ventilator management in the intensive care unit

... 5Consultant in Internal Medicine, Head of Department of Intensive Care, Intensive Care Unit, Hospital Geral de Santo António, Oporto, Portugal 2Consultant Corresponding author: Cristina Granja, cristinagranja@oninet.pt ... António Carneiro5 and for the JMIP Study Group 1Intensivist, Consultant in Anesthesiology, Medical Intensive Care Unit, Hospital Pedro Hispano, Matosinhos, Portugal in Psychiatry, Department ... stressors during an ICU stay, with the aim of preventing or decreasing them [7-10] This study has two aims: to recollect the experiences felt by patients during their ICU stay, by using an original questionnaire,

Ngày tải lên: 12/08/2014, 20:21

... Alicante, Spain 3Servicio de Medicina Intensiva, Hospital Clínico Universitario, Zaragoza, Spain 4Servicio de Medicina Intensiva, Complejo Hospitalario de Jaén, Spain 5Servicio de Medicina Intensiva, ... (ADANN) – to assess the clinical, microbiological, and pharmacoeconomic features of a carbapenem-based deescalating strategy in intensive care unit (ICU) patients with NP Our hypothesis was that ... respiratory sampling performed before starting the study therapy Written informed consent was obtained from the patients Other diagnostic procedures were performed as needed Exclusion criteria included

Ngày tải lên: 12/08/2014, 23:23

... predefined clinical conditions and the development of acute lung injury by using the American–European consensus definition; the frequency of lung injury development outside the intensive care unit; ... knowledge in two ways. First, our finding that most patients entering the ICU do so on the day of developing their clinical insult is new, and it under- scores the potential need for rapid intervention ... LD, Steinberg KP: Epidemiology of acute lung injury and ARDS. Chest 1999, 116:74S-82S. 21. Quartin AA, RM HS: Acute lung injury: is the intensive care unit the tip of the iceberg? Crit Care Med

Ngày tải lên: 13/08/2014, 08:20

... infection, expected health gains are min- imal and the decision is driven by the change in costs. Most of these costs represent the value of obtaining increased capac- ity within the ICU, rather ... chlorhexidine silver sulfadiazine; CR-BSI, catheter related bloodstream infection; ICU, intensive care unit; int/ext, internally and externally coated; MR, minocycline and rifampicin; RR, relative ... conceive of the study and obtain funding. DP aided in defining the clinical context and helped to draft the manuscript. NG conceived of the study and obtained funding, participated in its design

Ngày tải lên: 13/08/2014, 16:20

... replacement therapy in the intensive care unit: results from The Beginning and Ending Supportive Therapy for the Kidney (BEST Kidney) Study Nattachai Srisawat 1 , Loredo Lawsin 1,2 , Shigehiko Uchino ... of acute renal replacement therapy in the intensive care unit: results from The Beginning and Ending Supportive Therapy for the Kidney (BEST Kidney) Study. Critical Care 2010 14:R46. Submit your ... patients in intensive care: the initial results. Intensive Care Med 1997, 23:645-650. 14. Hoyt DB: CRRT in the area of cost containment: is it justified? Am J Kidney Dis 1997, 30:S102-S104. 15. Uchino

Ngày tải lên: 13/08/2014, 20:21

... 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 on entry ... general intensive care unit (ICU) patients uCysC and plasma creatinine were measured at entry to the ICU AKI was defined as a 50% or 0.3-mg/dL increase in plasma creatinine above baseline Sepsis ... ratio is interpreted as the odds ratio for a 10-fold increase in the variable We defined two cut points The "optimal cut point" is the uCysC concentration at the point on the ROC curve closest

Ngày tải lên: 13/08/2014, 20:22

... control by intensive insulin therapy in adult intensive care units: the Glucontrol study. Intensive Care Med 2009, 35:1738-1748. 16. Dandona P, Chaudhuri A, Ghanim H, Mohanty P: Anti -in? ?? ammatory ... with insulin save lives in intensive care? J Clin Invest 2004, 114:1187-1195 91 Savage DB, Petersen KF, Shulman GI: Mechanisms of insulin resistance in humans and possible links with inflammation ... most increased in organs containing a vast population of phagocytic cells (liver, spleen, gut, lung) [55-57]. In rats injected with endotoxin or TNF-α, insulin-independent glucose uptake is increased

