Archive for July, 2009

Conclusions PAV is a feasible method for supporting ventilator-dependent patients and was well tolerated. It can improve the breathing pattern and reduce inspiratory effort. At the same degree of respiratory muscle unloading, PAV can be implemented at much lower peak inspiratory pressure than PSV. It can also apply proportional pressure support according to the patients’ ventilatory demand.

PAV

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Pregnant women are four times more likely to be admitted to hospital if they contract swine flu than the general population, American scientists have found. An article published online in The Lancet written by the scientists at the respected Centres for Disease Control and Prevention has quantified the extra risk swine flu poses during pregnancy for the first time since the outbreak began.
The analysis included 45 deaths in America, 13 per cent of which were in pregnant women and all were relatively healthy before they contracted flu.

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Fifty-two new cases of the H1N1 swine flu virus have been recorded in B.C. since July 14, according to the health ministry.

To date, 434 individuals in British Columbia have tested positive for the virus that has caused illness in the U.S., Mexico and dozens of other countries.

Thirty-two of B.C.’s new cases are in the Fraser Health Authority region.

British Columbia’s confirmed cases include:

– 223 in Fraser Health.

– 18 in Interior Health.

– 33 in Northern Health.

– 104 in Vancouver Coastal Health.

– 56 on Vancouver Island.

(VancouverSun)

Five kids at an elementary school in Burnaby are paying the price for a decision by the Fraser Health Authority not to close Marlborough Elementary school near Metrotown and have become infected with Swine Flu.
The Fraser Health Authority, led by CEO Dr. Nigel Murray, had told the school there was no reason to think additional kids would be infected after one case was diagnosed last week.

drnigelmurrayformalweb

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Conclusions Use of a booklet on respiratory tract infections in children within primary care consultations led to important reductions in antibiotic prescribing and reduced intention to consult without reducing satisfaction with care.

girlblowingnose.jpg

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Thomas FuehnerDepartment of Respiratory Medicine, Medizinische Hochschule Hannover, Hannover, Germany

Background: Flexible bronchoscopy has become an important diagnostic and therapeutic tool for the management of patients with various diseases of the chest. Availability of a 24-hour bronchoscopyservice equipped with experienced personnel is becoming increasingly important especially for intensive care patients. However, such services have been implemented only in a few medical centres.The aim of this study was to evaluate the usage of a 24-hour emergency service in a large university hospital with a 1 year prospective analysis of emergency bronchoscopy service in a tertiary care centre.
bronchoscopy
Methods: Frequencies, indications and efficiency of therapeutic interventions were evaluated after each bronchoscopy using a specially designed questionnaire. All bronchoscopies were performed as emergency procedures out of operational schedule. A total of 614 emergency bronchoscopies were performed, 88% of them in intensive care units.

Results: The vast majority (84.5%) of the procedures were necessary for therapeutic interventions; that is, atelectasis, airway secretion, aspiration or bronchopulmonary bleeding. According to prespecified criteria, 37.6% (n = 195) of therapeutic procedures were assessed as ‘very helpful’ and 3.9% (n = 20) as ‘life saving’. Diagnostic bronchoscopies were performed mainly to collect airway material for microbiological evaluations in immunocompromised patients. In these cases, the diagnostic yield was approximately 50%.

Conclusion: The availability of a 24-hour bronchoscopy service has been found to improve patient care and was occasionally considered life saving. Thus, comparable services should be made more widely available.


Thomas FuehnerDepartment of Respiratory Medicine, Medizinische Hochschule Hannover, Hannover, Germany

Background: Flexible bronchoscopy has become an important diagnostic and therapeutic tool for the management of patients with various diseases of the chest. Availability of a 24-hour bronchoscopyservice equipped with experienced personnel is becoming increasingly important especially for intensive care patients. However, such services have been implemented only in a few medical centres.The aim of this study was to evaluate the usage of a 24-hour emergency service in a large university hospital with a 1 year prospective analysis of emergency bronchoscopy service in a tertiary care centre.
bronchoscopy
Methods: Frequencies, indications and efficiency of therapeutic interventions were evaluated after each bronchoscopy using a specially designed questionnaire. All bronchoscopies were performed as emergency procedures out of operational schedule. A total of 614 emergency bronchoscopies were performed, 88% of them in intensive care units.

Results: The vast majority (84.5%) of the procedures were necessary for therapeutic interventions; that is, atelectasis, airway secretion, aspiration or bronchopulmonary bleeding. According to prespecified criteria, 37.6% (n = 195) of therapeutic procedures were assessed as ‘very helpful’ and 3.9% (n = 20) as ‘life saving’. Diagnostic bronchoscopies were performed mainly to collect airway material for microbiological evaluations in immunocompromised patients. In these cases, the diagnostic yield was approximately 50%.

Conclusion: The availability of a 24-hour bronchoscopy service has been found to improve patient care and was occasionally considered life saving. Thus, comparable services should be made more widely available.

VancouverSun

SUN0522N-Doctor

Residents of the Fraser Health region should prepare themselves for deep cuts to core patient-care services as the provincial government looks to absorb a projected $160-million funding shortfall, the NDP warned Monday.

Diabetes clinics in Delta and Mission, regional maternity and pediatric services, and seniors’ aid and mental health programs are all on the chopping block, NDP health critic Adrian Dix said.

Citing a leaked draft document that the government has acknowledged is genuine, Dix said the government is also considering closing operating rooms, reducing the number of elective surgeries, downgrading the emergency ward at Mission Memorial Hospital, and shutting acute-care beds and outpatient clinics.

“We’re talking about a serious blow to the long-term health of everybody living in the Fraser Health Authority,” Dix said. Read the rest of this entry

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