Journal of critical care
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Journal of critical care · Apr 2013
Randomized Controlled TrialEffect of enteral feeding with ginger extract in acute respiratory distress syndrome.
The purpose of this study is to evaluate the effects of an enteral diet enriched with ginger extract on inflammatory factors, respiratory profile, and outcome of patients with acute respiratory distress syndrome (ARDS). ⋯ An enteral diet supplemented with ginger in patients with ARDS may be beneficial for gas exchange and could decrease duration of mechanical ventilation and length of stay in intensive care unit.
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Journal of critical care · Apr 2013
Effectiveness of sepsis bundle application in cirrhotic patients with septic shock: a single-center experience.
To evaluate the effect of adherence to evidence-based guidelines of the Surviving Sepsis Campaign (SSC) on the outcome of cirrhotic patients with septic shock admitted to the intensive care unit. ⋯ In our observational study, the adherence to the interventions recommended by the SSC evidence-based guidelines did not provide an improvement in the survival rate of cirrhotic patients with septic shock.
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Journal of critical care · Apr 2013
Interstitial cortisol obtained by microdialysis in mechanically ventilated septic patients: correlations with total and free serum cortisol.
The aim of this study was to measure subcutaneous tissue cortisol obtained by microdialysis (MD) in 35 mechanically ventilated septic patients. ⋯ Microdialysis CORT levels correlate moderately with circulating T-CORT and F-CORT. Of note, several patients presented with discrepant measurements between interstitial and circulating CORT concentrations. Thus, interstitial CORT measurements represent an additional tool to investigate the tissue CORT availability in critically ill patients.
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Journal of critical care · Apr 2013
Configuration of the circle of Willis is associated with less symptomatic intracerebral hemorrhage in ischemic stroke patients treated with intravenous thrombolysis.
The circle of Willis (CoW) is a primary collateral pathway that compensates quickly for a drop in cerebral blood flow. Using the complete CoW as a surrogate marker for good collateral circulation, its prognostic value after intravenous thrombolysis was examined. ⋯ Complete CoW independently predicted functional independence and survival.
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Journal of critical care · Apr 2013
Comparative StudyImproved aneurysmal subarachnoid hemorrhage outcomes: a comparison of 2 decades at an academic center.
Management of aneurysmal subarachnoid hemorrhage (aSAH) has evolved over the past 2 decades, including refinement of neurosurgical techniques, availability of endovascular options, and evolution of neurocritical care; their impact on SAH outcomes is unclear. ⋯ Our institutional experience over 2 decades confirms that patients with aSAH have shown significant outcome improvements over time.