Tìm thấy 20+ kết quả cho từ khóa "Critical care"
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Systematic review and bibliometric analysis of African anesthesia and critical care. medicine research part II: a scientometric analysis of the 116 most cited articles. Background: Scientometrics is used to assess the impact of research in several health fields, including Anesthesia and Critical Care Medicine. The purpose of this study was to identify contributors to highly-cited African Anesthesia and Critical Care Medicine research..
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Little is known about the state of Anesthesia and Critical Care Medicine (A.C.C.M.) research in Africa. in Africa. Rayyan software was later on used for data management in the review selection process. Data were extracted, and the number of articles per physician anesthesia providers and provider density were calculated.
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Organizing a critical care obstetric unit . Critical Care Obstetrics , 4th edn. 12 Task Force of the American College of Critical Care Medicine . Guidelines for intensive care unit admission, discharge, and triage . Critical care unit organization and patient outcomes . Streamlining critical care: responsibilities and cost effec- tiveness in intensive care unit organization .
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In addition, the potential urgent need for appropriate per- sonnel and resources to resuscitate and stabilize the newborn should be anticipated and addressed in the plan of care.. Obstetric critical care can benefi t from data in the critical care literature that address family and patient needs in a critical care setting.
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Department of Obstetrics and Gynecology Division of Maternal - Fetal Medicine and Consultant, Critical Care Obstetrics New York, USA.
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Thus, care of the Jehovah ’ s Witness in the critical care setting entails many ethical issues. It is important to respect the patient ’ s autonomy and to exercise benefi cence by understanding the alternative treatments the patient may allow consideration. If one has trouble caring for the patient within these limitations, it is imperative to inform the patient and assist in obtaining alterna- tive care..
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A summary of the drugs that may commonly be encountered in the critical care unit are shown in Table 44.1. Placental transfer of the drug is very rapid.. Of note, only 262 of the 13 703 infants were exposed to a benzodiazepine. In multiple studies, the fetal levels of the drug are lower than maternal levels. In addition, neonatal rate of metabolism of the drug is less than maternal rates [13.
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Maternal - Fetal Medicine - Surgical Critical Care University of Texas Medical Branch. Galveston, TX, USA
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For medicine, free consent means the patient freely authorizes a medical interven- tion [7. an awareness and understanding of the information regarding one ’ s care and the possibilities that surround it [7. The ideal of informed consent works best in a relationship of mutual respect and is best seen as a process, as opposed to a task of getting the patient to sign the consent form. In the critical care setting, deci- sions are often made under periods of stress with limited time..
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Task Force of the American College of Critical Care Medicine (ACCM) of the Society of Critical Care Medicine (SCCM), American Society of Health - System Pharmacists, American College of Chest Physicians . 155 Duvaldstein P , Agoston S , Henzel D et al. Placement and maintenance of vascular access can be an impor- tant adjunct in the care of the critically ill obstetric patient..
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Alternately, the appearance of a pulmonary artery waveform in the central venous pressure port will alert the attendant to distal catheter migration and the need for adjust- ment [30. described disturbingly high interob- server variability in the interpretation of waveform tracings, although agreement on numerical wedge pressure readings was high [31. reported a wide varia- tion in the understanding of pulmonary artery catheter wave- forms and techniques among critical care nurses using this device
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In the critical care setting, it is used in anaphylaxis, brady- cardia, and cardiac arrest. In addition, there are no studies discussing neonatal. There are no studies describing the effect of dobutamine during breastfeeding.. There are no studies that link isopro- terinol with human teratogenesis. There are no studies evaluating breastfeeding with isoproterinol.. There are no studies evaluating congenital malformations or breastfeeding in milrinone - or amrinone - exposed human fetuses..
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Evidence - based guide- lines for weaning and discontinuation of mechanical ventilation published by American College of Chest Physicians, the American Association for Respiratory Care, and The American College of Critical Care Medicine concluded that the daily SBT is the ideal method for ventilatory support weaning [167]. A fundamental concept that has been widely adopted in the last decade is the fact that many patients labeled as “ ventilator dependent ” may in fact not be.
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In the critical care setting, a sudden, rapid, and sustained deterioration of the FHR or a prolonged FHR deceleration may arise from a partial or complete abruption in cases of markedly elevated maternal blood pressures or an aggressive lowering of maternal BP with antihy- pertensive agents [17.
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This view of the fetus as having dependent moral status provides a useful framework to look at the issues which confront the physician during dilemmas in critical care obstetric settings.. One ’ s approach to the issue of maternal – fetal confl ict is largely defi ned by how one approaches the status of the fetus. This legal right to refuse treatment is viewed by Annas as part of the common law right to self - determination and associ- ated with the constitutional right to privacy [10.
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The treatment of cardiogenic or non - cardiogenic pulmonary edema is complex and may be thought of in terms of how cardi- ologists or pulmonary/critical care physicians handle their spe- cialty patients. Hydralazine and isosorbide dinitrate may be substi- tuted for angiotensin - converting enzyme inhibitors or angioten- sin receptor blockers in the treatment of systolic heart failure during pregnancy.
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Real - time ultrasound - guided catheterization of the internal jugular vein: a prospective com- parison with the landmark technique in critical care patients . Central venous catheterization. External jugular vein can- nulation for central venous access . cal central venous line placement: a comparison of the internal and external jugular vein routes . Isolated thrombosis of the exter- nal jugular vein . central venous catheterization .
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In the critical care setting, the FBP (Table 43.2 ) is the easiest approach to use after fetal monitoring. Since the introduction of the FBP, this technique has been modifi ed to include the amniotic fl uid index to estimate the amniotic fl uid volume [44,45.
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Transfer to a tertiary care center or one with neurosurgical and critical care services is a necessity in the presence of a strong suspicion or a defi nitive diagnosis of SAH. The calcium channel blocker nimodipine has been used since the 1980s to vasodilate cerebral blood vessels and theoretically prevent vasospasm in the patient with SAH, although it has not been possible to demonstrate a drug effect on angiographic or symptomatic vasospasm.
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It must be assumed that the infant delivered of a mother requir- ing critical care to support and maintain a pregnancy may require resuscitation. A careful review of the antepartum and peripartum maternal history, as well as careful assessment of the infant ’ s response to labor, will frequently identify the potential for the delivery of a depressed infant (Box 8.2. If the infant is vigorous and ischemia, hypercapnia and acidosis and minimize the long - term.