منابع مشابه
Transfusing Yersinia enterocolitica
swabs, ultrasonography, and diagnostic lavage. Others, more suitable for chronic cases, can realistically be undertaken only in a referral centre; these include smears, mucosal biopsy, estimation of the ciliary beat frequency, and sinoscopy. With the possible exception of endoscopy none of these techniques is totally reliable.45 In this issue, van Duijn and colleagues (p 684)6 have investigated...
متن کاملDebate: Transfusing to normal haemoglobin levels will not improve outcome
Recent evidence suggests that critically ill patients are able to tolerate lower levels of haemoglobin than was previously believed. It is our goal to show that transfusing to a level of 100 g/l does not improve mortality and other clinically important outcomes in a critical care setting. Although many questions remain, many laboratory and clinical studies, including a recent randomized control...
متن کاملTransfusing Wisely: Clinical Decision Support Improves Blood Transfusion Practices.
BACKGROUND The cost and risks of red blood cell (RBC) transfusions, along with evidence of overuse, suggest that improving transfusion practices is a key opportunity for health systems to improve both the quality and value of patient care. Previous work, which included a BestPractice Advisory (BPA), was adapted in a quality improvement project designed to reduce both exposure to unnecessary blo...
متن کاملDebate: Transfusing to normal hemoglobin levels improves outcome
Red cells are uniquely designed to transport oxygen and facilitate oxygen uptake by systemic tissues. Blood transfusions are thus logical therapeutic choices in patients who exhibit signs of oxygen debt. A small number of studies that have addressed patients with metabolic or physiologic signs of oxygen debt or regional ischaemia suggest that liberal blood transfusion strategies improve outcome...
متن کاملDr Google or Dr Lazy?
Sir, I was recently on call for nephrology, and something happened. I was rung by a first year junior doctor at 1 am, saying that a patient's 'MEWS score was 6'. The patient had had a renal transplant that day. A score of 6 is very high. It should trigger a rapid senior review, and possible intensive care re-ferral. Modified early warning score (MEWS) is an electronic early warning score based ...
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ژورنال
عنوان ژورنال: The Lancet
سال: 1876
ISSN: 0140-6736
DOI: 10.1016/s0140-6736(02)31797-5