Intensive care medicine
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Intensive care medicine · Jun 1998
Mortality of space-occupying ('malignant') middle cerebral artery infarction under conservative intensive care.
To find what the mortality rate of space-occupying ('malignant') middle cerebral artery (MCA) infarction is under maximum conservative intensive care. To establish whether any early indicators of survival exist. ⋯ The mortality of patients with 'malignant' MCA infarction is very high despite maximum conservative intensive care.
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Intensive care medicine · Jun 1998
Case ReportsNear fatal respiratory distress following massive ether intravenous injection.
To the best of our knowledge, no case of ether-induced acute respiratory distress syndrome (ARDS) has been published as yet. A 36-year-old female developed pneumonitis which showed all the characteristics of a chemical-associated ARDS due to intravenous self-administration of ether: the hemodynamic investigation demonstrated a normal blood flow pattern with low left-heart filling pressure while the anteroposterior roentgenogram evidenced disseminated bilateral lung edema. Advanced symptomatic respiratory support including inhaled nitric oxide and steroidal anti-inflammatory use was the treatment of choice.
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Intensive care medicine · Jun 1998
Editorial Randomized Controlled Trial Clinical TrialChallenges encountered in changing physicians' practice styles: the ventilator weaning experience.
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To perform a reproducible long-term (10 days) large animal model of multiple systems organ failure without necessity of a continuous stimulus. ⋯ This new large animal model of trauma-induced MOF is reproducible and may be suitable for the study of new therapeutic approaches to therapy.
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Intensive care medicine · Jun 1998
Systemic and regional pCO2 gradients as markers of intestinal ischaemia.
We evaluated the response of mixed venous-arterial carbon dioxide (pCO2) to severe intestinal ischaemia produced by gradual occlusion of the superior mesenteric artery (SMA). ⋯ Despite clear evidence of severe splanchnic hypoperfusion, as shown by regional hypercarbia and lactate production, the mixed venous-arterial pCO2 gradient did not reflect splanchnic hypoperfusion.