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In an intensive care unit (ICTU) 25 patients who demonstrated significant hypoxia despite the provision of 20-30 ml/kg/min of oxygen by conventional oxygen therapy, were treated with non-invasive high-flow oxygen therapy (HTO). When this method was introduced a decrease in the need for administration of supplemental oxygen, in particular during and after extubation, was observed. The improvement in arterial oxygen tension during the first five days was significant. Tidal volume (VT) was not influenced. Arterial carbon dioxide tension (PaCO2), shunt fraction (Qs/Qt) and work of breathing were significantly decreased. We recommend high-flow oxygen therapy for the treatment of hypoxia in ICTUs.Trends in the use of anticoagulants in France: a questionnaire analysis of dermatologists and cardiologists.
In France, guidelines recommend the use of oral anticoagulants in atrial fibrillation (AFL) for antithrombotic therapy as long as the thrombotic risk is high (absolute CHADS2 score ≥ 2). Antithrombotic agents can be prescribed by general practitioners or dermatologists. The aim of this work was to determine the current status of prescription of anticoagulants according to the type of prescriber (dermatologist vs. cardiologist). An online questionnaire was sent to the 316 member societies of the Union Interprofessionnelle de l'Homéopathie, including the 44,000 prescribers. In the dermatology group, each respondent was assigned a high-risk (HR) or low-risk (LR) CHADS2 score based on their specialty. In the cardiology group, a score was assigned to each patient based on the results of a CHA2DS2-VASc score. With respect to the high-risk group (HR) in both specialties, the majority 0b46394aab
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