Intensive care medicine
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Intensive care medicine · Oct 1999
Implications of endotracheal tube biofilm for ventilator-associated pneumonia.
To determine the relationship between, and antibiotic resistance of, endotracheal tube (ET) biofilm and pulmonary pathogens in ventilator-associated pneumonia (VAP). ⋯ This investigation provides further evidence for the role of ET biofilm in VAP. The difficulty in eradicating an established microbial biofilm using antibiotics implies that increased attention must be directed towards modification of the ET to prevent or substantially reduce biofilm formation.
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Intensive care medicine · Oct 1999
Editorial Comment ReviewRespiratory physiology and acute lung injury: the miracle of Lazarus.
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Intensive care medicine · Oct 1999
Case ReportsEmergency endovascular treatment of a life-threatening hemorrhage from traumatic rupture of the left extracranial vertebral artery.
Hemorrhagic complications from transection of cervical arteries in blunt traumas are rare. We report a case of potentially fatal hemorrhage from rupture of the left vertebral artery in a closed trauma, successfully treated by endovascular injection of glue. Endovascular embolization may be considered as an alternative to surgical exploration in the treatment of traumatic lesions of vertebral arteries.
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Intensive care medicine · Oct 1999
Case ReportsSuccessful treatment of a patient with ARDS after pneumonectomy using high-frequency oscillatory ventilation.
High frequency oscillatory ventilation (HFOV) was used in a patient who developed the acute respiratory distress syndrome 5 days following a right pneumonectomy for bronchogenic carcinoma. When conventional pressure-controlled ventilation failed to maintain adequate oxygenation, HFOV dramatically improved oxygenation within the first few hours of therapy. ⋯ No negative side effects were observed. Early use of HFOV may be a beneficial ventilation strategy for adults with acute pulmonary failure, even in the postoperative period after lung resection.
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Intensive care medicine · Oct 1999
Induced brain hypothermia in asphyxiated human newborn infants: a retrospective chart analysis of physiological and adverse effects.
To assess the physiological effects and adverse side-effects of induced hypothermia in asphyxiated newborn infants as a base for future controlled, randomized trials. ⋯ Adverse effects of mild hypothermia induced for 3 days in asphyxiated newborns were significantly less than expected from previous reports on neonates with accidental hypothermia.