Réanimation hépatosplanchnique

Dans l\u27histoire de la réanimation, la réanimation hépatosplanchnique est un domaine de développement récent. Les concepts physiopathologiques et les thérapeutiques sont en effet en pleine mutation. Divisé en trois parties, l\u27ouvrage présente tout d\u27abord les différentes formes de l\u27insuffisance hépatocellulaire et les principes de leur prise en charge. Il fait ensuite le point sur les cirrhoses du foie, avant d\u27approfondir la réanimation du territoire hépatosplanchnique. Les questions cliniques quotidiennes sont bien entendu abordées, sans que soient négligés les concepts théoriques, allant de la prévention des hémorragies digestives en réanimation ou de la prise en charge des complications digestives en oncohématologie jusqu\u27aux concepts les plus récents sur la translocation bactérienne ou les concepts d\u27hémodynamique splanchnique. Cet ouvrage, signé par des experts français et internationaux, s\u27attache à démontrer l\u27importance des avancées obtenues ces vingt dernières années dans la prise en charge des maladies graves du foie et de la circulation splanchnique. Il est aussi l\u27illustration de leurs limites et des progrès restant à faire pour obtenir de réelles avancées thérapeutiques. À l\u27interface de plusieurs disciplines, Réanimation hépatosplanchnique intéressera donc non seulement les réanimateurs dans leur ensemble médicaux, chirurgicaux ou spécialisés en chirurgie cardiothoracique , mais aussi les hépato-gastroentérologues, les oncologues et infectiologues

Morceaux choisis de la littérature expérimentale

Date du colloque&nbsp;: 01/2009</p

The effects of vasopressin and its analogues on the liver and its disorders in the critically ill:

Purpose of review: Vasopressin and terlipressin, a long-acting V1a analogue, are increasingly used in intensive care. The main clinical indications are the treatment of patients with septic shock and of patients with cirrhosis, who develop variceal bleeding, the hepatorenal syndrome or both. In this review, we summarize the effects of these drugs on splanchnic hemodynamics and organ function.Recent findings: A recent systematic meta-analysis of randomized trials suggests that terlipressin may improve renal function in hepatorenal syndrome and thereby reduce mortality by 34%. Moreover, a recent study reported that association of terlipressin and albumin was more effective than terlipressin alone. In patients with variceal bleeding, the bleeding control is significantly improved by early administration of terlipressin. The place of vasopressin in the treatment of patients with septic shock is still discussed, but compared with norepinephrine, vasopressin showed at least an equal efficacy. Summary: The use of vasopressin and its synthetic analogues has shown beneficial effects in the management of patients with cirrhosis, especially in the context of variceal bleeding, the hepatorenal syndrome or both. In both cases, the use of terlipressin improved survival. Therefore, in these clinical indications, terlipressin is a part of recommendations. The role of vasopressin in patients with septic shock remains to be precisely evaluated

Pertunjukan Barongsai di Vihara Tri Dharma Bumi Raya Kota Singkawang

Penelitian ini bertujuan untuk mendeskripsikan menotasikan pola ritme dan meneliti fungsi musik Barongsai sebagai ritual dan berkembang menjadi beberapa fungsi seperti, fungsi hiburan dan fungsi pendidikan. Metode yang digunakan adalah metode Deskriftif, bentuk penelitian Kualitatif, danpendekatan Musikologi. Lokasi penelitian berada dijalan kelurahan Melayu Kecamatan Singkawang Barat. Data diperoleh melalui hasil wawancara, observasi, dokumentasi. Berdasarkan analisis data dapat disimpulkan sebagai berikut; (1) mengetahui fungsi musik Barongsai dan mendeskripsikan konteks memainkan musik Barongsai diVihara Tri Dharma Bumi Raya di Kota Singkawang. (2) Menuliskan pola ritme musik Barongsai Vihara Tri Dharma Bumi Raya di Kota Singkawang. Dari hasil penelitian ini disarankan agar musik Barongsai harus tetap dipertahankan sehingga tidak akan mengalami kepunahan. Bagi orang tua agar dapat mewariskan dan mengajarkan kepada generasi muda tentang musik Barongsai, serta perlu didirikan sanggar musik tradisi di lingkungan masyarakat Kota Singkawang. Kata Kunci: Pola Ritme, Fungsi Musik, Kesenian Barongsai. Abstrack: Background This study is the interest of author to denote the rhythm patterns and examine the music function of Barongsai, which was formerly functioning as ritual, now evolved into several functions, such as: entertainment function and educational function. This reseach uses descriptive, qualitative research forms, and Musicology approach. The research location is in the village of Malay District of West Singkawang. Data was obtained through interviews, observation, and documentation. Based on data analysis can be summarized as follows; (1). knowing the function of music and describe the context Barongsai music plays in the monastery Tri Dharma Bumi Raya in Singkawang. (2). Writing a musical rhythm pattern BarongsaiVihara Tri Dharma Bumi Raya in Singkawang. From the results of this reseach suggested that the Barongsai music needs to be maintained so it will not become extinct. For parents to be able to pass on and teach the younger generation about the Barongsai music, as well as the need to set up a studio music tradition in the community of Singkawang

Fatal case of Fusobacterium necrophorum mitral endocarditis

International audienc