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Titlebook: Update 1990; Jean Louis Vincent (Clinical Director) Conference proceedings 1990 Springer-Verlag Berlin Heidelberg 1990 COPD.Internal medic

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楼主: 哪能仁慈
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Synergetic Order and Chaotic Malfunctions of the Circulatory Systems in Multiple Organ Failureinistic cooperativity (“synergetic order”) as emaneting from the controlled flow of energy and matter in restricted compartments. “Chaos theory” is rapidly gaining interest among medical theoreticians and medical practitioners for three reasons: 1. there is increasing awareness that biological proce
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Multiple Organ Failure Syndrome: Patterns and Effect of Current Therapyally, the MOFS was described as a response pattern following polytrauma [1–7]. Since then, it has been described after a variety of surgical pathologies including: sepsis and septic shock, hypovolemic shock as in ruptured aneurysms, and following persistent inflammation, as in pancreatitis [8–12]. I
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Selective Gut Decontamination in Ventilated Patientsphisticated supportive treatment measures. Infections in general ICU occur at rates of 15–20 per 100 patient admissions, thereby exceeding the average rates in general wards by approximately 3–4 fold [1,2]. Intubated patients are a subset of patients who exhibit an extraordinary high risk of develop
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Adult Respiratory Distress Syndrome (ARDS): A Systemic Disease?rtality rate (above 50%), and characterized by dyspnea, tachypnea, cyanosis refractory to oxygen therapy, loss of lung compliance, and diffuse alveolar infiltration visible on X-ray films. This acute lung failure was named adult respiratory distress syndrome (ARDS) a few years later [2]. Since its f
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The Role of Amino Acid Changes in Septic Encephalopathysystem infection [1–3], endotoxin effects on the brain [4, 5], inadequate perfusion [6, 7], altered metabolism including disturbed plasma and brain amino acid levels [8–17], deranged amino acid transport across the blood brain barrier [15], abnormal levels of neurotransmitters in the brain [8, 16, 1
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Human and Canine Septic Shock: Studies of Cardiovascular Abnormality, Mediators, and Therapiesormalities in septic shock. We have also developed a canine model that simulates the hemodynamic abnormalities of human septic shock. Results of these and other studies have helped us to understand the mechanisms of septic shock and to evaluate therapies for this highly lethal disorder.
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Myocardial Dysfunction in Sepsisuded investigation of the physiologic abnormalities with an eye towards optimal support of the circulation in general and enhancement of oxygen uptake in particular. Due to methodological contraints and conceptual limitations, however, the precise understanding of the hemodynamic abnormalities in se
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Manipulation of the Immunoinflammatory Cascade in Sepsis: Facts and Perspectives complex array of responses, the initiating event being the release of microbial toxins. These have been divided into two broad classes: exotoxins (products of . and .), and endotoxins (LPS) which originate from the cell wall of gram-negative bacteria. Circulating LPS of bacterial origin continue to
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Immunotherapy of Gram-negative Septic Shock20–30% of the patients with gram-negative bacteremia and an unknown percentage of the patients with focal gram-negative infections not associated with detectable bacteremia), fatality ratios may reach 50% or more [3–5]. This finding is attributed to the deleterious effects of the lipopolysaccharide
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