Intensive care medicine
-
Intensive care medicine · Jan 1993
Comparative StudyAngiotensin-converting enzyme activity in serum and bronchoalveolar lavage fluid after damage to the alveolo-capillary barrier in the human lung.
Angiotensin-converting enzyme (ACE) is considered as a possible marker for endothelial cell damage in serum or bronchoalveolar lavage fluid. This hypothesis was tested during cardiac surgery and during the adult respiratory distress syndrome. ⋯ Angiotensin-converting enzyme activity in serum or bronchoalveolar lavage fluid does not reflect damage of endothelial cells or damage of alveolocapillary integrity in acute pulmonary disease.
-
Intensive care medicine · Jan 1993
Pressure support ventilation via face mask in acute respiratory failure in hypercapnic COPD patients.
To test whether non-invasive ventilation via facial mask could reduce the need for tracheal intubation when mechanical ventilation must be initiated in COPD patients. ⋯ Non-invasive ventilation (pressure-support) via face mask may reduce the need for tracheal intubation in the severe hypercapnic failure of COPD patients.
-
Intensive care medicine · Jan 1993
Comparative StudyIntensive use of general ultrasound in the intensive care unit. Prospective study of 150 consecutive patients.
To assess the impact of systematic ultrasound (US) examination in patients admitted to the ICU. ⋯ Routine US examination may alter therapeutic plans in up to 1/4 of critically ill patients admitted to the ICU. US examination should be liberally performed on such patients.
-
Intensive care medicine · Jan 1993
The effects of norepinephrine on hemodynamics and renal function in severe septic shock states.
To investigate the effect of norepinephrine (NE) on hemodynamics, oxygen metabolism and renal function in patients with severe septic shock. ⋯ Our results suggest that norepinephrine can be used safely in the treatment of severe septic shock states. Mean arterial pressure and glomerular filtration rate improved markedly without deleterious effects on CI, O2AVI and VO2I.
-
Intensive care medicine · Jan 1993
Comparative StudyComparison of atracurium and pancuronium in mechanically ventilated neonates.
To compare haemodynamic and gas exchange effects after either atracurium or pancuronium given to ventilated neonates with respiratory failure. ⋯ Both drugs may be used for muscle relaxation in neonates with respiratory failure. Atracurium however causes more cardiovascular depression, whereas the effect of pancuronium may be difficult to predict.