Patience Quote by Jean-Louis Vincent

“Febrile patients with head trauma, subarachnoid hemorrhage, or stroke should receive antipyretics to prevent temperature-related increases in cerebral oxygen utilization.” quote by Jean-Louis Vincent — Download Open image

““Febrile patients with head trauma, subarachnoid hemorrhage, or stroke should receive antipyretics to prevent temperature-related increases in cerebral oxygen utilization.””

Jean-Louis Vincent

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Patience

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“These vascular changes, evident to the clinician by examination of the retina, are mirrored by changes in the kidney, leading to a proliferative arteritis,…

Jean-Louis Vincent

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“7 Severe hemophagocytic syndrome with failure of one or more organs. The choice of cytoreductive regimen depends on the type of malignancy, which is not always precisely known on arrival of the patient in the ICU. For acute leukemias, efforts should be made to characterize the lineage (ALL or AML) before treatment is initiated, but if lineage cannot be determined,…

Jean-Louis Vincent

“Nicardipine is metabolized by the liver, and excretion can be impaired in patients with abnormal hepatic function.”

Jean-Louis Vincent

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“Most commonly, hypertensive emergencies occur in the setting of uncontrolled or unknown chronic hypertension. Hypertensive emergencies also may develop as secondary hypertension in association…

Jean-Louis Vincent

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“Newer agents for treatment of seizures in critically ill patients include the phenytoin prodrug, fosphenytoin; the anesthetic agent, propofol; and the water-soluble benzodiazepine, midazolam.”

Jean-Louis Vincent

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“The relationship between BP and mortality in patients with stroke may be “U-shaped.” According to this notion, systolic BP (SBP) values above or below 140 to 180 mm Hg are associated with increased mortality. In the International Stroke Trial, SBP above 200 mm Hg was associated with an increased risk of recurrent ischemic stroke (50% greater risk of recurrence), while low BP (particularly <120 mm Hg) was associated with an excess number of deaths from coronary heart disease.”

Jean-Louis Vincent

“Although specific treatments for ALI/ARDS have been slow to emerge, the recent development of new strategies for mechanical ventilation that improve mortality, and fluid management strategies that reduce the length of mechanical ventilation, emphasizes the importance of identifying and appropriately treating all patients with ALI/ARDS. Although this point would seem to be straightforward, in practice, ALI/ARDS remains largely underdiagnosed,”

Jean-Louis Vincent

“Acute pain is triggered by stimulation of peripheral nociceptors in the skin or deeper structures and is a complex process involving multiple mediators at…

Jean-Louis Vincent

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“On the basis of a recent meta-analysis,25,26 continuous peripheral analgesic techniques provide superior analgesia, reduce opioid consumption, and reduce opioid-related side effects (nausea and vomiting, sedation, pruritus). This technique is not commonly used in the ICU setting, but it opens a wide range of possibilities for the future treatment of acute pain in critically ill”

Jean-Louis Vincent

“Several sedation scales—the Richmond Agitation Sedation Scale (RASS), Adaptation to the Intensive Care Environment (ATICE) tool, and the Minnesota Sedation Assessment Tool (MSAT)—as well as tools for assessment of analgesia in the ICU, such as the visual analog scale, the numeric rating scale, behavioral pain scale,7,8 and critical care pain observation scale, have been developed (Figure 3-1).”

Jean-Louis Vincent

“Whenever possible, at least 10 to 15 mL of blood should be withdrawn and inoculated into 2 or 3 bottles or tubes at a ratio…

Jean-Louis Vincent

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“These effects result in depletion of cellular adenosine triphosphate (ATP) and potentially severe detrimental effects on cell function. It is important to note that…

Jean-Louis Vincent

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The faster you go, the shorter you are.

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We're on the road 300 days a year. There's no recovery time. It's a test of your physical and mental endurance.

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Next came the Patent laws. These began in England in 1624; and, in this country, with the adoption of our constitution. Before then [these?], any man might instantly use what another had invented; so that the inventor had no special advantage from his own invention. The patent system changed this; secured to the inventor, for a limited time, the exclusive…

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“Here is my procedure for a saliva test: Prepare 7 strips of pH paper. Take a baseline pH reading. Have the patient drink 10cc…

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“There is no time for patience - there is no time for diplomacy - there is no time for policies, legislations and meaningless paperwork.…

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Grace is the wonderful spirit that imbues every fiber of our being when we practice the fruits of the spirit: kindness, patience, understanding, forgiveness,…

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“Prayer of an Anonymous Abbess: Lord, thou knowest better than myself that I am growing older and will soon be old. Keep me from becoming too talkative, and especially from the unfortunate habit of thinking that I must say something on every subject and at every opportunity. Release me from the idea that I must straighten out other peoples' affairs.…

Anonymous