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Báo cáo khoa học: "Recently published papers: Out with the old and in with the new … then something new for the old"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Recently published papers: Out with the old and in with the new then something new for the old! | Critical Care June 2005 Vol 9 No 3 Carbert and Venn Commentary Recently published papers Out with the old and in with the new . then something new for the old Simone Carbert1 and Richard Venn2 1Senior House Officer Department of Critical Care Worthing General Hospital Worthing UK 2Consultant Department of Critical Care Worthing General Hospital Worthing UK Corresponding author Simone Carbert secarbert@doctors.net.uk Published online 12 May 2005 This article is online at http ccforum.com content 9 3 238 2005 BioMed Central Ltd Critical Care 2005 9 238-240 DOI 10.1186 cc3723 Abstract New therapies are challenging older established practices. One recently published report shows us that we may be able to avoid endotracheal intubation in patients with a reduced level of consciousness. Recombinant activated factor VII is proving to be useful in many coagulation disorders and intracerebral haemorrhage can be added to this list. Homeopathy in the form of potassium dichromate shows promise as a new treatment for excessive tracheal secretions. Rotation protocols for antibiotics have been evaluated with respect to their ability to prevent the development of new resistant micro-organisms in our hospitals and units. Finally glucocorticoids may be of benefit to septic patients outside the intensive care unit ICU and may prevent their deterioration and admission to the ICU. Intensive care medicine is a relatively new medical speciality and so it is inevitable that established practices based on expert opinion level V evidence will be challenged. The use of noninvasive positive pressure ventilation NiPPV to treat acute respiratory failure ARF is a treatment that is often contraindicated in patients with reduced consciousness level because of the risk for aspiration. This concept has been challenged by Diaz and coworkers 1 in a recent report published in Chest. Those investigators conducted a prospective open uncontrolled study to assess primarily the success defined as avoidance .