8 perioperative intensive care after major laryngotracheal surgery in infants and children the intensivist s perspective

Báo cáo y học: "Intraoperative PaO2 is not related to the development of surgical site infections after major cardiac surgery" ppt

Ngày tải lên : 10/08/2014, 09:23

... used to define SSIs The SPSS software package (version 15) was used for statistical analysis A p ≤ 0.05 was considered significant To assess risk factors for SSI, we used one-way analysis of variance ... prevent SSIs In summary, the PaO2 in adult cardiac surgery patients is not related to SSI rate The strategy of administering supplemental inspired oxygen to reduce the incidence of SSIs does not ... deep incision SSIs and 26 (2.5%) organ/space SSIs The intraoperative and postoperative PaO values were not associated with an increased risk of SSI either by univariate or multivariate analysis...

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Báo cáo y học: "Late initiation of renal replacement therapy is associated with worse outcomes in acute kidney injury after major abdominal surgery" potx

Ngày tải lên : 13/08/2014, 19:20

... analysis Statistical analyses were performed with the Scientific Package for Social Science for Windows (SPSS, version 13.0, SPSS Inc, Chicago, IL, USA) Continuous data were expressed as mean ± standard ... goodness-of-fit assessment, and (3) regression diagnostics (e.g., residual analysis, detection of influential cases, and check for multicollinearity) were used in our regression analyses to ensure ... abdominal surgery The abdominal compartment syndrome, which develops after sustained and uncontrolled intra-abdominal hypertension and may result in AKI or mortality, is being increasingly observed...

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Báo cáo y học: "Prevalence of and risk factors for perioperative arrhythmias in neonates and children after cardiopulmonary bypass: continuous holter" docx

Ngày tải lên : 10/08/2014, 09:22

... presence of risk factors in the various types of arrhythmias was analyzed using the Fisher exact test The risk factors were entered into a stepwise multivariate logistic regression model From the ... contractions Nevertheless, in infants and children, arrhythmias remained significantly more frequent prior to discharge than before the operation This finding suggests that socalled late arrhythmias after ... data and clinical results are expressed as the median values and ranges Period prevalences are expressed as frequencies (%) Assuming non-normal distribution of the data, non-parametric tests were...

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Báo cáo khoa học: "Myocardial injury in infants ventilated on the paediatric intensive care unit: a case control study" pot

Ngày tải lên : 13/08/2014, 03:20

... neonatal and Box and whisker plots for cardiac troponin healthy infants older intensive care admissions along with healthy infants The boxes are the interquartile ranges, the whiskers are the 5th ... unreasonable to assume that the highest levels in those infants indicated myocardial hypoxia secondary to their presenting problem rather than just perinatal stress Infants over one month Admissions ... infants Analysis was performed using Arcus BioStat (Biostat Inc., Englewood, NJ, USA) and SPSS (SPSS Inc., Chicago, IL, USA) release 13.0 Undetectable levels of cTnT were assigned the value of the...

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Báo cáo khoa học: " Social support during intensive care unit stay might improve mental impairment and consequently health-related quality of life in survivors of severe acute respiratory distress syndrome" pps

Ngày tải lên : 13/08/2014, 03:20

... function Discussion The aims of this study were to investigate long-term HRQoL in survivors of ARDS, to assess the influence of persistent PTSD symptoms on HRQoL, and to prove the hypothesis that ... social support and posttraumatic stress The total sum score of questionnaire F-Sozu and post-traumatic stress disorder stress (PTSD) score is shown Severity of PTSD was verified with the Post-Traumatic ... analysis We used SPSS Software (SPSS for Windows, version 10.0; SPSS Inc., Chicago, IL, USA) for statistical analysis The alpha level was set to the conventional 5% Multivariate analysis of variance...

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Báo cáo khoa học: "Recombinant activated factor VIIa for the treatment of bleeding in major abdominal surgery including vascular and urological" doc

Ngày tải lên : 13/08/2014, 10:20

... was performed [27] (Table 3) In two populations of the case series included in the metaanalysis, there is no information on the dose in the subgroup of patients with interventions in the abdominal ... in the benefit-risk assessment but per se does not constitute a contraindication for the administration of rFVIIa [35] Since there are no controlled studies on bleeding therapy in abdominal surgery, ... patients evaluable for this parameter Besides rFVIIa, other procoagulants administered in the management of severe bleedings should be considered as a possible cause for these events: thrombosis of...

