Intensive care medicine
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Intensive care medicine · Dec 1997
Epidemiology of acute renal failure and outcome of haemodiafiltration in intensive care.
To examine the epidemiology of acute renal failure (ARF) and to identify predictors of mortality in patients treated by continuous venovenous haemodiafiltration (CVVHDF). ⋯ General measures of severity are not useful in predicting the outcome of ARF. Only the nature and number of dysfunctioning organ systems and massive transfusion at the beginning of CVVHDF and the age of the patients gave a reliable prognosis in this group of patients.
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Intensive care medicine · Dec 1997
Case ReportsImprovement of oxygenation induced by aerosolized prostacyclin in a preterm infant with persistent pulmonary hypertension of the newborn.
Case report on the effect of inhaled prostacyclin in a preterm infant (28 weeks gestational age) with respiratory distress syndrome complicated by marked hypoxemia due to persistent pulmonary hypertension of the newborn. Treatment with surfactant, hyperventilation, and elevation of systemic blood pressure had failed to improve oxygenation. ⋯ Inhaled PGI2 had a beneficial effect on the oxygenation of a preterm neonate with persistent pulmonary hypertension of the newborn.
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Intensive care medicine · Dec 1997
Randomized Controlled Trial Comparative Study Clinical TrialMidazolam versus propofol for long-term sedation in the ICU: a randomized prospective comparison.
To compare the efficacy, safety, and cost of midazolam and propofol in prolonged sedation of critically ill patients. ⋯ Both drugs afforded reliable, safe, and controllable long-term sedation in ICU patients and rapid weaning from mechanical ventilation. Midazolam depressed respiration, allowed better maintenance of sedation, and yielded complete amnesia at a lower cost, while propofol caused more cardiovascular depression during induction.
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Intensive care medicine · Dec 1997
Randomized Controlled Trial Clinical Trial Controlled Clinical TrialRight ventricular function during weaning from mechanical ventilation after coronary artery bypass grafting: effect of volume loading.
The study was designed to investigate the right ventricular (RV) reaction to weaning from mechanical ventilation (MV) in patients with and without volume loading after coronary artery bypass grafting (CABG). ⋯ An increase in RV volumes with a concomitant increase in RVSWI was observed in high preload patients when going from MV to SV, suggesting a preserved RV function during weaning from MV in this group compared with control patients. The depression in RV contractility observed in some patients suggested that rapid volume expansion before weaning from MV in CABG patients must be done carefully.