what works in a patient with acute respiratory distress syndrome

... obstetric patients.[1-3] In our review of literature there have been no report of severe anaphylaxis to ranitidine in a patient with pancreatitis Demirkan et al found only cases of anaphylactic reaction ... Hewitt PB: Anaphylactoid reaction to ranitidine in an obstetric patient Anaesthesia 1992, 47(4):360-1 Greer IA, Fellows K: Anaphylactoid reaction to ranitidine in labour Br J Clin Pract 1990, ... interests Authors' contributions UR was involved in collecting patient details, reviewing the literature and drafted the manuscript as the main author RSY was involved in reviewing the literature and...

Ngày tải lên: 11/08/2014, 10:22

... N, Awaya Y, Oyama T, Yamakido M, Akiyama M, Inoue Y, Yokoyama A, Hamada H, Fujioka S, Hiwada K: KL-6, a mucin-like glycoprotein, in bronchoalveolar lavage fluid from patients with interstitial ... prognosis in ARDS patients List of abbreviations ALI: acute lung injury; ANOVA: analysis of variance; ARDS: acute respiratory distress syndrome; AUC: area under the curve; BALF: bronchoalveolar lavage ... Crit Care 2008, 12(1):R12 Ishizaka A, Watanabe M, Yamashita T, Ogawa Y, Koh H, Hasegawa N, Nakamura H, Asano K, Yamaguchi K, Kotani M, Kotani T, Morisaki H, Takeda J, Kobayashi K, Ogawa S: New...

Ngày tải lên: 12/08/2014, 13:22

... the potential sustained effects of PV measurement on gas exchange and haemodynamic parameters have not been investigated in patients presenting with acute respiratory distress syndrome (ARDS) This ... 26:1046-1056 Abraham E, Gallagher TJ, Fink S: Clinical evaluation of a multiparameter intra-arterial blood-gas sensor Intensive Care Med 1996, 22:507-513 Biomedical Sensors: Paratrend Operating Instructions ... reached during PV measurement was corre- lated with the maximal increase in Pao2 after PV measurement using both methods (data not shown) The maximal increase in Pao2 after PV measurement using both...

Ngày tải lên: 12/08/2014, 23:23

... N, Awaya Y, Oyama T, Yamakido M, Akiyama M, Inoue Y, Yokoyama A, Hamada H, Fujioka S, Hiwada K: KL-6, a mucin-like glycoprotein, in bronchoalveolar lavage fluid from patients with interstitial ... Tasaka S, Hasegawa N, Kohno N, Kotani T, Morisaki H, Takeda J: Elevation of KL-6, a lung epithelial cell marker, in plasma and epithelial lining fluid in acute respiratory distress syndrome Am ... (Eisai Corporation, Tokyo, Japan) according to the manufacturer's instructions in BALF and in plasma The intra-assay coefficient of variation was 5.1% and the inter-assay coefficient of variation...

Ngày tải lên: 13/08/2014, 10:20

... previous analysis – clinical data resulting from a strict algorithm with defined indications (and contraindications) • The use of iLA in early ARDS, combined with a refined application technique including ... resulted in a significant improvement in arterial oxygenation and a marked removal in arterial carbon dioxide within two hours allowing a rapid reduction in FiO2, minute ventilation and inspiratory ... ischaemia-indicating laboratory values (creatine kinase, lactate)) an immediate removal of the cannulae was prescribed Statistical analysis Statistical analysis was performed using SPSS Software, version...

Ngày tải lên: 13/08/2014, 11:23

... circulation and gas exchange with or without an ILA device operating in animals with ARDS Before initiation of resuscitation all animals had a severe ARDS and a stable haemodynamic situation After induction ... therapeutic approach in patients with severe ARDS that facilitates a lung protective ventilation strategy This is achieved mainly by an extracorporeal CO2 elimination and possibly sustained by a small ... were cannulated with ultrasound guidance and a 13 Fr cannula was inserted into the artery and a 15 Fr cannula into the vein using Seldinger's technique The ILA device (Novalung, Hechingen, Germany)...

Ngày tải lên: 13/08/2014, 15:21

... the abdomen, data were collected via physical examination, and the intra-abdominal pressure was measured via vesical probe Other data included radiological assessments, intraoperative findings, ... had abdominal infection (without lung infection), and had both infections All patients with just lung infection had an alveolar-to-peritoneal sTREM ratio of greater than 1, and all patients with ... sTREM ratio of greater than 1, and all patients with abdominal infection alone had an alveolar-to-peritoneal sTREM ratio of less than However, patients with both infections had a huge variability,...

