáo y học: "Advanced directives and treatment decisions in the intensive care unit" potx
... crisis but should be part of an ongoing discussion intrinsic to the doctor–patient relationship Establishing why rather than whether the patient accepts or rejects treatments gives insight into ... hospitalized patients: effectiveness with the patient self-determination act and the SUPPORT intervention SUPPORT Investigators Study to Understand Prognoses and Preferences for Outcomes and Risks ... Critical Care Ethics: Treatment Decisions in American Hospitals Kansas City: Sheed & Ward 1991 Bishop M: Quality of life and psychosocial adaptation to chronic illness and acquired disability:...
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Báo cáo y học: "Bench-to-bedside review: Leadership and conflict management in the intensive care unit" docx
... potential, to accept the individual diversity of their coworkers and try to utilise it positively in relation to the team, in disputes and discussions, in planning and organisation, in performance ... for the existence of the unit, a compromise is impossible: it is either one or the other The danger here is that someone ‘loses’ if an opposite direction is chosen If this happens, there is a good ... stopping treatment or continuation of treatment does not allow a compromise: it is either one or the other Also here, listening is the key to finding a solution Taking time to understand the position...
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Báo cáo y học: "Clinical risk conditions for acute lung injury in the intensive care unit and hospital ward: a prospective observational study" potx
... of lung injury Frequency histograms are shown for the timing of intensive care unit (ICU) admission relative to development of clinical risk condition (a), and diagnosis of acute lung injury (ALI)/acute ... ways First, our finding that most patients entering the ICU so on the day of developing their clinical insult is new, and it underscores the potential need for rapid intervention in these patients ... data, including hospital mortality and length of hospital stay, and if applicable, mortality in ICU, the length of stay in the ICU, and the duration of mechanical ventilation Available online...
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Báo cáo y học: "Bench-to-bedside review: Rare and common viral infections in the intensive care unit – linking pathophysiology to clinical presentatio" ppt
... individuals and usually is associated with conjunctivitis and other extrapulmonary manifestations, such as gastrointestinal disease, hepatitis, meningitis, and hemorrhagic cystitis [68] The extrapulmonary ... between them The initial incubation period after exposure to the virus is to days, with clinical disease beginning with the onset of fever, chills, malaise, severe headache, nausea, vomiting, diarrhea, ... diarrhea, and abdominal pain [92-94,96] With this initial infection, macrophages and dendritic cells initially are the site of viral replication, followed by spread to the reticuloendothelial system...
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Báo cáo y học: "Probiotics in the intensive care unit: why controversies and confusion abound" doc
... Commensal organisms additionally interact with TLR-9, thereby producing an anti-inflammatory cytokine milieu rich in interleukin-10 [14] In aggregate, these cellular mechanisms provide intestinal host ... Pseudomonas aeruginosa infections: a randomized, double-blind, placebo-controlled pilot study in intensive care unit patients Crit Care 2008, 12: R69 Joint FAO/WHO Working Group: Guidelines for the evaluation ... unknown whether there are optimal probiotic species, doses, and/ or formulations Another area of particular clinical interest is whether combination therapy is superior to single-agent therapy The recent...
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