Katee Owen Video 15
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Katee Owen. Gay SexClosely monitored neurological status immediately prior to the operation has been shown to be an important predictor of neurological outcome following cardiac surgery. However, there is an ongoing disagreement regarding the clinical significance of routine prophylactic hyperventilation (HV) in the surgical ICU. There are insufficient data to recommend routine perioperative HV to improve patient outcomes. More data are needed to assess whether this practice can be safely discontinued in high risk patients. Postoperatively, it appears that patients receiving HV have a greater incidence of respiratory complications, including atelectasis, hypotension, and pulmonary hypertension, than those who are not ventilated. This difference may be due to a cohort effect, in which the routine use of HV was first introduced at the same hospital where these data are being collected. We plan to further explore the relationship between prophylactic HV and outcome by prospectively randomizing post-cardiac surgery patients to HV (1:1), which will be discontinued post-operatively. The primary aim of this study is to determine if discontinuing prophylactic HV decreases the incidence of respiratory complications. We plan to enroll approximately 300 patients in this study. Secondary aims include investigating the relationship between ventilation strategy and mortality, examining the impact of prophylactic HV on the incidence of prolonged intubation, delirium, and patient-reported outcomes including quality of life and functional status, and examining the relationship between preoperative lung function and the need for postoperative mechanical ventilation. If discontinuing HV is associated with less postoperative respiratory complications and improved functional status, these results will provide important new data to inform clinical practice regarding routine use of HV in the post-cardiac surgical ICU. This trial is being conducted in the University Hospital in Florence, Italy, which is a 1250-bed university affiliated hospital that has approximately 30,000 cardiac procedures performed per year. Patients are enrolled from three regional cardiac surgery ICUs over the course of one year.Q:Istodo java e framework apache ivyComo posso configurar um Istodo (maven) para utilizao com um tipo de framework como o Apache Ivy? Estou usando um. 7211a4ac4a
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