Ngày tải lên: 14/08/2014, 07:21

... including local inflammation, injection site pain and itching, anaphylaxis/anaphylactoid reactions, local ecchymosis, nausea/vomiting, diarrhea, anorexia, and headache [26] While Hyalgan © has ... alternative for a patient with Marshall Smith Syndrome and debilitating, painful bilateral hip dysplasias using intra-articular sodium hyaluronate injections This management option should be Salter ... demonstrating dysplastic hips with shallow, horizontal acetabula, post-traumatic bowing, Arrow indicates healing tibial fracture Diaphyses are gracile with thin cortices and obliterated medullae, in...

Ngày tải lên: 20/06/2014, 04:20

... including local inflammation, injection site pain and itching, anaphylaxis/anaphylactoid reactions, local ecchymosis, nausea/vomiting, diarrhea, anorexia, and headache [26] While Hyalgan © has ... alternative for a patient with Marshall Smith Syndrome and debilitating, painful bilateral hip dysplasias using intra-articular sodium hyaluronate injections This management option should be Salter ... demonstrating dysplastic hips with shallow, horizontal acetabula, post-traumatic bowing, Arrow indicates healing tibial fracture Diaphyses are gracile with thin cortices and obliterated medullae, in...

Ngày tải lên: 20/06/2014, 07:20

... and claustrophobia The oral route is an alternative that can be used in cases where the patient is intolerant to conventional approaches [13] Figure A facial computed tomography reformation at ... cardiorespiratory study showed that in addition to extended periods of snoring, he also had severe OSAS with an apnoea and hypopnoea index (AHI) of 72.1/h, a desaturation index of 67.1/h, and a minimum ... was treated with antihypertensive medication Home nocturnal oximetry (in bilevel mode with those parameters) maintained episodes of desaturation, suggesting a large number of residual apnoea and/or...

Ngày tải lên: 11/08/2014, 14:21

... two indicators: ice-cold water and indocyanin green (ICG) Cold distributes to both intravascular and extravascular volumes, whereas ICG remains intravascular Both indicators are injected into ... two baseline measurements were performed in each patient, 30 apart Patients then started with either human ANP infusion (Atriobiss; Clinalfa AG, Läufelfingen, Germany) at a rate of 10 ng/kg/min ... in arterial oxygen saturation and a decrease in the alveo- Another explanation for our results may be that ANP did not produce clinical effects because there was already a maximal vasodilating...

Ngày tải lên: 12/08/2014, 18:21

... E, Nathanail C, Lachana A, Koulouras V, Kastani D: Effect of the prone position on patients with hydrostatic pulmonary edema compared with patients with acute respiratory distress syndrome and ... protects better against ventilator-induced lung injury [8] Clinical experience Prone positioning has improved arterial oxygenation in all studies in patients with ARDS that have examined the question, ... concerns about the safety of proning a particular patient Finally, clinicians that disagree about the use of prone ventilation should appreciate they are probably disagreeing more on their own values...

Ngày tải lên: 12/08/2014, 18:21

... Bronchoscopic Alveofact (natural bovine surfactant) Surfactant administration was safe Improved PaO2:FiO2 ratio Spragg and colleagues, 2002 [23] 448 Abstract only Intratracheal Venticute (rSP-Cbased surfactant) ... mortality (95% confidence interval) for 28-day to 30-day mortality in patients treated with surfactant compared with controls OR < indicates that treatment with surfactant was associated with a ... Abstract only Intratracheal Venticute (rSP-Cbased surfactant) Published as an abstract Randomized Surfactant treatment may reduce acute pulmonary inflammation Walmrath and colleagues, 2002 [14]...

Ngày tải lên: 12/08/2014, 23:22

... Noradrenaline was used if mean arterial pressure (MAP) was below 65 mmHg despite adequate intravascular volume status Dobutamine was added in case the cardiac index (CI) was less than 2.5 l/min/m2 ... controlled trial JAMA 2008, 299:646-655 Eisner MD, Thompson BT, Schoenfeld D, Anzueto A, Matthay MA: Airway pressures and early barotrauma in patients with acute lung injury and acute respiratory distress ... by a decremental OLPEEP trial inproves oxygenation and respiratory system compliance in patients with ARDS already ventilated in a lung protective mode Although major haemodynamic indices remain...

