Intensive care medicine
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Intensive care medicine · Dec 2002
Effect of prone position on hepato-splanchnic hemodynamics in acute lung injury.
To evaluate the effects of prone position on hepato-splanchnic hemodynamics, metabolism and gut mucosal energy balance. ⋯ We conclude that if IAP and systemic hemodynamics remain unaffected, the prone position in ALI patients compromises neither hepato-splanchnic perfusion nor gastric mucosal energy balance.
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Intensive care medicine · Dec 2002
Influence of different release times on spontaneous breathing pattern during airway pressure release ventilation.
Airway pressure release ventilation (APRV) is a ventilatory mode with a time cycled change between an upper (P(high)) and lower (P(low)) airway pressure level. APRV is unique because it allows unrestricted spontaneous breathing throughout the ventilatory cycle. We studied the influence of different release times (time of P(low)) on breathing pattern and gas exchange in patients during partial mechanical ventilation. ⋯ Airway pressure release ventilation is an open system which allows patients to maintain the "time control" over the respiratory cycle independent of the chosen duration for P(high) and P(low).
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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
Inflammatory response of neutrophil granulocytes and monocytes after cardiopulmonary bypass in pediatric cardiac surgery.
To determine whether the activation state of polymorphonuclear neutrophils (PMNs) and monocytes contributes to the inflammatory response after cardiopulmonary bypass (CPB) in pediatric cardiac surgery. ⋯ After the end of CPB, there was an ongoing inflammatory process. In particular, there was an activation of monocytes after the end of CPB.
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Intensive care medicine · Dec 2002
Pediatric ARDS: effect of supine-prone postural changes on oxygenation.
To determine the effect of repeated prone positioning (supine-prone/prone-supine) on oxygenation in children suffering from ARDS. ⋯ The prone position improves oxygenation in a significant proportion of children with ARDS. Although no statistically significant difference was found for the mortality rate, it was higher for the non-responders (80%) vs the responders (39%).