Journal of critical care
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Journal of critical care · Mar 2006
Relative adrenal insufficiency in patients with septic shock; a close look to practice patterns.
To assess patterns of practice in our institution specifically regarding corticosteroid deficiency diagnosis in patients with septic shock. ⋯ Relative adrenal insufficiency was diagnosed in half of the patients investigated. Patients with presumed RAI were more likely to be on phenylephrine or vasopressin infusions and treated with activated protein C and had a longer intensive care unit stay but no difference in intensive care unit survival.
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Journal of critical care · Mar 2006
Epidemiology and prognostic factors of critically ill patients treated with hemodiafiltration.
The objective of this study is to study the epidemiology, outcome, and prognostic factors of critically ill patients treated with continuous venovenous hemodiafiltration (CVVHDF). ⋯ In our series, ARF treated with CVVHDF was associated with a high overall ICU mortality rate (71.6%). However, our prognostic flowchart identified patients with low mortality rates for which renal replacement therapy must be initiated with no discussion as soon as required.
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Journal of critical care · Mar 2006
Systemic inflammatory response syndrome and surgical stress in thoracic surgery.
To evaluate the clinical usefulness of postoperative systemic inflammatory response syndrome (SIRS) as an index of surgical stress in patients undergoing thoracic surgery. ⋯ Our results demonstrated that SIRS reflected the degree of surgical stress, especially thoracotomic procedures, through the IL-6 levels, and affected the postoperative hospital stay. Systemic inflammatory response syndrome can be useful for the postoperative management of patients undergoing thoracic surgery.