Critical care medicine
-
Critical care medicine · Mar 1998
GuidelineGuidelines on admission and discharge for adult intermediate care units. American College of Critical Care Medicine of the Society of Critical Care Medicine.
To present guidelines for writing admission and discharge policies for adult intermediate care units. ⋯ Criteria were developed that define patients who are optimal candidates for management in an intermediate care unit.
-
Critical care medicine · Mar 1998
Use of hypertonic (3%) saline/acetate infusion in the treatment of cerebral edema: Effect on intracranial pressure and lateral displacement of the brain.
To determine the effect of continuous hypertonic (3%) saline/acetate infusion on intracranial pressure (ICP) and lateral displacement of the brain in patients with cerebral edema. ⋯ Hypertonic saline administration as a 3% infusion appears to be a promising therapy for cerebral edema in patients with head trauma or postoperative edema. Further studies are required to determine the optimal duration of benefit and the specific patient population that is most likely to benefit from this treatment.
-
Critical care medicine · Mar 1998
Randomized Controlled Trial Comparative Study Clinical TrialA comparison of central venous pressure and common iliac venous pressure in critically ill mechanically ventilated patients.
To investigate the possibility of using common iliac venous pressure (CIVP) as an alternative to superior vena cava pressure (SVCP) in mechanically ventilated, critically ill, adult patients. ⋯ For clinical purposes, CIVP measured by a catheter of 15 to 20 cm placed through the femoral route is interchangeable with SVCP in mechanically ventilated adult patients. This finding provides an alternative route for assessment of central venous pressure when other routes are not appropriate.