tailieunhanh - Báo cáo khoa học: "Recently published papers: putting fluids in and taking fluids out"

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: putting fluids in and taking fluids out. | Available online http content 10 6 179 Commentary Recently published papers putting fluids in and taking fluids out Catriona JM Shaw1 and Lui G Forni2 3 1 Department of Nephrology Worthing General Hospital Lyndhurst Road Worthing West Sussex BN11 2DH UK 2Department of Critical Care Worthing General Hospital Lyndhurst Road Worthing West Sussex BN11 2DH UK 3Brighton Sussex Medical School University of Sussex Brighton East Sussex BN1 9PX UK Corresponding author Lui G Forni Published 8 December 2006 This article is online at http content 10 6 179 2006 BioMed Central Ltd Critical Care 2006 10 179 doi cc5106 Abstract Further work on the use of albumin in the intensive care unit is discussed. The interesting pilot study by Dubois and colleagues examines the potential benefits for albumin supplementation in the hypoalbuminaemic critically ill patient. Maintaining the fluid theme we discuss recent work on factors influencing post-intensive care unit blood transfusion as well as another study on erythropoietin. Finally a large multicentred trial comparing continuous venovenous haemofiltration with intermittent haemodialysis is outlined the results of which pose more questions than answers. Men worry over the great number of diseases while doctors worry over the scarcity of effective remedies. Pien Chi ao Chinese physician ca. 500 BC A recurring theme in treating the critically ill and indeed in all of medicine is the search for evidence-based practice. As we all know however application of such principles is somewhat curtailed by the paucity of data even when considering aspects of treatment that to the ill-informed would seem fundamental. The study by Dubois and colleagues in Critical Care Medicine addresses a fundamental question the use of albumin in the critically ill 1 . One may think this is yet another study adding to the confusion regarding the use of albumin when compared with other colloids as resuscitative .

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