infections in intensive care unit patients
Báo cáo y học: " Clinical review: Fever in intensive care unit patients" potx
... Suter PM, Ricou B: Is it worth treating fever in intensive care unit patients? Preliminary results from a randomized trial of the effect of external cooling Arch Intern Med 2001, 161:121-123 Plaisance ... for evaluating new fever in critically ill adult patients Task Force of the American College of Critical Care Medicine of the Society of Critical Care Medicine in collaboration with the Infectious ... in critically ill patients must be called into question 15 16 17 18 19 20 21 22 23 24 Cunha BA, Shea KW: Fever in the intensive care unit Infect Dis Clin North Am 1996, 10:185-209 Arons MM, Wheeler...
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Báo cáo y học: "Conventional or physicochemical approach in intensive care unit patients with metabolic acidos" ppsx
... present in these patients Competing interests None declared Key messages • Metabolic acidosis in intensive care unit patients is usually explained by multiple underlying mechanisms • Underlying mechanisms ... in the intensive care unit Crit Care Clin 2002, 18:289-308 Stewart PA: Modern quantitative acid–base chemistry Can J Physiol Pharmacol 1983, 61:1441-1461 Kellum JA: Determinants of blood pH in ... resulted in a better short-term survival in a rat sepsis model compared with isotonic saline [15] Waters and colleagues compared isotonic saline with lactated Ringer’s solution in patients undergoing...
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Báo cáo khoa học: "Offset of pharmacodynamic effects and safety of remifentanil in intensive care unit patients with various degrees of renal impairment" ppt
... dosing algorithm for maintaining adequate sedation and comfort The time elapsed between initiating the SDT and stopping the down-titration (i.e switching back on/increasing the remifentanil infusion ... group of patients requiring intensive care Optimal SAS and PI scale scores were well maintained in the group as a whole The provision of analgesia and sedation must be titrated according to individual ... within 12 hours before the start of remifentanil administration, together with measurement of plasma and urinary creatinine concentration, using the following equation: CLcr (ml/min) = [Cr]urine...
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Báo cáo khoa học: " Safety and efficacy of analgesia-based sedation with remifentanil versus standard hypnotic-based regimens in intensive care unit patients with brain injuries: a randomised, controlled trial [ISRCTN50308308]" pps
... Critical Care October 2004 Vol No Karabinis et al Introduction Fentanyl and morphine are commonly used in the neuro -intensive care unit (neuro-ICU) setting However, when administered over ... conducted at 17 hospitals in six countries in Europe (4 in Greece, in Spain, in Belgium, in The Netherlands, in Germany, in Austria) The study was conducted in accordance with good clinical practice and ... first Pain was assessed with a six-point Pain Intensity (PI) scale, in which was no pain, was mild pain, was moderate pain, was severe pain, was very severe pain, and was worst possible pain If...
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Báo cáo y học: "Discomfort and factual recollection in intensive care unit patients" pptx
... J: Incidence of recall, nightmare, and hallucination during analgosedation in intensive care Intensive Care Medicine 2002, 28:38-43 Holland C, Cason CL, Prater LR: Patients' recollection in critical ... amnesia related to intensive care Memory 2000, 8:79-94 Turner JS, Messervy SJ, Davies LA: Recollection of intensive care unit admission in the United Kingdom [letter] Crit Care Med 1992, 20:1363 ... discomfort In a previous study [12], we investigated recollection of endotracheal suctioning with two methods of suctioning: routine endotracheal suctioning and minimally invasive airway suctioning In...
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Báo cáo khoa học: " Decreased duration of mechanical ventilation when comparing analgesia-based sedation using remifentanil with standard hypnotic-based sedation for up to 10 days in intensive care unit patients: a randomised trial [ISRCTN47583497]" pps
... remifentanil in intensive care unit patients with various degrees of renal impairment Crit Care 2004, 8:R21-R30 Park GR, Evans TN: Remifentanil in the critically ill: what will its place be? Br J Intensive ... analgesiabased sedation using remifentanil versus standard hypnoticbased regimens in intensive care unit patients with brain injuries: a randomised, controlled trial [ISRCTN50308308] Crit Care 2004, 8:R268-R280 ... effects on discontinuing the study drugs was assessed on 15 patients receiving remifentanil and 14 patients receiving comparator This was found to be clinically and significantly faster in the remifentanil...
