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Báo cáo khoa học: "Recently published papers: Out with the old and in with the new … then something new for the old" pptx

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Báo cáo khoa học: "Recently published papers: Curing, caring and follow-up" pot

... 18-month period. In particular, theCommentaryRecently published papers: Curing, caring and follow-upGareth WilliamsConsultant in Anaesthesia and Critical Care, University Hospitals of Leicester, ... pointed out in Angus and Crowther’s typically erudite and enlightening accompanyingeditorial, this data must be treated with caution becauseheparin administration was not randomised [5]. But ... http://ccforum.com/content/7/5/339Ups and downs in the fight against sepsisSepsis is a major cause of critical illness, with a mortality rate inthe range of 30–50%. Two landmark papers have been published in the...
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Báo cáo khoa học: "Recently published papers: Asking the unanswerable – measuring the immeasurable and decontaminating the infected" docx

... thatCommentaryRecently published papers: Asking the unanswerable measuring the immeasurable and decontaminating the infectedHardeep S Benepal1 and Lui G Forni21Renal and Critical Care Registrar, ... another yearin which the intensive care literature has continued tochallenge the accepted tenets, and as always one continuesto be surprised by the results. The study conducted byFinney and ... not, and Finney and coworkers speculated that a blood glucose level of less than8.0 mmol/l should be the preferred treatment aim. The authors must be applauded for their honesty in that theyaccept...
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Báo cáo khoa học: "Recently published papers: all the usual suspects and carbon dioxide" pps

... this technique in otherCommentaryRecently published papers: all the usual suspects and carbon dioxideJonathan BallLecturer in Intensive Care Medicine, Department of Anaesthesia, St George’s ... especially in the final 2 months. The pulmonary artery catheter is safe, but is ituseful?Since 1996, when Connors and colleagues published datasuggesting right heart catheterisation in critically ill ... mortality [1], there hasbeen a heated debate about the dangers and benefits of thismonitoring intervention. December saw the publication of twofurther large-scale, multicentre trials into the use...
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Báo cáo khoa học: "Recently published papers: choose well, treat well, get well – which matters most" ppsx

... elsewhere,notwithstanding the benefits of oral decontamination,perhaps this is a strategy we should all be adopting. Get well There is definitely growing interest in noninvasive ventilation(NIV); more so where inspiratory ... and no underlying predisposition torespiratory failure, perhaps for the first time. Choose best?Finally, which is the expert choice, and on what basis? Perrinand colleagues surveyed UK clinicians ... support. The debatecontinues as to whether NIV is truly effective, under whatcircumstances, and which patients should receive it.Thankfully more studies are being powered to answer thesequestions.Nava...
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Báo cáo khoa học: "Recently published papers: Bugs, fluids, obesity and food" pps

... renalreplacement therapy, and deep venous thrombosis and stress ulcer prophylaxis.CommentaryRecently published papers: Bugs, fluids, obesity and foodNeil Hall1 and Gareth Williams21Specialist ... themanagement of severe sepsis and septic shock followingexpert systematic review of the literature, a consensusconference and numerous roundtable debates. Key areascovered in this landmark review include ... ventilator-associated pneumonia.Critical Care June 2004 Vol 8 No 3 Hall and WilliamsInfection and sepsis continue to dominate the critical careliterature, and in particular a condensation of evidence-basedpractice...
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Báo cáo khoa học:

Báo cáo khoa học: "Recently published papers: Out with the old and in with the new then something new for the old" pptx

... treatment with glucocorticoids and use of acontinuous infusion could account for the positive findings in their trial compared with previous ones and that furtherinvestigation is warranted.Competing ... occurred in 7% of the rVIIagroup and 2% of the placebo group (P = 0.12). In the placebo group these were all venous in origin and notserious, whereas in the rVIIa group most were arterial. Ofthese ... decreased in the potassium dichromate group.Interestingly, β2-agonists (standard treatment for COAD)were stopped for the duration of the study to avoid anyinfluence on or interference with treatment....
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Báo cáo khoa học: "Recently published papers: An ancient debate, novel monitors and post ICU outcome in the elderly" potx

... weaning, lowweaning success rates and prolonged ICU stay. In the third study, Blot and Melot [4] performed aretrospective analysis of the indications, timing and techniques of tracheostomy in ... monitors and post ICU outcome in the elderlyJames Sadler1 and Gareth Williams21Specialist Registrar in Anaesthesia, University Hospitals of Leicester, Leicester, UK2Consultant in Anaesthesia and ... during the first3 weeks after intubation. Second, early tracheostomy wasconsidered more often in nonteaching hospitals than in CommentaryRecently published papers: An ancient debate, novel monitors and...
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Báo cáo khoa học: "Recently published papers: What not to do and how not to do it" ppsx