Ngày tải lên: 13/08/2014, 21:20

... beginning, Number of days since hospital admission before the patients were included in the study; TPN duration, Total duration of the TPN in days; Norepinephrine, Medium dose of norepinephrine ... clinical effect on reducing infectious complications Taking into account that TLRs play a central role in the activation of the innate system, hence leading to the activation of different intracellular ... Pérez-Bárcena et al.: Lack of effect of glutamine administration to boost the innate immune system response in trauma patients in the intensive care unit Critical Care 2010 14:R233 Submit your next manuscript

Ngày tải lên: 14/08/2014, 07:21

... concentrations within the first week of intensive care in a large cohort of well characterized intensive care unit (ICU) patients, in order to investigate potential regulatory mechanisms and evaluate the prognostic ... the activation of the immune system in circumstances of inflammation and infection, and have been associated with increased mortality in different populations of non -intensive care patients In ... functions including migration, adhesion, angiogenesis, fibrinolysis and cell proliferation and have been found to promote tissue invasion in malignant diseases by converting plasminogen into plasmin,

Ngày tải lên: 14/08/2014, 07:21

... preventative interventions and enhance the power of clinical studies examining such interventions. The finding that BSI was independently associated with a three-fold increased risk of death from the ... ions making this one of the largest studies of BSI in intensive care. We did not have detailed clinical information includ- ing exact trigger for drawing blood cultures, antimicro- bial therapy, ... of hospital-acquired infection in the ICU patient. Crit Care Med 1982, 10:355-357. 6. Weinstein RA: Epidemiology and control of nosocomial infections in adult intensive care units. Am J Med 1991,

Ngày tải lên: 14/08/2014, 08:21

... Asthma in the Intensive Care Unit Sean M Caples Assistant Professor of Medicine College of Medicine Mayo Clinic Overview • Definitions • Pathophysiology • Differential Diagnosis • Clinical Features ... Ketamine – Sedative, analgesic, bronchodilator • General anesthetics – Halothane, enflurane – High risk; very short acting • Heliox [...]... 8.1% in those intubated • In the USA, minorities ... minorities living in large cities are disproportionately at risk of morbidity and mortality Clinical Features • No sign or symptom is uniformly present • Wheezing absent 5% (a concerning finding) •

Ngày tải lên: 28/10/2016, 20:20

... Infection Control in the Intensive Care Unit H K F van Saene L Silvestri M A de la Cal A Gullo • • Editors Infection Control in the Intensive Care Unit Third Edition Foreword ... bacteremia in an intensive care unit Le Infezioni Medicina 1:24–29 30 Podnos YD, Cinat ME, Wilson SE et al (2001) Eradication of multi-drug resistant Acinetobacter from an intensive care unit Surg Infect ... Antibiotic Policies in the Intensive Care Unit H K F van Saene, N J Reilly, A de Silvestre and F Rios 173 12 Outbreaks of Infection in the ICU: What’s up at the Beginning of the Twenty-First

Ngày tải lên: 22/01/2020, 03:48

... colonization Therefore, the inadvertent flushing of contaminated condensate into the lower airway should be avoided through careful emptying of ventilator circuits 14 Lower Airway Infection 227 There ... decontamination on nosocomial infections acquired in the intensive care unit: a double-blind placebo-controlled multicenter study Crit Care Med 33:1728–1735 40 Segers P, Speckenbrink RGH, Ubbink ... as a ventilator bundle and could bring about a 45% reduction in VAP rates [14] The interventions are recommended by the Institute for Healthcare Improvement (IHI) and include: elevating the head

