Intensive care medicine
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Intensive care medicine · May 2004
Randomized Controlled Trial Multicenter Study Clinical TrialNoninvasive continuous positive airway pressure in elderly cardiogenic pulmonary edema patients.
To compare the physiological effects and the clinical efficacy of continuous positive airway pressure (CPAP) vs standard medical treatment in elderly patients (> or =75 years) with acute hypoxemic respiratory failure related to cardiogenic pulmonary edema. ⋯ Noninvasive continuous positive airway pressure promotes early clinical improvement in elderly patients attending emergency departments for a severe pulmonary edema, but only reduces early 48-h mortality.
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Intensive care medicine · May 2004
Multicenter StudyWhat is the daily practice of mechanical ventilation in pediatric intensive care units? A multicenter study.
To describe the daily practice of mechanical ventilation (MV), and secondarily, its outcome in pediatric intensive care units (PICUs). ⋯ One in every 3 patients admitted to the PICUs requires ventilatory support. The ARF was the most common reason for MV, and survival of unselected infants and children receiving MV for more than 12 h was 85%.
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The number of citations an article receives after its publication reflects its impact on the scientific community. Our purpose was to identify and examine the characteristics of the most frequently cited articles in the field of critical care medicine. ⋯ Our analysis gives a historical perspective on the scientific progress of critical care medicine and allows for recognition of important advances in this specialty.
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Intensive care medicine · May 2004
Randomized Controlled Trial Clinical TrialValue of the clinical pulmonary infection score for the identification and management of ventilator-associated pneumonia.
To evaluate the potential ability of an algorithm based on the clinical pulmonary infection score (CPIS) to identify and treat patients with bacterial ventilator-associated pneumonia (VAP) compared to a strategy based on quantitative cultures of bronchoscopic specimens. ⋯ A strategy based on the CPIS to decide which patients with suspected VAP should receive prolonged administration of antibiotics would appear to over-prescribe these agents, as compared to a strategy based on bronchoscopy.