Intensive care medicine
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Intensive care medicine · Dec 2002
Comparative StudyPediatric intensive care: result of a European survey.
To assess and compare the structure, organisation, management, and staffing in different paediatric intensive care units (PICUs) in Europe. ⋯ Data obtained in our survey demonstrate the substantial structural, organisational management, and staff diversity of paediatric ICUs. Most European PICUs employ specialized PICU nurses and have at least part time coverage by paediatric intensivists.
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Intensive care medicine · Dec 2002
Impact of neutropenia duration on short-term mortality in neutropenic critically ill cancer patients.
To identify predictors of 30-day mortality and to assess the impact of neutropenia recovery (NR) on 30-day mortality in critically ill cancer patients (CICPs). ⋯ Organ failure but not disease progression or neutropenia duration affect 30-day mortality in neutropenic CICPs. ICU-acquired events might be modeled as time-dependent variables in a Cox model, rather than standard covariates in logistic regression models.
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Intensive care medicine · Dec 2002
Physiological effects of decannulation in tracheostomized patients.
To evaluate the physiological effects of decannulation on breathing patterns and respiratory mechanics by comparing mouth breathing (MB) to tracheal breathing (TB) in tracheostomized patients. ⋯ Decannulation resulted in a dead space increase with no other detectable additional loading. It increased work of breathing by more than 30%. Decannulation deserves special attention in patients with restrictive respiratory disease.
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Intensive care medicine · Dec 2002
Usefulness of venous oxygen saturation in the jugular bulb for the diagnosis of brain death: report of 118 patients.
To assess the usefulness of venous oxygen saturation in the jugular bulb (SjO(2)) as a complementary test for the diagnosis of brain death. ⋯ Central venous-jugular bulb oxygen saturation rate below 1 together with accepted clinical criteria (unresponsive coma with brainstem areflexia) provides non-invasive assessment of cerebral circulatory arrest that can help to suspect brain death.