in any urgent procedure in the critically ill

... Trang 2CATHETER-RELATED INFECTIONSIN THE CRITICALLY ILL Trang 3CATHETER-RELATED INFECTIONSIN THE CRITICALLY ILL Naomi P O’Grady, M.D. Critical Care Medicine Department Warren Grant ... Catheter-Related Infections in the Critically Ill vi 9 10 11 12 127 139 147 159 173 Index Trang 7François Blot, M.D Service de Réanimation Polyvalente Institut Gustave Roussy Villejuif, France Christian Brun-Buisson, ... catheter-related infection We hope too that the strategies highlighted to prevent infection will be implemented and will have a measurable impact in decreasing rates of infection in the intensive care

Ngày tải lên: 10/08/2014, 16:22

... taking into account the severity of illness, baseline cortisol levels and hypoalbuminaemia Therefore, a retrospective cohort study was conducted in 405 critically ill patients in whom an ACTH test ... critical illness Arch Surg 2005, 140:661-668. 18 Widmer IE, Puder JJ, König C, Pargger H, Zerkowski HR, Girard J, Müller B: Cortisol response in relation to the severity of stress and illness ... critically ill patients Intensive Care Med 2003, 29:2199-2203. 24 Beishuizen A, Vermes I, Hylkema BS, Haanen C: Relative eosi-nophilia and functional adrenal insufficiency in critically ill patients

Ngày tải lên: 13/08/2014, 03:21

... critical illness However, in the critically ill inhibitory small-intestinal feed back on gastric emptying appears to be substantially enhanced (Figure 1) [6] Th e eff ects of critical illness on ... critical illness on colonic motility is yet to be evaluated Gastrointestinal absorptive and immune function in the critically ill Absorption of nutrient is substantially impaired in the critically ill ... critically ill, either via increased or decreased secretion Th e present review focuses on the abnormalities in gastrointestinal function and glucose metabolism that occur in the critically ill, focuses

Ngày tải lên: 13/08/2014, 20:22

... AE, Billica RD, Williams DR (1999) Thoracic sound diagnosis of pneumothorax J Trauma 47:970–971 5 Sargsyan AE, Hamilton DR, Nicolaou S, Kirkpatrick AW, Campbell MR, Billica RD, Dawson D, Williams ... the patient will be protected of the con-fusion because the DVT will be missing An embo-lism looking like a pneumonia can be seen, in the unlikely event where these conditions will be met together: ... extend it at will (the Extended BLUE-protocol) will recog-nize suggestive clinical signs: a complete absence of history of COPD or asthma, a history favoring embolism (contraceptive pill, e.g.),

Ngày tải lên: 21/01/2020, 07:20

... readers will fi nd them in any ultra-sound textbook We will discuss here the notions useful for understanding critical ultrasound Every maneu-ver which favors simplicity will be exploited Space will ... pleural line are standstill, ill-defi ned, not white like the pleural line but rather grey, short, with an A-line discreetly vis-ible Several are visible simultaneously They will in no way be confused ... Thrombosis Excluded) 295 Basics of Critical Abdomen 295 Basics in Any Urgent Procedure in the Critically Ill 297 Basics of Subclavian Venous Line Insertion 298 Basics of Optic

Ngày tải lên: 21/01/2020, 11:52

... AE, Billica RD, Williams DR (1999) Thoracic sound diagnosis of pneumothorax J Trauma 47:970–971 5 Sargsyan AE, Hamilton DR, Nicolaou S, Kirkpatrick AW, Campbell MR, Billica RD, Dawson D, Williams ... the patient will be protected of the con-fusion because the DVT will be missing An embo-lism looking like a pneumonia can be seen, in the unlikely event where these conditions will be met together: ... extend it at will (the Extended BLUE-protocol) will recog-nize suggestive clinical signs: a complete absence of history of COPD or asthma, a history favoring embolism (contraceptive pill, e.g.),