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Báo cáo y học: "Pseudomonas aeruginosa acquisition on an intensive care unit: relationship between antibiotic selective pressure and patients’ environment" pps

Ngày tải lên : 14/08/2014, 07:21

... association was not observed in patients with less than three days of antibiotics inactive against P aeruginosa Discussion This study suggests two main conclusions First, P aeruginosa acquisition should ... was selected to represent invasive devices as it is strongly associated with the use of other invasive devices in our clinical practice) or with antibiotics classified as active or inactive against ... imipenem-resistant P aeruginosa acquisition corresponded to neither the classical endogenous nor exogenous route The question of an undiscovered environmental source was raised This is the case in some...

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Teaching speaking skill to non english major students of pre intermediate level at the people’s police academy some suggested techniques and activities

Ngày tải lên : 06/02/2014, 14:40

... are speaking and listening In real life, listening is used twice as often as speaking However, speaking is used twice as much as reading and writing (Rivers, 1981) Inside ELT classrooms, speaking ... build a stock of minimal responses that they can use in different situations Possessing a stock of minimal responses 33 enables students to focus on what the other participants are saying as they ... feedback and error correction Discussions Discussions give students practice in negotiating meanings and chances to express themselves in the target language Like role-plays, before using discussions,...

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Qualitative Research in Intelligence and Marketing: The New Strategic Convergence phần 8 pptx

Ngày tải lên : 09/08/2014, 19:22

... organizations/societies/cultures Nonetheless, the humanities provide ways of easily addressing these issues Speciﬁc methods, such as deconstructionist analysis, provide a means of accomplishing these goals How they ... particular suspect s “signature” on them Furthermore, these criminals have speciﬁc patterns in their social or personal (as well as in their professional) life By keeping careful records and searching ... pursue one of their traditional analytic tasks and so in ways that mesh with other researchers, in and outside of the business community Systems Often Exhibit Uniform and Patterned Responses Competitive...

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báo cáo khoa học: " ‘A major lobbying effort to change and unify the excise structure in six Central American countries’: How British American Tobacco influenced tax and tariff rates in the Central American Common Market" doc

Ngày tải lên : 11/08/2014, 14:21

... access to governments and officials in the countries and institutions of the CACM is striking, it is consistent with previous studies of TTC policy influence in a number of other settings Indeed, ... within the industry and to tobacco growers and local suppliers since there will be less demand for leaf and other services for domestic purposes [[31], emphasis in original] Regional coordination ... than as six free standing independent companies’[28] Continuing to manage its business in Central America ‘with six stand-alone companies’ was seen as ‘a recipe for decline’ and would expose the...

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Báo cáo y học: " Echoviruses are a major cause of aseptic meningitis in infants and young children in Kuwait" ppsx

Ngày tải lên : 12/08/2014, 01:21

... Discussion This three-year study investigated the role of EVs in suspected AM cases in Kuwait The enteroviral RNA was detected by a sensitive, one-step RT-PCR assay that could detect as few as ... was used with each sample Other possible explanations for the lower positivity may include delay in reporting to the hospital after the onset of AM as the initial symptoms of fever and vomiting ... specimens in Kuwait [16], it is probable that its increased detection in AM cases is related to the higher load of this virus in CSF samples than other EVs It is also probable that at least some of the...

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Báo cáo y học: "Posttraumatic stress disorder (PTSD) in children after paediatric intensive care treatment compared to children who survived a major fire disaster" potx

Ngày tải lên : 13/08/2014, 18:21

... mother 's PTSD score, and child 's PTSD score At the nine month follow-up mother 's psychological distress score, father 's psychological distress score, mother 's PTSD score, as well as child 's PTSD ... Gordon SM, Hopkins RO, Girard TD, Ely EW: Post-traumatic stress disorder and post-traumatic stress symptoms following critical illness in medical intensive care unit patients: assessing the magnitude ... symptoms of PTSD with ANOVA, and subclinical PTSD with logistic regression analyses Sixth, a correlation matrix was calculated to assess the association between the risk factors and PTSD scores in children...

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Báo cáo y học: "Perioperative indocyanine green clearance is predictive for prolonged intensive care unit stay after coronary artery bypass grafting - an observational study" pptx

Ngày tải lên : 13/08/2014, 19:20

... Dublin, Ireland) according to the manufacturer 's instructions The team treating the patient in the operating theatre and in the ICU was blinded to the ICG PDR measurements and to the assignment ... Nonetheless, as seen in our study, increases are seen late and are not specific for postoperative complications This was also reported previously [33] Another major shortcoming is that increased ... for the analysis of the aspartate aminotransferase (ASAT) and the αglutathione S- transferase (α-GST) was drawn For determination of the plasma level of the ASAT and the α-GST 2.7 mL blood was withdrawn...

