Search results for " Intensive Care Medicine"
showing 10 items of 684 documents
Die Knochenbruchbehandlung beim Hyperparathyreoidismus
1975
An Hand von zwei Fallen einer pathologischen Fraktur bei primarem Hyperparathyreoidismus wird die therapeutische Problematik und ihre Konsequenzen aufgezeigt. Eine metallische Fixation gewahrleistet keine ausreichende Stabilisierung des Knochens. Vor jeder operativen Frakturbehandlung sollte die Exstirpation des Nebenschilddrusentumors erfolgen. Zusatzlich zum Metallimplantat mus immer eine Ruhigstellung durch ausere Verbande erfolgen, da die Normalisierung des Knochenaufbaues Voraussetzung fur eine Belastung der Extremitat ist.
Celebrities' Memorial Afterlives: Obituaries, Tributes, and Posthumous Gossip in the Romanian Media Deathscape.
2017
Cross-culturally, dead are protected from posthumous negative evaluations by the universal “nil nisi bonum” precept that governs the ethics within the community of mourners. In this study, we set out to test the observance of this injunction against posthumous gossiping in the Romanian public deathscape. Obituaries and other posthumous articles ( N = 1,148) were collected that covered the deaths of 63 celebrities who passed away between 2013 and 2016. Materials were gathered from the digital archives of three Romanian news sources (a news agency, a “quality” newspaper, and a tabloid), published one week after the moment of death. The findings show that 22% of the articles do contain negati…
Organization of intensive cardiac care units in Europe: Results of a multinational survey
2020
Background: The present survey aims to describe the intensive cardiac care unit organization and admission policies in Europe. Methods: A total of 228 hospitals (61% academic) from 27 countries participated in this survey. In addition to the organizational aspects of the intensive cardiac care units, including classification of the intensive cardiac care unit levels, data on the admission diagnoses were gathered from consecutive patients who were admitted during a two-day period. Admission policies were evaluated by comparing illness severity with the intensive cardiac care unit level. Gross national income was used to differentiate high-income countries (n=13) from middle-income countries…
The heart in the elderly critically ill patient
2002
Cardiac complications such as myocardial infarction and congestive heart failure are the primary source of perioperative morbidity and mortality in elderly surgical patients. This is the result of structural and functional age-related changes in the heart and the vasculature and an increasing incidence of cardiovascular disorders. Appropriate perioperative management of the elderly patient should be based on the extent of functional compromise, the type and severity of pre-existing disease, and the invasiveness of the surgical procedure. Current studies suggest that appropriately administered medical therapy, particularly beta-adrenergic blockade, may reduce perioperative cardiovascular mor…
Circulating histones contribute to monocyte and MDW alterations as common mediators in classical and COVID-19 sepsis
2022
Abstract Objective Histone proteins are physiologically involved in DNA packaging and gene regulation but are extracellularly released by neutrophil/monocyte extracellular traps and mediate thrombo-inflammatory pathways, associated to the severity of many human pathologies, including bacterial/fungal sepsis and COVID-19. Prominent and promising laboratory features in classic and viral sepsis emphasize monocyte distribution width (MDW), due to its ability to distinguish and stratify patients at higher risk of critical conditions or death. No data are available on the roles of histones as MDW modifiers. Design Comparison of MDW index was undertaken by routine hematology analyzer on whole bloo…
[Physiology and clinical relevance of hyperoxygenation].
2005
Update I. A systematic review on the efficacy and safety of chloroquine/hydroxychloroquine for COVID-19
2020
Purpose To assess efficacy and safety of chloroquine (CQ)/hydroxychloroquine (HCQ) for treatment or prophylaxis of COVID-19 in adult humans. Materials and methods MEDLINE, PubMed, EMBASE and two pre-print repositories (bioRxiv, medRxiv) were searched from inception to 8th June 2020 for RCTs and nonrandomized studies (retrospective and prospective, including single-arm, studies) addressing the use of CQ/HCQ in any dose or combination for COVID-19. Results Thirty-two studies were included (6 RCTs, 26 nonrandomized, 29,192 participants). Two RCTs had high risk, two ‘some concerns’ and two low risk of bias (Rob2). Among nonrandomized studies with comparators, nine had high risk and five moderat…
Sepsis at ICU admission does not decrease 30-day survival in very old patients : a post-hoc analysis of the VIP1 multinational cohort study
2020
AbstractBackgroundThe number of intensive care patients aged ≥ 80 years (Very old Intensive Care Patients; VIPs) is growing. VIPs have high mortality and morbidity and the benefits of ICU admission are frequently questioned. Sepsis incidence has risen in recent years and identification of outcomes is of considerable public importance. We aimed to determine whether VIPs admitted for sepsis had different outcomes than those admitted for other acute reasons and identify potential prognostic factors for 30-day survival.ResultsThis prospective study included VIPs with Sequential Organ Failure Assessment (SOFA) scores ≥ 2 acutely admitted to 307 ICUs in 21 European countries. Of 3869 acutely admi…
EMPHASIZING MULTIPROFESSIONAL COLLABORATION TO MEET THE ICU PATIENTS NUTRITION NEEDS
2015
Many studies have shown that the standard of the nutrition of ICU-patients influence the patient results, measured by ICU-LOS (length of stay), hospital-LOS and mortality. The energy deficit accumulating during the first days of the ICU stay may play an important role for the patient results. After implementation of a multi-professional ICU nutrition protocol, including a broadly teaching/information phase for both nurses and anesthesiologists, we conducted a retrospective study.
Epidemiology of intra-abdominal infection and sepsis in critically ill patients: "AbSeS", a multinational observational cohort study and ESICM Trials…
2019
Pardo-Oviedo, Juan Mauricio/0000-0003-0084-3449; Lopez-Delgado, Juan Carlos/0000-0003-3324-1129; Corradi, Francesco/0000-0002-5588-2608; De Backer, Daniel/0000-0001-9841-5762; POTA, VINCENZO/0000-0001-9999-3388; Tomescu, Dana/0000-0001-9673-5754; Sabetian, Golnar/0000-0001-8764-2150; Girardis, Massimo/0000-0002-2453-0829; Brazzi, Luca/0000-0001-7059-0622; Leone, Marc/0000-0002-3097-758X; Zabolotskikh, Igor Borisovich/0000-0002-3623-2546; De Lange, Dylan/0000-0002-0191-7270; ALMEKHLAFI, GHALEB A./0000-0002-0323-7025; Elke, Gunnar/0000-0002-4948-1605; Grigoras, Ioana/0000-0001-9412-9574; Czuczwar, Miroslaw/0000-0002-9025-6717; Nora, David/0000-0002-1133-7368; Masjedi, Mansoor/0000-0001-6175-9…