Intensive care medicine
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Intensive care medicine · Jan 1993
Clinical TrialHemodynamic effects of sodium bicarbonate in critically ill neonates.
To analyze the cardiovascular effects of sodium bicarbonate in neonates with metabolic acidosis. ⋯ Sodium bicarbonate in neonates with metabolic acidosis induces an increase in contractility and a reduction in afterload.
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Intensive care medicine · Jan 1993
Characterization of intensive care unit patients using a model based on the presence or absence of organ dysfunctions and/or infection: the ODIN model.
To evaluate the sensitivity, specificity and overall accuracy of a model based on the presence or absence of organ dysfunctions and/or infection (ODIN) to predict the outcome for intensive care unit patients. ⋯ These findings suggest that determination of the number and the type of organ dysfunctions and infection offers a clear and reliable method for characterizing ICU patients. Before a widespread use, this model requires to be validated in other institutions.
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Intensive care medicine · Jan 1993
Randomized Controlled Trial Comparative Study Clinical TrialAnticoagulant regimens in acute continuous hemodiafiltration: a comparative study.
To compare and contrast different heparin regimens for extracorporeal circuit anticoagulation in patients receiving acute continuous hemodiafiltration (ACHD). ⋯ Regional anticoagulation leads to longer filter survival than low dose heparin in shunt CAVHD. A regimen of no anticoagulation during femoral CAVHD leads to a filter life similar to that of low dose heparinization. During CVVHD, regional anticoagulation and low dose heparin are associated with similar filter survival times. In patients assessed to be at high risk of bleeding, treatment with CVVHD without anticoagulation results in adequate filter survival.
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Intensive care medicine · Jan 1993
Case ReportsConservative management of traumatic chylothorax: a case report.
A case is presented of a right traumatic chylothorax, secondary to thoracic trauma with bilateral posterior eleventh rib fracture, treated by total parenteral nutrition and pleural drainage, with resolution within 2 weeks. On the basis of this clinical report and of a review of the literature, it is concluded that adequate conservative management should be initially the treatment of choice. Surgical treatment should be reserved to the cases in which clinical improvement does not occur within 2 weeks, and should consist of supradiaphragmatic thoracic duct ligation. Thoracoscopic fibrin glue injection has recently been described as a possible alternative treatment.
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Intensive care medicine · Jan 1993
Importance of pre-existing co-morbidities for prognosis of septicemia in critically ill patients.
To determine admission characteristics associated with the outcome of septicemia in critically ill patients and more specifically assess the prognostic value of pre-existing co-morbidities. ⋯ Pre-existing co-morbidities assessed at the admission to the ICU significantly improved the prediction of mortality from septicemia compared to Apache II score alone.