Intensive care medicine
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Intensive care medicine · Jan 2001
Multicenter StudyA cost-effectiveness analysis of stays in intensive care units.
To evaluate patient outcome and the efficiency of stays in intensive care units (ICUs). ⋯ This work provides medical and economic information on ICU stays in teaching hospitals and enables comparisons with other health-care options.
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Intensive care medicine · Jan 2001
Randomized Controlled Trial Comparative Study Clinical TrialEvaluation of two processed EEG analyzers for assessment of sedation after coronary artery bypass grafting.
Processed EEG monitoring has been suggested for sedation depth evaluation in intensive care unit (ICU) patients. The present study investigated the efficacy of two processed EEG monitors using SEF90% or SEF95% and BIS to differentiate between conscious (Ramsay score 4) and unconscious sedation (Ramsay score 6). ⋯ The use of processed EEG monitoring cannot be recommended for assessing sedation depth after cardiac surgery.
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Intensive care medicine · Jan 2001
Review Practice Guideline GuidelineOther supportive therapies in sepsis.
Patients who survive the circulatory and organ deficits in sepsis may still fall victim to complications such as pulmonary embolism and stress ulcer bleeding. Although there is no clearcut evidence to quantitate the impact of such complications on mortality, the anticipated impact is grave when considering the compromised physiological reserve of these patients. For this reason it is important to institute effective prophylaxis to minimize the impact. ⋯ Early and adequate nutritional support therefore appears important. There is much controversy and lack of prospective research regarding effect of supportive therapies on outcome in patients with severe sepsis. This research is needed.
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Intensive care medicine · Jan 2001
ReviewLow-dose dopamine in neonatal and pediatric intensive care: a systematic review.
To assess the current use of low-dose dopamine (< 5 microg/kg per minute) to improve renal function and urine volume (UV) in neonatal (NICU) and pediatric (PICU) intensive care units, and to assess the available evidence to support this practice. ⋯ The widespread use today of low-dose dopamine in Dutch NICUs and PICUs is not supported in the literature. Evidence from well performed clinical studies to support the use of low-dose dopamine for improving renal function and UV in critically ill neonates and children is largely insufficient. In view of adverse effects, the use of low-dose dopamine in neonatal and pediatric intensive care patients should be reconsidered.
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Intensive care medicine · Jan 2001
Review Practice Guideline GuidelineHemodynamic support in septic shock.