Intensive care medicine
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Intensive care medicine · Dec 2009
Lung recruitment assessed by total respiratory system input reactance.
ALI and ARDS are associated with lung volume derecruitment, usually counteracted by PEEP and recruitment maneuvers (RM), which should be accurately tailored to the patient's needs. The aim of this study was to investigate the possibility of monitoring the amount of derecruited lung by the forced oscillation technique (FOT). ⋯ These results suggest that FOT and the measurement of C (X5) could be a useful tool for the non-invasive measurement of lung volume recruitment/derecruitment.
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Intensive care medicine · Dec 2009
An assessment of acute kidney injury with modified RIFLE criteria in pediatric patients with severe burns.
To apply the modified pediatric RIFLE criteria for severity of acute kidney injury (AKI) to pediatric burn ICU patients and to evaluate the overall incidence of AKI, risk factors for AKI and influence of AKI on outcome. ⋯ We observed a high incidence of AKI in the burn PICU population. Sepsis seems to contribute to the development of the Failure class of AKI. Maximum Failure class of AKI is associated with high mortality.
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Intensive care medicine · Dec 2009
Effect of closed endotracheal suction in high-frequency ventilated premature infants measured with electrical impedance tomography.
To determine the global and regional changes in lung volume during and after closed endotracheal tube (ETT) suction in high-frequency ventilated preterm infants with respiratory distress syndrome (RDS). ⋯ Closed ETT suction causes an acute, transient and heterogeneous loss of lung volume in premature infants with RDS treated with open lung HFV.
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Intensive care medicine · Dec 2009
Family satisfaction in the intensive care unit: what makes the difference?
To assess family satisfaction in the ICU and to identify parameters for improvement. ⋯ The online version of this article (doi:10.1007/s00134-009-1611-4) contains supplementary material, which is available to authorized users.
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Intensive care medicine · Dec 2009
Frequency and clinical impact of preserved bispectral index activity during deep sedation in mechanically ventilated ICU patients.
Despite an overall correlation between the bispectral index of the EEG (BIS) and clinical sedation assessment, unexpectedly high BIS values can be observed at deep sedation levels. We assessed the frequency, interindividual variability and clinical impact of high BIS values during clinically deep sedation. ⋯ In mechanically ventilated ICU patients, discordance between high BIS values and deep clinical sedation is frequently observed and may suggest faster weaning from the ventilator.