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Báo cáo khoa học: "Changes in appetite related gut hormones in intensive care unit patients: a pilot cohort study" doc
... matched patients) compared with during age and body mass indexmean ± standard group (n = mean) Patternintensive care unit (ICU) stay (n = control error of the 31) during intensive care unit (ICU) ... mass index matched control group the mean) during C-reactive protein (CRP; mean ± standard error of Pattern of plasmaintensive care unit (ICU) stay (n = patients) com- (n the mean) during intensive ... citation purposes) Critical Care Vol 10 No Nematy et al Table Initial and final plasma concentrations of ghrelin and peptide YY of intensive care unit patients Ghrelin (pmol/l) PYY (pmol/l) Day...
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Báo cáo khoa học: "Heterotopic ossification of the knee joint in intensive care unit patients: early diagnosis with magnetic resonance imaging" docx
... Available online http://ccforum.com/content/10/5/R152 Table Times of appearance of clinical, biochemical, MRI, and x-ray findings suggesting HO Findings indicating HO Clinical ALP MRI X-rays Time in days ... ossification (HO) in the knee joint of 11 intensive care unit patients Increase of serum levels of alkaline phosphatase (ALP) was the earliest indication of HO MRI, magnetic resonance imaging tomic position ... resonance imaging (MRI) findings of heterotopic ossification (HO) HO in the right knee of a 35-year-old male patient hospi(HO) talised in the intensive care unit for traumatic brain injury (a-d)...
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Báo cáo y học: "Comparison of cooling methods to induce and maintain normoand hypothermia in intensive care unit patients: a prospective intervention study" ppsx
... different cooling methods in inducing and maintaining hypo- and normothermia in ICU patients Cooling using watercirculating blankets, gel-coated water circulating pads and intravascular cooling was ... Temperature measurement in intensive care patients: comparison of urinary bladder, oesophageal, rectal, axillary, and inguinal methods versus pulmonary artery core method Intensive Care Med 2003, 29:414-418 ... blankets in both inducing and maintaining hypothermia [15] External cooling was significantly less efficient in our trial, possibly explaining the superiority of the endovascular catheter in this study...
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Báo cáo y học: "Acute kidney injury in intensive care unit patients: a comparison between the RIFLE and the Acute Kidney Injury Network classifications" potx
... (creatinine + urine output) AKIN criteria (creatinine + urine output) 0.750 RIFLE criteria (creatinine) 0.729 AKIN criteria (creatinine) 0.745 RIFLE criteria (urine output) 0.619 AKIN criteria (urine ... injury is defined as an abrupt (within 48 hours) reduction in kidney function, currently defined as an absolute increase in serum creatinine ≥0.3 mg/dl (≥26.4 μmol/l), a percentage increase in ... abrupt (within 48 hours) reduction in kidney function, currently defined as an absolute increase in serum creatinine ≥0.3 mg/dl (≥26.4 μmol/l), a percentage increase in serum creatinine ≥50% (1.5-fold...
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Báo cáo y học: "a comparison with reference values and the effect of positive end-expiratory pressure in intensive care unit patients with different lung condition" ppsx
... approval of the local institutional human investigations committee, and after obtaining written informed consent, patients were enrolled in this study within 48 hours after intubation Exclusion ... in combination with compliance can provide additional information that can help in optimizing ventilator settings 15 14 16 Competing interests We received an unrestricted grant from GE Healtcare ... according to their original settings before any measurements were performed PEEP was increased to 15 cm H2O and the inspiratory pressure was adjusted to maintain tidal volume and without changing...
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Báo cáo y học: "Brain natriuretic peptide levels have diagnostic and prognostic capability for cardio-renal syndrome type 4 in intensive care unit patients" pps
... investigated in patients with CKD, most studies were conducted using stable outpatients and little information is available regarding patients with CKD in the ICU setting [13,15-19] Considering ... study was made mainly by clinical and radiological findings However, in clinical practice, patients with ADHF may not have pulmonary oedema in chest radiographs and in some patients with ADHF ... brain natriuretic peptide; BUN = blood urea nitrogen; CK = creatine kinase; CK-MB = creatinine kinase-MB; Cr = creatinine; E/A = ratio of E (peak mitral flow velocity of the early rapid filling)...
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Báo cáo y học: "Detecting volume responsiveness and unresponsiveness in intensive care unit patients: two different problems, only one solution" ppt
... Passive leg raising Intensive Care Med 2008, 34:659-663 Michard F, Teboul JL: Using heart-lung interactions to assess fluid responsiveness during mechanical ventilation Crit Care 2000, 4:282-289 ... 1368-1377 Vincent JL, Sakr Y, Sprung CL, Ranieri VM, Reinhart K, Gerlach H, Moreno R, Carlet J, Le Gall JR, Payen D: Sepsis Occurrence in Acutely Ill Patients Investigators Sepsis in European intensive ... intensive care units: results of the SOAP study Crit Care Med 2006, 34:344-353 Payen D, de Pont AC, Sakr Y, Spies C, Reinhart K, Vincent JL: Sepsis Occurrence in Acutely Ill Patients (SOAP) Investigators...
