Intensive care medicine
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Intensive care medicine · Sep 1995
Comparative Study Clinical TrialThe evaluation of percutaneous central venous catheters--a convenient technique in pediatric patients.
To evaluate the feasibility and effectiveness of 3 different types of silastic catheters that were used for percutaneous central venous catheterization (PCVC) through peripheral veins. ⋯ This study indicates that the use of three different calibers of silastic catheter is feasible and effective for PCVC in pediatric practice.
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Intensive care medicine · Sep 1995
Neuromuscular disorders associated with failure to wean from the ventilator.
To determine, by retrospective chart analysis, the frequency, type and significance of neuromuscular disorders in patients whose clinical features suggested a neuromuscular cause of failure to wean. ⋯ Electrophysiological studies of limbs and the respiratory system are together valuable in confirming the presence, and identifying the specific type of neuromuscular cause for difficulty in weaning from the ventilator. This information is important in patient management and prognosis.
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Intensive care medicine · Sep 1995
Epidemiologic aspects and results of applying the TRISS methodology in a Spanish trauma intensive care unit (TICU).
Analysis of epidemiologic aspects in a trauma intensive care unit (TICU) and assessment of predicted outcomes. ⋯ We found a 19.6% mortality in the TICU. Cranial and abdominal/pelvic injury and age over 65 were the main risk factors on admittance. Clinically, we finally agreed with the majority of TRISS outcome predictions. However, we could not statistically validate the apparent clinical goodness of the TRISS methodology.
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Intensive care medicine · Aug 1995
Clinical Trial Controlled Clinical TrialFlow-triggering reduces inspiratory effort during weaning from mechanical ventilation.
To investigate whether a new flow-triggered (FT) system can reduce the patient's inspiratory effort compared to a traditional pressure-triggered (PT) system during weaning from mechanical ventilation. ⋯ The new FT system, i.e. flow-by system, reduces the unintentional ventilatory workload upon the patients' inspiratory muscles compared to traditional PT system during weaning from mechanical ventilation.