... arm and 1.0 in the placebo arm. The authors’ well argueddiscussion and the accompanying editorial [16] bothconclude that a larger randomized trial of this intervention iswarranted. Of note, ... not. The majority ofpatients allocated to the control arm had access to alternativemethods of cardiac output monitoring and no element of carewas protocolized. There was a 10% complication ... establishing a link betweenhypoproteinaemia and poor outcome in ALI [14]. They thenwent on to conduct a randomized controlled trial of albumin and furosemide versus placebo in a small group...
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Báo cáo khoa học: "Recently published papers: Treating sepsis, measuring troponin and managing the obese" pdf

... differences in the baseline characteristics of the two groups as well as non-standardisation of volumeCommentaryRecently published papers: Treating sepsis, measuring troponin and managing the obeseNicholas ... evaluated in the context of the critically ill patient. For the moment, we should be giving ourselves a chance tomake the diagnosis by correlating the troponin test withother tests – certainly the ECG ... acute coronarysyndromes and other causes of troponin elevation whereverpossible, as the management and prognosis may be sodifferent for the two subsets. Once again, the question ofwhat to...
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Báo cáo khoa học: "Recently published papers: pneumonia, hypothermia and the elderly" pot

... methicillin-resistantStaphylococcus aureus (14.8%) and PseudomonasCommentaryRecently published papers: pneumonia, hypothermia and the elderlyChristopher Bouch and Gareth WilliamsUniversity Hospitals ... care and for mechanical ventilation. The durations ofventilation and hospital stay were more prolonged than for the non-alcoholic group. The ex-alcoholic data show that they laybetween the other ... but how often do we use it? And finally, severalpapers have recently appeared in the journals related to the admission of the elderly to the critical care area and their outcome.Community-acquired...
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Báo cáo khoa học: "Recently published papers: putting fluids in and taking fluids out" pdf

... potential benefits for albumin supplementation in thehypoalbuminaemic critically ill patient. Maintaining the fluid theme,we discuss recent work on factors influencing post-intensive careunit blood ... receiving at least onered blood cell transfusion [3,4]. A recent prospective studyreported in this journal demonstrated that up to 11% ofCommentaryRecently published papers: putting fluids in and ... transfusion in the critically ill patient, and analternative approach is the use of erythropoietin. A recentstudy in Critical Care Medicine examined the use of recom-binant erythropoietin in patients...
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Báo cáo khoa học:

Báo cáo khoa học: "Recently published papers: the Jekyll and Hyde of oxygen, neuromuscular blockade and good vibrations" doc

... paucity of evidence tosupport prophylactic chest physiotherapy after abdominalsurgery [15] and other previous negative reviews [16,17].Tsuruta and colleagues report the safety and efficacy of superimposing ... clinicalconsequences of altering the pro-inflammatory cytokineprofile, especially on the incidence of extra-pulmonary organdysfunction, nor indeed am I aware of any evidence tosupport the hypothesis that ... ARDS.Cue the rhythm section?December saw the publication of three papers investigating the therapeutic potential of intermittent intrapulmonarypercussive ventilation (IPV). This technique, and the...
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Báo cáo khoa học: "Recently published papers: Tracheostomy: why rather than when? Obesity: does it matter? And stroke: diagnosis, thrombosis and prognosis" ppt

... associated withobesity rather than obesity per se are risk factors. Theysuggest a high BMI may provide a nutritional reserve in timesof stress but admit that although BMI is widely used, it does not ... conventional ward.Compared with conventional ward based care, the strokeunits were associated with reduced mortality and disability -these benefits persisted across all age ranges and clinicalcharacteristics ... attempted.This does emphasize the importance of strict adherence toprotocols or guidelines that aim to reduce sedation require-ments in the ICU. Obesity: does it matter? Obesity, a preventable...
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Báo cáo khoa học: "Recently published papers: Therapies failed, disputed, and beneficent" pps

... Theauthors reported a number of key observations. First, theyCommentaryRecently published papers: Therapies failed, disputed, and beneficentGareth WilliamsUniversity Hospitals of Leicester, Leicester ... bleeding and other fatal and life-threatening events compared with theprevious landmark studies [5,6]. The also observed thatintensive care unit (ICU) mortality rates for treatment and control ... protocol,including the interval from arrest and ROSC to initiation ofcooling, the cooling rate, cooling duration and re-warmingrate. Secondary end-points were complications and neuro-logical outcome. Results...
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Báo cáo y học: "Recently published papers: Acute kidney injury – diagnosis and treatment" pdf

... Matalanis G,Dragun D, Haase M: Novel and conventional serum biomark-ers predicting acute kidney injury in adult cardiac surgery aprospective cohort study. Crit Care Med 2009, 37:553-560.2. ... primary endpoints of this study were safety and efficacy powered onadverse events necessitating discontinuation of therapy aswell as transfusion requirements, circuit survival and metabolic and ... study by Oude-mans-van Straaten and colleagues should make you sit up and take notice [5].This study on 200 patients receiving continuous venovenoushemofiltration randomised patients to systemic...
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