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Báo cáo y học: "Correction: End-expiratory lung volume during mechanical ventilation: a comparison with reference values and the effect of positive end-expiratory pressure in intensive care unit patients with different lung conditions" pdf
... Critical Care Vol 13 No Bikker et al Figure Pao2/Fio2 ratio in different types of lung conditions at three PEEP levels Patients in group N had normal lungs, those in group P had a primary ... change in EELV and change in dynamic compliance Data are presented as the difference between the lowest PEEP level (5 cmH2O) and 10 or 15 cmH2O PEEP Patients in group N had normal lungs, those in ... primary lung disorder, and those in group S had a secondary lung disorder Values are expressed as mean ± standard deviation EELV, end-expiratory lung volume; FiO2, inspired oxygen fraction; Pao2,...
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Báo cáo y học: "Vacuum-assisted closure device in intensive care unit patients and dissemination of Gram-negative bacteria" pptx
... Abbreviations ICU, intensive care unit; VAC, vacuum-assisted closure Competing interests The authors declare that they have no competing interests Author details Intensive Care Unit, Hippokrateion ... review of the literature Int Wound J 2009, 6:259-66 Bigazzi E, Turrisi L, Zagli G, Pecile P, Bonizzoli M, Peris A: Bay rooms vs singlebed rooms in intensive care unit nosocomial infections: a case-control ... preexisting Klebsiella colonization, as described in the figures Infection diffusion remains a challenge in the ICU and in complicated abdominal surgery The use of prophylactic procedures (hand washing,...
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Báo cáo y học: "Randomized trial comparing daily interruption of sedation and nursing-implemented sedation algorithm in medical intensive care unit patients"
... 92% of the cases, patients were receiving continuous infusions; in 4% of the cases, patients were receiving boluses; in the remaining 4% of the cases, patients were not receiving sedation as it ... medications discontinued in the ABC trial, thereby resulting in a blunted stress response during sedation interruption and minimizing the symptoms of withdrawal during sedation interruption [32] ... analysis The study was not terminated because of the finding of increased hospital mortality in patients treated by DIS Results Censoring Thirty-six patients were censored Patients randomly assigned...
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Báo cáo y học: "Bispectral index versus COMFORT score to determine the level of sedation in paediatric intensive care unit patients: a prospective study" docx
... continuous bispectral EEG monitoring to assess depth of sedation in ICU patients Intensive Care Med 1998, 24:1294-1298 Simmons LE, Riker RR, Prato BS, Fraser GL: Assessing sedation during intensive ... neuromuscular blocking 23 24 25 26 27 28 agent use in infants and children in the intensive care unit: a multicenter perspective Pediatr Crit Care Med 2001, 2:205-210 Sigl JC, Chamoun NG: An introduction ... relaxants are given With this in mind, data obtained continuously using nonstimulating methods such as bispectral index (BIS) may have benefits in comparison with clinical monitoring of sedation BIS is...
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Báo cáo y học: "Ethics review: Long-term outcomes and clinical predictors of hospital mortality in very long stay intensive care unit patients: a cohort study" pptx
... determining hospital mortality in very long stay ICU patients Clinical decisions regarding individual very long stay patients clearly require incorporating other individualized clinical information ... elderly patients with a long-term intensive care unit stay Crit Care Med 2000, 28:3389-3395 Hughes M, MacKirdy FN, Norrie J, Grant IS: Outcome of longstay intensive care patients Intensive Care ... scores in patients with prolonged length of stay in the ICU Intensive Care Med 2002, 28:479-485 25 Marcin JP, Slonim AD, Pollack MM, Ruttimann UE: Long-stay patients in the pediatric intensive care...
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Báo cáo khoa học: "symptoms following critical illness in medical intensive care unit patients: assessing the magnitude of the problem" ppsx
... disorder in patients following intensive care treatment: a cross-sectional study in a random sample J Intensive Care Med 2004, 19:285-290 Page of 11 (page number not for citation purposes) Critical Care ... Nelson BJ, Weinert CR, Bury CL, Marinelli WA, Gross CR: Intensive care unit drug use and subsequent quality of life in acute lung injury patients Crit Care Med 2000, 28:3626-3630 22 Schelling G, Stoll ... according to the SCID Primary findings Methods of assessing PTSD A total of nine investigations relied solely on standardized brief screening tools in their assessment of PTSD or PTSS, including...
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