xử trí clinical critical care medicine 2006

... Critical Care Vol 13 No Collinson occurs in a range of other clinical conditions other than cardiac dysfunction, including sepsis [11] Values are frequently raised in the intensive care ... JP: Performance of N-terminal-pro-Btype natriuretic peptide in critically ill patients: a prospective observational cohort study Crit Care 2008, 12:R137 Maisel AS, Krishnaswamy P, Nowak RM, McCord ... International Collaborative of NTproBNP Study Eur Heart J 2006, 27:330-337 Zhao SQ, Hu YM, Li Q, Liu XR, Wang M, Zhang WY, Wu T, Nie XL, Zhao N, Wang LR: The clinical value of rapid assay for plasma B-type...

Ngày tải lên: 13/08/2014, 11:23

... healthcare authorities As a result, critical care medicine was officially recognized as a specialty of clinical medicine in 2009 [7] Critical care resources and services There is no census on critical ... ‘intensive care unit’ or ‘intensive care or critical care unit’ and ‘survey’, and found only eight relevant papers concerning critical care resources in mainland Du et al Critical Care 2010, ... Abbreviations APACCM = Asia Pacific Association of Critical Care Medicine; CACCP = Chinese Association of Critical Care Physicians; CCCCTG = China Critical Care Clinical Trial Group; CMA = Chinese Medical...

Ngày tải lên: 13/08/2014, 20:21

... Glen Mayhall PART II: CLINICAL SYNDROMES IN CRITICAL CARE Clinical Approach to Sepsis and Its Mimics in Critical Care Burke A Cunha Meningitis and Its Mimics in Critical Care Burke A Cunha and ... 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, ... ix x xi xii xvii PART I: DIAGNOSTIC APPROACH IN CRITICAL CARE Clinical Approach to Fever in Critical Care Burke A Cunha Fever and Rash in Critical Care 19 Lee S Engel, Charles V Sanders, and Fred...

Ngày tải lên: 06/03/2014, 06:20

... / m in IV 14 Critical Care History and Physical Examination Critical Care History and Physical Examination 15 Critical Care Patient Management T Scott Gallacher, MD, MS Critical Care History ... ECG, diagnostic studies Discuss case with resident, attending, and family Critical Care Progress Note 17 Critical Care Progress Note ICU Day Number: Antibiotic Day Number: Subjective: Patient ... consumption, intravenous drug use Review of systems: Review symptoms related to each organ system Critical Care Physical Examination Vital signs: Temperature, pulse, respiratory rate, BP (vital signs...

Ngày tải lên: 09/08/2014, 14:22

... Supportive Care for Chest Pain • All patients should receive supplemental oxygen, L/min by nasal canula, for a minimum of three hours • Two large-bore IVs should be placed Aspirin: Inclusion Clinical ... with 100 cc water q8h Enteral Bolus Feeding: Give 50-100 mL of enteral solution (Osmolite, Pulmocare, Jevity) q3h initially Increase amount in 50 mL steps to max of 250-300 mL q3-4h; 30 kcal of ... who not have ST-segment elevation will develop Q-wave MI and non–Q-wave MI or unstable angina I Clinical evaluation of chest pain and acute coronary syndromes A History Chest pain is present in...

Ngày tải lên: 09/08/2014, 14:22

... ejection fraction of 150 msec may improve symp­ toms and the overall clinical course J Inotropic support Positive inotropic agents improve quality of life and reduce ... be administered continuously or intermittently at home Impedance cardiography is used to assess clinical response before and during treatment Atrial Fibrillation 37 Inotropic Agents for Cardiogenic ... common noncardiac causes are pulmonary diseases (including COPD), hypoxia, and hyperthyroidism II Clinical evaluation Atrial Fibrillation 39 younger than 65 and without these risk factors (lone...

