Intensive care medicine
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Intensive care medicine · Nov 1994
Editorial CommentPractice guidelines--an emerging synthetic science.
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Intensive care medicine · Aug 1994
Letter Case ReportsUse of the intraosseous route in resuscitation in a neonate.
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Intensive care medicine · Aug 1994
Randomized Controlled Trial Comparative Study Clinical TrialAccuracy assessment for three fiberoptic pulmonary artery catheters for SvO2 monitoring.
To compare values of SvO2 obtained by reflectance spectrophotometry continuous monitoring with those obtained from blood samples measurements by transmission spectrophotometry (Co-Oximetry). ⋯ For usual monitoring in the ICU, SAT2 and OX3, gave SvO2 values which are in acceptable agreement with SvO2 measured on blood samples by Co-Oximetry.
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Intensive care medicine · Aug 1994
Case ReportsOutpatient therapy of iatrogenic drug dependency following prolonged sedation in the pediatric intensive care unit.
The authors present their clinical experience with the oral administration of lorazepam, methadone, and pentobarbital to prevent or treat withdrawal symptoms following prolonged sedation in the PICU patient. The 3 patients presented required prolonged sedation for mechanical ventilation. Different agents were used for sedation in the 3 patients including intravenous fentanyl, midazolam, and pentobarbital. ⋯ The switch to oral administration eliminated the need for intravenous access in the 3 patients and allowed for earlier discharge home. All 3 patients were discharged home on an oral, taper schedule. Such an approach may lead to earlier home discharge thereby improving the patient's quality of life as well as saving health care dollars.
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Intensive care medicine · Aug 1994
Bedside percutaneous dilational tracheostomy with endoscopic guidance: experience with 71 ICU patients.
To assess the value of endoscopic guidance in bedside percutaneous dilational tracheostomy. ⋯ Percutaneous dilational tracheostomy is a simple bedside procedure associated with a low complication rate. We recommend the use of endoscopic guidance to increase the safety of tracheal puncture and dilation procedure.