Prolonged mechanical ventilation gobbles up a huge proportion of healthcare dollars and still results in persistent, profound disability. Family members or other decision makers should be informed of this when they are considering a course of prolonged life support, researchers write in a new study published in the August 3 issue of the Annals of Internal [...]
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Royal College of Paediatrics and Child Health (06/2010): Bacterial Meningitis and Meningococcal Septicaemia in Children NICE (06/2010): Chronic Obstructive Pulmonary Disease
Nei pazienti colpiti da embolia polmonare acuta (Pe) si riscontra un’associazione lineare tra precocità di somministrazione della terapia anticoagulante e ridotta mortalità.
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Results of a prospective observational study suggest that use of transcranial Doppler (TCD) to detect embolic signals may be used to help with risk stratification of patients with high grade but asymptomatic carotid stenosis. Leggi l’articolo completo…
Hyperoxia in patients recovering in the intensive care unit (ICU) after cardiac arrest increases the risk of in-hospital death, a study from the Project IMPACT database shows [1].
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In caso di nefropatia ipertensiva, che spesso porta a una progressiva perdita della funzione renale nonostante l’adeguato controllo farmacologico della pressione, l’assunzione quotidiana di bicarbonato di sodio per via orale costituisce, insieme all’Ace-inibizione, un’efficace protezione per il rene, complementare al trattamento antipertensivo. È questo l’esito di una sperimentazione effettuata nei dipartimenti di Medicina interna di [...]
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Per prevenire fenomeni tardivi di trombosi endoluminale, i pazienti diabetici che hanno ricevuto l’impianto di uno stent a eluizione di farmaco possono trarre beneficio dalla somministrazione di una doppia terapia antiaggregante (Dat) prolungata, anche al di là di quanto raccomandato dalle linee guida.
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From: AnesthesiaNow.com Every day, clinicians treat hemodynamic instability as part of patient management. In a perioperative setting, hypotension is multifactorial owing to its many causes, which include anesthetic drugs, hemorrhage, hypovolemia, regional anesthesia effects, arrhythmias, pre-existing heart failure, and/or any combination of these. In this setting, hypotension is often transient and responds to volume administration, [...]
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Various strategies and recommendations to treat patients with severe chronic obstructive pulmonary disease (COPD) are provided in a clinical review published in the April 15 issue of the New England Journal of Medicine.
Keeping 2 doses of epinephrine on hand is recommended for children with life-threatening food allergies, according to a study published online March 22 in Pediatrics.
Pharmacotherapy, ventilation strategies, and other management issues regarding chronic obstructive pulmonary disease (COPD) exacerbations are reviewed in an article published in the March 1 issue of American Family Physician.
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Lactate clearance is noninferior to central venous oxygen saturation (ScvO2) as a target of early sepsis resuscitation, according to the results of a multicenter, randomized, noninferiority trial reported in the February 24 issue of the Journal of the American Medical Association. Leggi l’articolo intero.
Prophylactic antibiotics may improve survival of burn patients, a meta-analysis suggests, although the authors acknowledge that the quality of the supporting data is weak. Leggi l’articolo intero.
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Although pooled data of two studies suggested that critically ill pediatric patients may benefit from receiving prophylactic treatment to prevent upper gastrointestinal bleeding, we found that high-quality evidence to guide clinical practice is still limited. Leggi l’articolo intero.
Il nuovo test dell’emoglobina A1C predice il diabete così come il test di digiuno, ma supera il vecchio standard nel predire il rischio di un rischio futuro di malattia cardiaca e ictus. Il test A1C è noto anche come test dell’emoglobina glicata; usando un piccolo campione ematico, misura la media dei livelli dei due-tre mesi [...]
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