社区获得性肺炎 Community acquired pneumonia CAP.pptVIP

Bedankt voor uw aandacht! Hoe doen wij dat in de praktijk, wat ook overeen komt met de drie beste IC’s Figure 1. Cumulative effective antimicrobial initiation following onset of septic shock-associated hypotension and associated survival. The x-axis represents time (hrs) following first documentation of septic shock-associated hypotension. Black bars represent the fraction of patients surviving to hospital discharge for effective therapy initiated within the given time interval. The gray bars represent the cumulative fraction of patients having received effective antimicrobials at any given time point. Fig.?2. Causes of acute respiratory failure and frequency of NPPV failure. CPE cardiogenic pulmonary edema, Pulm Cont pulmonary contusion, Inh PN inhalation pneumonia, Atelect atelectasis, NP nosocomial pneumonia, ARDSp pulmonary acute respiratory distress syndrome, CAP community-acquired pneumonia, ARDSexp extrapulmonary acute respiratory distress syndrome, Pulm Fibr/PE pulmonary fibrosis or pulmonary embolism. Causes of extra-pulmonary ARDS are listed for groups that required and avoided intubation, respectively: abdominal sepsis and pancreatitis 11 and 12; post-surgical sepsis 15 and 3; transfusion of more than 6 units of blood within the previous 24?h of ICU admission 6 and 11; and fat embolism 0 and 1. For each subgroup, the column represents the number of patients, the dot represents the percentages of patients requiring intubation, and the line represents the 95% confidence intervals met hoge zuurstofbehoefte, met slechte acceptatie van een masker mislukte NIV-poging, ontwennen van NIV met lastig secretie managment Community acquired pneumonia CAP 3 vragen Wat is CAP? Wat doet NICE? Waarom verteld het Havenziekenhuis iets daarover? CAP wordt gedefinieerd als een acute infectie van het longparenchym CAP ontstaat buiten het ziekenhuis en kan zich openbaren tot 72 uur na ziekenhuisopname. (NVALT Richtlijn Community Acquired pneumonia ) CAP Definit