Ngày tải lên: 09/08/2014, 14:22

... curved blade, advance it to the vallecula (superior to epiglottis), and lift anteriorly, being careful not to exert pressure on the teeth If using a straight blade, place beneath the epiglottis ... termination of weaning trial PaO2 falls below 55 mm Hg Acute hypercapnia Deterioration of vital signs or clinical status (arrhythmia) C Rapid T-tube weaning method for short-term (

Ngày tải lên: 09/08/2014, 14:22

... verify correct placement and evaluate reexpansion of the lung Tension Pneumothorax I Clinical evaluation A Clinical signs: Severe hemodynamic and/or respiratory compromise; contralaterally deviated ... COPD Prednisone 0.5-1.0 mg/kg or 40 mg qAM The dose should be tapered over 1-2 weeks following clinical improvement Aerosolized corticosteroids provide the benefits of oral corticosteroids with ... of a protective-ventilation strategy on mortality in the ARDS NEJM 1998,338(6)347-54 McIntyre NR Clinically available new strategies for mechanical ventilatory support Chest, 1993, 104(2):500-5...

Ngày tải lên: 09/08/2014, 14:22

... pneumonia is the leading infectious cause of death and is the sixth-leading cause of death overall I Clinical diagnosis A Symptoms of pneumonia may include fever, chills, malaise and cough Patients ... community-acquired pneumonia Recommended Empiric Drug Therapy for Patients with CommunityAcquired Pneumonia Clinical Situation Primary Treatment Alternative(s) Younger (

Ngày tải lên: 09/08/2014, 14:22

... 1997 Guidelines for the Use of Antimicrobial Agents in Neutropenic Patients with Unexplained Fever Clinical Infectious Diseases 1997; 25:551-73 Hughes W.T Opportunistic Infections in AIDS Patients ... Krutzik, MD H.L Daneschvar, MD S.E Wilson, MD Roham T Zamanian, MD Upper Gastrointestinal Bleeding I Clinical evaluation A Initial evaluation of upper GI bleeding should estimate the severity, duration, ... from esophageal and gastric varices usually occurs as a complica­ tion of chronic liver disease I Clinical evaluation A Variceal bleeding should be considered in any patient who presents with significant...

Ngày tải lên: 09/08/2014, 14:22

... literature review J of Emergency Medicine, 2000; 18:65-70 The American Academy of Clinical Toxicology and the European Association of Poison Control Centers and Clinical Toxicologists position ... of supportive care No antidote is available; ethanol is not indicated B Hemodialysis: Indications: refractory hypotension, coma, potentially lethal blood levels Lithium Overdose I Clinical features ... swallowing wrapped packets, and some users may hastily swallow packets of cocaine to avoid arrest II Clinical features A CNS: Sympathetic stimulation, agitation, seizures, tremor, headache, subarachnoid...

Ngày tải lên: 09/08/2014, 14:22

... Ketoacidosis Diabetic ketoacidosis is defined by hyperglycemia, metabolic acidosis, and ketosis I Clinical presentation A Diabetes is newly diagnosed in 20% of cases of diabetic ketoacidosis In ... of nitrogenous wastes in the blood It is character­ ized by an increasing BUN and creatinine I Clinical presentation of acute renal failure A Oliguria is a common indicator of acute renal failure, ... pericarditis, bleeding, anemia, hyperkalemia, hyperphos­ phatemia, hypocalcemia, and metabolic acidemia II Clinical causes of renal failure A Prerenal insult Prerenal insult is the most common cause of acute...

Ngày tải lên: 09/08/2014, 14:22

... Azmacort 59, 64 AZT 85 Bactrim 65, 84 Barbiturate coma 121 Basaljel 141 Critical care history 15 Beclomethasone 59, 64 Critical care physical exami­ Beclovent 59, 64 nation 15 Betapace 41, 45 Crixivan ... Hyperphosphatemia I Clinical manifestations of hyperphosphatemia: Hypotension, bradycardia, arrhythmias, bronchospasm, apnea, laryngeal spasm, tetany, seizures, weakness, psychosis, confusion II Clinical ... furosemide may be required to lessen the risk of fluid overload IV Hypernatremia A Clinical manifestations of hypernatremia: Clinical manifestations include tremulousness, irritability, ataxia, spasticity,...

