40 research outputs found
Relation between mean arterial pressure and renal function in the early phase of shock: a prospective, explorative cohort study
International audienceIntroduction: Because of disturbed renal autoregulation, patients experiencing hypotension-induced renal insult might need higher levels of mean arterial pressure (MAP) than the 65 mmHg recommended level in order to avoid the progression of acute kidney insufficiency (AKI)
Céto-acidose diabétique (difficultés diagnostiques en médecine générale)
TOURS-BU MĂ©decine (372612103) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF
Proposition de protocole de recherche clinique AXES (étude multicentrique randomisée évaluant l'effet sur la mortalité de l'administration d'albumine à la phase précoce du sepsis sévÚre chez le cirrhotique)
TOURS-BU MĂ©decine (372612103) / SudocSudocFranceF
Evaluation des compĂ©tences cliniques des Ă©tudiants en mĂ©decine de Tours Ă la fin de leur 2Ăšme cycle d'Ă©tudes (Ă partir d'une enquĂȘte rĂ©alisĂ©e entre 1999 et 2002)
TOURS-BU MĂ©decine (372612103) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF
Acute Lithium Intoxications, Review of the Literature and Cases Study.
National audienceAcute Lithium Intoxications, Review of the Literature and Cases Study. The efficacy of lithium in the prevention of bipolar disorders is now well established. However, acute lithium intoxications still occur, often after suicide attempts. Symptoms are often different from one patient to the other, and long lasting neurologic sequelae may happen. Active treatments are available, notably haemodialysis, which increase lithium clearance dramatically. We report cases quoted in the department of intensive care of Tours University Hospital over the last three years and compared them with the literature. Lithium level and treatment of these intoxications were analysed. Although new medicines are available for the treatment of bipolar disorders, lithium is still an important drug in this disease, therefore, the prescribers have to be aware of the consequences of acute lithium intoxications
Acute Lithium Intoxications, Review of the Literature and Cases Study.
National audienceAcute Lithium Intoxications, Review of the Literature and Cases Study. The efficacy of lithium in the prevention of bipolar disorders is now well established. However, acute lithium intoxications still occur, often after suicide attempts. Symptoms are often different from one patient to the other, and long lasting neurologic sequelae may happen. Active treatments are available, notably haemodialysis, which increase lithium clearance dramatically. We report cases quoted in the department of intensive care of Tours University Hospital over the last three years and compared them with the literature. Lithium level and treatment of these intoxications were analysed. Although new medicines are available for the treatment of bipolar disorders, lithium is still an important drug in this disease, therefore, the prescribers have to be aware of the consequences of acute lithium intoxications
Intoxications aiguës au lithium : revue de la littérature et étude de cas cliniques
L'efficacité du lithium dans le traitement préventif des troubles
bipolaires est maintenant bien Ă©tablie. Or, les intoxications
aiguës au lithium ne sont pas rares, le plus souvent lors d'actes
délibérés. La symptomatologie des intoxications est trÚs
variable et parfois le patient garde des séquelles. Cependant, il existe
des traitements efficaces, l'hémodialyse en particulier qui permet
d'améliorer considérablement la clairance du lithium.
Nous avons étudié et comparé aux données de la
littérature, les cas d'intoxications aiguës pris en charge dans le
service de RĂ©animation MĂ©dicale du CHRU de Tours ces trois
derniÚres années. La symptomatologie, l'évaluation des
lithémies et le traitement de ces intoxications ont été
analysés. En conclusion, bien qu'apparaissent de nouvelles molécules
dans le traitement du trouble bipolaire, le lithium reste un outil important
dans la prise en charge de cette pathologie, nécessitant, de la part des
cliniciens une surveillance accrue de ces patients
Sensitivity of a reinforced concrete protective gallery under a snow avalanche load
International audienc
Acute respiratory distress syndrome secondary to human metapneumovirus infection in a young healthy adult
International audienc