Báo cáo y học: "Recently published papers: Changing practices in the modern intensive care unit"

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 y học đề tài: Recently published papers: Changing practices in the modern intensive care unit. | Available online http content 7 2 111 Commentary Recently published papers Changing practices in the modern intensive care unit Lui G Forni Consultant Intensivist Worthing General Hospital Lyndhurst Road Worthing West Sussex UK Correspondence Lui G Forni lui@ Published online 6 March 2003 Critical Care 2003 7 111-113 DOI cc2169 This article is online at http content 7 2 111 2003 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Keywords ARDS outcome pulmonary artery catheter By far the best proof is experience. Sir Francis Bacon 1561-1626 One always reviews the journals in January with some trepidation. Wading through the instructions for authors a problem not encountered with the electronic press one is worried that the scientific literature may need resuscitating from the post-holiday somnolence. Fortunately 2003 has been greeted with a fanfare of important papers in the critical care press not least in the shape of some well conducted observational studies. Those involved in the intensive care arena often find themselves making difficult decisions including that of cessation of therapy or indeed whether to admit a particular patient to the intensive care unit ICU . The latter dilemma often causes much debate between clinicians. Two studies were published in Critical Care Medicine that may help in determining patient selection. The study by Benoit and coworkers 1 attempted to assess outcome and early prognostic indicators in a global population of patients with haematological malignancies following admission to intensive care. This is a group of patients in which resistance among intensivists to admission is often encountered despite the undoubted improvements in treatment of both solid tumours and haematological malignancies. This study from Belgium examined 124 consecutive critically ill patients admitted to the ICU over a period. The overall ICU mortality rate was 42 . The in-hospital mortality .

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