Young Man with a Right ‘White-out’ Lung
Yeow Kwan Teo
23/11/2009
A 19-year-old man presented with chronic cough for 3 months and shortness of breath for 2 weeks. His vital signs were stable. His trachea was
November 2009
Comparison of Apache II, SOFA, and Modified SOFA Scores in Predicting Mortality of Surgical Patients in Intensive Care Unit at Dr. Hasan Sadikin General Hospital
Dino Adrian Halim
23/11/2009
Abstract Introduction: Scoring systems were developed to assess the severity of organ failures and to predict mortality. The sequential organ failure assessment (SOFA) score and
The Use of APRV and Open Lung Management for Improving the Outcome of Lung Procurement for Transplantation
Rudolph L. Koch
18/11/2009
One of the most difficult organs to procure for donation is the lung. A detailed understanding of the physiology of mechanical ventilation and its effect on donor lungs is needed to impact on the outcome of lung transplantation. An organized protocol for mechanical ventilation management of the organ donor using the Open Lung Model may positively affect the number of organs that can be procured, and the function of these organs post transplant.
Posterior Reversible Encephalopathy Syndrome: A Review
Rodrigo Pedraza
18/11/2009
Abstract Posterior reversible encephalopathy syndrome (PRES) is a clinical-neuroradiological entity characterized by headache, vomiting, altered mental status, blurred vision and seizures as well as images
Haemodynamic Stability and Vasopressor Use During Low-dose Spinal Anaesthesia in the High Risk Elderly
Sheila E. Malcolmson
18/11/2009
Surgical repair of traumatic fractured neck of femur (DHS or hemiarthroplasty) in elderly patients is a frequent procedure performed in acute theatres in New Zealand. National data using public theatre coding statistics show that close to 2800 procedures for surgical repair of fractured neck of femur are performed per annum in New Zealand. This number has more than doubled over the past 5 years. International data on fractured neck of femur predict a 3-4 fold increase in the numbers presenting by 2050. (1) These rising trends are related to our aging population.
Gastric Emptying of Oral Nutritional Supplements Assessed by Ultrasound
Luciana B Sutanto
18/11/2009
Fasting has been the standard of many medical procedures such as upper endoscopic procedure, surgery, bronchoscopy and abdominal ultrasound imaging. Generally, the fasting recommendations follow The Canadian Anesthetist’s Society (CAS) and American Society of Anesthesiologists (ASA) guidelines. In that recommendation, patients only received clear liquid which contains simple carbohydrate or water two to six hours prior to surgery. After three hours of meal body has to provide nutritions for itself by gluconeogenesis.
Critical Care Economics
Alma Rivera
18/11/2009
Health care costs represent a large percentage of the gross domestic product all over the world. According to the National Health Statistics Group, health care expenditure in the United States accounted for as much as 14% of the gross national product in 1992 and it is projected to reach 30% by 2030.
The intensive care unit (ICU) represents the hallmark of highly competent modern hospitals, offering highly trained staff and life-saving technology and it is also one of the most expensive units in the hospital.