Intensive care medicine
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Intensive care medicine · Apr 2002
Comparative Study Retracted PublicationDoes coagulation differ between elderly and younger patients undergoing cardiac surgery?
Multiple improvements allow cardiac surgery in an increasingly older population. It is still unclear whether perioperative hemostasis differs between elderly and younger patients. ⋯ Elderly cardiac surgery patients already showed moderately altered coagulation prior to surgery. Thus elderly patients may be at risk of developing postoperative alterations in hemostasis on the ICU. The exact reasons for the impaired coagulation in the elderly remains to be determined.
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Intensive care medicine · Mar 2002
Comparative StudyA new prognostic scoring system for meningococcal septic shock in children. Comparison with three other scoring systems.
To develop a quick and sensitive method for identification of children with presumed meningococcal septic shock at risk of death at admission to the pediatric intensive care unit (PICU) and to compare its performance with three other prognostic systems: Glasgow Meningococcal Septicaemia Prognostic Score (GMSPS), Malley score and the Paediatric Index of Mortality (PIM). ⋯ A new prognostic score is proposed for therapeutic stratification of children with presumed meningococcal septic shock.
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Intensive care medicine · Mar 2002
Randomized Controlled Trial Multicenter Study Clinical TrialDobutamine and gastric-to-arterial carbon dioxide gap in severe sepsis without shock.
To evaluate the effect of an early dobutamine infusion on gastrointestinal perfusion in patients with severe sepsis. ⋯ An early infusion of dobutamine at a fixed dose of 5 microg/kg per min during the first 72 h of severe sepsis does not influence gastric DeltaCO2.
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Intensive care medicine · Mar 2002
Hypoproteinemia as a marker of acute respiratory distress syndrome in critically ill patients with pulmonary edema.
To assess the value of serum protein levels for differentiating permeability pulmonary edema in the course of acute respiratory distress syndrome (ARDS) from cardiogenic pulmonary edema (CPE). ⋯ The data suggest that hypoproteinemia is a marker of ARDS. This may partially reflect increased permeability in the lungs, systemically, or both.