1. hip hemiarthroplasty after displaced femoral neck fracture: a survivorship analysis femoral neck...
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Hip hemiarthroplasty after displaced femoral neck fracture: a survivorship analysis
• Femoral neck fracture – broken knee joint • Total Hip Arthroplasty – Yes….better results for patients than internal fixation and hemiarthroplasty.• Some Results for age group 60 + differ from this: “0-35 % dislocation cases” – quite highREASON ? Major one is comorbidities!
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Biomarkers as a Tool for Management of Immunosuppression in Transplant Patients
•Immuno-suppressive drugs•Without immunosuppression therapy, transplatation surgery could be fatal.•Therapeutic drug monitoring – DOES NOT reflect adverse effects to immune cells.•Pharmacodynamic monitoring (biomarkers)
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Problem of infection in the ICU
•Infections possible - ventilator-associated pneumonia, catheter-associated urinary tract infection, catheter-related bloodstream infection•Need to be attentive to horizontal infection
and use proper antibiotics for multi-resistant bacteria like MRSA.
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Managing infection in the critical care unit: how can infection control make the ICU safe?
Infection Control in the ICU
Device Related Nosocomial Infection In ICU
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Ventilator Associated Pneumonia
Antibiotic Resistance Pathogens
Catheter-related Infections
Modifiable◦ Frequency of ventilator
circuit changes◦ Antibiotic usage
Nonmodifiable◦ Patient age and gender◦ Severity of illness◦ Coma
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Bronchoscopic techniques
Nonbronchoscopic techniques
Balance between initial antibiotic and overuse
Risk Factors Prevention
Decrease Infection in Neonatal Intensive Care Unit
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Long-Term Acute Care Hospital
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VAP rate per 1,000 device days
CR-BSI rate per 1,000 device days
Year 1997 2004 2002 2004
Medical ICU 29 18 8.2 3.4
Surgical ICU Similar declines 10.5 4.5
Burn Center Similar declines 9.5 1.85
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Bundle Methodology
VAP: Ventilator-Associated PneumoniaCR-BSIs: Catheter-Related Bloodstream Infections
Pursuing perfection in fighting with VAP and CR-BSIs in ICU
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