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: Renal replacement therapy: which route and how much? Intracerebral haematomas: does the size matter? β blockers and steroids: will we ever know?. | Available online http content 12 4 172 Commentary Recently published papers Renal replacement therapy which route and how much Intracerebral haematomas does the size matter p blockers and steroids will we ever know Vlad Kushakovsky and Richard Venn Department of Critical Care Worthing Hospital Lyndhurst Road Worthing BN11 2DH UK Corresponding author Vlad Kushakovsky vladku@ Published 14 August 2008 Critical Care 2008 12 172 doi cc6968 This article is online at http content 12 4 172 2008 BioMed Central Ltd Abstract Femoral access for renal replacement therapy appears to have a similar infection rate to jugular access. High-intensity renal support does not seem to improve mortality or length of hospital stay. Acute kidney injury as defined by Acute Kidney Injury Network predicts increased hospital mortality. Recombinant factor Vila reduces growth of volume of intracerebral haematoma but does not affect clinical outcome. Sustained released metoprolol reduces perioperative cardiac events in non-cardiac surgery but leads to more deaths and strokes. Steroids are probably not beneficial in either children with non-Haemophilus influenzae type b bacterial meningitis or in prophylaxis of acute respiratory distress syndrome ARDS but could be beneficial in the treatment of ARDS. Renal replacement therapy and acute kidney injury route and intensity Parienti and co-workers 1 examined the effect of different catheter insertion sites for acute renal replacement therapy on the incidence of infection. Based on earlier findings they hypothesized that use of the jugular site would reduce nosocomial events. The results of their randomized trial of 750 patients showed this was not the case. The rate of catheterization colonization with femoral access was comparable to that seen with jugular access versus per 1 000 catheter-days p . Body mass index BMI however did influence the association. In subjects with a BMI greater than .
