Journal of critical care
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The purpose of the study is to evaluate the incidence and hemodynamic consequences of right ventricular (RV) and left ventricular (LV) dysfunction in critically ill patients with H1N1 infection. ⋯ These observations emphasize the high incidence of cardiac dysfunction in patients with H1N1 influenza infections.
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Journal of critical care · Aug 2013
Prediction of fluid responsiveness in patients admitted to the medical intensive care unit.
Accurate prediction of fluid responsiveness is of importance in the treatment of patients admitted to the intensive care unit (ICU). We investigated whether physical examination, central venous pressure (CVP), central venous oxygen saturation (ScvO2), passive leg raising (PLR) test, and transpulmonary thermodilution (TPTD)-derived parameters can predict volume responsiveness in patients admitted to the ICU. ⋯ Prediction of fluid responsiveness is difficult using physical examination, CVP, ScvO2, PLR maneuver, or TPTD-derived variables in critically ill patients. A volume challenge test should be considered for the assessment of fluid responsiveness in critically ill patients admitted to the ICU.
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The aim of this study was to investigate the effects of age on outcome in a large cohort of surgical intensive care unit (ICU) patients. ⋯ Mortality rates increase with age, with an exponential increase in patients older than 65 years. Age is an independent risk factor for in-hospital death, irrespective of the type of surgical intervention.
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Journal of critical care · Aug 2013
Coronary artery disease in patients clinically diagnosed with myocardial infarction in the medical intensive care unit.
The purpose of this study is to compare the clinical characteristics and outcomes of patients with and without coronary artery disease (CAD) confirmed by coronary angiography in critically ill patients clinically diagnosed with myocardial infarction. ⋯ Coronary angiography in critically ill patients should only be performed in highly selected patients with predicting factors for CAD.