Intensive care medicine
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Intensive care medicine · Jun 1996
Comparative StudyPrognostic factors and treatment of severe ethylene glycol intoxication.
Analysis of prognostic factors and treatment of a large epidemic of ethylene glycol intoxication. ⋯ In patients with severe ethylene glycol intoxication, severe acidosis, hyperkalemia, seizures, and coma at admission carry a dismal prognosis. We believe very large amounts of intravenous HCO3 should be used immediately for rapid correction of the metabolic acidosis. Intravenous ethanol and hemodialysis should be started early and continued until acidosis is corrected.
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Intensive care medicine · Jun 1996
Multicenter Study Comparative StudyApplication of the APACHE III prognostic system in Brazilian intensive care units: a prospective multicenter study.
To compare patients and their outcomes at ten Brazilian intensive care units (ICUs) with those reported from the United States. ⋯ The APACHE III prognostic system was a good discriminator of hospital mortality for ICU admissions at 10 Brazilian ICUs. There was substantial and significant variation, however, in SMRs among the Brazilian ICUs, which suggests that further evaluations of international differences in intensive care using a common risk assessment system should be performed and factors associated with variations in risk-adjusted mortality scrutinized.
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Intensive care medicine · Jun 1996
Comparative StudyA comparison between continuous central venous pressure measurement from right atrium and abdominal vena cava or common iliac vein.
To determine the accuracy of mean continuous central venous pressure (CVP) measurements in the abdominal vena cava. ⋯ In children with no obstruction of blood flow from the abdominal vena cava to the right atrium, the pressure in the abdominal vena cava or common iliac vein accurately reflects the pressure in the right atrium.
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Intensive care medicine · Jun 1996
Comparative StudyOutcome prediction for patients with cirrhosis of the liver in a medical ICU: a comparison of the APACHE scores and liver-specific scoringsystems.
To find the most adequate prognostic scoring system for predicting ICU-outcome in patients with decompensated liver cirrhosis in a medical intensive care unit (ICU). ⋯ To predict the outcome for patients with decompensated cirrhosis of the liver admitted to a medical ICU liver failure alone is not decisive. Liver-specific scoring systems (Mayo Risk Score, CCLI) are adequate, but the APACHE II and III proved to be more powerful, because they include additional physiologic parameters and therefore also take into account additional complications associated with this liver disorder.