Intensive care medicine
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Intensive care medicine · Sep 1996
Comparative Study Clinical Trial Controlled Clinical TrialA comparison of the adrenocortical response during septic shock and after complete recovery.
To compare the adrenocortical response to corticotropin during septic shock and after complete recovery. ⋯ Adrenocortical response to corticotropin is attenuated in patients with septic shock and high-output circulatory failure compared to the response in the much less stressful condition after recovery. The attenuated adrenocortical responsiveness may be explained by effects of circulating mediators from the systemic inflammatory response.
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Intensive care medicine · Sep 1996
Clinical Trial Controlled Clinical TrialInfluence of pentoxifylline on cytokine levels and inflammatory parameters in septic shock.
To evaluate the influence of pentoxifylline (PTX), a phosphodiesterase inhibitor, on cytokines and inflammatory proteins in patients suffering from septic shock. ⋯ PTX does influence TNF levels in septic shock patients. Nevertheless, inhibiting a single mediator in severe septic shock cannot stop the inflammatory overreaction.
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Intensive care medicine · Sep 1996
Percutaneous dilatational cricothyroidotomy: outcome with 44 consecutive patients.
To assess the value of the percutaneous dilatational technique in elective cricothyroidotomy. ⋯ Percutaneous dilatational cricothyroidotomy can be a quick, safe technique, as good as the percutaneous subcricoidal approach in ventilated, critically ill patients.
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Intensive care medicine · Sep 1996
Continuous infusion of ketamine in mechanically ventilated children with refractory bronchospasm.
To determine whether ketamine infusion to mechanically ventilated children with refractory bronchospasm is beneficial. ⋯ Continuous infusion of ketamine to mechanically ventilated patients with refractory bronchospasm significantly improves gas exchange and dynamic compliance of the chest.
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Intensive care medicine · Sep 1996
Review Comparative StudyDiagnostic and therapeutic implications of transesophageal echocardiography in medical ICU patients with unexplained shock, hypoxemia, or suspected endocarditis.
To evaluate the diagnostic and therapeutic implications of transesophageal echocardiography (TEE) in intensive care patients. ⋯ TEE is safe and well tolerated and is useful in the management of patients in the intensive care unit with shock, unexplained and severe hypoxemia, or suspected endocarditis when TTE is inconclusive.