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: An ancient debate, novel monitors and post ICU outcome in the elderly. | Critical Care August 2005 Vol 9 No 4 Sadler and Williams Commentary Recently published papers An ancient debate novel monitors and post ICU outcome in the elderly James Sadler1 and Gareth Williams2 Specialist Registrar in Anaesthesia University Hospitals of Leicester Leicester UK 2Consultant in Anaesthesia and Critical Care University Hospitals of Leicester Leicester UK Corresponding author Gareth Williams Published online 22 July 2005 This article is online at http content 9Z4 314 2005 BioMed Central Ltd Critical Care 2005 9 314-316 DOI cc3785 Abstract Tracheostomies have been around for close to 3000 years so one would hope that the controversies might have been thrashed out by now but apparently not. Judging by some recent publications it would appear that we still do not know when or how to insert them. Monitoring is fundamental to critical care two papers describe novel modified techniques for assessing traumatic brain injury and cardiac output. The intensive care unit imposes a heavy treatment burden particularly on the elderly. What impact does this have on the lives of the survivors Debate regarding the indications timing and technique for tracheostomy seems to have been raging ever since the procedure itself was first described in ancient Egypt 1 . The topic is of global interest with research from a number of continents published during the past few months. These recently published papers add new information to the round table discussion that often goes with this controversial and topical subject. The first report that by Griffiths and coworkers 2 is a well researched systematic review and meta-analysis of five controlled studies that aimed to compare outcomes in critically ill patients undergoing artificial ventilation who received a tracheostomy early or late in their treatment. The total number of patients involved was 406. Early tracheostomy was defined as up to 7 days following intubation and late was
