Intensive care medicine
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Intensive care medicine · Feb 2003
Editorial Comment ReviewTerlipressin in chronic hyperdynamic endotoxic shock: is it safe?
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Intensive care medicine · Jan 2003
Multicenter StudyDecision-making in the ICU: perspectives of the substitute decision-maker.
To describe the substitute decision-makers' perspectives related to decision-making in the intensive care unit (ICU) and to determine those variables associated with their overall satisfaction with decision-making. ⋯ In this multicenter observational study, we found that most substitute decision-makers for ICU patients wanted to share decision-making responsibility with physicians and that, overall, they were satisfied with their decision-making experience. Adequate communication, feeling supported, and achieving the appropriate level of care for their family member were key determinants of satisfaction with decision-making in the ICU.
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Intensive care medicine · Jan 2003
Randomized Controlled Trial Clinical TrialThyroid hormone response to moderate hypothermia in severe brain injury.
To examine the effect of controlled moderate hypothermia on thyroid response in head-injured patients. ⋯ Thyroid hormone patterns during moderate hypothermia in head-injured patients did not differ from the well known "low T3 state" which is observed in other forms of severe illness.
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Intensive care medicine · Jan 2003
Effects of controlled mechanical ventilation on respiratory muscle contractile properties in rabbits.
We examined in rabbits the effects of more than 48 h of mechanical ventilation on the contractile properties and fiber type adaptations of the respiratory muscles. ⋯ Mechanical ventilation in rabbits produces alterations in contractile properties of the diaphragm and 5th external intercostal muscle, increases both muscles fatigue, and promotes atrophy of type II fibers.