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Báo cáo hóa học: " Quality of life in children three and nine months after discharge from a paediatric intensive care unit: a prospective cohort study" pdf

Ngày tải lên : 18/06/2014, 22:20

... missing combineditem scores are allowed for They are replaced by the mean value of the non-missing (combined) item scores For respondents with more missing combined item scores per scale, the scale ... characteristics were obtained from medical records and the Patient Data Management System Statistics Data analysis was done with the Statistical Package for Social Sciences (SPSS), Windows version ... conducting the final analyses several preparation analyses were conducted: (1) Scales were constructed and missing data imputed on the basis of the guidelines of the questionnaires used; (2) descriptive...

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Silverman Annals of Intensive Care 2011, 1:8 doc

Ngày tải lên : 21/06/2014, 04:20

... measure that uses questions pertaining to understanding and appreciation of information [47] Less formal capacity assessments can consist of using probing questions to assess the potential subjects’ ... decision making in the research setting [46] Many of these instruments are time-consuming in its application, thus making it somewhat undesirable for use as a screening measure in most research studies ... mechanism to protect themselves Such a protection mechanism is necessary, because unlike in the clinical setting in which the interests of patients and doctors converge, researchers’ interests in...

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Báo cáo y học: "Predicting outcome of rethoracotomy for suspected pericardial tamponade following cardio-thoracic surgery in the intensive care unit" ppt

Ngày tải lên : 10/08/2014, 09:21

... score considering this most relevant for our study goal The CV component of the SOFA score takes MAP and the doses per kg of vasopressor/inotropic therapy used in the treatment of hypotension into ... rethoracotomy for suspected tamponade after cardio-thoracic surgery within three weeks after surgery and who were still in the intensive care unit (ICU), in order to study predictors of success of rethoracotomy ... fluids and vasopressor/inotropic treatments on the basis of severity of haemodynamic compromise and expected haemodynamic responses to such treatments, while awaiting results of diagnostic measures...

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Báo cáo y học: "A comparative study of four intensive care outcome prediction models in cardiac surgery patients" pdf

Ngày tải lên : 10/08/2014, 09:23

... expected and observed mortality using the HL-test CASUS again had the best discrimination In the ROC test, in contrast to the results for the original scores, the derivatives of SAPS II and of ... replacement strategies in different hospitals The assessment of the central nervous system may also affect results because the GCS is affected by sedation, anesthesia and paralysis [10,21,22], and calculation ... better in CASUS than in the other scores We decided not to compare the different scores using odds ratios, because conclusions from such analyses can be distorted, as the maximum points in the different...

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The Intensive Care Manual - part 8 pptx

Ngày tải lên : 10/08/2014, 18:21

... occurs in the clinical settings including obstetrical disasters, shock, severe sepsis, burns, trauma, transfusion reactions, malignancy, inflammatory diseases, and anaphylaxis Manifestations range ... that responds poorly to local pressure; and delayed bleeding after trauma or surgery The primary laboratory studies used to assess the intrinsic and extrinsic coagulation systems are the PT and ... often used, is not necessary unless the serum sodium concentration drops to less than 120 mmol/L, since natriuresis usually results in the passive loss of excess body water as well Diuretic Therapy...

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Báo cáo y học: "The routine use of pediatric airway exchange catheter after extubation of adult patients who have undergone maxillofacial or major neck surgery: a clinical observational study" doc

Ngày tải lên : 12/08/2014, 20:20

... patients to manage secretions including cough and swallow functions in making the decision about extubation of the PAEC A stable O2 saturation and the extent of surgery were R386 in the intensive care ... with respiratory events constituted the single largest class of injury in the American Society of Anesthesiology Closed Claims Study (522 of 1541 cases; 34%) Death or brain damage occurred in 85% ... neck surgery require reintubation after their operations, and most of these patients can be extubated later This means that performing the tracheotomy routinely is not necessary in most of these...

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Báo cáo khoa học: "Early goal-directed therapy after major surgery reduces complications and duration of hospital stay. A randomised, controlled trial [ISRCTN38797445]" ppt

Ngày tải lên : 12/08/2014, 23:20

... the use of GDT might reduce the overall cost of surgical care There are some potential weaknesses in the design of this study It was a small single-centre study that was stopped early after interim ... authors were involved in data analysis and drafting the manuscript and approved the final version All authors had full access to data and take responsibility for the integrity of the data and the accuracy ... history of severe cardiac or respiratory illness 22 (37%) 19 (31%) Extensive surgery planned for carcinoma involving bowel anastomosis 21 (35%) 27 (44%) Late-stage vascular disease involving the...

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