Intensive care medicine
-
Intensive care medicine · Feb 2001
Randomized Controlled Trial Clinical TrialEffects of bronchoalveolar lavage volume on arterial oxygenation in mechanically ventilated patients with pneumonia.
To assess the effect of bronchoalveolar lavage (BAL) volume on arterial oxygenation in critically ill patients with pneumonia. ⋯ A decrease in the PaO2/FIO2 ratio was observed in all patients after a combined diagnostic procedure, independent of the BAL volume used. A significant bacterial burden recovered from the alveoli and no preemptive antibiotic therapy were associated with a larger and longer-lasting decrease in arterial oxygenation.
-
Intensive care medicine · Feb 2001
Randomized Controlled Trial Clinical TrialProphylactic hemofiltration in severely traumatized patients: effects on post-traumatic organ dysfunction syndrome.
To evaluate the effects of prophylactic veno-venous hemofiltration (CVVH) in the absence of renal failure on multiple organ dysfunction syndrome after severe multiple trauma. ⋯ CVVH blunts the cardiovascular response to multiple trauma and increases tissue oxygen extraction. However, the concomitant decrease in platelet counts represents a limitation for the use of prophylactic CVVH in surgical patients.