Ngày tải lên: 09/08/2014, 14:22

... peptides Critical Care 2001, 5:53–55 12 Wasser T, Pasquale MA, Matchett SC, Bryan Y, Pasquale M: Establishing reliability and validity of the critical care family satisfaction survey Crit Care Med ... be defined and weighted in some manner Again they are practice dependent Critical Care Vol No Smith the family, or the care team There are some tools available, such as those developed by Wasser ... sepsis: a critical appraisal and meta-analysis of the literature Crit Care Med 1995, 23:1430–1439 Lefering R, Neugebauer EA: Steroid controversy in sepsis and septic shock: a meta-analysis Crit Care...

Ngày tải lên: 12/08/2014, 18:20

... Societies of Intensive and Critical Care Medicine (WFSICCM) References Lipman J, Lichtman AR: International perspectives on critical care: critical care in Africa Critical Care Clin 1997, 13:255265 ... these factors impose major challenges on health care in South Africa in general, but also on critical care medicine in particular Can critical care survive in South Africa? There is no easy answer ... http://ccforum.com/content/6/1/022 In 1999, a faculty of Critical Care Medicine was established in the College of Medicine of South Africa With effect from September 2001, the critical care specialist trainees have to...

Ngày tải lên: 12/08/2014, 18:21

... Critical Care February 2002 Vol No Ramakrishnan of hyperglycaemia in critically ill patients A total of 1548 medical and surgical ... also presented data on the role of pituitary failure in patients who are critically ill for protracted periods intensive care: that of harm minimisation and risk management Microcirculation and ... University School of Medicine, Winston-Salem, North Carolina, USA, stressed the importance of patient selection and the caveats of using the drug He also advocated good supportive intensive care Dr Simon...

Ngày tải lên: 12/08/2014, 18:21

... Crit Care Med 2002, 166:1510–1514 Sandham JD, Hull RD, Brant RF, Knox L, Pineo GF, Doig CJ, Laporta DP, Viner S, Passerini L, Devitt H, Kirby A, Jacka M, for the Canadian Critical Care Clinical ... we treat endocrine alterations in critically ill patients? Available online http://ccforum.com/content/7/2/193 Changing physician behaviour in the intensive care unit Deborah Cook (Hamilton, ... Critical Care April 2003 Vol No De Backer and Creteur Nevertheless, a recent histological autopsy study...

Ngày tải lên: 12/08/2014, 19:22

Ngày tải lên: 12/08/2014, 19:22

... 33rd Critical Care Congress Orlando, USA http://www.sccm.org/education/index.asp 25–29 February 2004 The Canadian Critical Care Conference British Columbia, Canada http://canadiancriticalcare.ca/ccc/ ... ventilation in neonates and as a noninvasive modality [58] After patients leave the critical care unit many critical care staff lose contact with them and have little perspective on their quality ... Toronto Critical Care Medicine Symposium Many other presentations touched on subjects including medical errors, sedation, team building, management of cardiac failure and specific pediatric critical...

Ngày tải lên: 12/08/2014, 20:20

... audiovisual contact with patient and their bedside critical care nurse in a remote hospital This requires a nerve centre with 24-hour intensivist and critical care nurse coverage but will serve several ... Telemedicine An infrastructure for providing intensivist-led care from a distance is receiving much attention Two years ago a report examined the poor uptake of information technology into medicine ... critical care nurse coverage but will serve several ICUs at one time Early data published in Critical Care Medicine in January 2004 suggested that severity-adjusted mortality rates were reduced by...

Ngày tải lên: 12/08/2014, 20:20