Dott. Luigi Vicari on febbraio 11th, 2009

Istituto Superiore di Sanità (02/2009): Riabilitazione e valutazione dei pazienti mielolesi

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Laurie Barclay, MD Medscape Medical News 2009. © 2009 Medscape Procalcitonin (PCT) and C-reactive protein (CRP), along with currently used laboratory tests, may facilitate the treatment of infants younger than 3 months seen in emergency departments for fever of unknown origin, according to the results of a retrospective study reported in the January 21 Online [...]

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Dott. Luigi Vicari on febbraio 11th, 2009

Martha Kerr Medscape Medical News 2009. © 2009 Medscape More than one third of patients in the intensive care unit (ICU) at Henry Ford Hospital, in Detroit, Michigan, were seropositive for cytomegalovirus (CMV), according to a study presented here at the Society of Critical Care Medicine 38th Critical Care Congress.

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Martha Kerr Medscape Medical News 2009. © 2009 Medscape Mortality rates are significantly higher when a benzodiazepine is the sedating agent used in a mechanically ventilated patient, and hospital and intensive care unit (ICU) length of stay is more than a day longer, investigators at the University of Utah told attendees of the Society of [...]

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Martha Kerr Medscape Medical News 2009. © 2009 Medscape Elevated levels of troponin are associated with a nearly 50% increase in mortality risk among severely ill noncardiac patients, and one-fifth of noncardiac patients in medical intensive care units (ICUs) have high troponin levels.

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Margaret A. Pisani, MD, MPH; Terrence E. Murphy, PhD et al. Crit Care Med.  2009;37(1):177-183.  ©2009 Lippincott Williams & Wilkins – Posted 01/28/2009 Delirium is an acute disorder of attention and cognition with a reported prevalence of 78%-87% among older intensive care unit (ICU) patients.[1-5] Delirium leads to poor outcomes, including increased morbidity, mortality, nursing [...]

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Dott. Luigi Vicari on febbraio 8th, 2009

Reuters Health Information 2009. © 2009 Reuters Ltd. Trauma patients who are transfused with more than 5 units of packed red blood cells (PRBCs) within 24 hours of admission are at increased risk for developing acute respiratory distress syndrome (ARDS), new research shows.

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Dott. Luigi Vicari on febbraio 8th, 2009

Martha Kerr Medscape Medical News 2009. © 2009 Medscape Patients in the intensive care unit (ICU) may have a higher risk for upper-extremity deep vein thrombosis (DVT) than for lower-extremity DVT, yet the focus tends to be only on the legs, according to a study presented here at the Society of Critical Care Medicine 38th [...]

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Dott. Luigi Vicari on febbraio 8th, 2009

Martha Kerr Medscape Medical News 2009. © 2009 Medscape Current use of moderate to high doses of statins for patients hospitalized with sepsis was associated with a mortality risk reduction of more than 20%, compared with patients not taking statins, investigators reported here at the Society of Critical Care Medicine 38th Critical Care Congress.

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Dott. Luigi Vicari on febbraio 8th, 2009

AASLD (08/2009): Vascular Disorders of the Liver AASLD (08/2009): Prevention and Management of Gastroesophageal Varices and Variceal Hemorrhage in Cirrhosis AASLD (08/2009): Management of Hepatocellular Carcinoma AASLD (08/2009): Liver Biopsy AASLD (08/2009): Diagnosis and Treatment of Wilson Disease AASLD (08/2009): Chronic Hepatitis B AASLD (08/2009): Management of Adult Patients with Ascites Due to Cirrhosis AASLD [...]

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Dott. Luigi Vicari on febbraio 8th, 2009

Alfa-2 agonisti e GABA-agonisti presentano pari efficacia e sicurezza nell’assicurare una sedazione mirata nei pazienti in terapia intensiva sotto ventilazione meccanica, ma gli alfa-2 agonisti assicurano una riduzione dei tempi trascorsi in ventilazione meccanica, degli episodi di delirio e della tachicardia. Per molti anni le linee guida sulla sedazione hanno supportato l’uso degli agonisti recettoriali [...]

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Dott. Luigi Vicari on febbraio 4th, 2009

L’approccio basato sulla PCR universale risulta utile nella diagnosi di sepsi neonatale prima dell’inizio della terapia antibiotica. Benché le colture ematiche siano lo standard comunemente accettato per queste diagnosi, possono essere necessarie anche 48 ore per averne i risultati. La PCR in questi casi può aiutare, ma diviene inutile se il bambino è stato esposto [...]

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Dott. Luigi Vicari on gennaio 27th, 2009

Michael R Filbin, MD, Clinical Instructor, Department of Emergency Medicine, Massachusetts General Hospital Updated: Dec 17, 2008 Introduction Background Clinicians often use the terms sepsis and septic shock without a commonly understood definition. In 1992, a consensus conference of the American College of Chest Physicians and the Society of Critical Care Medicine published the following [...]

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Dott. Luigi Vicari on gennaio 27th, 2009

Ian S deSouza, MD, Assistant Professor, Department of Emergency Medicine, Kings County Hospital/SUNY Downstate Medical Centers Che’ Damon Ward, MD, Staff Physician, Department of Emergency Medicine, State University of New York Health Science Center at Brooklyn Updated: Dec 17, 2008 Introduction Background Ventricular tachycardia (VT) is a tachydysrhythmia originating from a ventricular ectopic focus, characterized [...]

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Dott. Luigi Vicari on gennaio 7th, 2009

Prof Tamás Paál, Hungary (Signal Reviewer for the WHO-UMC Programme for International Drug Monitoring) Drotrecogin alfa (activated) is a recombinant form of human activated protein C that has anti-thrombotic, anti-inflammatory and profibrinolytic activities. It is used mainly in intensive care medicine as a treatment for severe sepsis (sepsis associated with acute organ dysfunction). It is [...]

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