Ngày tải lên: 22/01/2020, 17:55

... Infection Control in the Intensive Care Unit H K F van Saene L Silvestri M A de la Cal A Gullo • • Editors Infection Control in the Intensive Care Unit Third Edition Foreword ... bacteremia in an intensive care unit Le Infezioni Medicina 1:24–29 30 Podnos YD, Cinat ME, Wilson SE et al (2001) Eradication of multi-drug resistant Acinetobacter from an intensive care unit Surg Infect ... Antibiotic Policies in the Intensive Care Unit H K F van Saene, N J Reilly, A de Silvestre and F Rios 173 12 Outbreaks of Infection in the ICU: What’s up at the Beginning of the Twenty-First

Ngày tải lên: 22/01/2020, 20:05

... colonization Therefore, the inadvertent flushing of contaminated condensate into the lower airway should be avoided through careful emptying of ventilator circuits 14 Lower Airway Infection 227 There ... develop VAP during a hospital stay remain longer in the ICU and the hospital, and the increased level of care and need for additional invasive procedures drastically increases healthcare costs It ... as a ventilator bundle and could bring about a 45% reduction in VAP rates [14] The interventions are recommended by the Institute for Healthcare Improvement (IHI) and include: elevating the head

Ngày tải lên: 23/01/2020, 17:43

... Tuberculosis in the Intensive Care Unit 89 South African Perspective Charles Feldman Tuberculosis in the Intensive Care Unit: The North American Perspective North American Perspective Loren C Denlinger, ... challenge The standard therapy in the past included a course of 2000 to 3000 mg systemic amphotericin therapy plus intensive and lengthy intrathecal (by lumbar or cisternal route) AMB therapy [63] Intrathecal ... PARASITIC INFECTIONS IN THE INTENSIVE CARE UNIT PERSPECTIVES ON CRITICAL CARE INFECTIOUS DISEASES Jordi Rello, M.D., Series Editor N Singh and J.M Aguado (eds.): Infectious Complications in Transplant

Ngày tải lên: 07/09/2020, 15:35

... Training on CHG bathing was provided during four weekly staff meetings one month prior to switching from regular soap to CHG soap During training, staff were informed about the steps involved in ... used an interview guide (appendix) and conducted semi-structured interviews in a quiet room on the unit Questions in the interview guide were broadly framed using the Systems Engineering Initiative ... bath Legend: the direction of the arrows means that factor (s) in the text box from which the arrow starts influence factors in the box into which the arrow points Bolded text indicates the five

Ngày tải lên: 19/11/2022, 11:45

... intensive care, and take part in regular training of oncology and intensive care nurses. The nurse/patient ratio ranges from 1.2 to 1.7. Routine clinical rounds, including medical, nurse and physiotherapy ... the intensive care unit (ICU) for acute concurrent illness, postoperative care, or complications of their cancer or its therapy [2]. In general hospitals, intensiv- ists frequently consider these ... helpful in enroling patients in clinical trials and enriching discussions about prognosis in intensive care. Key messages None of the severity-of-illness scores evaluated in the present study

Ngày tải lên: 12/08/2014, 20:20

... for writing the manuscript RPH assisted in the conception of the project and in the writing and drafting of the manuscript, including the creation of tables SMG assisted in performing the literature ... including the creation of tables TDG assisted in the writing, drafting, and editing of the manuscript EWE contributed to the conception of the project and assisted in the writing and drafting of the ... employing comprehensive diagnostic, as opposed to screening, instruments tion of tables ROH assisted in performing the literature review and the writing, drafting, and editing of the manuscript, including

Ngày tải lên: 13/08/2014, 03:20

... [1, 2]. In developing countries including Tanzania, injuries in general are increasing due to increase in urbanization, motorization, civil violence, wars and criminal activities [3]. In these ... emergency, requiring either immediate surgical intervention or intensive care or both [4, 5]. The Intensive Care Unit is a specialized area where facilities for the critically ill or severely injured ... prognosis being denied care; many of these die as a result [7]. Despite continued advances in intensive care unit technology and the availability of sophisticated interventions for the treatment

Ngày tải lên: 13/08/2014, 23:20