Ngày tải lên: 22/01/2020, 08:32

... hematologist will be available only after 9.00 a.m In the mean-while, you are expected to keep these patients alive till someone with a more in-depth knowledge of hematological disease will arrive ... conditions requiring counseling will be separately discussed Since the most com-mon hematological problem in the critically ill patient is ane-mia, the opening chapter will discuss this pathological ... Agbedyro 5 Leukocytosis in the Critically Ill Patient 47 Giorgio Berlot , Antoinette Agbedyro, and Barbara Presello 6 The Critically Ill Patient with Abnormal Platelet Count

Ngày tải lên: 23/01/2020, 00:03

... critically ill patients will be illustrated, and their implications on morbidity and mortality will be discussed Due to its importance in the ICU setting, a section in this chap-ter will be dedicated ... (eds.), Hematologic Problems in the Critically Ill, DOI 10.1007/978-88-470-5301-4_6, © Springer-Verlag Italia 2015 Chapter 6 The Critically Ill Patient with Abnormal Platelet Count Luca ... Thrombocytopenia in Critically Ill Patients Hui and coworkers published a review in 2011 [ 25 ] aimed at better understanding the clinical role of thrombocytopenia in critically ill patients It analyzed

Ngày tải lên: 23/01/2020, 01:02

... Baharlo 10 The Initial Surgical Management of the Critically Ill Burn Patient 137 Jorge Leon- Villapalos 11 The Critically Ill Burn Patient: How Do We Get It Right? 155 Katherine ... a trainee has mastered the technical skill required, the part-task can be incorporated into a wider clinical scenario where other non-technical skills will be needed (Fig 1.1 ) There are now ... clinicians regularly miss delirium in the ICU settings [ 14 ] Most critically ill patients will develop hypoactive delirium, but will be able to obey direct commands, e.g stick your tongue out, squeeze

Ngày tải lên: 04/08/2019, 07:19

... Baharlo 10 The Initial Surgical Management of the Critically Ill Burn Patient 137 Jorge Leon- Villapalos 11 The Critically Ill Burn Patient: How Do We Get It Right? 155 Katherine ... a trainee has mastered the technical skill required, the part-task can be incorporated into a wider clinical scenario where other non-technical skills will be needed (Fig 1.1 ) There are now ... clinicians regularly miss delirium in the ICU settings [ 14 ] Most critically ill patients will develop hypoactive delirium, but will be able to obey direct commands, e.g stick your tongue out, squeeze

Ngày tải lên: 20/01/2020, 05:48

... SW10 9NH , UK e-mail: Jorge.Leon-Villapalos@chelwest.nhs.uk 10 The Initial Surgical Management of the Critically Ill Burn Patient Jorge Leon-Villapalos Summary of Abbreviations ... thermal injury increases, the damage in terms of depth will also increase The colour will change from a vivid pale pink with brisk capillary refi ll in super-fi cial injuries to a cherry red ... Corredor (eds.), Key Topics in Management of the Critically Ill, DOI 10.1007/978-3-319-22377-3_9 B Baharlo , MBBS, BSc (Hons), FRCA Magill Department of Anaesthesia, Intensive Care Medicine

Ngày tải lên: 23/01/2020, 16:45

... population of acutely ill patients Further prospective randomized controlled trials are needed to examine the effects of albumin administration in sub-groups of acutely ill patients Introduction ... 2,793) p value Sepsis syndromes (%) Procedures (%) Pulmonary artery catheter Organ failure (%) Sequential organ failure assessment (SOFA) score, sepsis syndromes, procedures, and organ failure (SOFA ... may not appro-priately reflect the microcirculation in critically ill patients, how-ever, especially under conditions of capillary leakage, as may happen in sepsis or burns [22] Other possible

Ngày tải lên: 12/08/2014, 23:20

... automatic and be executed in a precise order Loss of time will be minimal and the device will remain microorganism-free The only problem will occur in case of multiple operators: each operator must ... diaphragmatic course in critically ill patients A distended stomach will come against the anterior wall, making gut shding hard to detect Consequently, analysis of gut sliding will contribute more if the ... study (or, to save already sedated, and all interventional procedures 14 Chapter Specific Notions of Ultrasound in the Critically III will be facilitated Other remarkable features should render...