Ngày tải lên: 13/08/2014, 16:20

... bronchoalveolar lavage levels of proinflammatory cytokines, and that stabilization of alveoli is a key issue in reducing atelectrauma The debate on how to best manage patients with ARDS is an exciting one ... deactivation (also a classic finding in ARDS) causes a continuum of altered alveolar mechanics seen as repetitive collapse of alveoli at end-expiration and re-inflation at end-inspiration In a recent follow-up ... yet available Further research is required to determine whether alveolar stabilization is achievable, measurable, and desirable Finally, are proinflammatory mediators involved in this process? Again,...

Ngày tải lên: 12/08/2014, 20:20

... mental health The total score lies between and 100, with higher values indicating a more favourable quality of life Normative data are available for a German-speaking population [15] We matched ... questionnaire data and participated in the statistical analysis CEP enrolled the patients, coordinated the data collection and acquired the medical data FH helped to draft the manuscript and made ... have demonstrated that both the physical and, in particular, the mental convalescence of patients with ARDS takes a long time after discharge from ICU [20,28] In addition, non-participating patients...

Ngày tải lên: 13/08/2014, 03:20

... perfusion in head injury In Intracranial Pressure VIII Edited by: Avezaat CJJ, van Eijndhoven JHM, Maas AIR Berlin: Springer-Verlag; 1993:540-545 Stocchetti N, Maas AIR, Chieregato A, Plas AA van der: ... Raurich JM, Ibanez J, Burguera B, Barcelo A, Ayestaran JI, Perez-Barcena I: Relationship between plasma adrenocorticotropin hormone and intensive care unit survival in early traumatic brain injury ... resulting in an increase of ACTH [51-53] INO reaching the central nervous system may allow GR in the brain to be downregulated Aaltoren et al have shown that pigs with meconium aspiration have hippocampal...

Ngày tải lên: 13/08/2014, 23:20

... factor, anti-RNP antibody, and anti-SS -A antibody Bilateral hand X-rays showed mild swelling and destruction of the metacarpo-phalangeal (MP) and proximal-inter-phalangeal (PIP) joints He was diagnosed ... Hoshida Y, Xu JX, Fujita S, Nakamichi I, Ikeda J, Tomita Y, Nakatsuka S, Tamaru J, Iizuka A, Takeuchi T, Aozasa K: Lymphoproliferative disorders in rheumatoid arthritis: clinicopathological analysis ... methotrexate in rheumatoid arthritis Ann Pharmacother 2004, 38:172-173 22 23 24 25 Okazaki H, Sato H, Kamimura T, Hirata D, Iwamoto M, Yoshio T, Mimori A, Masuyama JI, Kano S, Minota S: In vitro and in...

Ngày tải lên: 10/08/2014, 22:20

... chain reaction (RT-PCR) and the genescan analysis to assay for TCR Va and Vb gene utilization and clonal expansion in a patient who developed Ph-negative acute lymphoblastic leukemia while in ... BCR/ABL rearrangement Primers Sequences CML (upstream) 5’-GGAGCTGCAGATGCTGACCAAC-3’ CML (downstream) 5’-TCAGACCCTGAGGCTCAAAGTC-3’ CML (upstream) 5’-CGCATGTTCCGGGACAAAAGC-3’ Results Genetic feature ... USA): The quality of RNA was analyzed in 0.8% agarose gel stained with ethidium bromide Two μg RNA was reversely transcribed into the first singlestrand cDNA with random hexamer primers, using reverse...

Ngày tải lên: 10/08/2014, 22:21

... fever, generalized myalgia and arthralgia, lower back pain, anorexia, and sweating He experienced a sudden onset of abdominal pain accompanied by nausea and vomiting He lived in an area of northwestern ... × 2) was administrated over six weeks During treatment our patient progressed satisfactorily A week after starting the treatment, he felt well and the abdominal pain gradually decreased With the ... bacterial translocation after hemorrhagic shock in rats Clin Exp Med 2001, 1:61-66 Karasawa T, Hideaki I, Tsukamoto T, Yamasaki S, Kurazono H, Faruque SM, Balakish Nair G, Nishibuchi M, Takeda...

Ngày tải lên: 11/08/2014, 00:22