Ngày tải lên: 09/08/2014, 15:20

... This finding will be accessory: the dilatation of the right heart and the lung disorder will then be recognized at the same time A cirrhotic liver will give numerous signs we will not detail ... intercostal scans will be taken, provided the probe is small enough Liver analysis is often not exhaustive in such conditions, but we will see that this limitation is relative in the critically ill patient ... A series of 322 procedures described a null mortality rate and a morbidity rate of 2%-5% [18] This procedure [19] was advocated as an alternative to surgery in the critically ill [17,20] It provides...

Ngày tải lên: 09/08/2014, 15:20

... dynamic scan of the ultrasound probe upward and downward will prevent the error: the bladder will be identified below, and this fluid image will have an opened shape above Fig 9.15 a Two elements ... obstructive uropathy Radiology 162:879 Maillet PJ, Pelle-Francoz D, Laville M, Gay F, Pinet A (1986) Nondilated obstructive acute renal failure: diagnostic procedures and therapeutic management ... ultrasound will provide, like CT, a global overview of the lumen, thrombosis, wall thickness (increased in the case of inflammation) and collateral vessels In the case of leakage, a collection will be...

Ngày tải lên: 09/08/2014, 15:20

... jugular veins will be analyzed If normal, the inferior caval and iliac veins will be included in the analysis Lastly, subclavian veins and then calf veins will be investigated This procedure, which ... always visualized during its catheterized, with an immediate procedure in 11 of penetration This problem will be evoked in them When the procedure is over, absence of pneu- Chap 26 mothorax (if needed) ... ultrasound unit can break down Second, the ultrasound-assisted procedure, although very efficient, does not improve one's techniques in bUnd procedures, since the landmarks are completely different...

Ngày tải lên: 09/08/2014, 15:20

... free pleural effusion will therefore be in contact with the bed in a supine patient This zone will not be easy to approach Rotating the patient in the lateral decubitus will not be entirely satisfactory, ... advisable to go further still Only thoracentesis will sions are minimal effusions Paradoxically, ultra- provide an accurate diagnosis sound can perfectly detect effusions on the millimeter scale (Fig ... critical care, 2nd edn, McGraw Hill, New York, pp 180-184 Tocino IM, Miller MH, Fairfax WR (1985) Distribution of pneumothorax in the supine and semirecumbent critically ill adult Am J Roentgenol 144:...

Ngày tải lên: 09/08/2014, 15:20

... These criteria are often present 127 Large series will specify more fully where this procedure should be placed The other invasive or semi-invasive procedures involve a small but present risk, accuracy ... gas exchanges occur at the fine, not yet edematous area of the alveolocapillary membrane [27] Surface lung ultrasonography will indicate that the septa are dry, and that a safety margin exists if ... bumps are made in the bed The fluid level will thus be moved As for bowel occlusion or hydropneumothorax (see pp 39 and 111), the ultrasound translation will be strong, highly suggestive dynamics:...

Ngày tải lên: 09/08/2014, 15:20

... minute signs using Doppler data will have two effects One effect will be beneficial: the tamponade feature will be highlighted One effect will be deleterious: time will be lost in searching for a ... diagnosis of maxillary sinusitis Normal sinus Complete sinusogram Incomplete sinusogram No sinusogram Mucosal thickening Miscellaneous (polyp) Maxillary sinusitis (fluid level) Maxillary sinusitis ... injustice This is why we hope that the measurement of the optic nerve caliper will fill this gap The Face The submaxillary glands and the lingual muscle are accessible using ultrasound Parotiditis,...

Ngày tải lên: 09/08/2014, 15:20

... Zouaoui A, Leguillou JL, Bodin L, Khac TD, Marsault C, Poete P, Nicolas MH, Jarlier V, Viars P (1994) Risk factors and clinical relevance of nosocomial maxillary sinusitis in the critically ill Am } ... Imaging and labelling techniques in the critically ill Springer-Verlag, London, pp 127-135 Weill FS (1989) Echographie abdominale du postopere In: Weill FS (ed) L'ultrasonographie en pathologie digestive ... advantages: a bedside procedure, permanent control of the procedure, no irradiation for the patient or for the operator's hands; it is the method of choice for others [4] Procedures regarding...

Ngày tải lên: 09/08/2014, 15:20